Essentials of psychiatric mental health nursing 8th edition
concepts of care in evidence based pra
, lOM oARc PSD|7 906827
Chapter 1. Mental Health and Mental
Illness Multiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The clients appetite, sleep patterns, and
daily routine have not changed. How should the nurse interpret the clients behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental
illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no mental
illness.
ANS: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired. The
client who experiences feelings of sadness after the loss of a pet is responding within
normal expectations. Without significant
,impairment, the clients distress does not indicate a mental illness.
Cognitive Level:
Analysis Integrated Process:
Assessment
2. At what point should the nurse determine that a client is at risk for developing a
mental illness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
, lOM o ARc PSD|7 906827
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
ANS: 2
Rationale: The nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. The DSM-5
indicates that in order to be diagnosed with a mental illness, daily functioning must be
significantly impaired. The clients ability to communicate distress would be considered a
positive attribute.
Cognitive Level:
Application Integrated
Process: Assessment
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
stress. One twin becomes anxious and irritable, and the other withdraws and cries. How
should the nurse explain these different stress responses to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to stress.
4. Environmental influences to stress weigh more heavily than genetic influences.
concepts of care in evidence based pra
, lOM oARc PSD|7 906827
Chapter 1. Mental Health and Mental
Illness Multiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The clients appetite, sleep patterns, and
daily routine have not changed. How should the nurse interpret the clients behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental
illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no mental
illness.
ANS: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired. The
client who experiences feelings of sadness after the loss of a pet is responding within
normal expectations. Without significant
,impairment, the clients distress does not indicate a mental illness.
Cognitive Level:
Analysis Integrated Process:
Assessment
2. At what point should the nurse determine that a client is at risk for developing a
mental illness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
, lOM o ARc PSD|7 906827
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
ANS: 2
Rationale: The nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. The DSM-5
indicates that in order to be diagnosed with a mental illness, daily functioning must be
significantly impaired. The clients ability to communicate distress would be considered a
positive attribute.
Cognitive Level:
Application Integrated
Process: Assessment
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
stress. One twin becomes anxious and irritable, and the other withdraws and cries. How
should the nurse explain these different stress responses to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to stress.
4. Environmental influences to stress weigh more heavily than genetic influences.
