Davis Advantage for Townsend's Psychiatric
Mental Health Nursing by Karyn I. Morgan
-Test Bank
11th Edition
,TABLE OF CONTENTS
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
1. The Concept of Stress Adaptation
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process in Psychiatric-Mental Health Nursing
9. Therapeutic Groups
10. Intervention with Families
11. Psychosocial Interventions and Spiritual Care
12. Crisis Intervention
13. Assertiveness Training
14. Promoting Self Esteem
15. Anger and Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. NURSING CARE OF CLIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice
Settings
22. Neurocognitive Disorders
23. Substance-Related and Addictive Disorders
24. Schizophrenia Spectrum and Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar and Related Disorders
27. Anxiety, Obsessive-Compulsive, and Related Disorders
28. Trauma and Stressor-Related Disorders
29. Somatic Symptom and Dissociative Disorders
30. Eating Disorders
31. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
32. Children and Adolescents
33. The Aging Individual
34. Survivors of Abuse or Neglect
35. Community Mental Health Nursing
36. The Bereaved Individual
37. Military Families
,Davis Advantage for Townsend's Psychiatric
Mental Health Nursing, Eleventh Edition
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 therecent 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.
CORRECT ANSWER; 4
Rationale: The nurse should assess that the clients daily functioning is not
impaired. The clientwho 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 mentalillness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5
criteria.
, 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.
CORRECT ANSWER; 2
Rationale: The nurse should determine that the client is at risk for mental illness
when responsesto stress are maladaptive and interfere with daily functioning. The
DSM-5 indicates that in orderto 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.
CORRECT ANSWER; 1
Rationale: The nurse should explain to the parents that, although the twins have
identical DNA,there are several other factors that affect reactions to stress.
Mental Health Nursing by Karyn I. Morgan
-Test Bank
11th Edition
,TABLE OF CONTENTS
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
1. The Concept of Stress Adaptation
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process in Psychiatric-Mental Health Nursing
9. Therapeutic Groups
10. Intervention with Families
11. Psychosocial Interventions and Spiritual Care
12. Crisis Intervention
13. Assertiveness Training
14. Promoting Self Esteem
15. Anger and Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. NURSING CARE OF CLIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice
Settings
22. Neurocognitive Disorders
23. Substance-Related and Addictive Disorders
24. Schizophrenia Spectrum and Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar and Related Disorders
27. Anxiety, Obsessive-Compulsive, and Related Disorders
28. Trauma and Stressor-Related Disorders
29. Somatic Symptom and Dissociative Disorders
30. Eating Disorders
31. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
32. Children and Adolescents
33. The Aging Individual
34. Survivors of Abuse or Neglect
35. Community Mental Health Nursing
36. The Bereaved Individual
37. Military Families
,Davis Advantage for Townsend's Psychiatric
Mental Health Nursing, Eleventh Edition
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 therecent 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.
CORRECT ANSWER; 4
Rationale: The nurse should assess that the clients daily functioning is not
impaired. The clientwho 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 mentalillness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5
criteria.
, 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.
CORRECT ANSWER; 2
Rationale: The nurse should determine that the client is at risk for mental illness
when responsesto stress are maladaptive and interfere with daily functioning. The
DSM-5 indicates that in orderto 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.
CORRECT ANSWER; 1
Rationale: The nurse should explain to the parents that, although the twins have
identical DNA,there are several other factors that affect reactions to stress.
