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Davis Advantage for Townsend's Essentials of Psychiatric Mental Health Nursing
Karyn I. Morgan
10th Edition
PR
O
FD
O
C
,Table of Contents
I. Introduction to Psychiatric Mental Health Concepts
1. Mental Health and Mental Illness
2. Biological Implications
3. Ethical and Legal Issues
4. Psychopharmacology
II. Psychiatric Mental Health Nursing Interventions
5. Relationship Development and Therapeutic Communication
6. The Nursing Process in Psychiatric Mental Health Nursing
7. Psychosocial Interventions and Spiritual Care
8. Intervention in Groups
9. Crisis Intervention
10. Suicide Prevention
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III. Care of Clients with Psychiatric Disorders
11. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
12. Neurocognitive Disorders
13. Substance-Related and Addictive Disorders
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14. Schizophrenia Spectrum and Other Psychotic Disorders
15. Bipolar and Related Disorders
16. Depressive Disorders
FD
17. Gender Dysphoria
18. Anxiety, Obsessive-Compulsive, and Related Disorders
19. Trauma- and Stressor-Related Disorders
20. Somatic Symptom and Dissociative Disorders
21. Eating Disorders
O
22. Personality Disorders
IV. Psychiatric Mental Health Nursing of Special Populations
23. Children and Adolescents
C
24. The Aging Individual
25. Survivors of Abuse and Neglect
26. Community Mental Health Nursing
27. The Bereaved Individual
28. Military Families
29. Concepts of Personality Development
30. Complementary Therapies and Integrative Care
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
32. Paraphilic Disorders and Sexual Dysfunctions
,Chapter 1: Mental Health and Mental Illness
(ANSWERS AT THE END OF EVERY CHAPTER)
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is assessing a client who experiences occasional feelings of sadness because of the recent
death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed.
How would the nurse interpret the client’s behaviors?
1. The client’s behaviors demonstrate mental illness in the form of depression.
2. The client’s behaviors are inappropriate, which indicates the presence of mental
illness.
3. The client’s behaviors are not congruent with cultural norms.
4. The client’s behaviors demonstrate no functional impairment, indicating no mental
illness.
2. At which point would the nurse determine that a client is at risk for developing a mental illness?
PR
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.
O
3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement
made by the client does thNe U
nR
urS
seIrN
ecGoT
gnBi.
zeCaO
s Mt h e bargaining stage of grief?
1. “I hate my partner for giving me this disease I will die from!”
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2. “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.”
3. “I am going to support groups and learn more about the disease.”
4. “Can you please re-draw the test results, I think they may be wrong?”
4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The
nurse assesses the client’s anxiety as which level?
O
1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
C
4. Panic anxiety
5. A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.”
Which is a correct evaluation of this nurse’s statement?
1. Defense mechanisms can be appropriate responses to stress and need not be
eliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
should always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be
discouraged and not completely eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
, 6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
client angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best
response?
1. “It is just a routine part of our assessment. All clients are asked these same
questions.”
2. “Why are you concerned about these types of questions?”
3. “Psychological factors, like excessive stress, have been found to affect medical
conditions.”
4. “We can skip these questions, if you like. It isn’t imperative that we complete this
section.”
7. A client who is being treated for chronic kidney disease complains to the health-care provider that
he does not like the food available to him while hospitalized. The health-care provider insists that
the client strictly adhere to the diet plan. What action can be expected is the client uses the defense
mechanism of displacement?
1. The client assertively confronts the health-care provider.
PR
2. The client insists on being discharged and goes for a long, brisk walk.
3. The client snaps at the nurse and criticizes the nursing care provided.
4. The client hides his anger by explaining the logical reasoning for the diet to his
spouse.
8. A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize
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this behavior as indicative of which defense mechanism?
1. Displacement
2. Projection NURSINGTB.COM
FD
3. Reaction formation
4. Sublimation
9. Which nursing statement regarding the concept of psychosis is most accurate?
1. Individuals experiencing psychoses are aware that their behaviors are maladaptive.
2. Individuals experiencing psychoses experience little distress.
O
3. Individuals experiencing psychoses are aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are based in reality.
C
10. When under stress, a client routinely uses alcohol to excess. When the client’s husband finds her
drunk, the husband yells at the client about her chronic alcohol abuse. Which action alerts the
nurse to the client’s use of the defense mechanism of denial?
1. The client hides liquor bottles in a closet.
2. The client yells at her son for slouching in his chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, “I don’t drink too much!”
11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which
statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief?
1. “If only we could have tried again, things might have worked out.”
2. “I am so mad that the children and I had to put up with him as long as we did.”
3. “Yes, it was a difficult relationship, but I think I have learned from the
Davis Advantage for Townsend's Essentials of Psychiatric Mental Health Nursing
Karyn I. Morgan
10th Edition
PR
O
FD
O
C
,Table of Contents
I. Introduction to Psychiatric Mental Health Concepts
1. Mental Health and Mental Illness
2. Biological Implications
3. Ethical and Legal Issues
4. Psychopharmacology
II. Psychiatric Mental Health Nursing Interventions
5. Relationship Development and Therapeutic Communication
6. The Nursing Process in Psychiatric Mental Health Nursing
7. Psychosocial Interventions and Spiritual Care
8. Intervention in Groups
9. Crisis Intervention
10. Suicide Prevention
PR
III. Care of Clients with Psychiatric Disorders
11. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
12. Neurocognitive Disorders
13. Substance-Related and Addictive Disorders
O
14. Schizophrenia Spectrum and Other Psychotic Disorders
15. Bipolar and Related Disorders
16. Depressive Disorders
FD
17. Gender Dysphoria
18. Anxiety, Obsessive-Compulsive, and Related Disorders
19. Trauma- and Stressor-Related Disorders
20. Somatic Symptom and Dissociative Disorders
21. Eating Disorders
O
22. Personality Disorders
IV. Psychiatric Mental Health Nursing of Special Populations
23. Children and Adolescents
C
24. The Aging Individual
25. Survivors of Abuse and Neglect
26. Community Mental Health Nursing
27. The Bereaved Individual
28. Military Families
29. Concepts of Personality Development
30. Complementary Therapies and Integrative Care
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
32. Paraphilic Disorders and Sexual Dysfunctions
,Chapter 1: Mental Health and Mental Illness
(ANSWERS AT THE END OF EVERY CHAPTER)
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is assessing a client who experiences occasional feelings of sadness because of the recent
death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed.
How would the nurse interpret the client’s behaviors?
1. The client’s behaviors demonstrate mental illness in the form of depression.
2. The client’s behaviors are inappropriate, which indicates the presence of mental
illness.
3. The client’s behaviors are not congruent with cultural norms.
4. The client’s behaviors demonstrate no functional impairment, indicating no mental
illness.
2. At which point would the nurse determine that a client is at risk for developing a mental illness?
PR
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.
O
3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement
made by the client does thNe U
nR
urS
seIrN
ecGoT
gnBi.
zeCaO
s Mt h e bargaining stage of grief?
1. “I hate my partner for giving me this disease I will die from!”
FD
2. “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.”
3. “I am going to support groups and learn more about the disease.”
4. “Can you please re-draw the test results, I think they may be wrong?”
4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The
nurse assesses the client’s anxiety as which level?
O
1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
C
4. Panic anxiety
5. A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.”
Which is a correct evaluation of this nurse’s statement?
1. Defense mechanisms can be appropriate responses to stress and need not be
eliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
should always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be
discouraged and not completely eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
, 6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
client angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best
response?
1. “It is just a routine part of our assessment. All clients are asked these same
questions.”
2. “Why are you concerned about these types of questions?”
3. “Psychological factors, like excessive stress, have been found to affect medical
conditions.”
4. “We can skip these questions, if you like. It isn’t imperative that we complete this
section.”
7. A client who is being treated for chronic kidney disease complains to the health-care provider that
he does not like the food available to him while hospitalized. The health-care provider insists that
the client strictly adhere to the diet plan. What action can be expected is the client uses the defense
mechanism of displacement?
1. The client assertively confronts the health-care provider.
PR
2. The client insists on being discharged and goes for a long, brisk walk.
3. The client snaps at the nurse and criticizes the nursing care provided.
4. The client hides his anger by explaining the logical reasoning for the diet to his
spouse.
8. A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize
O
this behavior as indicative of which defense mechanism?
1. Displacement
2. Projection NURSINGTB.COM
FD
3. Reaction formation
4. Sublimation
9. Which nursing statement regarding the concept of psychosis is most accurate?
1. Individuals experiencing psychoses are aware that their behaviors are maladaptive.
2. Individuals experiencing psychoses experience little distress.
O
3. Individuals experiencing psychoses are aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are based in reality.
C
10. When under stress, a client routinely uses alcohol to excess. When the client’s husband finds her
drunk, the husband yells at the client about her chronic alcohol abuse. Which action alerts the
nurse to the client’s use of the defense mechanism of denial?
1. The client hides liquor bottles in a closet.
2. The client yells at her son for slouching in his chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, “I don’t drink too much!”
11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which
statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief?
1. “If only we could have tried again, things might have worked out.”
2. “I am so mad that the children and I had to put up with him as long as we did.”
3. “Yes, it was a difficult relationship, but I think I have learned from the
