Test Bank For Davis Advantage for Townsend’s
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Essentials of Psychiatric Mental Health Nursing
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9th Edition Karyn Morgan
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Chapters 1 - 32 | Complete
z z z z z z
,TABLE OF CONTENTS z z
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS z z z z z
1. Mental Health and Mental Illness
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2. Biological Implications
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3. Ethical and Legal Issues
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4. Psychopharmacology
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II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
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5. Relationship Development and Therapeutic Communication
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6. The Nursing Process in Psychiatric/Mental Health Nursing
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7. Psychosocial Interventions and Spiritual Care
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8. Intervention in Groups
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9. Crisis Intervention
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10. The Recovery Model
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11. Suicide Prevention
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III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
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12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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13. Neurocognitive Disorders
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14. Substance Use and Addiction Disorders
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15. Schizophrenia Spectrum and Other Psychotic Disorders
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16. Depressive Disorders
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17. Bipolar and Related Disorders
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18. Anxiety, Obsessive-Compulsive, and Related Disorders
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19. Trauma- and Stressor-Related Disorders
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20. Somatic Symptom and Dissociative Disorders
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21. Eating Disorders
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22. Personality Disorders
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IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
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23. Children and Adolescents
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24. The Aging Individual
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25. Survivors of Abuse or Neglect
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26. Community Mental Health Nursing
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27. The Bereaved Individual
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28. Military Families
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V. ONLINE CHAPTERS
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29. Concepts of Personality Development
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30. Complementary and Integrative Therapies
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31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
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32. Issues Related to Human Sexuality and Gender Dysphoria
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,Chapter 1. Mental Health and Mental Illness
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Multiple Choice
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1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the
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recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not
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changed. How should the nurse interpret the clients behaviors?
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1. The clients behaviors demonstrate mental illness in the form of depression.
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2. The clients behaviors are extensive, which indicates the presence of mental illness.
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3. The clients behaviors are not congruent with cultural norms.
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4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
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ANSWER: 4 z
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho
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experiences feelings of sadness after the loss of a pet is responding within normal expectations.
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Without significant impairment, the clients distress does not indicate a mental illness.
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Cognitive Level: Analysis z z
Integrated Process: Assessment
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2. At what point should the nurse determine that a client is at risk for developing a mental
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illness?
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1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress are coupled with interference in daily functioning.
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3. When a client communicates significant distress.
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4. When a client uses defense mechanisms as ego protection.
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ANSWER: 2 z
Rationale: The nurse should determine that the client is at risk for mental illness when responsesto
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stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto be
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diagnosed with a mental illness, daily functioning must be significantly impaired. The clients
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ability to communicate distress would be considered a positive attribute.
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Cognitive Level: Application z z
Integrated Process: Assessment
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3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress.One
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twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse
z z z z z z z z z z z z z z z
explain these different stress responses to the parents?
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1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
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2. It is abnormal for identical twins to react differently to similar stressors.
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3. Identical twins should share the same temperament and respond similarly to stress.
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4. Environmental influences to stress weigh more heavily than genetic influences. z z z z z z z z z
, ANSWER: 1 z
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,
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there are several other factors that affect reactions to stress. Mental health is a state of being thatis
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relative to the individual client. Environmental influences and temperament can affect stress
z z z z z z z z z z z z
reactions.
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Cognitive Level: Application z z
Integrated Process: Implementation
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4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?1.
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A Jewish, female social worker.
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2. A Baptist, homeless male.
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3. A Catholic, black male.
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4. A Protestant, Swedish business executive.
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ANSWER: 1 z
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
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importance on preventative health care and would consider mental health as equally important as
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physical health. Women are also more likely to seek treatment for mental health problems than
z z z z z z z z z z z z z z z
men.
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Cognitive Level: Application z z
Integrated Process: Planning
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5. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated.
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Which is a correct evaluation of this nurses statement?
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1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
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2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety andshould
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always be eliminated.
z z z
3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedand
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not eliminated.
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4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
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ANSWER: 1 z
Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof
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stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading to
z z z z z z z z z z z z z z z z z
anxiety disorders. Defense mechanisms should be confronted when they impede the client from
z z z z z z z z z z z z z
developing healthy coping skills.
z z z z
Cognitive Level: Application z z
Integrated Process: Evaluation
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6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
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client angrily responds, Im here for my heart, not my head problems. Which is the nurses best
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response?
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1. Its just a routine part of our assessment. All clients are asked these same questions.
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2. Why are you concerned about these types of questions?
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3. Psychological factors, like excessive stress, have been found to affect medical conditions. z z z z z z z z z z z
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
z z z z z z z z z z z z z z z
z z z z z z
Essentials of Psychiatric Mental Health Nursing
z z z z z z
9th Edition Karyn Morgan
z z z
Chapters 1 - 32 | Complete
z z z z z z
,TABLE OF CONTENTS z z
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS z z z z z
1. Mental Health and Mental Illness
z z z z z
2. Biological Implications
z z
3. Ethical and Legal Issues
z z z z
4. Psychopharmacology
z
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
z z z z z
5. Relationship Development and Therapeutic Communication
z z z z z
6. The Nursing Process in Psychiatric/Mental Health Nursing
z z z z z z z
7. Psychosocial Interventions and Spiritual Care
z z z z z
8. Intervention in Groups
z z z
9. Crisis Intervention
z z
10. The Recovery Model
z z z
11. Suicide Prevention
z z
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
z z z z z z
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
z z z z z z z z z z z z z z
13. Neurocognitive Disorders
z z
14. Substance Use and Addiction Disorders
z z z z z
15. Schizophrenia Spectrum and Other Psychotic Disorders
z z z z z z
16. Depressive Disorders
z z
17. Bipolar and Related Disorders
z z z z
18. Anxiety, Obsessive-Compulsive, and Related Disorders
z z z z z
19. Trauma- and Stressor-Related Disorders
z z z z
20. Somatic Symptom and Dissociative Disorders
z z z z z
21. Eating Disorders
z z
22. Personality Disorders
z z
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
z z z z z z z
23. Children and Adolescents
z z z
24. The Aging Individual
z z z
25. Survivors of Abuse or Neglect
z z z z z
26. Community Mental Health Nursing
z z z z
27. The Bereaved Individual
z z z
28. Military Families
z z
V. ONLINE CHAPTERS
z z
29. Concepts of Personality Development
z z z z
30. Complementary and Integrative Therapies
z z z z
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
z z z z z z z z
32. Issues Related to Human Sexuality and Gender Dysphoria
z z z z z z z z z
,Chapter 1. Mental Health and Mental Illness
z z z z z z
Multiple Choice
z z
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the
z z z z z z z z z z z z z z z z
recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not
z z z z z z z z z z z z z z z z
changed. How should the nurse interpret the clients behaviors?
z z z z z z z z z
1. The clients behaviors demonstrate mental illness in the form of depression.
z z z z z z z z z z
2. The clients behaviors are extensive, which indicates the presence of mental illness.
z z z z z z z z z z z
3. The clients behaviors are not congruent with cultural norms.
z z z z z z z z
4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
z z z z z z z z z z
ANSWER: 4 z
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho
z z z z z z z z z z z z z z z
experiences feelings of sadness after the loss of a pet is responding within normal expectations.
z z z z z z z z z z z z z z z
Without significant impairment, the clients distress does not indicate a mental illness.
z z z z z z z z z z z z
Cognitive Level: Analysis z z
Integrated Process: Assessment
z z z
2. At what point should the nurse determine that a client is at risk for developing a mental
z z z z z z z z z z z z z z z z z
illness?
z
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
z z z z z z z z z z z
2. When maladaptive responses to stress are coupled with interference in daily functioning.
z z z z z z z z z z z
3. When a client communicates significant distress.
z z z z z
4. When a client uses defense mechanisms as ego protection.
z z z z z z z z
ANSWER: 2 z
Rationale: The nurse should determine that the client is at risk for mental illness when responsesto
z z z z z z z z z z z z z z z z
stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto be
z z z z z z z z z z z z z z z z
diagnosed with a mental illness, daily functioning must be significantly impaired. The clients
z z z z z z z z z z z z z
ability to communicate distress would be considered a positive attribute.
z z z z z z z z z z
Cognitive Level: Application z z
Integrated Process: Assessment
z z z
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress.One
z z z z z z z z z z z z z z z z z
twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse
z z z z z z z z z z z z z z z
explain these different stress responses to the parents?
z z z z z z z z
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
z z z z z z z z z z z z
2. It is abnormal for identical twins to react differently to similar stressors.
z z z z z z z z z z z
3. Identical twins should share the same temperament and respond similarly to stress.
z z z z z z z z z z z
4. Environmental influences to stress weigh more heavily than genetic influences. z z z z z z z z z
, ANSWER: 1 z
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,
z z z z z z z z z z z z z z
there are several other factors that affect reactions to stress. Mental health is a state of being thatis
z z z z z z z z z z z z z z z z z z z
relative to the individual client. Environmental influences and temperament can affect stress
z z z z z z z z z z z z
reactions.
z
Cognitive Level: Application z z
Integrated Process: Implementation
z z z
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?1.
z z z z z z z z z z z z z z
A Jewish, female social worker.
z z z z z
2. A Baptist, homeless male.
z z z
3. A Catholic, black male.
z z z
4. A Protestant, Swedish business executive.
z z z z
ANSWER: 1 z
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
z z z z z z z z z z z z z z
importance on preventative health care and would consider mental health as equally important as
z z z z z z z z z z z z z z
physical health. Women are also more likely to seek treatment for mental health problems than
z z z z z z z z z z z z z z z
men.
z
Cognitive Level: Application z z
Integrated Process: Planning
z z z
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated.
z z z z z z z z z z z z z
Which is a correct evaluation of this nurses statement?
z z z z z z z z z
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
z z z z z z z z z z z z
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety andshould
z z z z z z z z z z z z
always be eliminated.
z z z
3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedand
z z z z z z z z z z z
not eliminated.
z z
4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
z z z z z z z z z z z z
ANSWER: 1 z
Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof
z z z z z z z z z z z z z
stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading to
z z z z z z z z z z z z z z z z z
anxiety disorders. Defense mechanisms should be confronted when they impede the client from
z z z z z z z z z z z z z
developing healthy coping skills.
z z z z
Cognitive Level: Application z z
Integrated Process: Evaluation
z z z
6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
z z z z z z z z z z z z z
client angrily responds, Im here for my heart, not my head problems. Which is the nurses best
z z z z z z z z z z z z z z z z z
response?
z
1. Its just a routine part of our assessment. All clients are asked these same questions.
z z z z z z z z z z z z z z
2. Why are you concerned about these types of questions?
z z z z z z z z
3. Psychological factors, like excessive stress, have been found to affect medical conditions. z z z z z z z z z z z
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
z z z z z z z z z z z z z z z
