Test Bank For Davis Advantage for Townsend’s Essent
m m m m m m m
ials of Psychiatric Mental Health Nursing
m m m m m
9th Edition Karyn Morgan
m m m
Chapters 1 - 32 | Complete
m m m m m m
,TABLE OF CONTENTSm m
INTRODUCTIONmTOmPSYCHIATRICmMENTALmHEALTHmCONCEPTS
1.mMentalmHealthmandmMentalmIllness
2.mBiologicalmImplications
3.mEthicalmandmLegalmIssues
4.mPsychopharmacology
II.mPSYCHIATRICmMENTALmHEALTHmNURSINGmINTERVENTIONS
5.mRelationshipmDevelopmentmandmTherapeuticmCommunication
6.mThemNursingmProcessminmPsychiatric/MentalmHealthmNursing
7.mPsychosocialmInterventionsmandmSpiritualmCare
8.mInterventionminmGroups
9.mCrisismIntervention
10.mThemRecoverymModel
11.mSuicidemPrevention
III.mCAREmOFmPATIENTSmWITHmPSYCHIATRICmDISORDERS
12.mCaringmformPatientsmwithmMentalmIllnessmandmSubstancemUsemDisordersminmGeneralmPracticemSettings
13.mNeurocognitivemDisorders
14.mSubstancemUsemandmAddictionmDisorders
15.mSchizophreniamSpectrummandmOthermPsychoticmDisorders
16.mDepressivemDisorders
17.mBipolarmandmRelatedmDisorders
18.mAnxiety,mObsessive-Compulsive,mandmRelatedmDisorders
19.mTrauma-mandmStressor-RelatedmDisorders
20.mSomaticmSymptommandmDissociativemDisorders
21.mEatingmDisorders
22.mPersonalitymDisorders
IV.mPSYCHIATRICmMENTALmHEALTHmNURSINGmOFmSPECIALmPOPULATIONS
23.mChildrenmandmAdolescents
24.mThemAgingmIndividual
25.mSurvivorsmofmAbusemormNeglect
26.mCommunitymMentalmHealthmNursing
27.mThemBereavedmIndividual
28.mMilitarymFamilies
V.mONLINEmCHAPTERS
29.mConceptsmofmPersonalitymDevelopment
30.mComplementarymandmIntegrativemTherapies
31.mCulturalmConceptsmRelevantmtomPsychiatricmMentalmHealthmNursing
32.mIssuesmRelatedmtomHumanmSexualitymandmGendermDysphoriam
,Chapterm1.mMentalmHealthmandmMentalmIllne
ssmMultiplemChoice
1.mAmnursemismassessingmamclientmwhomismexperiencingmoccasionalmfeelingsmofmsadnessmbecausemo
fmthemrecentmdeathmofmambelovedmpet.mThemclientsmappetite,msleepmpatterns,mandmdailymroutinemhav
emnotmchanged.mHowmshouldmthemnurseminterpretmthemclientsmbehaviors?
1. Themclientsmbehaviorsmdemonstratemmentalmillnessminmthemformmofmdepression.
2. Themclientsmbehaviorsmaremextensive,mwhichmindicatesmthempresencemofmmentalmillness.
3. Themclientsmbehaviorsmaremnotmcongruentmwithmculturalmnorms.
4. Themclientsmbehaviorsmdemonstratemnomfunctionalmimpairment,mindicatingmnom mentalmillness.
ANSWER:m4
Rationale:mThemnursemshouldmassessmthatmthemclientsmdailymfunctioningmismnotmimpaired.mThemclie
ntmwhomexperiencesmfeelingsmofmsadnessmaftermthemlossmofmampetmismrespondingmwithinmnormalmex
pectations.mWithoutmsignificantmimpairment,mthemclientsmdistressmdoesmnotmindicatemammentalmilln
ess.
CognitivemLevel:mAnalysismInt
egratedmProcess:mAssessment
2.mAtmwhatmpointmshouldmthemnursemdeterminemthatmamclientmismatmriskmformdevelopingmam
mentalmillness?
1. Whenmthoughts,mfeelings,mandmbehaviorsmaremnotmreflectivemofmthemDSM-5mcriteria.
2. Whenmmaladaptivemresponsesmtomstressmaremcoupledmwithminterferenceminmdailymfunctioning.
3. Whenmamclientmcommunicatesmsignificantmdistress.
4. Whenmamclientmusesmdefensemmechanismsmasmegom protection.
ANSWER:m2
Rationale:mThemnursemshouldmdeterminemthatmthemclientmismatmriskmformmentalmillnessmwhenmresp
onsesmtomstressmaremmaladaptivemandminterferemwithmdailymfunctioning.mThemDSM-
5mindicatesmthatminmordermtombemdiagnosedmwithmammentalmillness,mdailymfunctioningmmustmbemsig
nificantlymimpaired.mThemclientsmabilitymtomcommunicatemdistressmwouldmbemconsideredmampositi
vemattribute.
CognitivemLevel:mApplicationm
IntegratedmProcess:mAssessmen
t
3.mAmnursemismassessingmamsetmofm15-year-
oldmidenticalmtwinsmwhomrespondmverymdifferentlymtomstress.mOnemtwinmbecomesmanxiousmandmirr
itable,mandmthemothermwithdrawsmandmcries.mHowmshouldmthemnursemexplainmthesemdifferentmstres
smresponsesmtomthemparents?
1. Reactionsmtom stressmaremrelativemrathermthanmabsolute;mindividualmresponsesmtomstressmvary.
2. Itmismabnormalmformidenticalmtwinsmtomreactmdifferentlymtomsimilarmstressors.
3. Identicalmtwinsmshouldmsharemthemsamemtemperamentmandmrespondmsimilarlymtomstress.
4. Environmentalminfluencesmtomstressmweighmmoremheavilymthanmgeneticminfluences.
, ANSWER:m1
Rationale:mThemnursemshouldmexplainmtomthemparentsmthat,malthoughmthemtwinsmhavemidenticalmD
NA,mtheremaremseveralmothermfactorsmthatmaffectmreactionsmtomstress.mMentalmhealthmismamstatemofm
beingmthatmismrelativemtomthemindividualmclient.mEnvironmentalminfluencesmandmtemperamentmcan
maffectmstressmreactions.
CognitivemLevel:mApplicationmInte
gratedmProcess:mImplementation
4.mWhichmclientmshouldmthemnursemanticipatemtombemmostmreceptivemtompsychiatricmtreatm
ent?m1.mAmJewish,m femalemsocialmworker.
2. AmBaptist,mhomelessmmale.
3. AmCatholic,mblackmmale.
4. AmProtestant,mSwedishmbusinessmexecutive.
ANSWER:m1
Rationale:mThemnursemshouldmanticipatemthatmthemclientmofmJewishmculturemwouldmplacemamhighmi
mportancemonmpreventativemhealthmcaremandmwouldmconsidermmentalmhealthmasmequallymimportan
tmasmphysicalmhealth.mWomenmaremalsommoremlikelymtomseekmtreatmentmformmentalmhealthmproble
msmthanmmen.
CognitivemLevel:mApplicatio
nmIntegratedmProcess:mPlanni
ng
5. Ampsychiatricmnurseminternmstates,mThismclientsmusemofmdefensemmechanismsmshouldmbemelimin
ated.mWhichmismamcorrectmevaluationmofmthismnursesmstatement?
1. Defensemmechanismsmcanmbemappropriatemresponsesmtomstressmandmneedmnotmbemeliminated.
2. Defensemmechanismsmaremammaladaptivemattemptmofmthemegomtommanagemanxietymandsh
ouldmalwaysmbemeliminated.
3. Defensemmechanisms,musedmbymindividualsmwithmweakmegomintegrity,mshouldmbemdiscourage
dandmnotmeliminated.
4. Defensemmechanismsmcausemdisintegrationmofmthemegomandmshouldmbemfosteredmandmencouraged.
ANSWER:m1
Rationale:mThemnursemshouldmdeterminemthatmdefensemmechanismsmcanmbemappropriatemduringmti
mesmofmstress.mThemclientmwithmnomdefensemmechanismsmmaymhavemamlowermtolerancemformstress,
mthusmleadingmtomanxietymdisorders.mDefensemmechanismsmshouldmbemconfrontedmwhenmtheymimp
edemthemclientmfrommdevelopingmhealthymcopingmskills.
CognitivemLevel:mApplication
mIntegratedmProcess:mEvaluati
on
6.mDuringmanmintakemassessment,mamnursemasksmbothmphysiologicalmandmpsychosocialmquestions.m
Themclientmangrilymresponds,mImmheremformmymheart,mnotmmymheadmproblems.mWhichmismthemnurs
esmbestmresponse?
1. Itsmjustmamroutinempartmofmourmassessment.mAllmclientsmaremaskedmthesemsamemquestions.
2. Whymaremyoumconcernedmaboutmthesemtypesmofmquestions?
3. Psychologicalmfactors,mlikemexcessivemstress,mhavembeenmfoundmtomaffectmmedicalmconditions.
4. Wemcanmskipmthesemquestions,mifmyoumlike.mItmisntmimperativemthatmwemcompletemthismsection.
m m m m m m m
ials of Psychiatric Mental Health Nursing
m m m m m
9th Edition Karyn Morgan
m m m
Chapters 1 - 32 | Complete
m m m m m m
,TABLE OF CONTENTSm m
INTRODUCTIONmTOmPSYCHIATRICmMENTALmHEALTHmCONCEPTS
1.mMentalmHealthmandmMentalmIllness
2.mBiologicalmImplications
3.mEthicalmandmLegalmIssues
4.mPsychopharmacology
II.mPSYCHIATRICmMENTALmHEALTHmNURSINGmINTERVENTIONS
5.mRelationshipmDevelopmentmandmTherapeuticmCommunication
6.mThemNursingmProcessminmPsychiatric/MentalmHealthmNursing
7.mPsychosocialmInterventionsmandmSpiritualmCare
8.mInterventionminmGroups
9.mCrisismIntervention
10.mThemRecoverymModel
11.mSuicidemPrevention
III.mCAREmOFmPATIENTSmWITHmPSYCHIATRICmDISORDERS
12.mCaringmformPatientsmwithmMentalmIllnessmandmSubstancemUsemDisordersminmGeneralmPracticemSettings
13.mNeurocognitivemDisorders
14.mSubstancemUsemandmAddictionmDisorders
15.mSchizophreniamSpectrummandmOthermPsychoticmDisorders
16.mDepressivemDisorders
17.mBipolarmandmRelatedmDisorders
18.mAnxiety,mObsessive-Compulsive,mandmRelatedmDisorders
19.mTrauma-mandmStressor-RelatedmDisorders
20.mSomaticmSymptommandmDissociativemDisorders
21.mEatingmDisorders
22.mPersonalitymDisorders
IV.mPSYCHIATRICmMENTALmHEALTHmNURSINGmOFmSPECIALmPOPULATIONS
23.mChildrenmandmAdolescents
24.mThemAgingmIndividual
25.mSurvivorsmofmAbusemormNeglect
26.mCommunitymMentalmHealthmNursing
27.mThemBereavedmIndividual
28.mMilitarymFamilies
V.mONLINEmCHAPTERS
29.mConceptsmofmPersonalitymDevelopment
30.mComplementarymandmIntegrativemTherapies
31.mCulturalmConceptsmRelevantmtomPsychiatricmMentalmHealthmNursing
32.mIssuesmRelatedmtomHumanmSexualitymandmGendermDysphoriam
,Chapterm1.mMentalmHealthmandmMentalmIllne
ssmMultiplemChoice
1.mAmnursemismassessingmamclientmwhomismexperiencingmoccasionalmfeelingsmofmsadnessmbecausemo
fmthemrecentmdeathmofmambelovedmpet.mThemclientsmappetite,msleepmpatterns,mandmdailymroutinemhav
emnotmchanged.mHowmshouldmthemnurseminterpretmthemclientsmbehaviors?
1. Themclientsmbehaviorsmdemonstratemmentalmillnessminmthemformmofmdepression.
2. Themclientsmbehaviorsmaremextensive,mwhichmindicatesmthempresencemofmmentalmillness.
3. Themclientsmbehaviorsmaremnotmcongruentmwithmculturalmnorms.
4. Themclientsmbehaviorsmdemonstratemnomfunctionalmimpairment,mindicatingmnom mentalmillness.
ANSWER:m4
Rationale:mThemnursemshouldmassessmthatmthemclientsmdailymfunctioningmismnotmimpaired.mThemclie
ntmwhomexperiencesmfeelingsmofmsadnessmaftermthemlossmofmampetmismrespondingmwithinmnormalmex
pectations.mWithoutmsignificantmimpairment,mthemclientsmdistressmdoesmnotmindicatemammentalmilln
ess.
CognitivemLevel:mAnalysismInt
egratedmProcess:mAssessment
2.mAtmwhatmpointmshouldmthemnursemdeterminemthatmamclientmismatmriskmformdevelopingmam
mentalmillness?
1. Whenmthoughts,mfeelings,mandmbehaviorsmaremnotmreflectivemofmthemDSM-5mcriteria.
2. Whenmmaladaptivemresponsesmtomstressmaremcoupledmwithminterferenceminmdailymfunctioning.
3. Whenmamclientmcommunicatesmsignificantmdistress.
4. Whenmamclientmusesmdefensemmechanismsmasmegom protection.
ANSWER:m2
Rationale:mThemnursemshouldmdeterminemthatmthemclientmismatmriskmformmentalmillnessmwhenmresp
onsesmtomstressmaremmaladaptivemandminterferemwithmdailymfunctioning.mThemDSM-
5mindicatesmthatminmordermtombemdiagnosedmwithmammentalmillness,mdailymfunctioningmmustmbemsig
nificantlymimpaired.mThemclientsmabilitymtomcommunicatemdistressmwouldmbemconsideredmampositi
vemattribute.
CognitivemLevel:mApplicationm
IntegratedmProcess:mAssessmen
t
3.mAmnursemismassessingmamsetmofm15-year-
oldmidenticalmtwinsmwhomrespondmverymdifferentlymtomstress.mOnemtwinmbecomesmanxiousmandmirr
itable,mandmthemothermwithdrawsmandmcries.mHowmshouldmthemnursemexplainmthesemdifferentmstres
smresponsesmtomthemparents?
1. Reactionsmtom stressmaremrelativemrathermthanmabsolute;mindividualmresponsesmtomstressmvary.
2. Itmismabnormalmformidenticalmtwinsmtomreactmdifferentlymtomsimilarmstressors.
3. Identicalmtwinsmshouldmsharemthemsamemtemperamentmandmrespondmsimilarlymtomstress.
4. Environmentalminfluencesmtomstressmweighmmoremheavilymthanmgeneticminfluences.
, ANSWER:m1
Rationale:mThemnursemshouldmexplainmtomthemparentsmthat,malthoughmthemtwinsmhavemidenticalmD
NA,mtheremaremseveralmothermfactorsmthatmaffectmreactionsmtomstress.mMentalmhealthmismamstatemofm
beingmthatmismrelativemtomthemindividualmclient.mEnvironmentalminfluencesmandmtemperamentmcan
maffectmstressmreactions.
CognitivemLevel:mApplicationmInte
gratedmProcess:mImplementation
4.mWhichmclientmshouldmthemnursemanticipatemtombemmostmreceptivemtompsychiatricmtreatm
ent?m1.mAmJewish,m femalemsocialmworker.
2. AmBaptist,mhomelessmmale.
3. AmCatholic,mblackmmale.
4. AmProtestant,mSwedishmbusinessmexecutive.
ANSWER:m1
Rationale:mThemnursemshouldmanticipatemthatmthemclientmofmJewishmculturemwouldmplacemamhighmi
mportancemonmpreventativemhealthmcaremandmwouldmconsidermmentalmhealthmasmequallymimportan
tmasmphysicalmhealth.mWomenmaremalsommoremlikelymtomseekmtreatmentmformmentalmhealthmproble
msmthanmmen.
CognitivemLevel:mApplicatio
nmIntegratedmProcess:mPlanni
ng
5. Ampsychiatricmnurseminternmstates,mThismclientsmusemofmdefensemmechanismsmshouldmbemelimin
ated.mWhichmismamcorrectmevaluationmofmthismnursesmstatement?
1. Defensemmechanismsmcanmbemappropriatemresponsesmtomstressmandmneedmnotmbemeliminated.
2. Defensemmechanismsmaremammaladaptivemattemptmofmthemegomtommanagemanxietymandsh
ouldmalwaysmbemeliminated.
3. Defensemmechanisms,musedmbymindividualsmwithmweakmegomintegrity,mshouldmbemdiscourage
dandmnotmeliminated.
4. Defensemmechanismsmcausemdisintegrationmofmthemegomandmshouldmbemfosteredmandmencouraged.
ANSWER:m1
Rationale:mThemnursemshouldmdeterminemthatmdefensemmechanismsmcanmbemappropriatemduringmti
mesmofmstress.mThemclientmwithmnomdefensemmechanismsmmaymhavemamlowermtolerancemformstress,
mthusmleadingmtomanxietymdisorders.mDefensemmechanismsmshouldmbemconfrontedmwhenmtheymimp
edemthemclientmfrommdevelopingmhealthymcopingmskills.
CognitivemLevel:mApplication
mIntegratedmProcess:mEvaluati
on
6.mDuringmanmintakemassessment,mamnursemasksmbothmphysiologicalmandmpsychosocialmquestions.m
Themclientmangrilymresponds,mImmheremformmymheart,mnotmmymheadmproblems.mWhichmismthemnurs
esmbestmresponse?
1. Itsmjustmamroutinempartmofmourmassessment.mAllmclientsmaremaskedmthesemsamemquestions.
2. Whymaremyoumconcernedmaboutmthesemtypesmofmquestions?
3. Psychologicalmfactors,mlikemexcessivemstress,mhavembeenmfoundmtomaffectmmedicalmconditions.
4. Wemcanmskipmthesemquestions,mifmyoumlike.mItmisntmimperativemthatmwemcompletemthismsection.
