Test Bank for Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan Townsend, A+ guide.

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,Chapter 1. Mental Health and ss ss ss ss




Mental Illness Multiple Choice
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1. A nurse is assessing anclient who is experiencing occasional feelings of sadness because
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ss of therecent death of a beloved pet. The clients appetite, sleep patterns, and daily
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routin e
ss ss s s have s s not s s changed. How ss s s should the ss s s nurse s s interpret s s the s s clients
s s behaviors?
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. Thenclientsnbehaviorsndemonstratennonfunctionalnimpairment,nindicatingnnonmental
illness.

ANS: 4 ss




Rationale: The nurse should assess that the clients daily functioning is not impaired. T
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ss he clientwho experiences feelings of sadness after the loss of a pet is responding
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ss within

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ss cate a mental illness.
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Assessment

2. At what point should the nurse determine that anclient is at risknfor developing a
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ss mentalillness?
1. When thoughts, feelings, andnbehaviors are not reflective of the DSM-5ncriteria.
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2. Whennmaladaptivenresponsesntonstressnarencouplednwithninterferenceninndaily
functioning.
3. When anclient communicates significant distress.
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4. When anclient uses defense mechanisms as ego protection.
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ANS: 2 ss




Rationale: The nurse should determine that the client is at risk for mental illness
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when
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responsesto stress arSetunm
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s s DSM-5 indicates that in orderto be diagnosed with a mental illness, daily functioning
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ss must b e significantly impaired. The clientsnability to communicate distress would be
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considere d a positive attribute.
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Cognitive Level: Application ss ss




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Assessment

3. A nurse is assessing a set of 15-year-
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oldnidentical twins who respond very differently to stress.One twinnbecomes anxious a
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ss ndnirritable, and thenother withdraws and cries. How should the nurse explain these
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d ifferent stress responses to the parents?
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1. Reactionsntonstressnarenrelativenrathernthannabsolute;nindividualnresponsesntonstress
vary.
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 respondnsimilarly to stress.
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4. Environmental influences to stress weigh more heavily than genetic influences. ss ss s s ss s s ss s s ss ss