Test Bank For Davis Advantage for Townsend’s Essenti
b b b b b b b
als of Psychiatric Mental Health Nursing
b b b b b
9th Edition Karyn Morgan
b b b
Chapters 1 - 32 | Complete
b b b b b b
,TABLE OF CONTENTS b b
INTRODUCTIONbTObPSYCHIATRICbMENTALbHEALTHbCONCEPTS
1.bMentalbHealthbandbMentalbIllness
2.bBiologicalbImplications
3.bEthicalbandbLegalbIssues
4.bPsychopharmacology
II.bPSYCHIATRICbMENTALbHEALTHbNURSINGbINTERVENTIONS
5.bRelationshipbDevelopmentbandbTherapeuticbCommunication
6.bThebNursingbProcessbinbPsychiatric/MentalbHealthbNursing
7.bPsychosocialbInterventionsbandbSpiritualbCare
8.bInterventionbinbGroups
9.bCrisisbIntervention
10.bThebRecoverybModel
11.bSuicidebPrevention
III.bCAREbOFbPATIENTSbWITHbPSYCHIATRICbDISORDERS
12.bCaringbforbPatientsbwithbMentalbIllnessbandbSubstancebUsebDisordersbinbGeneralbPracticebSettings
13.bNeurocognitivebDisorders
14.bSubstancebUsebandbAddictionbDisorders
15.bSchizophreniabSpectrumbandbOtherbPsychoticbDisorders
16.bDepressivebDisorders
17.bBipolarbandbRelatedbDisorders
18.bAnxiety,bObsessive-Compulsive,bandbRelatedbDisorders
19.bTrauma-bandbStressor-RelatedbDisorders
20.bSomaticbSymptombandbDissociativebDisorders
21.bEatingbDisorders
22.bPersonalitybDisorders
IV.bPSYCHIATRICbMENTALbHEALTHbNURSINGbOFbSPECIALbPOPULATIONS
23.bChildrenbandbAdolescents
24.bThebAgingbIndividual
25.bSurvivorsbofbAbuseborbNeglect
26.bCommunitybMentalbHealthbNursing
27.bThebBereavedbIndividual
28.bMilitarybFamilies
V.bONLINEbCHAPTERS
29.bConceptsbofbPersonalitybDevelopment
30.bComplementarybandbIntegrativebTherapies
31.bCulturalbConceptsbRelevantbtobPsychiatricbMentalbHealthbNursing
32.bIssuesbRelatedbtobHumanbSexualitybandbGenderbDysphoriab
,prepared by stevesalvardo
b b
for any inquiry and further request e
b b b b b b
mail:
Chapterb1.bMentalbHealthbandbMentalbIllnessb
MultiplebChoice
1.bbAbnursebisbassessingbabclientbwhobisbexperiencingboccasionalbfeelingsbofbsadnessbbecausebofbthebre
centbdeathbofbabbelovedbpet.bThebclientsbappetite,bsleepbpatterns,bandbdailybroutinebhavebnotbchanged
.bHowbshouldbthebnursebinterpretbthebclientsbbehaviors?
1. Thebclientsbbehaviorsbdemonstratebmentalbillnessbinbthebformbofbdepression.
2. Thebclientsbbehaviorsbarebextensive,bwhichbindicatesbthebpresencebofbmentalbillness.
3. Thebclientsbbehaviorsbarebnotbcongruentbwithbculturalbnorms.
4. Thebclientsbbehaviorsbdemonstratebnobfunctionalbimpairment,bindicatingbnob mentalbillness.
ANSWER:b4
Rationale:bThebnursebshouldbassessbthatbthebclientsbdailybfunctioningbisbnotbimpaired.bThebclientbwho
bexperiences bfeelings bofbsadnessbafterbthebloss bofbabpetbisbrespondingbwithinbnormal bexpectations.bW
ithoutbsignificantbimpairment,bthebclientsbdistressbdoesbnotbindicatebabmentalbillness.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bAssessment
2.bAtbwhatbpointbshouldbthebnursebdeterminebthatbabclientbisbatbriskbforbdevelopingbabmentalbil
lness?
1. Whenbthoughts,bfeelings,bandbbehaviorsbarebnotbreflectivebofbthebDSM-5bcriteria.
2. Whenbmaladaptivebresponsesbtobstressbarebcoupledbwithbinterferencebinbdailybfunctioning.
3. Whenbabclientbcommunicatesbsignificantb distress.
4. Whenbabclientbusesbdefensebmechanismsbasbegobprotection.
ANSWER:b2
Rationale:bThebnursebshouldbdeterminebthatbthebclientbisbatbriskbforbmentalbillnessbwhenbresponsesbt
obstressbarebmaladaptivebandbinterferebwithbdailybfunctioning.bThebDSM-
5bindicatesbthatbinborderbtobbebdiagnosedbwithbabmentalbillness,bdailybfunctioningbmustbbebsignifican
tlybimpaired.bThebclientsbabilitybtobcommunicatebdistressbwouldbbebconsideredbabpositivebattribute.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
3.bAbnursebisbassessingbabsetbofb15-year-
oldbidenticalbtwinsbwhobrespondbverybdifferentlybtobstress.bOnebtwinbbecomesbanxiousbandbirritable,b
andbthebotherbwithdrawsbandbcries.bHowbshouldbthebnursebexplainbthesebdifferentbstressbresponsesbt
obthebparents?
1. Reactionsbtob stressbarebrelativebratherbthanbabsolute;bindividualbresponsesbtobstressbvary.
2. Itbisbabnormalbforbidenticalbtwinsbtobreactbdifferentlybtobsimilarbstressors.
3. Identicalbtwinsbshouldbsharebthebsamebtemperamentbandbrespondbsimilarlybtobstress.
4. Environmentalbinfluencesbtobstressbweighbmorebheavilybthanbgeneticbinfluences.
,ANSWER:b1
Rationale:bThebnursebshouldbexplainbtobthebparentsbthat,balthoughbthebtwinsbhavebidenticalbDNA,bth
erebarebseveralbotherbfactorsbthatbaffectbreactionsbtobstress.bMentalbhealthbisbabstatebofbbeingbthatbisbre
lativebtobthebindividualbclient.bEnvironmentalbinfluencesbandbtemperamentbcanbaffectbstressbreactio
ns.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
4.bWhichbclientbshouldbthebnursebanticipatebtobbebmostbreceptivebtobpsychiatricbtreatment?b1.b
AbJewish,b femalebsocialbworker.
2. AbBaptist,bhomelessbmale.
3. AbCatholic,bblackbmale.
4. AbProtestant,bSwedishbbusinessbexecutive.
ANSWER:b1
Rationale:bThebnursebshouldbanticipatebthatbthebclientbofbJewishbculturebwouldbplacebabhighbimporta
ncebonbpreventativebhealthbcarebandbwouldbconsiderbmentalbhealthbasbequallybimportantbasbphysicalb
health.bWomenbarebalsobmoreblikelybtobseekbtreatmentbforbmentalbhealthbproblemsbthanbmen.
CognitivebLevel:bApplicationb
IntegratedbProcess:bPlanning
5. Abpsychiatricbnursebinternbstates,bThisbclientsbusebofbdefensebmechanismsbshouldbbebeliminated.b
Whichbisbabcorrectb evaluationbofbthisbnursesbstatement?
1. Defensebmechanismsbcanbbebappropriatebresponsesbtobstressbandbneedbnotbbebeliminated.
2. Defensebmechanismsbarebabmaladaptivebattemptbofbthebegobtobmanagebanxietybandshouldba
lwaysbbebeliminated.
3. Defensebmechanisms,busedbbybindividualsbwithbweakbegobintegrity,bshouldbbebdiscouragedandb
notbeliminated.
4. Defensebmechanismsbcausebdisintegrationbofbthebegobandbshouldbbebfosteredbandbencouraged.
ANSWER:b1
Rationale:bThebnursebshouldbdeterminebthatbdefensebmechanismsb canbbebappropriatebduringbtimesbof
bstress.bThebclientbwith bnobdefensebmechanismsbmaybhavebablowerbtolerancebforbstress,bthus bleadingb
tobanxietybdisorders.bDefensebmechanismsbshouldbbebconfrontedbwhenbtheybimpedebthebclientbfromb
developingbhealthybcopingbskills.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bEvaluation
6.bDuringbanbintakebassessment,babnursebasksbbothbphysiologicalbandbpsychosocialbquestions.bThebcli
entbangrilybresponds,bImbherebforbmybheart,bnotbmybheadbproblems.bWhichbisbthebnursesbbestbrespon
se?
1. Itsbjustbabroutinebpartbofbourbassessment.bAllbclientsbarebaskedbthesebsamebquestions.
2. Whybarebyoubconcernedbaboutbthesebtypesbofbquestions?
3. Psychologicalbfactors,blikebexcessivebstress,bhavebbeenbfoundbtobaffectbmedicalbconditions.
4. Webcanbskipbthesebquestions,bifbyoublike.bItbisntbimperativebthatbwebcompletebthisbsection.
,ANSWER:b3
Rationale:bThebnursebshouldbattemptbtobeducatebthebclientbonbthebnegativebeffectsbofbexcessivebstressb
onbmedicalbconditions.bItbisbnotbappropriatebtobskipbphysiologicalbandbpsychosocialbquestions,basbth
isbwouldbleadbtobanbinaccuratebassessment.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
7.bAnbemployeebusesbthebdefensebmechanismbofbdisplacementbwhenbthebbossbopenlybdisagreesbwithb
suggestions.bWhatbbehaviorbwouldbbebexpectedbfrombthisbemployee?
1. Thebemployeebassertivelybconfrontsbthebboss.
2. Thebemployeebleavesbthebstaffbmeetingbtobworkboutbinbthebgym.b3
.bThebemployeebcriticizesbabcoworker.
4.bThebemployeebtakesbthebbossboutbtoblunch.
ANSWER:b3
Rationale:bThebnursebshouldbexpectbthatbthebclientbusingbthebdefensebmechanismbdisplacementbwoul
dbcriticizebabcoworkerbafterbbeingbconfrontedbbybthebboss.bDisplacementbrefersbtobtransferringbfeeli
ngsbfrombonebtargetbtobabneutralborbless-threateningbtarget.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bAssessment
8.bAbfourth-
gradebboybteasesbandbmakesbjokesbaboutbabcutebgirlbinbhisbclass.bThisbbehaviorbshouldbbebidentifiedbb
ybabnursebasbindicativebofbwhichbdefensebmechanism?
1. Displacement
2. Projection
3. Reactionbformation
4. Sublimation
ANSWER:b3
Rationale:bThebnursebshouldbidentifybthatbthebboybisbusingbreactionbformationbasbabdefensebmechani
sm.bReactionbformationbisbthebattemptbtobpreventbundesirablebthoughtsbfrombbeingbexpressedbbybex
pressingboppositebthoughtsborbbehaviors.bDisplacementbrefersbtobtransferringbfeelingsbfrombonebtarg
etbtobanother.bRationalizationbrefersbtobmakingbexcusesbtobjustifybbehavior.bProjectionbrefersbtobtheba
ttributionbofbunacceptablebfeelingsborbbehaviorsbtobanotherbperson.
Sublimationbrefersbtobchannelingbunacceptablebdrivesborbimpulsesbintobmorebconstructive,bacceptabl
ebactivities.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
9.bWhichbnursingbstatementbaboutbthebconceptbofbneurosisbisbmostbaccurate?
1.bAnbindividualbexperiencingbneurosisbisbunawarebthatbheborbshebisbexperiencingb distress.b2.b
Anbindividualbexperiencingbneurosisbfeelsbhelplessbtobchangebhisborbherbsituation.
3. Anbindividualbexperiencingbneurosisbisbawarebofbpsychologicalbcausesbofbhisborbherbbehavior.
4. Anbindividualbexperiencingbneurosisbhasbablossbofbcontactbwithbreality.
ANSWER:b2
Rationale:bThebnursebshouldbdefinebthebconceptbofbneurosisbwithbthebfollowingbcharacteristics:
,Stuvia.comb-
bThebMarketplacebtobBuybandbSellbyourbStudybMaterial
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Thebclientbfeelsbhelplessbtobchangebhisborbherbsituation,bthebclientbisbawarebthatbheborbshebisbexperien
cingbdistress,bthebclientbisbawarebthebbehaviorsbarebmaladaptive,bthebclientbisbunawarebofbthebpsychol
ogicalbcausesbofbthebdistress,bandbthebclientbexperiencesbnoblossbofbcontactbwithbreality.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
10.bWhichbnursingbstatementbregardingbthebconceptbofbpsychosisbisbmostbaccurate?
1.bIndividualsbexperiencingbpsychosesbarebawarebthatbtheirbbehaviorsbarebmaladaptive.b2
.bIndividualsbexperiencingbpsychosesbexperienceblittlebdistress.
3. Individualsbexperiencingbpsychosesbarebawarebofbexperiencingbpsychologicalbproblems.
4. Individualsbexperiencingbpsychosesbarebbasedbinbreality.
ANSWER:b2
Rationale:bThebnursebshouldbunderstandbthatbthebclientbwithbpsychosisbexperiencesblittlebdistressbo
wingbtobhisborbherblackbofbawarenessbofbreality.bThebclientbwithbpsychosisbisbunawarebthatbhisborbher
bbehaviorb isbmaladaptiveborbthatb heborbshebhas babpsychological bproblem.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
11.bWhenbunderbstress,babclientbroutinelybusesbalcoholbtobexcess.bFindingbherbdrunk,bherbhusbandbye
llsbatbthebclientbaboutbherbchronicbalcoholbabuse.bWhichbactionbalertsbthebnursebtobthebclientsbusebofbth
ebdefensebmechanismbofbdenial?
1. Thebclientbhidesbliquorbbottlesbinbab closet.
2. Thebclientbyellsbatbherbsonbforbslouchingbinbhisb chair.
3. Thebclientbburnsbdinnerbonbpurpose.
4. Thebclientbsaysbtobthebspouse,bIbdontbdrinkbtoob much!
ANSWER:b4
Rationale:bThebclientsbstatementbIbdontbdrinkbtoobmuch!balertsbthebnursebtobthebusebofbthebdefenseb
mechanismbofbdenial.bThebclientbisbrefusingbtobacknowledgebthebexistencebofbabrealbsituationbandbth
ebfeelingsbassociatedbwithbit.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
12.bDevastatedbbybabdivorcebfrombanbabusivebhusband,babwifebcompletesbgriefbcounseling.bWhichbst
atementbbybthebwifebshouldbindicatebtobabnursebthatbthebclientbisbinbthebacceptancebstagebofbgrief?
1. Ifbonlybwebcouldbhavebtriedbagain,bthingsbmightbhavebworkedbout.
2. IbambsobmadbthatbthebchildrenbandbIbhadbtobputbupbwithbhimbasblongbasbwebdid.
3. Yes,bitbwasbabdifficultbrelationship,bbutbIbthinkbIbhaveblearnedbfrombtheb experience.
4. Ibstillbdontbhavebanybappetitebandbcontinuebtoblosebweight.
ANSWER:b3
Rationale:bThebnursebshouldbevaluatebthatbthebclientbisbinbthebacceptancebstagebofbgriefbbecausebduri
ngbthisbstagebofbthebgriefbprocess,bthebclientbwouldbbebablebtobfocusbonbthebrealitybofbtheblossbandbitsb
meaningbinbrelationbtoblife.
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, Stuvia.c omb-
bT h ebMark etplac ebt obB u yband bS ell byour bStudybMat er ial
CognitivebLevel:bAnalysisbInte
gratedbProcess:bEvaluation
13. Abnursebisbperformingbabmentalbhealthbassessmentbonbanbadultbclient.bAccordingbtobMaslowsbh
ierarchybofbneeds,bwhichbclientbactionbwouldbdemonstratebthebhighestbachievementbinbtermsbofbme
ntalbhealth?1.bMaintainingbablong-
term,bfaithful,bintimatebrelationship.2.bAchievingbabsenseofbself-
confidence.3.bPossessingbabfeelingbofbself-
fulfillmentbandbrealizingbfullbpotential.4.bDevelopingbabsensebofbpurposebandbthebabilitybtobdirectb
activities.
ANSWER:b3
Rationale:bThebnursebshouldbidentifybthatbthebclientbwhobpossessesbabfeelingbofbself-
fulfillmentbandbrealizesbhisborbherbfullbpotentialbhasbachievedbself-
actualization,bthebhighestblevelbonbMaslowsbhierarchybofbneeds.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
14. AccordingbtobMaslowsbhierarchybofbneeds,bwhichbsituationbonbanbin-
patientbpsychiatricbunitbwouldbrequirebprioritybinterventionbbybabnurse?1.bAbclientbrudelybcomplai
ningbaboutblimitedbvisitingbhours.2.bAbclientbexhibitingbaggressivebbehaviorbtowardbanotherbclient.
3.bAbclientbstatingbthatbnobonebcares.
4.bAbclientbverbalizingbfeelingsbofbfailure.bAN
SWER:b2
Rationale:bThebnursebshouldbimmediatelybintervenebwhenbabclientbexhibitsbaggressivebbehaviorbt
owardbanotherbclient.bSafetybandbsecuritybarebconsideredblower-
levelbneedsbaccordingbtobMaslowsbhierarchybofbneedsbandbmustbbebfulfilledbbeforebotherbhigher-
levelbneedsbcanbbebmet.bClientsbwhobcomplain,bhavebfeelingsbofbfailure,borbstatebthatbnobonebcare
sbarebstrugglingbwithbhigher-
levelbneedsbsuchbasbthebneedbforblovebandbbelongingborbthebneedbforbself-esteem.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bEvaluation
15.bHowbwouldbabnursebbestbcompletebthebnewbDSM-
5bdefinitionbofbabmentalbdisorder?bAbhealthbconditionbcharacterizedbbybsignificantbdysfunctionbinban
bindividualsbcognitions,borbbehaviorsbthatbreflects babdisturbanceb inbthe
1. psychosocial,bbiological,borbdevelopmentalbprocessbunderlyingb mentalbfunctioning.
2. psychological,bcognitive,borbdevelopmentalbprocessbunderlyingbmentalbfunctioning.
3. psychological,bbiological,borbdevelopmentalbprocessbunderlyingbmentalbfunctioning.
4. psychological,bbiological,borbpsychosocialbprocessbunderlyingbmentalbfunctioning.
ANSWER:b3
Rationale:bAbhealthbconditionbcharacterizedbbybsignificantbdysfunctionbinbanbindividualsbcognition
s,borbbehaviorsbthatbreflectsbabdisturbancebinbthebpsychological,bbiological,borbdevelopmentalbproces
sbunderlyingbmentalbfunctioning,bisbthebnewbDSMb5bdefinitionbofbabmentalbdisorder.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
MultiplebResponse
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, Stuvia.c omb-
bT h ebMark etplac ebt obB u yband bS ell byour bStudybMat er ial
16.bAbnursebisbassessingbabclientbwhobappearsbtobbebexperiencingbsomebanxietybduringbquestioning.
bWhichbsymptomsbmight bthebclientbdemonstratebthatbwouldbindicatebanxiety? b(Selectballbthatb apply.)
1. Fidgeting
2. Laughingbinappropriately
3. Palpitations
4. Nailbbiting
5. Limitedbattentionbspan
ANSWER:b1,b2,b4
Rationale:bThebnursebshouldbassessbthatbfidgeting,blaughingbinappropriately,bandbnailbbitingbarebindi
cativebofbheightenedbstressblevels.bThebclientbwouldbnotbbebdiagnosedbwithbmentalbillnessbunlessbth
erebisbsignificantbimpairmentbinbotherbareasbofbdailybfunctioning.bOtherbindicatorsbofbmorebseriousb
anxietybarebrestlessness,bdifficultybconcentrating,bmusclebtension,bandbsleepbdisturbance.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
Fill-in-the-Blank
17. b
isbabdiffusebapprehensionbthatbisbvaguebinbnaturebandbisbassociatedbwithbfeelingsbofbunc
ertaintybandbhelplessness.
ANSWER:bAnxiety
Rationale:bThebdefinitionbofbanxietybisbabdiffusebapprehensionbthatbisbvaguebinbnaturebandbisbassocia
tedbwithbfeelingsbofbuncertaintybandbhelplessness.bTownsendbconsidersbthisbabcorebconcept.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
18. b
isbabsubjectivebstatebofbemotional,bphysical,bandbsocialbresponsesbtobtheblossbofbabvaluedbentity.
ANSWER:bGrief
Rationale:bThebdefinitionbofbgriefbisbabsubjectivebstatebofbemotional,bphysical,bandbsocialbresp
onsesbtobtheblossbofbabvaluedbentity.bTownsendbconsidersbthisbabcorebconcept.
Chapterb2.bBiologicalbImplicationsb
MultiplebChoice
1. Abdepressedbclientbstates,bIbhavebabchemicalbimbalancebinbmybbrain.bIbhavebnobcontrolboverbmybb
ehavior.bMedicationsbarebmybonlybhopebtobfeelbnormalbagain.bWhichbnursingbresponsebisbappropria
te?1.bMedicationsbonlybaddressbbiologicalbfactors.bEnvironmentalbandbinterpersonalbfactorsbmustba
lsobbebconsidered.2.bBecausebbiologicalbfactorsbarebthebsolebcausebofbdepression,bmedicationsbwillbi
mprovebyourbmood.3.bEnvironmentalbfactorsbhavebbeenbshownbtobexertbthebmostbinfluencebinbthebd
evelopmentbofbdepression.4.bResearchersbhavebbeenbunablebtobdemonstrate
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bT h ebMark etplac ebt obB u yband bS ell byour bStudybMat er ial
ablinkbbetweenbnatureb(biologybandbgenetics)bandbnurtureb(environment).b
ANSWER:b1
Rationale:bThebnursebshouldbadvisebthebclientbthatbmedicationsbaddressbbiologicalbfactors,bbutbt
herebarebotherbfactorsbthatbaffectbmood.bThebnursebshouldbeducatebthebclientbonbenvironmentalban
dbinterpersonalbfactorsbthatbcanbleadbtobdepression.
CognitivebLevel:bAnalysisbIntegrate
dbProcess:bImplementation
2. Abclientbdiagnosedbwithbmajorbdepressivebdisorderbasks,bWhatbpartbofbmybbraincontrolsbmybe
motions?bWhichbnursingbresponsebisbappropriate?1.bTheboccipitalblobebgovernsbperceptions,bju
dgingbthembasbpositiveborbnegative.2.bThebparietalblobebhasbbeenblinkedbtobdepression.3.bThebme
dullabregulatesbkeybbiologicalbandbpsychologicalbactivities.4.bTheblimbicbsystembisblargelybresp
onsiblebforbonesbemotionalbstate.
ANSWER:b4
Rationale:bThebnursebshouldbexplainbtobthebclientbthatbtheblimbicbsystembisblargelybresponsiblebforbon
esbemotionalbstate.bThisbsystembifboftenbcalledbthebemotionalbbrainbandbisbassociatedbwithbfeelings,bs
exuality,bandbsocialbbehavior.bTheboccipitalblobesbarebthebareabofbvisualbreceptionbandbinterpretation
.bSomatosensorybinputb(touch,btaste,btemperature,betc.)boccursbinbthebparietalblobes.bThebmedullabco
ntainsbvitalbcentersbthatbregulatebheartbratebandbreflexes.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
3. Whichbpartbofbthebnervousbsystembshouldbabnursebidentifybasbplayingbabmajorbroleduringbs
tressfulbsituations?
1.bPeripheralbnervousbsystemb2.bSomaticbnervousbsystemb3.bSympatheticbnervousbsystemb4.bParasy
mpatheticbnervousbsystem
ANSWER:b3
Rationale:bThebnursebshouldbidentifybthatbthebsympatheticbnervousbsystembplaysbabmajorbrolebdur
ingbstressfulbsituations.bThebsympatheticbnervousbsystembpreparesbthebbodybforbthebfight-or-
bflightbresponse.bThebparasympatheticbnervousbsystembisbdominant bwhenbanbindividualbisbinbabno
nstressfulbstate.
CognitivebLevel:bComprehensionb
IntegratedbProcess:bAssessment
4.bWhichbclientbstatementbreflectsbanbunderstandingbofbcircadianbrhythmsbinbpsychopathology?1.bW
henbIbdreambaboutbmybmothersbhorriblebtrainbaccident,bIbbecomebhysterical.b2.bIbgetbreallybirritableb
duringbmybmenstrualbcycle.3.bImbabmorningbperson.bIbgetbmybbestbworkbdonebbeforebnoon.
4. EverybFebruary,bIbtendbtobexperiencebperiodsbofbsadness.b
ANSWER:b3
Rationale:bBybstating,bIbambabmorningbperson,bthebclientbdemonstratesbanbunderstandingbthatbcir
cadianbrhythmsbmaybinfluencebabvarietybofbregulatorybfunctions,bincludingbthebsleep-
wakebcycle,bregulationbofbbodybtemperature,bandbpatternsbofbactivity.bMostbhumansbfollowbab24-
hourbcyclebthatbisblargelybaffectedbbyblightnessbandbdarkness.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bEvaluation
Downloadedbby:bLectJoshuab| Wantbtobearnb$1.23
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Distributionbofbthisbdocumentbisbillegal extrabperbyear?
b b b b b b b
als of Psychiatric Mental Health Nursing
b b b b b
9th Edition Karyn Morgan
b b b
Chapters 1 - 32 | Complete
b b b b b b
,TABLE OF CONTENTS b b
INTRODUCTIONbTObPSYCHIATRICbMENTALbHEALTHbCONCEPTS
1.bMentalbHealthbandbMentalbIllness
2.bBiologicalbImplications
3.bEthicalbandbLegalbIssues
4.bPsychopharmacology
II.bPSYCHIATRICbMENTALbHEALTHbNURSINGbINTERVENTIONS
5.bRelationshipbDevelopmentbandbTherapeuticbCommunication
6.bThebNursingbProcessbinbPsychiatric/MentalbHealthbNursing
7.bPsychosocialbInterventionsbandbSpiritualbCare
8.bInterventionbinbGroups
9.bCrisisbIntervention
10.bThebRecoverybModel
11.bSuicidebPrevention
III.bCAREbOFbPATIENTSbWITHbPSYCHIATRICbDISORDERS
12.bCaringbforbPatientsbwithbMentalbIllnessbandbSubstancebUsebDisordersbinbGeneralbPracticebSettings
13.bNeurocognitivebDisorders
14.bSubstancebUsebandbAddictionbDisorders
15.bSchizophreniabSpectrumbandbOtherbPsychoticbDisorders
16.bDepressivebDisorders
17.bBipolarbandbRelatedbDisorders
18.bAnxiety,bObsessive-Compulsive,bandbRelatedbDisorders
19.bTrauma-bandbStressor-RelatedbDisorders
20.bSomaticbSymptombandbDissociativebDisorders
21.bEatingbDisorders
22.bPersonalitybDisorders
IV.bPSYCHIATRICbMENTALbHEALTHbNURSINGbOFbSPECIALbPOPULATIONS
23.bChildrenbandbAdolescents
24.bThebAgingbIndividual
25.bSurvivorsbofbAbuseborbNeglect
26.bCommunitybMentalbHealthbNursing
27.bThebBereavedbIndividual
28.bMilitarybFamilies
V.bONLINEbCHAPTERS
29.bConceptsbofbPersonalitybDevelopment
30.bComplementarybandbIntegrativebTherapies
31.bCulturalbConceptsbRelevantbtobPsychiatricbMentalbHealthbNursing
32.bIssuesbRelatedbtobHumanbSexualitybandbGenderbDysphoriab
,prepared by stevesalvardo
b b
for any inquiry and further request e
b b b b b b
mail:
Chapterb1.bMentalbHealthbandbMentalbIllnessb
MultiplebChoice
1.bbAbnursebisbassessingbabclientbwhobisbexperiencingboccasionalbfeelingsbofbsadnessbbecausebofbthebre
centbdeathbofbabbelovedbpet.bThebclientsbappetite,bsleepbpatterns,bandbdailybroutinebhavebnotbchanged
.bHowbshouldbthebnursebinterpretbthebclientsbbehaviors?
1. Thebclientsbbehaviorsbdemonstratebmentalbillnessbinbthebformbofbdepression.
2. Thebclientsbbehaviorsbarebextensive,bwhichbindicatesbthebpresencebofbmentalbillness.
3. Thebclientsbbehaviorsbarebnotbcongruentbwithbculturalbnorms.
4. Thebclientsbbehaviorsbdemonstratebnobfunctionalbimpairment,bindicatingbnob mentalbillness.
ANSWER:b4
Rationale:bThebnursebshouldbassessbthatbthebclientsbdailybfunctioningbisbnotbimpaired.bThebclientbwho
bexperiences bfeelings bofbsadnessbafterbthebloss bofbabpetbisbrespondingbwithinbnormal bexpectations.bW
ithoutbsignificantbimpairment,bthebclientsbdistressbdoesbnotbindicatebabmentalbillness.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bAssessment
2.bAtbwhatbpointbshouldbthebnursebdeterminebthatbabclientbisbatbriskbforbdevelopingbabmentalbil
lness?
1. Whenbthoughts,bfeelings,bandbbehaviorsbarebnotbreflectivebofbthebDSM-5bcriteria.
2. Whenbmaladaptivebresponsesbtobstressbarebcoupledbwithbinterferencebinbdailybfunctioning.
3. Whenbabclientbcommunicatesbsignificantb distress.
4. Whenbabclientbusesbdefensebmechanismsbasbegobprotection.
ANSWER:b2
Rationale:bThebnursebshouldbdeterminebthatbthebclientbisbatbriskbforbmentalbillnessbwhenbresponsesbt
obstressbarebmaladaptivebandbinterferebwithbdailybfunctioning.bThebDSM-
5bindicatesbthatbinborderbtobbebdiagnosedbwithbabmentalbillness,bdailybfunctioningbmustbbebsignifican
tlybimpaired.bThebclientsbabilitybtobcommunicatebdistressbwouldbbebconsideredbabpositivebattribute.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
3.bAbnursebisbassessingbabsetbofb15-year-
oldbidenticalbtwinsbwhobrespondbverybdifferentlybtobstress.bOnebtwinbbecomesbanxiousbandbirritable,b
andbthebotherbwithdrawsbandbcries.bHowbshouldbthebnursebexplainbthesebdifferentbstressbresponsesbt
obthebparents?
1. Reactionsbtob stressbarebrelativebratherbthanbabsolute;bindividualbresponsesbtobstressbvary.
2. Itbisbabnormalbforbidenticalbtwinsbtobreactbdifferentlybtobsimilarbstressors.
3. Identicalbtwinsbshouldbsharebthebsamebtemperamentbandbrespondbsimilarlybtobstress.
4. Environmentalbinfluencesbtobstressbweighbmorebheavilybthanbgeneticbinfluences.
,ANSWER:b1
Rationale:bThebnursebshouldbexplainbtobthebparentsbthat,balthoughbthebtwinsbhavebidenticalbDNA,bth
erebarebseveralbotherbfactorsbthatbaffectbreactionsbtobstress.bMentalbhealthbisbabstatebofbbeingbthatbisbre
lativebtobthebindividualbclient.bEnvironmentalbinfluencesbandbtemperamentbcanbaffectbstressbreactio
ns.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
4.bWhichbclientbshouldbthebnursebanticipatebtobbebmostbreceptivebtobpsychiatricbtreatment?b1.b
AbJewish,b femalebsocialbworker.
2. AbBaptist,bhomelessbmale.
3. AbCatholic,bblackbmale.
4. AbProtestant,bSwedishbbusinessbexecutive.
ANSWER:b1
Rationale:bThebnursebshouldbanticipatebthatbthebclientbofbJewishbculturebwouldbplacebabhighbimporta
ncebonbpreventativebhealthbcarebandbwouldbconsiderbmentalbhealthbasbequallybimportantbasbphysicalb
health.bWomenbarebalsobmoreblikelybtobseekbtreatmentbforbmentalbhealthbproblemsbthanbmen.
CognitivebLevel:bApplicationb
IntegratedbProcess:bPlanning
5. Abpsychiatricbnursebinternbstates,bThisbclientsbusebofbdefensebmechanismsbshouldbbebeliminated.b
Whichbisbabcorrectb evaluationbofbthisbnursesbstatement?
1. Defensebmechanismsbcanbbebappropriatebresponsesbtobstressbandbneedbnotbbebeliminated.
2. Defensebmechanismsbarebabmaladaptivebattemptbofbthebegobtobmanagebanxietybandshouldba
lwaysbbebeliminated.
3. Defensebmechanisms,busedbbybindividualsbwithbweakbegobintegrity,bshouldbbebdiscouragedandb
notbeliminated.
4. Defensebmechanismsbcausebdisintegrationbofbthebegobandbshouldbbebfosteredbandbencouraged.
ANSWER:b1
Rationale:bThebnursebshouldbdeterminebthatbdefensebmechanismsb canbbebappropriatebduringbtimesbof
bstress.bThebclientbwith bnobdefensebmechanismsbmaybhavebablowerbtolerancebforbstress,bthus bleadingb
tobanxietybdisorders.bDefensebmechanismsbshouldbbebconfrontedbwhenbtheybimpedebthebclientbfromb
developingbhealthybcopingbskills.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bEvaluation
6.bDuringbanbintakebassessment,babnursebasksbbothbphysiologicalbandbpsychosocialbquestions.bThebcli
entbangrilybresponds,bImbherebforbmybheart,bnotbmybheadbproblems.bWhichbisbthebnursesbbestbrespon
se?
1. Itsbjustbabroutinebpartbofbourbassessment.bAllbclientsbarebaskedbthesebsamebquestions.
2. Whybarebyoubconcernedbaboutbthesebtypesbofbquestions?
3. Psychologicalbfactors,blikebexcessivebstress,bhavebbeenbfoundbtobaffectbmedicalbconditions.
4. Webcanbskipbthesebquestions,bifbyoublike.bItbisntbimperativebthatbwebcompletebthisbsection.
,ANSWER:b3
Rationale:bThebnursebshouldbattemptbtobeducatebthebclientbonbthebnegativebeffectsbofbexcessivebstressb
onbmedicalbconditions.bItbisbnotbappropriatebtobskipbphysiologicalbandbpsychosocialbquestions,basbth
isbwouldbleadbtobanbinaccuratebassessment.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
7.bAnbemployeebusesbthebdefensebmechanismbofbdisplacementbwhenbthebbossbopenlybdisagreesbwithb
suggestions.bWhatbbehaviorbwouldbbebexpectedbfrombthisbemployee?
1. Thebemployeebassertivelybconfrontsbthebboss.
2. Thebemployeebleavesbthebstaffbmeetingbtobworkboutbinbthebgym.b3
.bThebemployeebcriticizesbabcoworker.
4.bThebemployeebtakesbthebbossboutbtoblunch.
ANSWER:b3
Rationale:bThebnursebshouldbexpectbthatbthebclientbusingbthebdefensebmechanismbdisplacementbwoul
dbcriticizebabcoworkerbafterbbeingbconfrontedbbybthebboss.bDisplacementbrefersbtobtransferringbfeeli
ngsbfrombonebtargetbtobabneutralborbless-threateningbtarget.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bAssessment
8.bAbfourth-
gradebboybteasesbandbmakesbjokesbaboutbabcutebgirlbinbhisbclass.bThisbbehaviorbshouldbbebidentifiedbb
ybabnursebasbindicativebofbwhichbdefensebmechanism?
1. Displacement
2. Projection
3. Reactionbformation
4. Sublimation
ANSWER:b3
Rationale:bThebnursebshouldbidentifybthatbthebboybisbusingbreactionbformationbasbabdefensebmechani
sm.bReactionbformationbisbthebattemptbtobpreventbundesirablebthoughtsbfrombbeingbexpressedbbybex
pressingboppositebthoughtsborbbehaviors.bDisplacementbrefersbtobtransferringbfeelingsbfrombonebtarg
etbtobanother.bRationalizationbrefersbtobmakingbexcusesbtobjustifybbehavior.bProjectionbrefersbtobtheba
ttributionbofbunacceptablebfeelingsborbbehaviorsbtobanotherbperson.
Sublimationbrefersbtobchannelingbunacceptablebdrivesborbimpulsesbintobmorebconstructive,bacceptabl
ebactivities.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
9.bWhichbnursingbstatementbaboutbthebconceptbofbneurosisbisbmostbaccurate?
1.bAnbindividualbexperiencingbneurosisbisbunawarebthatbheborbshebisbexperiencingb distress.b2.b
Anbindividualbexperiencingbneurosisbfeelsbhelplessbtobchangebhisborbherbsituation.
3. Anbindividualbexperiencingbneurosisbisbawarebofbpsychologicalbcausesbofbhisborbherbbehavior.
4. Anbindividualbexperiencingbneurosisbhasbablossbofbcontactbwithbreality.
ANSWER:b2
Rationale:bThebnursebshouldbdefinebthebconceptbofbneurosisbwithbthebfollowingbcharacteristics:
,Stuvia.comb-
bThebMarketplacebtobBuybandbSellbyourbStudybMaterial
Downloadedbby:bLectJoshuab| Wantbtobearnb$1.23
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Distributionbofbthisbdocumentbisbillegal extrabperbyear?
, Stuvia.c omb-
bT h ebMark etplac ebt obB u yband bS ell byour bStudybMat er ial
Thebclientbfeelsbhelplessbtobchangebhisborbherbsituation,bthebclientbisbawarebthatbheborbshebisbexperien
cingbdistress,bthebclientbisbawarebthebbehaviorsbarebmaladaptive,bthebclientbisbunawarebofbthebpsychol
ogicalbcausesbofbthebdistress,bandbthebclientbexperiencesbnoblossbofbcontactbwithbreality.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
10.bWhichbnursingbstatementbregardingbthebconceptbofbpsychosisbisbmostbaccurate?
1.bIndividualsbexperiencingbpsychosesbarebawarebthatbtheirbbehaviorsbarebmaladaptive.b2
.bIndividualsbexperiencingbpsychosesbexperienceblittlebdistress.
3. Individualsbexperiencingbpsychosesbarebawarebofbexperiencingbpsychologicalbproblems.
4. Individualsbexperiencingbpsychosesbarebbasedbinbreality.
ANSWER:b2
Rationale:bThebnursebshouldbunderstandbthatbthebclientbwithbpsychosisbexperiencesblittlebdistressbo
wingbtobhisborbherblackbofbawarenessbofbreality.bThebclientbwithbpsychosisbisbunawarebthatbhisborbher
bbehaviorb isbmaladaptiveborbthatb heborbshebhas babpsychological bproblem.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
11.bWhenbunderbstress,babclientbroutinelybusesbalcoholbtobexcess.bFindingbherbdrunk,bherbhusbandbye
llsbatbthebclientbaboutbherbchronicbalcoholbabuse.bWhichbactionbalertsbthebnursebtobthebclientsbusebofbth
ebdefensebmechanismbofbdenial?
1. Thebclientbhidesbliquorbbottlesbinbab closet.
2. Thebclientbyellsbatbherbsonbforbslouchingbinbhisb chair.
3. Thebclientbburnsbdinnerbonbpurpose.
4. Thebclientbsaysbtobthebspouse,bIbdontbdrinkbtoob much!
ANSWER:b4
Rationale:bThebclientsbstatementbIbdontbdrinkbtoobmuch!balertsbthebnursebtobthebusebofbthebdefenseb
mechanismbofbdenial.bThebclientbisbrefusingbtobacknowledgebthebexistencebofbabrealbsituationbandbth
ebfeelingsbassociatedbwithbit.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
12.bDevastatedbbybabdivorcebfrombanbabusivebhusband,babwifebcompletesbgriefbcounseling.bWhichbst
atementbbybthebwifebshouldbindicatebtobabnursebthatbthebclientbisbinbthebacceptancebstagebofbgrief?
1. Ifbonlybwebcouldbhavebtriedbagain,bthingsbmightbhavebworkedbout.
2. IbambsobmadbthatbthebchildrenbandbIbhadbtobputbupbwithbhimbasblongbasbwebdid.
3. Yes,bitbwasbabdifficultbrelationship,bbutbIbthinkbIbhaveblearnedbfrombtheb experience.
4. Ibstillbdontbhavebanybappetitebandbcontinuebtoblosebweight.
ANSWER:b3
Rationale:bThebnursebshouldbevaluatebthatbthebclientbisbinbthebacceptancebstagebofbgriefbbecausebduri
ngbthisbstagebofbthebgriefbprocess,bthebclientbwouldbbebablebtobfocusbonbthebrealitybofbtheblossbandbitsb
meaningbinbrelationbtoblife.
Downloadedbby:bLectJoshuab| Wantbtobearnb$1.23
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Distributionbofbthisbdocumentbisbillegal extrabperbyear?
, Stuvia.c omb-
bT h ebMark etplac ebt obB u yband bS ell byour bStudybMat er ial
CognitivebLevel:bAnalysisbInte
gratedbProcess:bEvaluation
13. Abnursebisbperformingbabmentalbhealthbassessmentbonbanbadultbclient.bAccordingbtobMaslowsbh
ierarchybofbneeds,bwhichbclientbactionbwouldbdemonstratebthebhighestbachievementbinbtermsbofbme
ntalbhealth?1.bMaintainingbablong-
term,bfaithful,bintimatebrelationship.2.bAchievingbabsenseofbself-
confidence.3.bPossessingbabfeelingbofbself-
fulfillmentbandbrealizingbfullbpotential.4.bDevelopingbabsensebofbpurposebandbthebabilitybtobdirectb
activities.
ANSWER:b3
Rationale:bThebnursebshouldbidentifybthatbthebclientbwhobpossessesbabfeelingbofbself-
fulfillmentbandbrealizesbhisborbherbfullbpotentialbhasbachievedbself-
actualization,bthebhighestblevelbonbMaslowsbhierarchybofbneeds.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
14. AccordingbtobMaslowsbhierarchybofbneeds,bwhichbsituationbonbanbin-
patientbpsychiatricbunitbwouldbrequirebprioritybinterventionbbybabnurse?1.bAbclientbrudelybcomplai
ningbaboutblimitedbvisitingbhours.2.bAbclientbexhibitingbaggressivebbehaviorbtowardbanotherbclient.
3.bAbclientbstatingbthatbnobonebcares.
4.bAbclientbverbalizingbfeelingsbofbfailure.bAN
SWER:b2
Rationale:bThebnursebshouldbimmediatelybintervenebwhenbabclientbexhibitsbaggressivebbehaviorbt
owardbanotherbclient.bSafetybandbsecuritybarebconsideredblower-
levelbneedsbaccordingbtobMaslowsbhierarchybofbneedsbandbmustbbebfulfilledbbeforebotherbhigher-
levelbneedsbcanbbebmet.bClientsbwhobcomplain,bhavebfeelingsbofbfailure,borbstatebthatbnobonebcare
sbarebstrugglingbwithbhigher-
levelbneedsbsuchbasbthebneedbforblovebandbbelongingborbthebneedbforbself-esteem.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bEvaluation
15.bHowbwouldbabnursebbestbcompletebthebnewbDSM-
5bdefinitionbofbabmentalbdisorder?bAbhealthbconditionbcharacterizedbbybsignificantbdysfunctionbinban
bindividualsbcognitions,borbbehaviorsbthatbreflects babdisturbanceb inbthe
1. psychosocial,bbiological,borbdevelopmentalbprocessbunderlyingb mentalbfunctioning.
2. psychological,bcognitive,borbdevelopmentalbprocessbunderlyingbmentalbfunctioning.
3. psychological,bbiological,borbdevelopmentalbprocessbunderlyingbmentalbfunctioning.
4. psychological,bbiological,borbpsychosocialbprocessbunderlyingbmentalbfunctioning.
ANSWER:b3
Rationale:bAbhealthbconditionbcharacterizedbbybsignificantbdysfunctionbinbanbindividualsbcognition
s,borbbehaviorsbthatbreflectsbabdisturbancebinbthebpsychological,bbiological,borbdevelopmentalbproces
sbunderlyingbmentalbfunctioning,bisbthebnewbDSMb5bdefinitionbofbabmentalbdisorder.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
MultiplebResponse
Downloadedbby:bLectJoshuab| Wantbtobearnb$1.23
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Distributionbofbthisbdocumentbisbillegal extrabperbyear?
, Stuvia.c omb-
bT h ebMark etplac ebt obB u yband bS ell byour bStudybMat er ial
16.bAbnursebisbassessingbabclientbwhobappearsbtobbebexperiencingbsomebanxietybduringbquestioning.
bWhichbsymptomsbmight bthebclientbdemonstratebthatbwouldbindicatebanxiety? b(Selectballbthatb apply.)
1. Fidgeting
2. Laughingbinappropriately
3. Palpitations
4. Nailbbiting
5. Limitedbattentionbspan
ANSWER:b1,b2,b4
Rationale:bThebnursebshouldbassessbthatbfidgeting,blaughingbinappropriately,bandbnailbbitingbarebindi
cativebofbheightenedbstressblevels.bThebclientbwouldbnotbbebdiagnosedbwithbmentalbillnessbunlessbth
erebisbsignificantbimpairmentbinbotherbareasbofbdailybfunctioning.bOtherbindicatorsbofbmorebseriousb
anxietybarebrestlessness,bdifficultybconcentrating,bmusclebtension,bandbsleepbdisturbance.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
Fill-in-the-Blank
17. b
isbabdiffusebapprehensionbthatbisbvaguebinbnaturebandbisbassociatedbwithbfeelingsbofbunc
ertaintybandbhelplessness.
ANSWER:bAnxiety
Rationale:bThebdefinitionbofbanxietybisbabdiffusebapprehensionbthatbisbvaguebinbnaturebandbisbassocia
tedbwithbfeelingsbofbuncertaintybandbhelplessness.bTownsendbconsidersbthisbabcorebconcept.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
18. b
isbabsubjectivebstatebofbemotional,bphysical,bandbsocialbresponsesbtobtheblossbofbabvaluedbentity.
ANSWER:bGrief
Rationale:bThebdefinitionbofbgriefbisbabsubjectivebstatebofbemotional,bphysical,bandbsocialbresp
onsesbtobtheblossbofbabvaluedbentity.bTownsendbconsidersbthisbabcorebconcept.
Chapterb2.bBiologicalbImplicationsb
MultiplebChoice
1. Abdepressedbclientbstates,bIbhavebabchemicalbimbalancebinbmybbrain.bIbhavebnobcontrolboverbmybb
ehavior.bMedicationsbarebmybonlybhopebtobfeelbnormalbagain.bWhichbnursingbresponsebisbappropria
te?1.bMedicationsbonlybaddressbbiologicalbfactors.bEnvironmentalbandbinterpersonalbfactorsbmustba
lsobbebconsidered.2.bBecausebbiologicalbfactorsbarebthebsolebcausebofbdepression,bmedicationsbwillbi
mprovebyourbmood.3.bEnvironmentalbfactorsbhavebbeenbshownbtobexertbthebmostbinfluencebinbthebd
evelopmentbofbdepression.4.bResearchersbhavebbeenbunablebtobdemonstrate
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Distributionbofbthisbdocumentbisbillegal extrabperbyear?
, Stuvia.c omb-
bT h ebMark etplac ebt obB u yband bS ell byour bStudybMat er ial
ablinkbbetweenbnatureb(biologybandbgenetics)bandbnurtureb(environment).b
ANSWER:b1
Rationale:bThebnursebshouldbadvisebthebclientbthatbmedicationsbaddressbbiologicalbfactors,bbutbt
herebarebotherbfactorsbthatbaffectbmood.bThebnursebshouldbeducatebthebclientbonbenvironmentalban
dbinterpersonalbfactorsbthatbcanbleadbtobdepression.
CognitivebLevel:bAnalysisbIntegrate
dbProcess:bImplementation
2. Abclientbdiagnosedbwithbmajorbdepressivebdisorderbasks,bWhatbpartbofbmybbraincontrolsbmybe
motions?bWhichbnursingbresponsebisbappropriate?1.bTheboccipitalblobebgovernsbperceptions,bju
dgingbthembasbpositiveborbnegative.2.bThebparietalblobebhasbbeenblinkedbtobdepression.3.bThebme
dullabregulatesbkeybbiologicalbandbpsychologicalbactivities.4.bTheblimbicbsystembisblargelybresp
onsiblebforbonesbemotionalbstate.
ANSWER:b4
Rationale:bThebnursebshouldbexplainbtobthebclientbthatbtheblimbicbsystembisblargelybresponsiblebforbon
esbemotionalbstate.bThisbsystembifboftenbcalledbthebemotionalbbrainbandbisbassociatedbwithbfeelings,bs
exuality,bandbsocialbbehavior.bTheboccipitalblobesbarebthebareabofbvisualbreceptionbandbinterpretation
.bSomatosensorybinputb(touch,btaste,btemperature,betc.)boccursbinbthebparietalblobes.bThebmedullabco
ntainsbvitalbcentersbthatbregulatebheartbratebandbreflexes.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
3. Whichbpartbofbthebnervousbsystembshouldbabnursebidentifybasbplayingbabmajorbroleduringbs
tressfulbsituations?
1.bPeripheralbnervousbsystemb2.bSomaticbnervousbsystemb3.bSympatheticbnervousbsystemb4.bParasy
mpatheticbnervousbsystem
ANSWER:b3
Rationale:bThebnursebshouldbidentifybthatbthebsympatheticbnervousbsystembplaysbabmajorbrolebdur
ingbstressfulbsituations.bThebsympatheticbnervousbsystembpreparesbthebbodybforbthebfight-or-
bflightbresponse.bThebparasympatheticbnervousbsystembisbdominant bwhenbanbindividualbisbinbabno
nstressfulbstate.
CognitivebLevel:bComprehensionb
IntegratedbProcess:bAssessment
4.bWhichbclientbstatementbreflectsbanbunderstandingbofbcircadianbrhythmsbinbpsychopathology?1.bW
henbIbdreambaboutbmybmothersbhorriblebtrainbaccident,bIbbecomebhysterical.b2.bIbgetbreallybirritableb
duringbmybmenstrualbcycle.3.bImbabmorningbperson.bIbgetbmybbestbworkbdonebbeforebnoon.
4. EverybFebruary,bIbtendbtobexperiencebperiodsbofbsadness.b
ANSWER:b3
Rationale:bBybstating,bIbambabmorningbperson,bthebclientbdemonstratesbanbunderstandingbthatbcir
cadianbrhythmsbmaybinfluencebabvarietybofbregulatorybfunctions,bincludingbthebsleep-
wakebcycle,bregulationbofbbodybtemperature,bandbpatternsbofbactivity.bMostbhumansbfollowbab24-
hourbcyclebthatbisblargelybaffectedbbyblightnessbandbdarkness.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bEvaluation
Downloadedbby:bLectJoshuab| Wantbtobearnb$1.23
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Distributionbofbthisbdocumentbisbillegal extrabperbyear?
