Test Bank For Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence Based Practice 8th Edition Morgan Townsend | 9780803676787 | Chapter 1-32 |All Chapters with Answers and Rationals

Essentials of Psychiatric Mental Health Nursing sh sh sh sh sh




-
Concepts of Care in Evidence-Based Practice sh sh sh sh sh sh sh




sh 8th Edition - Morgan Townsend
s h
sh sh sh




Test Bank sh




Chapter 1. Mental Health and Mental
sh sh sh sh sh




sh IllnessMultiple Choice sh




1. A nurse is assessing a client who is experiencing occasional feelings of sadness
sh sh sh sh sh sh sh sh sh sh sh sh




sh because of therecent death of a beloved pet. The clients appetite, sleep patterns,
sh sh sh sh sh sh sh sh sh sh sh sh




sh and daily routine have not changed. How should the nurse interpret the clients
sh sh sh sh sh sh sh sh sh sh sh sh




sh behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
sh sh sh sh sh sh sh sh sh sh




2. The clients behaviors are extensive, which indicates the presence of mental illness.
sh sh sh sh sh sh sh sh sh sh sh




3. The clients behaviors are not congruent with cultural norms.
sh sh sh sh sh sh sh sh




4. The clients behaviors demonstrate no functional impairment, indicating no
sh sh sh sh sh sh sh sh




sh mental illness. sh




ANS: 4 sh




Rationale: The nurse should assess that the clients daily functioning is not impaired.
sh sh sh sh sh sh sh sh sh sh sh sh




sh The clientwho experiences feelings of sadness after the loss of a pet is responding
sh sh sh sh sh sh sh sh sh sh sh sh sh




sh within normal expectations. Without significant impairment, the clients distress
sh sh sh sh sh sh sh sh




sh does not indicate a mental illness.
sh sh sh sh sh




Cognitive Level: Analysis sh sh




sh Integrated Process: sh




Assessment

2. At what point should the nurse determine that a client is at risk for
sh sh sh sh sh sh sh sh sh sh sh sh sh




developing a mentalillness?
sh sh sh

,1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
sh sh sh sh sh sh sh sh sh sh sh

,2. When maladaptive responses to stress are coupled with interference in
sh sh sh sh sh sh sh sh sh




daily functioning.
sh sh




3. When a client communicates significant distress.
sh sh sh sh sh




4. When a client uses defense mechanisms as ego protection.
sh sh sh sh sh sh sh sh




ANS: 2 sh




Rationale: The nurse should determine that the client is at risk for mental illness
sh sh sh sh sh sh sh sh sh sh sh sh sh




sh when responsesto stress are maladaptive and interfere with daily functioning. The
sh sh sh sh sh sh sh sh sh sh




sh DSM-5 indicates that in orderto be diagnosed with a mental illness, daily
sh sh sh sh sh sh sh sh sh sh sh




sh functioning must be significantly impaired. The clients ability to communicate
sh sh sh sh sh sh sh sh sh




sh distress would be considered a positive attribute.
sh sh sh sh sh sh




Cognitive Level: Application sh sh




sh Integrated Process: sh




Assessment

3. A nurse is assessing a set of 15-year-old identical twins who respond very
sh sh sh sh sh sh sh sh sh sh sh sh




differently to stress.One twin becomes anxious and irritable, and the other
sh sh sh sh sh sh sh sh sh sh sh




sh withdraws and cries. How should the nurse explain these different stress
sh sh sh sh sh sh sh sh sh sh




sh responses to the parents? sh sh sh




1. Reactions to stress are relative rather than absolute; individual responses to
sh sh sh sh sh sh sh sh sh sh




sh stress vary. sh




2. It is abnormal for identical twins to react differently to similar stressors.
sh sh sh sh sh sh sh sh sh sh sh




3. Identical twins should share the same temperament and respond similarly to stress.
sh sh sh sh sh sh sh sh sh sh sh




4. Environmental influences to stress weigh more heavily than genetic influences.
sh sh sh sh sh sh sh sh sh

, ANS: 1 sh




Rationale: The nurse should explain to the parents that, although the twins have
sh sh sh sh sh sh sh sh sh sh sh sh




sh identical DNA,there are several other factors that affect reactions to stress. Mental
sh sh sh sh sh sh sh sh sh sh sh




sh health is a state of being thatis relative to the individual client. Environmental
sh sh sh sh sh sh sh sh sh sh sh sh




sh influences and temperament can affect stress reactions.
sh sh sh sh sh sh




Cognitive Level: Application sh sh




sh Integrated Process: sh




Implementation

4. Which client should the nurse anticipate to be most receptive to psychiatric
sh sh sh sh sh sh sh sh sh sh sh


treatment?
sh




1. A Jewish, female social worker.
sh sh sh sh




2. A Baptist, homeless male.
sh sh sh




3. A Catholic, black male.
sh sh sh




4. A Protestant, Swedish business executive.
sh sh sh sh




ANS: 1 sh




Rationale: The nurse should anticipate that the client of Jewish culture would place
sh sh sh sh sh sh sh sh sh sh sh sh




sh a high importance on preventative health care and would consider mental health
sh sh sh sh sh sh sh sh sh sh sh




sh as equally important asphysical health. Women are also more likely to seek
sh sh sh sh sh sh sh sh sh sh sh




treatment for mental health problems than men.
sh sh sh sh sh sh sh




Cognitive Level: sh




ApplicationIntegrated
sh Process: Planning sh




5. A psychiatric nurse intern states, This clients use of defense mechanisms should
sh sh sh sh sh sh sh sh sh sh sh




be eliminated.Which is a correct evaluation of this nurses statement?
sh sh sh sh sh sh sh sh sh sh




1. Defense mechanisms can be appropriate responses to stress and need not
sh sh sh sh sh sh sh sh sh sh




sh be eliminated.
sh




2. Defense mechanisms are a maladaptive attempt of the ego to manage
sh sh sh sh sh sh sh sh sh sh




anxiety and shouldalways be eliminated.
sh sh sh sh sh




3. Defense mechanisms, used by individuals with weak ego integrity, should
sh sh sh sh sh sh sh sh sh




be discouraged andnot eliminated.
sh sh sh sh




4. Defense mechanisms cause disintegration of the ego and should be fostered
sh sh sh sh sh sh sh sh sh sh




sh and encouraged.sh




ANS: 1 sh