VERIFIED 2025 PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CONCEPTS OF CARE IN EVIDENCE-BASED WITH QUESTIONS ANSWERED CORRECTLY

Chapter 1. Mental Health and MentalIllness 1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of therecent death of a beloved pet. The clients appetite, sleep patterns,and daily routine have not changed. How should the nurse interpret the clients behaviors? 1. The clients behaviors demonstrate mental illness in the form of depression. 2. The clients behaviors are extensive, which indicates the presence of mentalillness. 3. The clients behaviors are not congruent with cultural norms. 4. The clients behaviors demonstrate no functional impairment, indicating no mentalillness. ANS: 4 Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho experiences feelings of sadness after the loss of a pet is responding within normal expectations. Without significant impairment, the clientsdistress does not indicate a mental illness. Cognitive Level: Analysis Integrated Process: Assessment 2. At what point should the nurse determine that a client is at risk for developing amentalillness? 1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria. 2. When maladaptive responses to stress are coupled with interference in dailyfunctioning. 3. When a client communicates significant distress. 4. When a client uses defense mechanisms as ego protection. ANS: 2 Rationale: The nurse should determine that the client is at risk for mental illness when responsesto stress are maladaptive and interfere with daily functioning. TheDSM-5 indicates that in orderto be diagnosed with a mental illness, daily ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CONCEPTS OF CARE IN EVIDENCE-BASED PRACTICE 8TH EDITION MORGAN TOWNSEND TEST BANK GOOD LUCK IN YOUR EXAM 2023 functioning must be significantly impaired. The clients ability to communicatedistress would be considered a positive attribute. Cognitive Level: Application Integrated Process: Assessment 3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress.One twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse explain these different stress responsesto the parents? 1. Reactions to stress are relative rather than absolute; individual responses to stressvary. 2. It is abnormal for identical twins to react differently to similar stressors. 3. Identical twins should share the same temperament and respond similarly tostress. 4. Environmental influences to stress weigh more heavily than genetic influences. ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CONCEPTS OF CARE IN EVIDENCE-BASED PRACTICE 8TH EDITION MORGAN TOWNSEND TEST BANK GOOD LUCK IN YOUR EXAM 2023 ANS: 1 Rationale: The nurse should explain to the parents that, although the twins have identical DNA,there are several other factors that affect reactions to stress. Mentalhealth is a state of being thatis relative to the individual client. Environmental influences and temperament can affect stress reactions. Cognitive Level: Application Integrated Process: Implementation 4. Which client should the nurse anticipate to be most receptive to psychiatrictreatment? 1. A Jewish, female social worker. 2. A Baptist, homeless male. 3. A Catholic, black male. 4. A Protestant, Swedish business executive. ANS: 1 Rationale: The nurse should anticipate that the client of Jewish culture would place a high importance on preventative health care and would consider mental health as equally important asphysical health. Women are also more likely to seek treatmentfor mental health problems than men. Cognitive Level: ApplicationIntegrated Process: Planning 5. A psychiatric nurse intern states, This clients use of defense mechanisms shouldbe eliminated.Which is a correct evaluation of this nurses statement? 1. Defense mechanisms can be appropriate responses to stress and need not beeliminated. 2. Defense mechanisms are a maladaptive attempt of the ego to manageanxiety and shouldalways be eliminated. 3. Defense mechanisms, used by individuals with weak ego integrity, should bediscouraged andnot eliminated. 4. Defense mechanisms cause disintegration of the ego and should be fostered andencouraged. ANS: 1 Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading to anxiety disorders. Defense mechanisms should be confronted when they impede the client from developing ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CONCEPTS OF CARE IN EVIDENCE-BASED PRACTICE 8TH EDITION MORGAN TOWNSEND TEST BANK GOOD LUCK IN YOUR EXAM 2023 healthy coping skills. Cognitive Level: Application Integrated Process: Evaluation 6. During an intake assessment, a nurse asks both physiological and psychosocialquestions. Theclient angrily responds, Im here for my heart, not my head problems. Which is the nurses best response? 1. Its just a routine part of our assessment. All clients are asked these samequestions. 2. Why are you concerned about these types of questions? 3. Psychological factors, like excessive stress, have been found to affect medicalconditions. 4. We can skip these questions, if you like. It isnt imperative that we complete thissection. ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CONCEPTS OF CARE IN EVIDENCE-BASED PRACTICE 8TH EDITION MORGAN TOWNSEND TEST BANK GOOD LUCK IN YOUR EXAM 2023 ANS: 3 Rationale: The nurse should attempt to educate the client on the negative effects of excessivestress on medical conditions. It is not appropriate to skip physiological and psychosocial questions, as this would lead to an inaccurate assessment. Cognitive Level: Application Integrated Process: Implementation 7. An employee uses the defense mechanism of displacement when the boss openly disagreeswith suggestions. What behavior would be expected from thisemployee? 1. The employee assertively confronts the boss. 2. The employee leaves the staff meeting to work out in the gym. 3. The employee criticizes a coworker. 4. The employee takes the boss out to lunch. ANS: 3 Rationale: The nurse should expect that the client using the defense mechanism displacementwould criticize a coworker after being confronted by the boss. Displacement refers to transferring feelings from one target to a neutral or less-threatening target. Cognitive Level: Analysis Integrated Process: Assessment 8. A fourth-grade boy teases and makes jokes about a cute girl in his class. Thisbehavior shouldbe identified by a nurse as indicative of which defense mechanism? 1. Displacement 2. Projection 3. Reaction formation 4. Sublimation ANS: 3 Rationale: The nurse should identify that the boy is using reaction formation as adefense mechanism. Reaction formation is the attempt to prevent undesirable thoughts from being expressed by expressing opposite thoughts or behaviors. Displacement refers to transferring feelings from one target to another. Rationalization refers to making excuses to justify behavior.Projection refers tothe attribution of unacceptable feelings or behaviors to another person. Sublimation refers to channeling unacceptable drives or impulses into more