ESSENTIALSgOFgPSYCHIATRICgMENTALgHEALTHgNURSIN
Gg8THgEDITIONgCONCEPTSgOFgCAREgINgEVIDE
NCE-
BASEDgPRACTICEg8THgEDITIONgMORGANgTOW
NSENDgTESTgBANKgGOODgLUCKgINgYOURgEXA
Mg2023
Chapterg1.gMentalgHealthgandgMentalgIllness
1.gAgnursegisgassessinggagclientgwhogisgexperiencinggoccasionalgfeelingsgofgsadness
becausegofgtherecentgdeathgofgagbelovedgpet.gThegclientsgappetite,gsleepgpatterns,gandgdailygrouti
neghavegnotgchanged.gHowgshouldgthegnurseginterpretgthegclientsgbehaviors?
1. Thegclientsgbehaviorsgdemonstrategmentalgillnessgingthegformgofgdepression.
2. Thegclientsgbehaviorsgaregextensive,gwhichgindicatesgthegpresencegofgmentalgillness.
3. Thegclientsgbehaviorsgaregnotgcongruentgwithgculturalgnorms.
4. Thegclientsgbehaviorsgdemonstrategnogfunctionalgimpairment,gindicatinggnogmentalgillness.
ANS:g4
Rationale:gThegnursegshouldgassessgthatgthegclientsgdailygfunctioninggisgnotgimpaired.gThegclient
whogexperiencesgfeelingsgofgsadnessgaftergtheglossgofgagpetgisgrespondinggwithingnormalgexpectat
ions.gWithoutgsignificantgimpairment,gthegclientsgdistressgdoesgnotgindicategagmentalgillness.
CognitivegLevel:gAnalysisgInte
gratedgProcess:
Assessment
2.gAtgwhatgpointgshouldgthegnursegdeterminegthatgagclientgisgatgriskgforgdevelopinggagmentalillness?
1. Whengthoughts,gfeelings,gandgbehaviorsgaregnotgreflectivegofgthegDSM-5gcriteria.
2. Whengmaladaptivegresponsesgtogstressgaregcoupledgwithginterferencegingdailygfunctioning
.
3. Whengagclientgcommunicatesgsignificantgdistress.
4. Whengagclientgusesgdefensegmechanismsgasgegogprotection.
ANS:g2
Rationale:gThegnursegshouldgdeterminegthatgthegclientgisgatgriskgforgmentalgillnessgwhengrespon
sestogstressgaregmaladaptivegandginterferegwithgdailygfunctioning.gThegDSM-
5gindicatesgthatgingordertogbegdiagnosedgwithgagmentalgillness,gdaily
, ESSENTIALSgOFgPSYCHIATRICgMENTALgHEALTHgNURSIN
Gg8THgEDITIONgCONCEPTSgOFgCAREgINgEVIDE
NCE-
BASEDgPRACTICEg8THgEDITIONgMORGANgTOW
NSENDgTESTgBANKgGOODgLUCKgINgYOURgEXA
Mg2023
functioninggmustgbegsignificantlygimpaired.gThegclientsgabilitygtogcommunicategdistressgwouldgbegc
onsideredgagpositivegattribute.
CognitivegLevel:
ApplicationgIntegratedgPro
cess:gAssessment
3.gAgnursegisgassessinggagsetgofg15-year-
oldgidenticalgtwinsgwhogrespondgverygdifferentlygtogstress.Onegtwingbecomesganxiousgandgirrita
ble,gandgthegothergwithdrawsgandgcries.gHowgshouldgthegnursegexplaingthesegdifferentgstressgres
ponsesgtogthegparents?
1. Reactionsgtogstressgaregrelativegrathergthangabsolute;gindividualgresponsesgtog stressgvary.
2. Itgisgabnormalgforgidenticalgtwinsgtogreactgdifferentlygtogsimilargstressors.
3. Identicalgtwinsgshouldgsharegthegsamegtemperamentgandgrespondgsimilarlygtogstress.
4. Environmentalginfluencesgtogstressgweighgmoregheavilygthanggeneticginfluences.
, ESSENTIALSgOFgPSYCHIATRICgMENTALgHEALTHgNURSIN
Gg8THgEDITIONgCONCEPTSgOFgCAREgINgEVIDE
NCE-
BASEDgPRACTICEg8THgEDITIONgMORGANgTOW
NSENDgTESTgBANKgGOODgLUCKgINgYOURgEXA
Mg2023
ANS:g1
Rationale:gThegnursegshouldgexplaingtogthegparentsgthat,galthoughgthegtwinsghavegidenticalgDN
A,theregaregseveralgothergfactorsgthatgaffectgreactionsgtogstress.gMentalghealthgisgagstategofgbeingg
thatisgrelativegtogthegindividualgclient.gEnvironmentalginfluencesgandgtemperamentgcangaffectgst
ressg reactions.
CognitivegLevel:gApplicationgInte
gratedgProcess:
Implementation
4.gWhichgclientgshouldgthegnurseganticipategtogbegmostgreceptivegtogpsychiatricgtreatment?
1. AgJewish,gfemalegsocialgworker.
2. AgBaptist,ghomelessgmale.
3. AgCatholic,gblackgmale.
4. AgProtestant,gSwedishgbusinessgexecutive.
ANS:g1
Rationale:gThegnursegshouldganticipategthatgthegclientgofgJewishgculturegwouldgplacegaghighgimpor
tancegongpreventativeghealthgcaregandgwouldgconsidergmentalghealthgasgequallygimportantgasphys
icalghealth.gWomengaregalsogmoreglikelygtogseekgtreatmentgforgmentalghealthgproblemsgthangmen.
CognitivegLevel:
ApplicationIntegratedgPro
cess:gPlanning
5. Agpsychiatricgnurseginterngstates,gThisgclientsgusegofgdefensegmechanismsgshouldgbegeliminate
d.Whichgisgagcorrectgevaluationgofgthisgnursesgstatement?
1. Defensegmechanismsgcangbegappropriategresponsesgtogstressgandgneedgnotgbegeliminated.
2. Defensegmechanismsgaregagmaladaptivegattemptgofgthegegogtogmanageganxietygan
dgshouldalwaysgbegeliminated.
3. Defensegmechanisms,gusedgbygindividualsgwithgweakgegogintegrity,gshouldgbegdiscouraged
gandnotgeliminated.
4. Defensegmechanismsgcausegdisintegrationgofgthegegogandgshouldgbegfosteredgandgencouraged.
ANS:g1
Rationale:gThegnursegshouldgdeterminegthatgdefensegmechanismsgcangbegappropriategduringgtim
esofgstress.gThegclientgwithgnogdefensegmechanismsgmayghavegaglowergtolerancegforgstress,gthus
gleadinggtoganxietygdisorders.gDefensegmechanismsgshouldgbegconfrontedgwhengtheygimpedegth
egclientgfromgdeveloping
, ESSENTIALSgOFgPSYCHIATRICgMENTALgHEALTHgNURSIN
Gg8THgEDITIONgCONCEPTSgOFgCAREgINgEVIDE
NCE-
BASEDgPRACTICEg8THgEDITIONgMORGANgTOW
NSENDgTESTgBANKgGOODgLUCKgINgYOURgEXA
Mg2023
healthygcopinggskills.
CognitivegLevel:
ApplicationgIntegratedgPro
cess:gEvaluation
6.gDuringgangintakegassessment,gagnursegasksgbothgphysiologicalgandgpsychosocialgquestions.gTh
eclientgangrilygresponds,gImgheregforgmygheart,gnotgmygheadgproblems.gWhichgisgthegnursesgbe
stgresponse?
1. Itsgjustgagroutinegpartgofgourgassessment.gAllgclientsgaregaskedgthesegsamegquestions.
2. Whygaregyougconcernedgaboutgthesegtypesgofgquestions?
3. Psychologicalgfactors,glikegexcessivegstress,ghavegbeengfoundgtogaffectgmedicalgconditions.
4. Wegcangskipgthesegquestions,gifgyouglike.gItgisntgimperativegthatgwegcompletegthisgsection.
Gg8THgEDITIONgCONCEPTSgOFgCAREgINgEVIDE
NCE-
BASEDgPRACTICEg8THgEDITIONgMORGANgTOW
NSENDgTESTgBANKgGOODgLUCKgINgYOURgEXA
Mg2023
Chapterg1.gMentalgHealthgandgMentalgIllness
1.gAgnursegisgassessinggagclientgwhogisgexperiencinggoccasionalgfeelingsgofgsadness
becausegofgtherecentgdeathgofgagbelovedgpet.gThegclientsgappetite,gsleepgpatterns,gandgdailygrouti
neghavegnotgchanged.gHowgshouldgthegnurseginterpretgthegclientsgbehaviors?
1. Thegclientsgbehaviorsgdemonstrategmentalgillnessgingthegformgofgdepression.
2. Thegclientsgbehaviorsgaregextensive,gwhichgindicatesgthegpresencegofgmentalgillness.
3. Thegclientsgbehaviorsgaregnotgcongruentgwithgculturalgnorms.
4. Thegclientsgbehaviorsgdemonstrategnogfunctionalgimpairment,gindicatinggnogmentalgillness.
ANS:g4
Rationale:gThegnursegshouldgassessgthatgthegclientsgdailygfunctioninggisgnotgimpaired.gThegclient
whogexperiencesgfeelingsgofgsadnessgaftergtheglossgofgagpetgisgrespondinggwithingnormalgexpectat
ions.gWithoutgsignificantgimpairment,gthegclientsgdistressgdoesgnotgindicategagmentalgillness.
CognitivegLevel:gAnalysisgInte
gratedgProcess:
Assessment
2.gAtgwhatgpointgshouldgthegnursegdeterminegthatgagclientgisgatgriskgforgdevelopinggagmentalillness?
1. Whengthoughts,gfeelings,gandgbehaviorsgaregnotgreflectivegofgthegDSM-5gcriteria.
2. Whengmaladaptivegresponsesgtogstressgaregcoupledgwithginterferencegingdailygfunctioning
.
3. Whengagclientgcommunicatesgsignificantgdistress.
4. Whengagclientgusesgdefensegmechanismsgasgegogprotection.
ANS:g2
Rationale:gThegnursegshouldgdeterminegthatgthegclientgisgatgriskgforgmentalgillnessgwhengrespon
sestogstressgaregmaladaptivegandginterferegwithgdailygfunctioning.gThegDSM-
5gindicatesgthatgingordertogbegdiagnosedgwithgagmentalgillness,gdaily
, ESSENTIALSgOFgPSYCHIATRICgMENTALgHEALTHgNURSIN
Gg8THgEDITIONgCONCEPTSgOFgCAREgINgEVIDE
NCE-
BASEDgPRACTICEg8THgEDITIONgMORGANgTOW
NSENDgTESTgBANKgGOODgLUCKgINgYOURgEXA
Mg2023
functioninggmustgbegsignificantlygimpaired.gThegclientsgabilitygtogcommunicategdistressgwouldgbegc
onsideredgagpositivegattribute.
CognitivegLevel:
ApplicationgIntegratedgPro
cess:gAssessment
3.gAgnursegisgassessinggagsetgofg15-year-
oldgidenticalgtwinsgwhogrespondgverygdifferentlygtogstress.Onegtwingbecomesganxiousgandgirrita
ble,gandgthegothergwithdrawsgandgcries.gHowgshouldgthegnursegexplaingthesegdifferentgstressgres
ponsesgtogthegparents?
1. Reactionsgtogstressgaregrelativegrathergthangabsolute;gindividualgresponsesgtog stressgvary.
2. Itgisgabnormalgforgidenticalgtwinsgtogreactgdifferentlygtogsimilargstressors.
3. Identicalgtwinsgshouldgsharegthegsamegtemperamentgandgrespondgsimilarlygtogstress.
4. Environmentalginfluencesgtogstressgweighgmoregheavilygthanggeneticginfluences.
, ESSENTIALSgOFgPSYCHIATRICgMENTALgHEALTHgNURSIN
Gg8THgEDITIONgCONCEPTSgOFgCAREgINgEVIDE
NCE-
BASEDgPRACTICEg8THgEDITIONgMORGANgTOW
NSENDgTESTgBANKgGOODgLUCKgINgYOURgEXA
Mg2023
ANS:g1
Rationale:gThegnursegshouldgexplaingtogthegparentsgthat,galthoughgthegtwinsghavegidenticalgDN
A,theregaregseveralgothergfactorsgthatgaffectgreactionsgtogstress.gMentalghealthgisgagstategofgbeingg
thatisgrelativegtogthegindividualgclient.gEnvironmentalginfluencesgandgtemperamentgcangaffectgst
ressg reactions.
CognitivegLevel:gApplicationgInte
gratedgProcess:
Implementation
4.gWhichgclientgshouldgthegnurseganticipategtogbegmostgreceptivegtogpsychiatricgtreatment?
1. AgJewish,gfemalegsocialgworker.
2. AgBaptist,ghomelessgmale.
3. AgCatholic,gblackgmale.
4. AgProtestant,gSwedishgbusinessgexecutive.
ANS:g1
Rationale:gThegnursegshouldganticipategthatgthegclientgofgJewishgculturegwouldgplacegaghighgimpor
tancegongpreventativeghealthgcaregandgwouldgconsidergmentalghealthgasgequallygimportantgasphys
icalghealth.gWomengaregalsogmoreglikelygtogseekgtreatmentgforgmentalghealthgproblemsgthangmen.
CognitivegLevel:
ApplicationIntegratedgPro
cess:gPlanning
5. Agpsychiatricgnurseginterngstates,gThisgclientsgusegofgdefensegmechanismsgshouldgbegeliminate
d.Whichgisgagcorrectgevaluationgofgthisgnursesgstatement?
1. Defensegmechanismsgcangbegappropriategresponsesgtogstressgandgneedgnotgbegeliminated.
2. Defensegmechanismsgaregagmaladaptivegattemptgofgthegegogtogmanageganxietygan
dgshouldalwaysgbegeliminated.
3. Defensegmechanisms,gusedgbygindividualsgwithgweakgegogintegrity,gshouldgbegdiscouraged
gandnotgeliminated.
4. Defensegmechanismsgcausegdisintegrationgofgthegegogandgshouldgbegfosteredgandgencouraged.
ANS:g1
Rationale:gThegnursegshouldgdeterminegthatgdefensegmechanismsgcangbegappropriategduringgtim
esofgstress.gThegclientgwithgnogdefensegmechanismsgmayghavegaglowergtolerancegforgstress,gthus
gleadinggtoganxietygdisorders.gDefensegmechanismsgshouldgbegconfrontedgwhengtheygimpedegth
egclientgfromgdeveloping
, ESSENTIALSgOFgPSYCHIATRICgMENTALgHEALTHgNURSIN
Gg8THgEDITIONgCONCEPTSgOFgCAREgINgEVIDE
NCE-
BASEDgPRACTICEg8THgEDITIONgMORGANgTOW
NSENDgTESTgBANKgGOODgLUCKgINgYOURgEXA
Mg2023
healthygcopinggskills.
CognitivegLevel:
ApplicationgIntegratedgPro
cess:gEvaluation
6.gDuringgangintakegassessment,gagnursegasksgbothgphysiologicalgandgpsychosocialgquestions.gTh
eclientgangrilygresponds,gImgheregforgmygheart,gnotgmygheadgproblems.gWhichgisgthegnursesgbe
stgresponse?
1. Itsgjustgagroutinegpartgofgourgassessment.gAllgclientsgaregaskedgthesegsamegquestions.
2. Whygaregyougconcernedgaboutgthesegtypesgofgquestions?
3. Psychologicalgfactors,glikegexcessivegstress,ghavegbeengfoundgtogaffectgmedicalgconditions.
4. Wegcangskipgthesegquestions,gifgyouglike.gItgisntgimperativegthatgwegcompletegthisgsection.
