Davis Advantage For Townsend's Essentials Of Psychiatric Mental-Health
Nursing Concepts Of Care In Evidence-Based Practice 9th Edition, (2022)
By Karyn I. Morgan
All Chapters 1-32| 4 Units| Latest Version With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,UNIT 1: INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS ------------------------------- 4
Chapter 1. Mental Health And Mental Illness ------------------------------------------------------------------------4
Chapter 2. Biological Implications ------------------------------------------------------------------------------------- 14
Chapter 3. Ethical And Legal Issues ------------------------------------------------------------------------------------ 28
Chapter 4. Psychopharmacology --------------------------------------------------------------------------------------- 42
UNIT 2: PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS ---------------------------------- 59
Chapter 5. Relationship Development And Therapeutic Communication ----------------------------------- 59
Chapter 6. The Nursing Process In Psychiatric/Mental Health Nursing -------------------------------------- 75
Chapter 7. Psychosocial Interventions and Spiritual Care ------------------------------------------------------- 88
Chapter 8. Intervention In Groups ------------------------------------------------------------------------------------- 98
Chapter 9. Crisis Intervention ----------------------------------------------------------------------------------------- 113
Chapter 10. The Recovery Model ------------------------------------------------------------------------------------ 126
Chapter 11. Suicide Prevention --------------------------------------------------------------------------------------- 140
UNIT 3. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS ------------------------------------------ 155
Chapter 12. Caring For Patients With Mental Illness And Substance Use Disorders In General
Practice Settings ---------------------------------------------------------------------------------------------------------- 155
Chapter 13. Neurocognitive Disorders ------------------------------------------------------------------------------ 171
Chapter 14. Substance Use And Addictive Disorders ----------------------------------------------------------- 186
Chapter 15. Schizophrenia Spectrum And Other Psychotic Disorders -------------------------------------- 211
Chapter 16. Depressive Disorders------------------------------------------------------------------------------------ 236
Chapter 17. Bipolar And Related Disorders ----------------------------------------------------------------------- 261
Chapter 18. Anxiety, Obsessive-Compulsive, And Related Disorders -------------------------------------- 276
Chapter 19. Trauma- And Stressor-Related Disorders ---------------------------------------------------------- 299
Chapter 20. Somatic Symptom And Dissociative Disorders --------------------------------------------------- 322
Chapter 21. Eating Disorders ------------------------------------------------------------------------------------------ 337
Chapter 22. Personality Disorders ----------------------------------------------------------------------------------- 349
UNIT 4. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS ---------------- 376
Chapter 23. Children And Adolescents ----------------------------------------------------------------------------- 376
Chapter 24. The Aging Individual ------------------------------------------------------------------------------------ 393
Chapter 25. Survivors Of Abuse And Neglect --------------------------------------------------------------------- 406
Chapter 26. Community Mental Health Nursing ----------------------------------------------------------------- 421
Chapter 27. The Bereaved Individual ------------------------------------------------------------------------------- 435
,Chapter 28. Military Families ----------------------------------------------------------------------------------------- 448
Chapter 29. Concepts Of Personality Development ------------------------------------------------------------- 456
Chapter 30. Complementary and Integrative Therapies ------------------------------------------------------- 467
Chapter 31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing -------------------------- 480
Chapter 32. Issues Related to Human Sexuality and Gender Dysphoria ----------------------------------- 495
,UNIT 1: INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS
Chapter 1. Mental Health And Mental Illness
Davis Advantage for Townsend's Essentials of Psychiatric Mental-Health Nursing Concepts of Care in Evidence-Based Practice 9th Edition, (2022) Test Bank
MULTIPLE CHOICE
1. A Nurse Is Assessing A Client Who Is Experiencing Occasional Feelings Of Sadness
Because Of The Recent 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 Mental
Illness.
3. The Clients Behaviors Are Not Congruent With Cultural Norms.
4. The Clients Behaviors Demonstrate No Functional Impairment, Indicating No Mental
Illness.
ANSWER: 4
Rationale: The Nurse Should Assess That The Clients Daily Functioning Is Not
Impaired. The Client Who Experiences Feelings Of Sadness After The Loss Of A Pet Is
Responding Within Normal Expectations. Without Significant Impairment, The Clients
Distress 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
A Mental Illness?
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 Daily
Functioning.
3. When A Client Communicates Significant Distress.
4. When A Client Uses Defense Mechanisms As Ego Protection.
ANSWER: 2
Rationale: The Nurse Should Determine That The Client Is At Risk For Mental Illness
When Responses To Stress Are Maladaptive And Interfere With Daily Functioning. The
DSM-5 Indicates That In Order To Be Diagnosed With A Mental Illness, Daily
Functioning Must Be Significantly Impaired. The Clients Ability To Communicate
Distress 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 Responses
To The Parents?
1. Reactions To Stress Are Relative Rather Than Absolute; Individual Responses To
Stress Vary.
2. It Is Abnormal For Identical Twins To React Differently To Similar Stressors.
3. Identical Twins Should Share The Same Temperament And Respond Similarly To
Stress.
4. Environmental Influences To Stress Weigh More Heavily Than Genetic Influences.
ANSWER: 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. Mental
Health Is A State Of Being That Is 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 Psychiatric
Treatment?
1. A Jewish, Female Social Worker.
2. A Baptist, Homeless Male.
3. A Catholic, Black Male.
4. A Protestant, Swedish Business Executive.
ANSWER: 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 As Physical Health. Women Are Also More Likely To Seek Treatment
For Mental Health Problems Than Men.
Cognitive Level: Application Integrated
Process: Planning
5. A Psychiatric Nurse Intern States, This Clients Use Of Defense Mechanisms Should
Be Eliminated. Which Is A Correct Evaluation Of This Nurses Statement?
1. Defense Mechanisms Can Be Appropriate Responses To Stress And Need Not Be
Eliminated.
2. Defense Mechanisms Are A Maladaptive Attempt Of The Ego To Manage Anxiety
And Should Always Be Eliminated.
3. Defense Mechanisms, Used By Individuals With Weak Ego Integrity, Should Be
Discouraged And Not Eliminated.
4. Defense Mechanisms Cause Disintegration Of The Ego And Should Be Fostered And
Encouraged.
ANSWER: 1
Rationale: The Nurse Should Determine That Defense Mechanisms Can Be Appropriate
During Times Of Stress. The Client With No Defense Mechanisms May Have A Lower