g g g g g
CT ANS MENTAL HEALTH TB BY MORGA
g g g g g g
N AND TOWNSEND/Essentials of Psychiatric
g g g g g
Mental Health Nursing 8th Edition Concepts of
g g g g g g g
Care in Evidence- g g
Based Practice 8th Edition Morgan Townsend
g g g g g g g
Test Bank g
EssentialsgofgPsychiatricgMentalgHealthgNursingg8thgEditiongConceptsgofgCaregingEvidenc
e-gBasedgPracticeg8thgEditiongMorgangTownsendgTestgBank
Chapterg1.gMentalgHealthgandgMentalgIllnes
sgMultiplegChoice
1.gAgnursegisgassessinggagclientgwhogisgexperiencinggoccasionalgfeelingsgofgsadnessgbecausegofgth
egrecentgdeathgofgagbelovedgpet.gThegclientsgappetite,gsleepgpatterns,gandgdailygroutineghavegnotgc
hanged.gHowgshouldgthegnurseginterpretgthegclientsgbehaviors?
1. Thegclientsgbehaviorsgdemonstrategmentalgillnessgingthegformgofgdepression.
2. Thegclientsgbehaviorsgaregextensive,gwhichgindicatesgthegpresencegofgmentalgillness.
3. Thegclientsgbehaviorsgaregnotgcongruentgwithgculturalgnorms.
4. Thegclientsgbehaviorsgdemonstrategnogfunctionalgimpairment,gindicatinggnogmentalgillness.
ANS:g4
Rationale:gThegnursegshouldgassessgthatgthegclientsgdailygfunctioninggisgnotgimpaired.gThegclientg
whogexperiencesgfeelingsgofgsadnessgaftergtheglossgofgagpetgisgrespondinggwithingnormalgexpectat
ions.gWithoutgsignificantgimpairment,gthegclientsgdistressgdoesgnotgindicategagmentalgillness.
CognitivegLevel:gAnalysisgInte
gratedgProcess:gAssessment
2.gAtgwhatgpointgshouldgthegnursegdeterminegthatgagclientgisgatgriskgforgdevelopinggagmentalgillne
ss?
1. Whengthoughts,gfeelings,gandgbehaviorsgaregnotgreflectivegofgthegDSM-5gcriteria.
2. Whengmaladaptivegresponsesgtogstressgaregcoupledgwithginterferencegingdailygfunctioning.
3. Whengagclientgcommunicatesgsignificantgdistress.
4. Whengagclientgusesgdefensegmechanismsgasgegogprotection.
ANS:g2
Rationale:gThegnursegshouldgdeterminegthatgthegclientgisgatgriskgforgmentalgillnessgwhengrespons
esgtogstressgaregmaladaptivegandginterferegwithgdailygfunctioning.gThegDSM-
5gindicatesgthatgingordergtogbegdiagnosedgwithgagmentalgillness,gdailygfunctioninggmustgbegsignifi
cantlygimpaired.gThegclientsgabilitygtogcommunicategdistressgwouldgbegconsideredgagpositivegattr
ibute.
,2020/2020 LATEST QUIZ AND 100% CORRE
g g g g g
CT ANS MENTAL HEALTH TB BY MORGA
g g g g g g
N AND TOWNSEND/Essentials of Psychiatric
g g g g g
Mental Health Nursing 8th Edition Concepts of
g g g g g g g
Care in Evidence- g g
Based Practice 8th Edition Morgan Townsend
g g g g g g g
Test Bank g
CognitivegLevel:gApplicationgI
ntegratedgProcess:gAssessment
3.gAgnursegisgassessinggagsetgofg15-year-
oldgidenticalgtwinsgwhogrespondgverygdifferentlygtogstress.gOnegtwingbecomesganxiousgandgirritab
le,gandgthegothergwithdrawsgandgcries.gHowgshouldgthegnursegexplaingthesegdifferentgstressgrespo
nsesgtogthegparents?
1. Reactionsgtogstressgaregrelativegrathergthangabsolute;gindividualgresponsesgtog stressgvary.
2. Itgisgabnormalgforgidenticalgtwinsgtogreactgdifferentlygtogsimilargstressors.
3. Identicalgtwinsgshouldgsharegthegsamegtemperamentgandgrespondgsimilarlygtogstress.
4. Environmentalginfluencesgtogstressgweighgmoregheavilygthanggeneticginfluences.
,2020/2020 LATEST QUIZ AND 100% CORRE
g g g g g
CT ANS MENTAL HEALTH TB BY MORGA
g g g g g g
N AND TOWNSEND/Essentials of Psychiatric
g g g g g
Mental Health Nursing 8th Edition Concepts of
g g g g g g g
Care in Evidence- g g
Based Practice 8th Edition Morgan Townsend
g g g g g g g
Test Bank g
ANS:g1
Rationale:gThegnursegshouldgexplaingtogthegparentsgthat,galthoughgthegtwinsghavegidenticalgDN
A,gtheregaregseveralgothergfactorsgthatgaffectgreactionsgtogstress.gMentalghealthgisgagstategofgbeing
gthatgisgrelativegtogthegindividualgclient.gEnvironmentalginfluencesgandgtemperamentgcangaffectgs
tressgreactions.
CognitivegLevel:gApplicationgInteg
ratedgProcess:gImplementation
4.gWhichgclientgshouldgthegnurseganticipategtogbegmostgreceptivegtogpsychiatricgtreatment?
1. AgJewish,gfemalegsocialgworker.
2. AgBaptist,ghomelessgmale.
3. AgCatholic,gblackgmale.
4. AgProtestant,gSwedishgbusinessgexecutive.
ANS:g1
Rationale:gThegnursegshouldganticipategthatgthegclientgofgJewishgculturegwouldgplacegaghighgimp
ortancegongpreventativeghealthgcaregandgwouldgconsidergmentalghealthgasgequallygimportantgasgph
ysicalghealth.gWomengaregalsogmoreglikelygtogseekgtreatmentgforgmentalghealthgproblemsgthangm
en.
CognitivegLevel:gApplication
gIntegratedgProcess:gPlanning
5. Agpsychiatricgnurseginterngstates,gThisgclientsgusegofgdefensegmechanismsgshouldgbegeliminate
d.gWhichgisgagcorrectgevaluationgofgthisgnursesgstatement?
1. Defensegmechanismsgcangbegappropriategresponsesgtogstressgandgneedgnotgbegeliminated.
2. Defensegmechanismsgaregagmaladaptivegattemptgofgthegegogtogmanageganxietygandgshoul
dgalwaysgbegeliminated.
3. Defensegmechanisms,gusedgbygindividualsgwithgweakgegogintegrity,gshouldgbegdiscouragedgan
dgnotgeliminated.
4. Defensegmechanismsgcausegdisintegrationgofgthegegogandgshouldgbegfosteredgandgencouraged.
ANS:g1
Rationale:gThegnursegshouldgdeterminegthatgdefensegmechanismsgcangbegappropriategduringgtime
sgofgstress.gThegclientgwithgnogdefensegmechanismsgmayghavegaglowergtolerancegforgstress,gthusgl
eadinggtoganxietygdisorders.gDefensegmechanismsgshouldgbegconfrontedgwhengtheygimpedegtheg
clientgfromgdevelopingghealthygcopinggskills.
CognitivegLevel:gApplicationg
, 2020/2020 LATEST QUIZ AND 100% CORRE
g g g g g
CT ANS MENTAL HEALTH TB BY MORGA
g g g g g g
N AND TOWNSEND/Essentials of Psychiatric
g g g g g
Mental Health Nursing 8th Edition Concepts of
g g g g g g g
Care in Evidence- g g
Based Practice 8th Edition Morgan Townsend
g g g g g g g
Test Bank g
IntegratedgProcess:gEvaluation
6.gDuringgangintakegassessment,gagnursegasksgbothgphysiologicalgandgpsychosocialgquestions.gTh
egclientgangrilygresponds,gImgheregforgmygheart,gnotgmygheadgproblems.gWhichgisgthegnursesgbest
gresponse?
1. Itsgjustgagroutinegpartgofgourgassessment.gAllgclientsgaregaskedgthesegsamegquestions.
2. Whygaregyougconcernedgaboutgthesegtypesgofgquestions?
3. Psychologicalgfactors,glikegexcessivegstress,ghavegbeengfoundgtogaffectgmedicalgconditions.
4. Wegcangskipgthesegquestions,gifgyouglike.gItgisntgimperativegthatgwegcompletegthisgsection.