,Test Bank for Davis Advantage for Townsend's Essentials of P
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sychiatric Mental Health Nursing, 9th Edition by Karyn I. Morg
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an N 9
Table of Contents N9 N9
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
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1. The Concept of Stress Adaptation
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2. Mental Health and Mental Illness: Historical and Theoretical Concepts
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II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING N9 N9 N9 N9
3. Concepts of Psychobiology
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4. Psychopharmacology
5. Ethical and Legal Issues
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III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE N9 N9 N9 N9 N9
6. Relationship Development N9
7. Therapeutic Communication N9
8. The Nursing Process in Psychiatric-Mental Health Nursing
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9. Therapeutic Groups N9
10. Intervention with Families N9 N9
11. Milieu Therapy— the Therapeutic Community
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12. Crisis Intervention
N9
13. Assertiveness Training N9
14. Promoting Self Esteem N9 N9
15. Anger and Aggression Management
N9 N9 N9
16. Suicide Prevention N9
17. Behavior Therapy N9
18. Cognitive Behavioral Therapy N9 N9
19. Electroconvulsive Therapy N9
20. The Recovery Model
N9 N9
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
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21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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22. Neurocognitive Disorders N9
23. Substance-Related and Addictive Disorders N9 N9 N9
24. Schizophrenia Spectrum and Other Psychotic Disorders
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25. Depressive Disorders N9
26. Bipolar and Related Disorders
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27. Anxiety, Obsessive-Compulsive, and Related Disorders
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28. Trauma and Stressor-Related Disorders
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29. Somatic Symptom and Dissociative Disorders
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30. Eating DisordersN9
31. Personality Disorders N9
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS N9 N9 N9 N9 N9
32. Children and Adolescents N9 N9
33. The Aging Individual
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34. Survivors of Abuse or Neglect N9 N9 N9 N9
35. Community Mental Health Nursing N9 N9 N9
,36. The Bereaved Individual
N9 N9
37. Military Families N9
EBook Bonus Chapters
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38. Theoretical Models of Personality Development
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39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health
N9 N9 N9 N9 N9 N9 N9 N9 N 9 Nursing
40. Complementary and Psychosocial Therapies N9 N9 N9
41. Relaxation Therapy N9
42. Issues Related to Human Sexuality and Gender Dysphoria
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43. Forensic Nursing N9
Chapter 1. Mental Health and Mentalillness
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Multiple Choice N9
1. A nurse is assessing a client who is experiencing occasional feelings of sadn
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ess Because of the recent death of a beloved pet. The client’s appetite, sleep p
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atterns, and daily routine have not changed. How should the nurse interpret the
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client’s behaviors?
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, 1. The client’s behaviors demonstrate mental illness in the form of depression.
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2. The client’s behaviors are extensive, which indicates the presence of mentalillness.
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3. The client’s behaviors are not congruent with cultural norms.
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4. The client’s behaviors demonstrate no functional impairment, indicating no mentalillness.
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ANSWERS:- 4 N 9
FEEDBACK: The nurse should assess that the client’s daily functioning is not impaired.
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The client who experiences feelings of sadness after the loss of a pet is responding wit
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hin normal expectations. Without significant impairment, the client’s distress does not i
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ndicate a mental illness.N9 N9 N9
COGNITIVE LEVEL: N9
Analysis
INTEGRATED PROCESS: N9
Assessment
2. At what point should the nurse determine that a client is at risk for developin
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g a mental illness?
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When thoughts, feelings, and behaviors are not reflective of the DSM-
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5 criteria. When maladaptive responses to stress are coupled with interference i
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n daily functioning.
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When a client communicates significant distress.
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When a client uses defense mechanisms as ego protection.
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ANSWERS:- 2
FEEDBACK: The nurse should determine that the client is at risk for mental illness when
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responses to stress are maladaptive and interfere with daily functioning. TheDSM-
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5 indicates that in order to be diagnosed with a mental illness, daily
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Functioning must be significantly impaired. The client s ability to communicatedistress would
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be considered a positive attribute.
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COGNITIVE LEVEL: N9
Application INTERG N9
RATED
PROCESS: Assessment N9
3. A nurse is assessing a set of 15-year-
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old identical twins who respond very differently to stress. One twin becomes anxious and
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irritable, and the other withdraws and cries. How should the nurse explain these different
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stress responsesto the parents?
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1. Reactions to stress are relative rather than absolute; individual responses to stressvary.
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2. It is abnormal for identical twins to react differently to similar stressors.
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3. Identical twins should share the same temperament and respond similarly tostress.
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4. Environmental influences to stress weigh more heavily than genetic influences.
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ANSWERS:- 1 N 9
FEEDBACK: The nurse should explain to the parents that, although the twins ha
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ve identical DNA, there are several other factors that affect reactions to stress.
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
N9 N9 N9 N9 N9 N9 N9 N9 N9
sychiatric Mental Health Nursing, 9th Edition by Karyn I. Morg
N9N9 N9 N9 N9 N9 N9 N9 N9 N9
an N 9
Table of Contents N9 N9
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
N9 N9 N9 N9 N9
1. The Concept of Stress Adaptation
N9 N9 N9 N9
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
N9 N9 N9 N9 N9 N9 N9 N9
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING N9 N9 N9 N9
3. Concepts of Psychobiology
N9 N9
4. Psychopharmacology
5. Ethical and Legal Issues
N9 N9 N9
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE N9 N9 N9 N9 N9
6. Relationship Development N9
7. Therapeutic Communication N9
8. The Nursing Process in Psychiatric-Mental Health Nursing
N9 N9 N9 N9 N9 N9
9. Therapeutic Groups N9
10. Intervention with Families N9 N9
11. Milieu Therapy— the Therapeutic Community
N9 N9 N9 N9
12. Crisis Intervention
N9
13. Assertiveness Training N9
14. Promoting Self Esteem N9 N9
15. Anger and Aggression Management
N9 N9 N9
16. Suicide Prevention N9
17. Behavior Therapy N9
18. Cognitive Behavioral Therapy N9 N9
19. Electroconvulsive Therapy N9
20. The Recovery Model
N9 N9
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
N9 N9 N9 N9 N9 N9 N9 N9
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
22. Neurocognitive Disorders N9
23. Substance-Related and Addictive Disorders N9 N9 N9
24. Schizophrenia Spectrum and Other Psychotic Disorders
N9 N9 N9 N9 N9
25. Depressive Disorders N9
26. Bipolar and Related Disorders
N9 N9 N9
27. Anxiety, Obsessive-Compulsive, and Related Disorders
N9 N9 N9 N9
28. Trauma and Stressor-Related Disorders
N9 N9 N9
29. Somatic Symptom and Dissociative Disorders
N9 N9 N9 N9
30. Eating DisordersN9
31. Personality Disorders N9
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS N9 N9 N9 N9 N9
32. Children and Adolescents N9 N9
33. The Aging Individual
N9 N9
34. Survivors of Abuse or Neglect N9 N9 N9 N9
35. Community Mental Health Nursing N9 N9 N9
,36. The Bereaved Individual
N9 N9
37. Military Families N9
EBook Bonus Chapters
N9 N9
38. Theoretical Models of Personality Development
N9 N9 N9 N9
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health
N9 N9 N9 N9 N9 N9 N9 N9 N 9 Nursing
40. Complementary and Psychosocial Therapies N9 N9 N9
41. Relaxation Therapy N9
42. Issues Related to Human Sexuality and Gender Dysphoria
N9 N9 N9 N9 N9 N9 N9
43. Forensic Nursing N9
Chapter 1. Mental Health and Mentalillness
N9 N9 N9 N9 N9
Multiple Choice N9
1. A nurse is assessing a client who is experiencing occasional feelings of sadn
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
ess Because of the recent death of a beloved pet. The client’s appetite, sleep p
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
atterns, and daily routine have not changed. How should the nurse interpret the
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
client’s behaviors?
N9 N9
, 1. The client’s behaviors demonstrate mental illness in the form of depression.
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
2. The client’s behaviors are extensive, which indicates the presence of mentalillness.
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
3. The client’s behaviors are not congruent with cultural norms.
N9 N9 N9 N9 N9 N9 N9 N9
4. The client’s behaviors demonstrate no functional impairment, indicating no mentalillness.
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ANSWERS:- 4 N 9
FEEDBACK: The nurse should assess that the client’s daily functioning is not impaired.
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N
The client who experiences feelings of sadness after the loss of a pet is responding wit
9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
hin normal expectations. Without significant impairment, the client’s distress does not i
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
ndicate a mental illness.N9 N9 N9
COGNITIVE LEVEL: N9
Analysis
INTEGRATED PROCESS: N9
Assessment
2. At what point should the nurse determine that a client is at risk for developin
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
g a mental illness?
N9 N9 N9
When thoughts, feelings, and behaviors are not reflective of the DSM-
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
5 criteria. When maladaptive responses to stress are coupled with interference i
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
n daily functioning.
N9 N9
When a client communicates significant distress.
N9 N9 N9 N9 N9
When a client uses defense mechanisms as ego protection.
N9 N9 N9 N9 N9 N9 N9 N9
ANSWERS:- 2
FEEDBACK: The nurse should determine that the client is at risk for mental illness when
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
responses to stress are maladaptive and interfere with daily functioning. TheDSM-
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
5 indicates that in order to be diagnosed with a mental illness, daily
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
Functioning must be significantly impaired. The client s ability to communicatedistress would
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
be considered a positive attribute.
N9 N9 N9 N9 N9
COGNITIVE LEVEL: N9
Application INTERG N9
RATED
PROCESS: Assessment N9
3. A nurse is assessing a set of 15-year-
N9 N9 N9 N9 N9 N9 N9
old identical twins who respond very differently to stress. One twin becomes anxious and
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N
irritable, and the other withdraws and cries. How should the nurse explain these different
9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N
stress responsesto the parents?
9 N9 N9 N9
1. Reactions to stress are relative rather than absolute; individual responses to stressvary.
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
2. It is abnormal for identical twins to react differently to similar stressors.
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
3. Identical twins should share the same temperament and respond similarly tostress.
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
4. Environmental influences to stress weigh more heavily than genetic influences.
N9 N9 N9 N9 N9 N9 N9 N9 N9
ANSWERS:- 1 N 9
FEEDBACK: The nurse should explain to the parents that, although the twins ha
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
ve identical DNA, there are several other factors that affect reactions to stress.
N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9 N9
