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MENTAL HEALTH TB BY MORGAN AND TOWNSEND

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MENTAL HEALTH TB BY MORGAN AND TOWNSEND Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan Townsend Test Bank Chapter 1. Mental Health and Mental Illness 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? 2. At what point should the nurse determine that a client is at risk for developing a mental illness? 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? 4. Which client should the nurse anticipate to be most receptive to psychiatric treatment? 1. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated. Which is a correct evaluation of this nurses statement? 6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, Im here for my heart, not my head problems. Which is the nurses best response? 7. An employee uses the defense mechanism of displacement when the boss openly disagrees with suggestions. What behavior would be expected from this employee? 8. A fourth-grade boy teases and makes jokes about a cute girl in his class. This behavior should be identified by a nurse as indicative of which defense mechanism? 9. Which nursing statement about the concept of neurosis is most accurate? 10. Which nursing statement regarding the concept of psychosis is most accurate? 11. When under stress, a client routinely uses alcohol to excess. Finding her drunk, her husband yells at the client about her chronic alcohol abuse. Which action alerts the nurse to the clients use of the defense mechanism of denial? 12. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife should indicate to a nurse that the client is in the acceptance stage of grief? Cognitive Level: Analysis Integrated Process: Evaluation 13. A nurse is performing a mental health assessment on an adult client. According to Maslows hierarchy of needs, which client action would demonstrate the highest achievement in terms of mental health?1 14. According to Maslows hierarchy of needs, which situation on an in-patient psychiatric unit would require priority intervention by a nurse?15. How would a nurse best complete the new DSM-5 definition of a mental disorder? A health condition characterized by significant dysfunction in an individuals cognitions, or behaviors that reflects a disturbance in the 16. A nurse is assessing a client who appears to be experiencing some anxiety during questioning. Which symptoms might the client demonstrate that would indicate anxiety? (Select all that apply.) Fill-in-the-Blank 17. is a diffuse apprehension that is vague in nature and is associated with feelings of uncertainty and helplessness. 18. is a subjective state of emotional, physical, and social responses to the loss of a valued entity. Multiple Choice 1. A depressed client states, I have a chemical imbalance in my brain. I have no control over my behavior. Medications are my only hope to feel normal again. Which nursing response is appropriate?1. Medications only address biological factors. Environmental and interpersonal factors must also be considered.2. Because biological factors are the sole cause of depression, medications will improve your mood.3. Environmental factors have been shown to exert the most influence in the development of depression.4. Researchers have been unable to demonstrate a link between nature (biology and genetics) and nurture (environment). …………………………………………CONTINUED…………………………………………

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