lOMoARcn PSD|7906827
EssentialsnofnPsychiatric nMental nHealthnNursingn8thnEditionnConceptsno
fnnCareninnEvidencen-nBased nPracticen8thnEditionnMorgannTownsend
Chapter n1.nMental nHealth nandnMental
IllnessMultiplenChoice
n
1. Annursenisnassessingnanclient nwhonisnexperiencingnoccasional nfeelingsnofnsadnessnbecause
ofntherecent ndeathnofnanbelovednpet.nThenclientsnappetite,nsleepnpatterns,nandndailynroutin
n
enhavennot nchanged.nHownshouldnthennurseninterpret nthenclientsnbehaviors?
1. Thenclientsnbehaviorsndemonstratenmental nillnessnin nthenform nofndepression.
2. Thenclientsnbehaviorsnarenextensive,nwhich nindicatesnthenpresencenofnmental nillness.
3. Thenclientsnbehaviorsnarennot ncongruent nwith ncultural nnorms.
4. Thenclientsnbehaviorsndemonstratennonfunctional nimpairment,nindicatingnnonmental
illness.
n
ANS:n4
Rationale:nThennursenshouldnassessnthatnthenclientsndailynfunctioningnisnnot nimpaired.nT
henclientwhonexperiencesnfeelingsnofnsadnessnafter nthenlossnofnanpet nisnrespondingnwithin
, n
normal nexpectations.nWithoutnsignificantnim p airment,nthenclientsndistressndoesnnot nindi
l OM oAR cPSD |7 9 0 6 827
catenanmental nillness.
CognitivenLevel:nAnalysisnInt
egratednProcess:
Assessment
2. At nwhat npoint nshouldnthennursendeterminenthat nanclient nisnat nrisknforndevelopingna
mentalillness?
n
1. When nthoughts,nfeelings,nandnbehaviorsnarennot nreflective nofnthenDSM-5ncriteria.
2. When nmaladaptivenresponsesntonstressnarencouplednwithninterference ninndaily
functioning.
n
3. When nanclient ncommunicatesnsignificant ndistress.
4. When nanclient nusesndefensenmechanismsnasnegonprotection.
ANS:n2
Rationale:nThennursenshouldndeterminenthat nthenclient nisnat nrisk nfornmental nillnessnwhen
, n
responsesto nstressnarenmaladaptive nandninte r f erenwith ndailynfunctioning.nThenDSM-
l O Mo A R c PSD7906827
|
5nindicatesnthat ninnordertonbendiagnosednwithnanmentalnillness,ndailynfunctioningnmust nb
ensignificantlynimpaired.nThenclientsnabilityntoncommunicatendistressnwouldnbenconsidere
dnanpositive nattribute.
CognitivenLevel:nApplicationn
IntegratednProcess:
Assessment
3. Annursenisnassessingnanset nofn15-year-
oldnidentical ntwinsnwhonrespondnveryndifferentlyntonstress.Onentwinnbecomesnanxiousna
ndnirritable,nandnthenothernwithdrawsnandncries.nHownshouldnthennursenexplain nthesend
ifferent nstressnresponsesntonthenparents?
1. Reactionsntonstressnarenrelativenrather nthannabsolute;nindividualnresponsesntonstress
nvary.
2. It nisnabnormal nfornidentical ntwinsntonreact ndifferentlyntonsimilar nstressors.
3. Identical ntwinsnshouldnsharenthensamentemperament nandnrespondnsimilarlyntonstress.
4. Environmental ninfluencesntonstressnweigh nmorenheavilynthan ngeneticninfluences.
, lOMoARc
7
n PSD|79068
2
ANS:n1
Rationale:nThennursenshouldnexplain ntonthenparentsnthat,nalthough nthentwinsnhavenidenti
calnDNA,therenarenseveral nother nfactorsnthatnaffect nreactionsntonstress.nMental nhealthnisnan
statenofnbeingnthatisnrelativentonthenindividual nclient.nEnvironmental ninfluencesnandntem
perament ncan naffect nstressnreactions.
CognitivenLevel:nApplicationn
IntegratednProcess:
Implementation
4. Which nclient nshouldnthennursenanticipatentonbenmost nreceptiventonpsychiatricntreatment?
1. AnJewish,nfemalensocial nworker.
2. AnBaptist,nhomelessnmale.
3. AnCatholic,nblack nmale.
4. AnProtestant,nSwedish nbusinessnexecutive.
ANS:n1
Rationale:nThennursenshouldnanticipatenthat nthenclient nofnJewishnculturenwouldnplacenanh
igh nimportancenonnpreventativenhealth ncarenandnwouldnconsider nmentalnhealth nasnequall
ynimportant nasphysical nhealth.nWomennarenalsonmorenlikelyntonseek ntreatment nfornmental
health nproblemsnthan nmen.
n
CognitivenLevel:
ApplicationIntegratednProce
ss:nPlanning
5. Anpsychiatricnnursenintern nstates,nThisnclientsnusenofndefensenmechanismsnshouldnbe
eliminated.Which nisnancorrect nevaluation nofnthisnnursesnstatement?
n
1. Defensenmechanismsncan nbenappropriatenresponsesntonstressnandnneednnotnbe
eliminated.
n
2. Defensenmechanismsnarenanmaladaptivenattempt nofnthenegontonmanagenanxiety
andnshouldalwaysnbeneliminated.
n
3. Defensenmechanisms,nusednbynindividualsnwithnweak negonintegrity,nshouldnbe
discouragednandnot neliminated.
n
4. Defensenmechanismsncausendisintegrationnofnthenegonandnshouldnbenfosterednand
encouraged.
n
ANS:n1
EssentialsnofnPsychiatric nMental nHealthnNursingn8thnEditionnConceptsno
fnnCareninnEvidencen-nBased nPracticen8thnEditionnMorgannTownsend
Chapter n1.nMental nHealth nandnMental
IllnessMultiplenChoice
n
1. Annursenisnassessingnanclient nwhonisnexperiencingnoccasional nfeelingsnofnsadnessnbecause
ofntherecent ndeathnofnanbelovednpet.nThenclientsnappetite,nsleepnpatterns,nandndailynroutin
n
enhavennot nchanged.nHownshouldnthennurseninterpret nthenclientsnbehaviors?
1. Thenclientsnbehaviorsndemonstratenmental nillnessnin nthenform nofndepression.
2. Thenclientsnbehaviorsnarenextensive,nwhich nindicatesnthenpresencenofnmental nillness.
3. Thenclientsnbehaviorsnarennot ncongruent nwith ncultural nnorms.
4. Thenclientsnbehaviorsndemonstratennonfunctional nimpairment,nindicatingnnonmental
illness.
n
ANS:n4
Rationale:nThennursenshouldnassessnthatnthenclientsndailynfunctioningnisnnot nimpaired.nT
henclientwhonexperiencesnfeelingsnofnsadnessnafter nthenlossnofnanpet nisnrespondingnwithin
, n
normal nexpectations.nWithoutnsignificantnim p airment,nthenclientsndistressndoesnnot nindi
l OM oAR cPSD |7 9 0 6 827
catenanmental nillness.
CognitivenLevel:nAnalysisnInt
egratednProcess:
Assessment
2. At nwhat npoint nshouldnthennursendeterminenthat nanclient nisnat nrisknforndevelopingna
mentalillness?
n
1. When nthoughts,nfeelings,nandnbehaviorsnarennot nreflective nofnthenDSM-5ncriteria.
2. When nmaladaptivenresponsesntonstressnarencouplednwithninterference ninndaily
functioning.
n
3. When nanclient ncommunicatesnsignificant ndistress.
4. When nanclient nusesndefensenmechanismsnasnegonprotection.
ANS:n2
Rationale:nThennursenshouldndeterminenthat nthenclient nisnat nrisk nfornmental nillnessnwhen
, n
responsesto nstressnarenmaladaptive nandninte r f erenwith ndailynfunctioning.nThenDSM-
l O Mo A R c PSD7906827
|
5nindicatesnthat ninnordertonbendiagnosednwithnanmentalnillness,ndailynfunctioningnmust nb
ensignificantlynimpaired.nThenclientsnabilityntoncommunicatendistressnwouldnbenconsidere
dnanpositive nattribute.
CognitivenLevel:nApplicationn
IntegratednProcess:
Assessment
3. Annursenisnassessingnanset nofn15-year-
oldnidentical ntwinsnwhonrespondnveryndifferentlyntonstress.Onentwinnbecomesnanxiousna
ndnirritable,nandnthenothernwithdrawsnandncries.nHownshouldnthennursenexplain nthesend
ifferent nstressnresponsesntonthenparents?
1. Reactionsntonstressnarenrelativenrather nthannabsolute;nindividualnresponsesntonstress
nvary.
2. It nisnabnormal nfornidentical ntwinsntonreact ndifferentlyntonsimilar nstressors.
3. Identical ntwinsnshouldnsharenthensamentemperament nandnrespondnsimilarlyntonstress.
4. Environmental ninfluencesntonstressnweigh nmorenheavilynthan ngeneticninfluences.
, lOMoARc
7
n PSD|79068
2
ANS:n1
Rationale:nThennursenshouldnexplain ntonthenparentsnthat,nalthough nthentwinsnhavenidenti
calnDNA,therenarenseveral nother nfactorsnthatnaffect nreactionsntonstress.nMental nhealthnisnan
statenofnbeingnthatisnrelativentonthenindividual nclient.nEnvironmental ninfluencesnandntem
perament ncan naffect nstressnreactions.
CognitivenLevel:nApplicationn
IntegratednProcess:
Implementation
4. Which nclient nshouldnthennursenanticipatentonbenmost nreceptiventonpsychiatricntreatment?
1. AnJewish,nfemalensocial nworker.
2. AnBaptist,nhomelessnmale.
3. AnCatholic,nblack nmale.
4. AnProtestant,nSwedish nbusinessnexecutive.
ANS:n1
Rationale:nThennursenshouldnanticipatenthat nthenclient nofnJewishnculturenwouldnplacenanh
igh nimportancenonnpreventativenhealth ncarenandnwouldnconsider nmentalnhealth nasnequall
ynimportant nasphysical nhealth.nWomennarenalsonmorenlikelyntonseek ntreatment nfornmental
health nproblemsnthan nmen.
n
CognitivenLevel:
ApplicationIntegratednProce
ss:nPlanning
5. Anpsychiatricnnursenintern nstates,nThisnclientsnusenofndefensenmechanismsnshouldnbe
eliminated.Which nisnancorrect nevaluation nofnthisnnursesnstatement?
n
1. Defensenmechanismsncan nbenappropriatenresponsesntonstressnandnneednnotnbe
eliminated.
n
2. Defensenmechanismsnarenanmaladaptivenattempt nofnthenegontonmanagenanxiety
andnshouldalwaysnbeneliminated.
n
3. Defensenmechanisms,nusednbynindividualsnwithnweak negonintegrity,nshouldnbe
discouragednandnot neliminated.
n
4. Defensenmechanismsncausendisintegrationnofnthenegonandnshouldnbenfosterednand
encouraged.
n
ANS:n1
