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? 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. ANS: 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. ANS: 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. ANS: 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. ANS: 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. ANS: 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 tolerance for stress, thus leading to anxiety disorders. Defense mechanisms should be confronted when they impede the client from developing healthy coping skills. Cognitive Level: Application Integrated Process: Evaluation 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? 1. Its just a routine part of our assessment. All clients are asked these same questions. 2. Why are you concerned about these types of questions? 3. Psychological factors, like excessive stress, have been found to affect medical conditions. 4. We can skip these questions, if you like. It isnt imperative that we complete this section. ANS: 3 Rationale: The nurse should attempt to educate the client on the negative effects of excessive stress on medical conditions. It is not appropriate to skip physiological and psychosocial questions, as this would lead to an inaccurate assessment. Cognitive Level: Application Integrated Process: Implementation 7. An employee uses the defense mechanism of displacement when the boss openly disagrees with suggestions. What behavior would be expected from this employee? 1. The employee assertively confronts the boss. 2. The employee leaves the staff meeting to work out in the gym. 3. The employee criticizes a coworker. 4. The employee takes the boss out to lunch. ANS: 3 Rationale: The nurse should expect that the client using the defense mechanism displacement would criticize a coworker after being confronted by the boss. Displacement refers to transferring feelings from one target to a neutral or less-threatening target. Cognitive Level: Analysis Integrated Process: Assessment 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? 1. Displacement 2. Projection 3. Reaction formation 4. Sublimation ANS: 3 Rationale: The nurse should identify that the boy is using reaction formation as a defense mechanism. Reaction formation is the attempt to prevent undesirable thoughts from being expressed by expressing opposite thoughts or behaviors. Displacement refers to transferring feelings from one target to another. Rationalization refers to making excuses to justify behavior. Projection refers to the attribution of unacceptable feelings or behaviors to another person. Sublimation refers to channeling unacceptable drives or impulses into more constructive, acceptable activities. Cognitive Level: Application Integrated Process: Assessment 9. Which nursing statement about the concept of neurosis is most accurate? 1. An individual experiencing neurosis is unaware that he or she is experiencing distress. 2. An individual experiencing neurosis feels helpless to change his or her situation. 3. An individual experiencing neurosis is aware of psychological causes of his or her behavior. 4. An individual experiencing neurosis has a loss of contact with reality. ANS: 2 Rationale: The nurse should define the concept of neurosis with the following characteristics: The client feels helpless to change his or her situation, the client is aware that he or she is experiencing distress, the client is aware the behaviors are maladaptive, the client is unaware of the psychological causes of the distress, and the client experiences no loss of contact with reality. Cognitive Level: Application Integrated Process: Assessment 10. Which nursing statement regarding the concept of psychosis is most accurate? 1. Individuals experiencing psychoses are aware that their behaviors are maladaptive. 2. Individuals experiencing psychoses experience little distress. 3. Individuals experiencing psychoses are aware of experiencing psychological problems. 4. Individuals experiencing psychoses are based in reality. ANS: 2 Rationale: The nurse should understand that the client with psychosis experiences little distress owing to his or her lack of awareness of reality. The client with psychosis is unaware that his or her behavior is maladaptive or that he or she has a psychological problem. Cognitive Level: Application Integrated Process: Assessment [Show More]
Last updated: 6 months ago
Preview 1 out of 86 pages
*NURSING> TEST BANK > Test Bank: Physical Examination & Health Assessment 7 edition All chapters 1 - 31 Answered Correctly Exam (elaborations) (All)
Test Bank: Physical Examination & Health Assessment 7 edition All chapters 1 - 31 Answered Correctly Exam (elaborations)
By Hannington , Uploaded: Aug 07, 2021
*NURSING> TEST BANK > PHYSICAL EXAMINATION AND HEALTH ASSESSMENT TESTBANK BY JARVIS:CHAPTER 23 (All)
MULTIPLE CHOICE A rotator cuff injury involves the glenohumeral joint, which is enclosed by a group of four powerful muscles and tendons that support and stabilize it. The nucleus pulposus is loc...
By A LEVELS , Uploaded: Jul 02, 2021
*NURSING> TEST BANK > TEST BANK FOR PEDIATRIC NURSING THE CRITICAL COMPONENTS OF NURSING CARE 2ND EDITION RUDD Test Bank with Complete Questions and Solutions 609 PAGES (All)
TEST BANK FOR PEDIATRIC NURSING THE CRITICAL COMPONENTS OF NURSING CARE 2ND EDITION RUDD Test Bank with Complete Questions and Solutions 609 PAGES. To clarify, this is the test bank, not the textbook....
By TEST BANK CENTRE , Uploaded: Oct 09, 2021
*NURSING> TEST BANK > TEST BANK Health Promotion in Nursing 3rd Edition Maville and Huerta. (Complete Download). 92 Pages. (All)
TEST BANK Health Promotion in Nursing 3rd Edition. (Complete Download). 92 Pages. compiled the book "Health Promotion in Nursing 3rd Edition" into short questions and answers to help students, studen...
By TESTBANKS , Uploaded: Oct 13, 2021
*NURSING> TEST BANK > Osborn, Medical-Surgical Nursing, 2e (All)
Chapter 14 Question 1 Type: MCSA While reviewing the white blood cell count differential for a patient, the nurse notes that the basophil count is elevated. What does this laboratory value ind...
By ellakiwale , Uploaded: Apr 14, 2021
*NURSING> TEST BANK > Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank | ALL Chapters Covered With VERIFIED Answers From Publisher (All)
Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank | ALL Chapters Covered With VERIFIED Answers From Publisher 1. Nurse practitioner prescriptive authorit...
By Tests guru , Uploaded: Jul 10, 2022
*NURSING> TEST BANK > TEST BANK FOR NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE 2ND EDITION BY MOTACKI (All)
TEST BANK FOR NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE 2ND EDITION BY MOTACKITEST BANK FOR NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE 2ND EDITION BY MOTACKITEST BANK FOR NURSING DELEGA...
By PASSINGGRADES , Uploaded: Apr 09, 2021
*NURSING> TEST BANK > TEST BANK NURS 6560 Exit Exam | NURS6560 exit exam (2020/2021) (All)
NURS 6560 Exit Exam 1. You see a 73-year-old woman with a 40 pack year smoking history, chronic obstruction pulmonary disease and peripheral artery disease who presents with an ulcer on the soul of he...
By QUIZ BIT , Uploaded: May 31, 2021
*NURSING> TEST BANK > Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd Edition (TestBank) (All)
Chapter 1: Prescriptive Authority Chapter 2: Rational Drug Selection and Prescription Writing Chapter 3: Promoting Positive Outcomes of Drug Therapy Chapter 4: Pharmacokinetics, Pharmacodynamics, a...
By A+ Solutions , Uploaded: Dec 13, 2022
*NURSING> TEST BANK > 21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity & Women’s Health Care, 11th Edition, Complete Test Bank. (All)
21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity & Women’s Health Care, 11th Edition, Complete Test Bank.
By CoursesExams , Uploaded: Jan 05, 2021
Connected school, study & course
About the document
Jan 30, 2023
Number of pages
This document has been written for:
Jan 30, 2023
Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students
Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.
Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality
Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.
Florida State University
Great way to get paid for all of the hard work!.
It is an excellent site to post assignment.
Florida State University
Awesome and a great way to make money!.
Thank you so much for this nice platform.
University Of South Florida
Great! It is a good place to share knowledge.
University of Windsor
G D Goenka University
It is helpful Platform for offering the notes
Louisiana State University
I love this site, they make everything so easy
Florida State University
Great tool for learning! I wish you success.
In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.
Copyright © Browsegrades · High quality services·