Morgan Townsend Test bank Essentials of Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice 8th Edition

Essentials of Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice 8th Edition morgan townsend  test bank 

Essentials of Psychiatric Mental Health Nursing 8th

Edition Concepts of Care in Evidence - Based 

Practice 8th Edition Morgan Townsend 

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 

OcPS  

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. 

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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