TEST BANK FOR Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence - Based Practice 8th Edition Morgan Townsend QUESTIONS, ANSWERS AND EXPLANATIONS(NEWEST 2022/2023)

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responsesto stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto 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. lOMoARcPSD|7906827 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 thatis 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 asphysical health. Women are also more likely to seek treatment for mental health problems than men. Cognitive Level: ApplicationIntegrated 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 shouldalways be eliminated. 3. Defense mechanisms, used by individuals with weak ego integrity, should be discouraged andnot eliminated. 4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged. ANS: 1 lOMoARcPSD|7906827 ANS: 1 Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof 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. Theclient 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. lOMoARcPSD|7906827 ANS: 3 Rationale: The nurse should attempt to educate the client on the negative effects of excessivestress 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 disagreeswith 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 displacementwould criticize a coworker after being confronted by the boss. Displacement refers to transferring feelings from one target to a neutral or lessthreatening 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 shouldbe 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 lOMoARcPSD|7906827 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: [Show More]

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