MENTAL HEALTH TB BY MORGAN AND TOWNSEND .pdf/; COMPLETE SOLUTION TO SCORE A

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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? 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? An individual experiencing neurosis is unaware that he or she is experiencing distress. 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? 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? 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? 14. According to Maslows hierarchy of needs, which situation on an in-patient psychiatric unit would require priority intervention by a nurse? Cognitive Level: Analysis Integrated Process: Evaluation 15. How would a nurse best complete the new DSM-5 definition of a mental disorder? 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. Chapter 2. Biological Implications 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? 2. A client diagnosed with major depressive disorder asks, What part of my brain controls my emotions? Which nursing response is appropriate? 3. Which part of the nervous system should a nurse identify as playing a major role during stressful situations? 4. Which client statement reflects an understanding of circadian rhythms in psychopathology?1. When I dream about my mothers horrible train accident, I become hysterical. 2 4. Which types of adoption studies should a nurse recognize as providing useful information for the psychiatric community? Six months after her husband and children were killed in a car accident, a client is diagnosed with ulcerative colitis. The nurse should recognize that this situation validates which study perspective? 7. A withdrawn client, diagnosed with schizophrenia, expresses little emotion and refuses to attend group therapy. What altered component of the nervous system should a nurse recognize as being responsible for this behavior? 8. An instructor is teaching nursing students about neurotransmitters. Which best explains the process of how neurotransmitters released into the synaptic cleft may return to the presynaptic neuron? 9. A nurse concludes that a restless, agitated client is manifesting a fight- or-flight response. The nurse should associate this response with which neurotransmitter? 10. A client is admitted to a psychiatric unit with the diagnosis of catatonic schizophrenia. Which of the clients neurotransmitters should a nurse expect to be elevated? 11. A clients wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The clients therapist encourages open discussion of feelings, proper nutrition, and exercise. What is the best rationale for the therapists recommendations? 12. Which mental illness should a nurse identify as being associated with a decrease in prolactin hormone level? 13. Which cerebral structure should a nursing instructor describe to students as the emotional brain? 14. A nurse understands that the abnormal secretion of growth hormone may play a role in which illness? 15. A client is admitted to an emergency department experiencing memory deficits and decreased motor function. What alteration in brain chemistry should a nurse correlate with the production of these symptoms? Cognitive Level: Application Integrated Process: Assessment 16. A nurse should recognize that a decrease in norepinephrine levels would play a significant role in which mental illness?1. Bipolar disorder: mania2. Schizophrenia spectrum disorder3. Generalized anxiety disorder4. Major depressive episode 17. A nurse should expect that an increase in dopamine activity might play a significant role in the development of which mental illness?1. Schizophrenia spectrum disorder2. Major depressive disorder3. Body dysmorphic [Show More]

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