Davis Advantage for Essentials of Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice 8th Edit

Chapter 1. Mental Health and MentalIllness 1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of therecent 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 mentalillness. 3. The clients behaviors are not congruent with cultural norms. 4. The clients behaviors demonstrate no functional impairment, indicating no mentalillness. ANS: 4 Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho experiences feelings of sadness after the loss of a pet is responding within normal expectations. Without significant impairment, the clientsdistress 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 amentalillness? 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 dailyfunctioning. 3. When a client communicates significant distress. 4. When a client uses defense mechanisms as ego protection