ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
Chapter 28: Military Families
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____
1. Approximately two million American children have experienced the deployment of a parent to Iraq
or Afghanistan. How many of these children either lost a parent or have a parent who was
wounded in these conflicts?
1. 48,000
2. 26,000
3. 11,000
4. 8,000
____
2. Which behavior would the nurse expect an adolescent (13 to 18 years) to exhibit as a reaction to
parental military deployment?
1. May exhibit regressive behaviors and assume blame for parent’s departure
2. May become sullen, tearful, throw temper tantrums, or develop sleep problems
3. May participate in high-risk behaviors, sexual acting out, and drug or alcohol
abuse
4. May respond to schedule disruptions with irritability and/or apathy and weight loss
____
3. What is the expected feeling and/or behavior experienced by military families during the
“sustainment” cycle of deployment?
1. Feelings alternate between
and
of loss
NURSdenial
INGT
B.anticipation
COM
2. Feelings alternate between excitement and apprehension associated with
homecoming
3. Feelings focus on the establishment of new support systems and new family
routines
4. Feelings focus on the struggle to take charge of the details of the new family
structure
____
4. Which fact would the nursing instructor include in the lesson plan regarding suicide among active
duty military?
1. On average, two suicides per day occur in the U.S. military.
2. From 2005 to 2009, relationship distress factored in more than 25 percent of
military suicides.
3. In 2013, the suicide rate among service members was 18.7 per 100,000.
4. Military suicides are associated with a narcissistic personality disorder diagnosis.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____
5. Which of the following facts would be appropriate to include related to the history of the diagnosis
of PTSD? (Select all that apply.)
1. Between 1950 and 1970, little was written about PTSD.
2. During the 1970s and 1980s, there was a major increase in research on PTSD.
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3. During the 1970s and 1980s, much research was related to World War II veterans.
4. PTSD did not appear until the third edition of the Diagnostic and Statistical
Manual of Mental Disorders (DSM-III).
5. PTSD did not appear until the fourth edition of the Diagnostic and Statistical
Manual of Mental Disorders (DSM-IV).
____
6. Which of the following would a nurse identify as stressors in the lives of military spouses and
children? (Select all that apply.)
1. Frequent moves
2. School credit transfer issues
3. Complications of spousal employment
4. Spousal loneliness
5. Loss of military privileges during spousal deployment
____
7. Because of the unique challenges experienced by children of active duty military, which of the
following fears would a nurse most likely identify? (Select all that apply.)
1. Fear of not being accepted in new schools
2. Fear of being behind academically
3. Fear of not making friends in new schools
4. Fear of losing athletic standing
5. Fear of discrimination from new school faculty
____
8. After reporting a sexual assault, a female soldier is diagnosed with a personality disorder. Which
of the following consequences may result? (Select all that apply.)
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1. Court-martial proceedings
2. Loss of health-care benefits
3. Loss of service-related disability compensation
4. Stigma of a psychiatric diagnosis
5. Service discharge
Completion
Complete each statement.
9. ____________________ is the most common mental disorder among veterans returning from
military combat.
10. An association between Parkinson’s disease and combat-related TBI has been established. This
disorder may develop years after TBI as a result of damage to the ____________________.
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ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
Chapter 28: Military Families
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Chapter: Chapter 28, Military Families
Objective: Discuss historical aspects and epidemiological statistics related to members of the U.S
military.
Page:
Heading: Application of the Nursing Process > Assessment > The Impact of Deployment
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Knowledge [Remembering]
Concept: Family Dynamics
Difficulty: Easy
1
2
3
4
Feedback
More than 48,000 children have either lost a parent or have a parent who was
wounded in Iraq or Afghanistan.
The number 26,000 does not indicate how many children either lost a parent or
have a parent who was
NUwounded
RSINGTinBthese
.COconflicts.
M
The number 11,000 does not indicate how many children either lost a parent or
have a parent who was wounded in these conflicts.
The number 8,000 does not indicate how many children either lost a parent or
have a parent who was wounded in these conflicts.
PTS: 1
CON: Family Dynamics
2. ANS: 3
Chapter: Chapter 28, Military Families
Objective: Discuss historical aspects and epidemiological statistics related to members of the U.S
military.
Page:
Heading: Application of the Nursing Process > Assessment > The Impact of Deployment
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Family Dynamics
Difficulty: Moderate
1
Feedback
Preschoolers (3 to 6 years) may regress in areas such as toilet training, sleep,
separation fears, physical complaints, or thumb sucking and may assume blame
for parent’s departure. School age children (6 to 12 years) are more aware of
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2
3
4
potential dangers to parent and may exhibit irritable behavior, aggression, or
whininess, and become more regressed and fearful about parent’s safety.
Toddlers (1 to 3 years) may become sullen, tearful, throw temper tantrums, or
develop sleep problems.
Adolescents (13 to 18 years) may be rebellious, irritable, or more challenging of
authority. Parents need to be alert to high-risk behaviors, such as problems with
the law, sexual acting out, and drug or alcohol abuse.
Infants (birth to 12 months) may respond to schedule disruptions with irritability
and/or apathy and weight loss.
PTS: 1
CON: Family Dynamics
3. ANS: 3
Chapter: Chapter 28, Military Families
Objective: Discuss the impact of deployment on families of service members.
Page:
Heading: Application of the Nursing Process > The Military Family > The Impact of Deployment
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Family Dynamics
Difficulty: Moderate
1
2
3
4
Feedback
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In the predeployment cycle, feelings alternate between denial and anticipation of
loss.
In the redeployment cycle, feelings alternate between excitement and
apprehension associated with homecoming.
In the sustainment cycle, families establish new support systems and new family
routines.
In the deployment cycle, the spouse struggles to take charge of the details of
living without his or her partner.
PTS: 1
CON: Family Dynamics
4. ANS: 3
Chapter: Chapter 28, Military Families
Objective: Discuss the impact of deployment on families of service members.
Page:
Heading: Veterans > Depression and Suicide
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Knowledge [Remembering]
Concept: Family Dynamics
Difficulty: Moderate
Feedback
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ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
1
2
3
4
On average, one—not two—suicides a day occur in the U.S. military.
From 2005 to 2009, relationship distress factored in more than 50 percent—not
25 percent—of Army suicides.
In 2013, the suicide rate of active duty service members was 18.7 per 100,000.
Military suicides are associated with the diagnoses of substance use disorder,
major depressive disorder, posttraumatic stress disorder (PTSD), and traumatic
brain injury (TBI), not narcissistic personality disorder.
PTS:
1
CON: Family Dynamics
MULTIPLE RESPONSE
5. ANS: 1, 2, 4
Chapter: Chapter 28, Military Families
Objective: Describe combat related illnesses common in members and veterans of the U.S.
military.
Page:
Heading: Application of the Nursing Process > Veterans > Posttraumatic Stress Disorder
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Family Dynamics
Difficulty: Easy
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1
2
3
4
5
Feedback
Very little was written about PTSD during the years between 1950 and 1970.
This absence was followed in the 1970s and 1980s with an explosion in the
amount of research and writing on the subject.
During this time, much research was related to Vietnam, not World War II
veterans.
PTSD did not appear until the third edition of the Diagnostic and Statistical
Manual of Mental Disorders (DSM-III).
PTSD appeared in the third edition of the Diagnostic and Statistical Manual of
Mental Disorders (DSM-III).
PTS: 1
CON: Family Dynamics
6. ANS: 1, 2, 3, 4
Chapter: Chapter 28, Military Families
Objective: Discuss the impact of deployment on families of service members.
Page:
Heading: Application of the Nursing Process > The Military Family > Military Spouses and
Children
Integrated Processes: The Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
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ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
Concept: Family Dynamics
Difficulty: Moderate
1
2
3
4
5
Feedback
The lives of military spouses and children are clearly affected when the
service-member’s active duty assignments require frequent family moves.
The lives of military spouses and children are clearly affected when the
service-member’s active duty assignments require frequent family moves.
These include school credit transfer issues.
The lives of military spouses and children are clearly affected when the
service-member’s active duty assignments require frequent family moves.
These include complications of spousal employment.
The lives of military spouses and children are clearly affected when the
service-member’s active duty assignments require frequent family moves.
These include spousal loneliness.
Military privileges are not lost during spousal deployment.
PTS: 1
CON: Family Dynamics
7. ANS: 1, 2, 3, 4
Chapter: Chapter 28, Military Families
Objective: Discuss the impact of deployment on families of service members.
Page:
Heading: Application of the
NUNursing
RSINGProcess
TB.CO>MThe Military Family > Military Spouses and
Children
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Family Dynamics
Difficulty: Moderate
1
2
3
4
5
Feedback
Military children face unique challenges. They fear not being accepted.
Military children face unique challenges. They fear being behind academically.
Military children face unique challenges. They fear not making friends.
Military children face unique challenges. They fear losing athletic standing as
they move from one school to another.
Fear of discrimination from new school faculty has not been shown as a
realistic fear in this population.
PTS: 1
CON: Family Dynamics
8. ANS: 2, 3, 4, 5
Chapter: Chapter 28, Military Families
Objective: Discuss concerns of women in the military.
Page:
Heading: Special Concerns of Women in the Military
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ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Family Dynamics
Difficulty: Moderate
1
2
3
4
5
PTS:
Feedback
The report of a sexual assault would not lead to court-martial proceedings for
the victim.
Some military women who report their sexual assaults are discharged with a
psychiatric diagnosis of personality disorder or adjustment disorder. Some of
the consequences of this diagnosis are loss of health-care benefits.
Some military women who report their sexual assaults are discharged with a
psychiatric diagnosis of personality disorder or adjustment disorder. Some of
the consequences of this diagnosis are loss of service-related disability
compensation.
Some military women who report their sexual assaults are discharged with a
psychiatric diagnosis of personality disorder or adjustment disorder. Some of
the consequences of this diagnosis are the stigma of a psychiatric diagnosis.
Some military women who report their sexual assaults are discharged with a
psychiatric diagnosis of personality disorder or adjustment disorder.
1
CON: Family Dynamics
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COMPLETION
9. ANS:
PTSD
Chapter: Chapter 28, Military Families
Objective: Discuss various modalities relevant to treatment of traumatic brain injury and
posttraumatic stress disorder
Page:
Heading: Posttraumatic Stress Disorder
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Knowledge [Remembering]
Concept: Family Dynamics
Difficulty: Easy
Feedback: Posttraumatic stress disorder is the most common mental disorder among veterans
returning from military combat.
PTS: 1
10. ANS:
basal ganglia
CON: Family Dynamics
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ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
Chapter: Chapter 28, Military Families
Objective: Discuss various modalities relevant to treatment of traumatic brain injury and
posttraumatic stress disorder.
Page:
Heading: Treatment Modalities > Traumatic Brain Injury
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Knowledge [Remembering]
Concept: Family Dynamics
Difficulty: Easy
Feedback: Neurocognitive disorders, such as Parkinson’s disease are related to TBI.
PTS:
1
CON: Family Dynamics
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