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Test Bank - Introductory Mental Health Nursing, 5th Edition (Kincheloe, 2024), Chapter 1-19 | All Chapters
Test Bank - Introductory Mental Health Nursing, 5th Edition (Kincheloe, 2024), Chapter 1-19 | All Chapters
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TEST BANKIntroductory Mental Health Nursing
Cynthia Kincheloe
5th Edition
,Table of Contents
Chapter 01 Mental Health and Mental Illness 1
Chapter 02 The Delivery of Mental Health Care 13
Chapter 03 Theories of Development 23
Chapter 04 Treatment of Mental Illness 35
Chapter 05 Establishing and Maintaining a Therapeutic Relationship 45
Chapter 06 Dynamics of Anger, Violence, and Crises 54
Chapter 07 Communication in Mental Health Nursing 64
Chapter 08 The Nursing Process in Mental Health Nursing 74
Chapter 09 Anxiety Disorders 83
Chapter 10 Mood Disorders 93
Chapter 11 Psychotic Disorders 102
Chapter 12 Personality Disorders 111
Chapter 13 Somatic Symptom and Related Disorders 120
Chapter 14 Dissociative Disorders 130
Chapter 15 Substance Use and Addiction 144
Chapter 16 Eating Disorders 158
Chapter 17 Mental Health Issues Related to Gender and Sexuality 169
Chapter 18 Disorders and Issues of Children and Adolescents 180
Chapter 19 Disorders and Issues of the Older Adult 192
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Test Bank - Introductory Mental Health Nursing, 5th Edition (Kincheloe, 2024)
Chapter 1, Mental Health and Mental Illness
1. The nurse is evaluating a client's ability to engage in adaptive stress management. Which
client statement supports the nurse's belief that the client is successfully managing the stress
of a recent divorce?
A) “Loving someone is no guarantee that they will love you back.”
B) “I know now that we were never really meant to be together.”
C) “It's not my fault that I loved someone who was incapable of being faithful.”
D) “I'm a lovable person who has control over my own happiness.”
ANS: C
Feedback: In most situations, the sense of control an individual feels over a particular
stressor determines how he or she thinks about or perceives it. Reframing is a way of
restructuring our thinking about a stressful event into one that is less disturbing and over
which we can have some control such as the belief that one is lovable and in control. The
remaining options state feelings that deflect the hurt felt or that provide a rationale for the
divorce.
PTS: 1 DIF: Difficult
REF: Header: Promoting Adaptive Coping Strategies OBJ: 6
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Analyze NOT: Multiple Choice
2. When working with a client who is grieving, which nursing action best demonstrates
understanding of the grieving process and the most effective means of facilitating the
client's ability to bring about closure and display hope for the future?
A) Using open-ended questioning techniques when communicating with the client
who is currently in the grieving process
B) Sharing with the grieving client that the client's grief is demonstrated in very
specific and personal ways that are unique to the person alone
C) Devoting time each meeting to discussing the feelings the client has described in
daily journal entries
D) Assuring the client that while the grieving process has identifiable stages, there is
no specific timetable for moving through these stages
ANS: C
Feedback: Interventions that assist individuals with the grieving process should encourage
openness and honesty about their feelings, while encouraging expressions of hope for the
future and reinvestment in life interests. Journaling, that encourages the expression of
grief-related feelings, has proven to be an effective intervention in this process. Open-ended
questioning focuses on effective information gathering especially related to the assessment
of the grieving client. It is true that the grieving process is an experience that is unique to
each individual and not bound by specific timetables; sharing this information with the
client does not facilitate the expression of feelings so necessary to the successful
management of acute grief.
PTS: 1 DIF: Difficult REF: Header: Coping with Grief and Loss
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Test Bank - Introductory Mental Health Nursing, 5th Edition (Kincheloe, 2024)
OBJ: 9 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Apply NOT: Multiple Choice
3. When considering the various aspects of stress, which statement would accurately describe
eustress?
A) “I often feel stressed by the end of a very hectic shift here at the clinic.”
B) “When I'm really stressed, I usually get a severe headache.”
C) “I generally do my best work when I feel some stress.”
D) “When you become a nurse, you become familiar with stress.”
ANS: C
Feedback: Eustress is positive and motivating, as shown by one's confidence in the ability to
master a challenge or stressor. Stress results when a threat or challenge to one's well-being
requires the person to adjust or adapt to the environment. Distress in response to a threat or
challenge is actually harmful to one's health. This is a negative stress and demands an
exhausting type of energy.
PTS: 1 DIF: Moderate REF: Header: Defining Stress
OBJ: 4 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Analyze NOT: Multiple Choice
4. Which client statement supports the nurse's suspicions that a client being treated for chronic
depression is experiencing severe emotional distress produced by external circumstances?
A) “I have been depressed ever since I was diagnosed with leukemia.”
B) “My doctor told me that I have to manage my stress or risk having a heart attack.”
C) “My professional life is ruined because my boss never recognizes my worth and
value.”
D) “I'm never comfortable when I know that I have to fly for my work.”
ANS: C
Feedback: It is important to recognize that many times we view external circumstances as
the cause of our stress such as in the case of the client's perception of the boss's viewpoint.
The remaining options demonstrate internal or self-perceptions and viewpoints.
PTS: 1 DIF: Difficult
REF: Header: Contributing Factors to Stress and Anxiety OBJ: 5
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Analyze NOT: Multiple Choice
5. A young adult student recently failed a major exam. While talking with the student, which
statement by the student supports the nurse's belief that the client is using reframing to cope
with the resulting anxiety?
A) “That course is taught again next semester; if I fail, I'll take it over then.”
B) “I've decided to transfer to another section that's taught by an easier teacher.”
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Test Bank - Introductory Mental Health Nursing, 5th Edition (Kincheloe, 2024)
C) “That exam wasn't really that important. I'll do better on the next one.”
D) “I've arranged to join a study group so I'll do better on the next exam.”
ANS: D
Feedback: Reframing is a way of restructuring our thinking about a stressful event into one
that is less disturbing and over which we can have some control such as deciding on a plan
to improve their next exam grade. Reframing does not involve minimization, transference,
or denial of the problem.
PTS: 1 DIF: Difficult
REF: Header: Promoting Adaptive Coping Strategies OBJ: 6
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Apply NOT: Multiple Choice
6. A college student is very anxious about auditioning for the school's famous chorale. Which
coping strategy implemented by the student would the nurse recognize as being
maladaptive?
A) Arranging for private voice lessons
B) Practicing the songs used in the audition
C) Repeatedly telling friends it's okay to fail
D) Singing with a group of friends who are also auditioning
ANS: C
Feedback: Maladaptive and dysfunctional strategies usually do not result in a positive
outcome. The individual who does not attempt to reduce the anxiety or solve the problem is
considered to have dysfunctional coping in response to the stressor and the emotional
response. In this scenario, the student does not attempt to reduce the anxiety of auditioning
but rather decides that failing will be acceptable. The other options demonstrate some
positive action directed toward preparing for the audition and so reducing anxiety.
PTS: 1 DIF: Moderate REF: Header: Coping Strategies
OBJ: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Analyze NOT: Multiple Choice
7. A nurse is preparing to assist a client in dealing with the grief associated with the death of a
loved one. Which interventions would the nurse do first?
A) Use open-ended questions to explore the client's feelings about grief and encourage
communication.
B) Help the client identify the members of the client's support system and the
importance of their assistance.
C) Engage in self-reflection regarding personal beliefs and values associated with
death and dying.
D) Assist the client in creating a letter to the deceased in order to facilitate closure for
the relationship.
ANS: C
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Test Bank - Introductory Mental Health Nursing, 5th Edition (Kincheloe, 2024)
Feedback: To deal effectively with the client experiencing grief, the nurse must face the
reality of his or her own mortality and concept of death. While all the remaining options are
appropriate interventions, the process must begin with the nurse working toward an
understanding of his or her personal grief beliefs and the ability to provide unbiased support
to the client.
PTS: 1 DIF: Moderate REF: Header: Coping with Grief and Loss
OBJ: 9 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Choice
8. The nurse suspects a client is demonstrating signs of dysfunctional grief. Which question
would the nurse most likely use to help assess for that disorder?
A) “How would you define grief?”
B) “What gives your life meaning?”
C) “Have you ever thought about hurting yourself?”
D) “When did you first notice the feelings of grief?”
ANS: B
Feedback: Dysfunctional grief is a failure to complete the grieving process and cope
successfully with a loss. If the person experiences a prolonged and intensified reaction, life
may become meaningless and a mere existence centered on longing for that which is lost.
While the assessment should attempt to identify when the symptoms began and how the
client views their condition, this information will not necessarily support a diagnosis of
dysfunctional grief. Assessing for suicidal ideations is appropriate for clients experiencing a
variety of mental health disorders.
PTS: 1 DIF: Moderate REF: Header: Dysfunctional Grief
OBJ: 8 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Apply NOT: Multiple Choice
9. A nurse is gathering information about a client who has experienced a loss. Which
information would the nurse identify as indicating that the client is experiencing chronic
sorrow?
A) Twelve continuous months of coping with a loss
B) Inability to complete the coping process after a loss
C) A loss that causes suicidal ideations
D) Prolonged and intensified reaction to a loss
ANS: D
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Test Bank - Introductory Mental Health Nursing, 5th Edition (Kincheloe, 2024)
Feedback: Dysfunctional grief is a failure to complete the grieving process and cope
successfully with a loss. If the person experiences a prolonged and intensified reaction, life
may become meaningless and a mere existence centered on longing for that which is lost.
These extended feelings a person has while attempting to deal with the loss are described as
chronic sorrow. Emphasis is not on how long the process takes but how the process is
experienced and managed. Any type of grief may cause suicidal ideations. Unresolved grief
describes situations when the grief process is incomplete and life is burdened with
maladaptive symptoms continuing months after the loss occurred.
PTS: 1 DIF: Moderate REF: Header: Dysfunctional Grief
OBJ: 8 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Apply NOT: Multiple Choice
10. A client is explaining a recent stressful experience. Which client statement would indicate to
the nurse that the client experienced the fight or flight response?
A) “When I feel stressed, I get this surge of energy.”
B) “I find it difficult to make decisions when I'm stressed.”
C) “I can't remember a time when I didn't feel stressed.”
D) “I can't seem to relax even after the stress is gone.”
ANS: A
Feedback: The fight or flight response is a reaction to an immediate threat (acute stress) in
which there is a surge of adrenalin into the bloodstream. It is referred to in this way because
it provides the energy or instant strength to either fight or run away from an acute danger or
threat. This type of response can occur in situations where there is a sense of imminent
danger and the response is usually reversed to a relaxation mode once the danger is past.
Poor concentration is characteristic of the moderate level of anxiety. Chronic stress occurs
when the situation is ongoing or continuous.
PTS: 1 DIF: Moderate REF: Header: Defining Stress
OBJ: 4 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Analyze NOT: Multiple Choice
11. A client appears to be denying the finality of a recent terminal diagnosis. The client's
daughter expresses concern. Which response by the nurse will best serve to explain the
therapeutic value of denial?
A) “Denial allows your mother the time to prepare for her death.”
B) “Denial is a natural response to bad news and is expected.”
C) “The first stage of the healthy grief process is denial.”
D) “Your mother will soon move into the anger stage of the process.”
ANS: A
Feedback: The first stage of grief is shock, disbelief, and denial that the event is happening.
Denial allows an adjustment period in which to gather coping strategies for the grieving
work ahead. While the remaining options are true, none explains the positive purpose of
denial associated with the grief process.
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Test Bank - Introductory Mental Health Nursing, 5th Edition (Kincheloe, 2024)
PTS: 1 DIF: Moderate REF: Header: Stages of Grief
OBJ: 7 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Choice
12. Which statement made by the client supports the nurse's belief that the client understands
the concept of being mentally healthy?
A) “I try to eliminate stress from my life.”
B) “If I'm physically healthy, I'll be mentally healthy.”
C) “Mental health is dependent on one's early childhood experience.”
D) “I make every effort to balance between work, play, and my relationships.”
ANS: D
Feedback: It can be said that a person is only in a complete state of health when physical,
mental, and social well-being are intact. Mental health encompasses a balance between all
these aspects of life. It is not possible or even desirable to eliminate stress from one's life.
One can be mentally healthy but be considered physically unhealthy. While being cared for
and supported effectively during childhood can have an impact on mental health, there are
other factors that must be considered.
PTS: 1 DIF: Moderate REF: Header: Mental Health
OBJ: 1 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Analyze NOT: Multiple Choice
13. A client is observed pacing back and forth in his room. When the nurse attempts to assess
the reason behind the behavior, the client responds, “I don't know why but I'm really feeling
uneasy.” This response most likely reflects which situation?
A) Stress
B) Anxiety
C) Distress
D) Grief
ANS: B
Feedback: Anxiety is defined as a feeling of apprehension, uneasiness, or uncertainty that
occurs in response to a real or perceived threat whose source is not known. It is an automatic
and unconscious biologic response to a stressor that cannot be controlled by our conscious
minds. Stress, on the other hand, is the condition that results when a threat or challenge to
one's well-being requires the person to adjust or adapt to the environment. Distress is
negative stress in response to a threat or challenge that exhausts and drains energy from the
individual. Grief is defined as the emotional process of coping with a loss.
PTS: 1 DIF: Easy REF: Header: Defining Anxiety
OBJ: 5 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Apply NOT: Multiple Choice
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