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ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
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mESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TE
m m m m m m m m
ST BANK m m
m
Chapter 1: Mental Health and Mental Illness
m m m m m m m
m
MultiplemChoicem
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.m
m
__ 1. Amnursemismassessingmamclientmwhomexperiencesmoccasionalmfeelingsmofmsadnessmbecausemofmthemrecentmd
__m eathmofmambelovedmpet.mThemclient’smappetite,msleepmpatterns,mandmdailymroutinemhavemnotmchanged.m
Howmwouldmthemnurseminterpretmthemclient’smbehaviors?m
1. Themclient’smbehaviorsmdemonstratemmentalmillnessminmthemformmofmdepression.m
2. Themclient’smbehaviorsmareminappropriate,mwhichmindicatesmthempresencemofmmentalmillness.m
3. Themclient’smbehaviorsmaremnotmcongruentmwithmculturalmnorms.m
4. Themclient’smbehaviorsmdemonstratemnomfunctionalmimpairment,mindicatingmnommentalmillness.m
mm
2. Atmwhichmpointmwouldmthemnursemdeterminemthatmamclientmismatmriskmformdevelopingmammentalmillness?m
1. Whenmthoughts,mfeelings,mandmbehaviorsmaremnotmreflectivemofmthemDSM-5mcriteria.m
2. Whenmmaladaptivemresponsesmtomstressmaremcoupledmwithminterferenceminmdailymfunctioning.m
__ 3. Whenmamclientmcommunicatesmsignificantmdistress.m
__m 4. Whenmamclientmusesmdefensemmechanismsmasmegomprotection.m
mm
3. Amclientmhasmbeenmgivenmamdiagnosismofmhumanmimmunodeficiencymvirusm(HIV).mWhichmstatementm
madembymthemclientmdoesmthemnursemrecognizemasmthembargainingmstagemofmgrief?NmmmmmmmmmmmmMmmmmmmmURSI
NGTB.CO m m
1. “ImhatemmympartnermformgivingmmemthismdiseasemImwillmdiemfrom!”m
__ 2. “IfmImdon’tmdomintravenousm(IV)mdrugsmanymore,mGodmwon’tmletmmemdie.”m
__m 3. “Imammgoingmtomsupportmgroupsmandmlearnmmoremaboutmthemdisease.”m
4. “Canmyoumpleasemre-drawmthemtestmresults,mImthinkmtheymmaymbemwrong?”m
m
m
__ 4.mAmnursemnotesmthatmamclientmismextremelymwithdrawn,mdelusional,mandmemotionallymexhausted.mThem
__m nursemassessesmthemclient’smanxietymasmwhichmlevel?m
1. Mildmanxietym
2. Moderatemanxietym
3. Severemanxietym
4. Panicmanxietym
m
m
Copyrightm©m2020mF.mA.mDavismCompanym
WWW.NURSINGTB.COM m
, ESSENTIALSmOFmPSYCHIATRICmMENTALmHEALTHmNURSINGm8THmMORGANmTESTmBANKm
m
__ 5.mAmpsychiatricmnurseminternmstates,m“Thismclient’smusemofmdefensemmechanismsmshouldmbemeliminated.”mW
__m hichmismamcorrectmevaluationmofmthismnurse’smstatement?m
1. Defensemmechanismsmcanmbemappropriatemresponsesmtomstressmandmneedmnotmbemeliminated.m
2. Defensemmechanismsmaremammaladaptivemattemptmofmthemegomtommanagemanxietymandmshouldmal
waysmbemeliminated.m
3. Defensemmechanisms,musedmbymindividualsmwithmweakmegomintegrity,mshouldmbemdiscouragedma
ndmnotmcompletelymeliminated.m
4. Defensemmechanismsmcausemdisintegrationmofmthemegomandmshouldmbemfosteredmandmencourage
d.m
m
m
_ 6. Duringmanmintakemassessment,mamnursemasksmbothmphysiologicalmandmpsychosocialmquestions.mThem
_ clientmangrilymresponds,m“I’mmheremformmymheart,mnotmmymheadmproblems.”mWhichmismthemnurse’smbestmr
_ esponse?m
_m 1. “Itmismjustmamroutinempartmofmourmassessment.mAllmclientsmaremaskedmthesemsamemquestions.”m
2. “Whymaremyoumconcernedmaboutmthesemtypesmofmquestions?”m
3. “Psychologicalmfactors,mlikemexcessivemstress,mhavembeenmfoundmtomaffectmmedicalmconditions.”m
4. “Wemcanmskipmthesemquestions,mifmyoumlike.mItmisn’tmimperativemthatmwemcompletemthismsection.”m
mm
7. Amclientmwhomismbeingmtreatedmformchronicmkidneymdiseasemcomplainsmtomthemhealth-
caremprovidermthatmhemdoesmnotmlikemthemfoodmavailablemtomhimmwhilemhospitalized.mThemhealth-
caremproviderminsistsmthatmthemclientmstrictlymadheremtomthemdietmplan.mWhatmactionmcanmbemexpectedmismt
hemclientmusesmthemdefensemmechanismmofmdisplacement?m
1. Themclientmassertivelymconfrontsmthemhealth-caremprovider.m
2. Themclientminsistsmonmbeingmdischargedmandmgoesmformamlong,mbriskmwalk.m
_ 3. Themclientmsnapsmatmthemnursemandmcriticizesmthemnursingmcaremprovided.m
_ 4. Themclientmhidesmhismangermbymexplainingmthemlogicalmreasoningmformthemdietmtomhismspouse.m
_ mm
_m 8. Amfourth-
grademboymteasesmandmmakesmjokesmaboutmamcutemgirlminmhismclass.mAmnursemwouldmrecognizemthismbehav
iormasmindicativemofmwhichmdefensemmechanism?m
1. Displacementm
2. Projection NmmmmmmmmmmmmMmmmmmmmURSINGTB.COm
m
3. Reactionmformationm
4. Sublimationm
m
m
_
_
_
_m
Copyrightm©m2020mF.mA.mDavismCompanym
WWW.NURSINGTB.COM m
,m
_ 9.mWhichmnursingmstatementmregardingmthemconceptmofmpsychosismismmostmaccurate?m
_ 1. Individualsmexperiencingmpsychosesmaremawaremthatmtheirmbehaviorsmaremmaladaptive.m
_ 2. Individualsmexperiencingmpsychosesmexperiencemlittlemdistress.m
3. Individualsmexperiencingmpsychosesmaremawaremofmexperiencingmpsychologicalmproblems.m
_m
4. Individualsmexperiencingmpsychosesmarembasedminmreality.m
m
m
_ 10.mWhenmundermstress,mamclientmroutinelymusesmalcoholmtomexcess.mWhenmthemclient’smhusbandmfindsmhermdru
_ nk,mthemhusbandmyellsmatmthemclientmaboutmhermchronicmalcoholmabuse.mWhichmactionmalertsmthemnursemto
mthemclient’smusemofmthemdefensemmechanismmofmdenial? m
_
1. Themclientmhidesmliquormbottlesminmamcloset.m
_m
2. Themclientmyellsmatmhermsonmformslouchingminmhismchair.m
3. Themclientmburnsmdinnermonmpurpose.m
4. Themclientmsaysmtomthemspouse,m“Imdon’tmdrinkmtoommuch!”m
m
m
_ 11.mDevastatedmbymamdivorcemfrommanmabusivemhusband,mamwifemcompletesmgriefmcounseling.mWhichm
_
_
_m
statementmbymthemwifemwouldmindicatemtomamnursemthatmthemclientmisminmthemacceptancemstagemofmgrief?m
1. “Ifmonlymwemcouldmhavemtriedmagain,mthingsmmightmhavemworkedmout.”m
2. “ImammsommadmthatmthemchildrenmandmImhadmtomputmupmwithmhimmasmlongmasmwemdid.”m
3. “Yes,mitmwasmamdifficultmrelationship,mbutmImthinkmImhavemlearnedmfrommthem
experience.”m
4. “Imhavemamdifficultmtimemgettingmoutmofmbedmmostmdays.”m
m
m
___ 12.mAccordingmtomMaslow’smhierarchymofmneeds,mwhichmclientmactionmwouldmdemonstratemthemhighestmachiev
_m ementminmtermsmofmmentalmhealth?m
1. Maintainingmamlong-term,mfaithful,mintimatemrelationshipm
2. Achievingmamsensemofmself-confidencem
3. Possessingmamfeelingmofmself-fulfillmentmandmrealizingmfullmpotentialm
4. Developingmamsensemofmpurposemandmthemabilitymtomdirectmactivitiesm
m
m
___ 13.mAccordingmtomMaslow’smhierarchymofmneeds,mwhichmsituationmonmanminpatientmpsychiatricmunitmwouldm
_m
requirempriorityminterventionmbymamnurse?m
1. Amclientmrudelymcomplainingmaboutmlimitedmvisitingmhoursm
2. Amclientmexhibitingmaggressivembehaviormtowardmanothermclientm
3. Amclientmstatingmthatmnomonemcaresm
4. Amclientmverbalizingmfeelingsmofmfailurem
m
m
MultiplemResponsem
Identifymonemormmoremchoicesmthatmbestmcompletemthemstatementmormanswermthemquestion.m
m
Copyrightm©m2020mF.mA.mDavismCompanym
WWW.NURSINGTB.COM m
, ESSENTIALSmOFmPSYCHIATRICmMENTALmHEALTHmNURSINGm8THmMORGANmTESTmBANKm
m
___ 14.mWhichmdescribesmamdefensemmechanismmanmindividualmmaymusemtomrelievemanxietyminmamstressfulmsituat
_m ion?m(Selectmallmthatmapply.)m
1. Homeworkm
2. Smokingm NmmmmmmmmmmmmMmmmmmmmURSINGTB.COm
3. Itchingm
4. Nailmbitingm
5. Sleepingm
m
m
___ 15.mThemnursemismreviewingmthemDSM-
_m 5mdefinitionmofmammentalmhealthmdisordermandmnotesmthemdefinitionmincludesmamdisturbanceminmwhichma
reas?m(Selectmallmthatmapply.)m
1. Cognitionm
2. Physicalm
3. Emotionalmregulationm
4. Behaviorm
5. Developmentalm
m
m
Completionm
Completemeachmstatement.m
m
16. _______________________mismamdiffusemapprehensionmthatmismvagueminmnaturemandmismassociatedmwithmfeeli
ngsmofmuncertaintymandmhelplessness.m
m
17. _______________________mismamsubjectivemstatemofmemotional,mphysical,mandmsocialmresponsesmtomthemlossm
ofmamvaluedmentity.m
m
Otherm
m
18. PlaceminmordermthemKüblermRossmstagesmofmgriefmfromm1-
5.m(Entermthemnumbermofmeachmstepminmthempropermsequence,musingmcommamandmspacemformat,msuchmas:m1,m2,m
3,m4.)m
1. Bargainingm
2. Denialm
3. Acceptancem
4. Depressionm5m.mAnger
Copyrightm©m2020mF.mA.mDavismCompanym
WWW.NURSINGTB.COM m
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