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Test Bank For Davis Advantage for Townsend‘s
Essentials of Psychiatric Mental Health Nursing 9th
Edition Karyn Morgan




TEST BANK \

,Chapter \1: \Mental \Health \and \Mental \Illness

Multiple \Choice
Identify \the \choice \that \best \completes \the \statement \or \answers \the \question.

1. A \nurse \is \assessing \a \client \who \experiences \occasional \feelings \of \sadness \because \of \the \recent
\death \of \a \beloved \pet. \The \client‘s \appetite, \sleep \patterns, \and \daily \routine \have \not \changed.
How \would \the \nurse \interpret \the \client‘s \behaviors?
1. The \client‘s \behaviors \demonstrate \mental \illness \in \the \form \of \depression.
2. The \client‘s \behaviors \are \inappropriate, \which \indicates \the \presence \of
\mental \illness.
3. The \client‘s \behaviors \are \not \congruent \with \cultural \norms.
4. The \client‘s \behaviors \demonstrate \no \functional \impairment, \indicating \no
\mental \illness.

2. At \which \point \would \the \nurse \determine \that \a \client \is \at \risk \for \developing \a \mental \illness?
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
\daily \functioning.
3. When \a \client \communicates \significant \distress.
4. When \a \client \uses \defense \mechanisms \as \ego \protection.
3. A \client \has \been \given \a \diagnosis \of \human \immunodeficiency \virus \(HIV). \Which \statement
\made \by \the \client \does \thNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
s \Mt h e \bargaining \stage \of \grief?
1. ―I \hate \my \partner \for \giving \me \this \disease \I \will \die \from!‖
2. ―If \I \don‘t \do \intravenous \(IV) \drugs \anymore, \God \won‘t \let \me \die.‖
3. ―I \am \going \to \support \groups \and \learn \more \about \the \disease.‖
4. ―Can \you \please \re-draw \the \test \results, \I \think \they \may \be \wrong?‖
4. A \nurse \notes \that \a \client \is \extremely \withdrawn, \delusional, \and \emotionally \exhausted. \The
\nurse \assesses \the \client‘s \anxiety \as \which \level?
1. Mild \anxiety
2. Moderate \anxiety
3. Severe \anxiety
4. Panic \anxiety
5. A \psychiatric \nurse \intern \states, \―This \client‘s \use \of \defense \mechanisms \should \be \eliminated.‖
\Which \is \a \correct \evaluation \of \this \nurse‘s \statement?
1. Defense \mechanisms \can \be \appropriate \responses \to \stress \and \need \not
\be \eliminated.
2. Defense \mechanisms \are \a \maladaptive \attempt \of \the \ego \to \manage \anxiety
\and \should \always \be \eliminated.

, 6. During \an \intake \assessment, \a \nurse \asks \both \physiological \and \psychosocial \questions. \The
\client \angrily \responds, \―I‘m \here \for \my \heart, \not \my \head \problems.‖ \Which \is \the \nurse‘s
\best \response?
1. ―It \is \just \a \routine \part \of \our \assessment. \All \clients \are \asked \these
\same \questions.‖
2. ―Why \are \you \concerned \about \these \types \of \questions?‖
3. ―Psychological \factors, \like \excessive \stress, \have \been \found \to \affect
\medical \conditions.‖
4. ―We \can \skip \these \questions, \if \you \like. \It \isn‘t \imperative \that \we \complete
\this \section.‖

7. A \client \who \is \being \treated \for \chronic \kidney \disease \complains \to \the \health-care \provider
\that \he \does \not \like \the \food \available \to \him \while \hospitalized. \The \health-care \provider
\insists \that \the \client \strictly \adhere \to \the \diet \plan. \What \action \can \be \expected \is \the \client
\uses \the \defense \mechanism \of \displacement?
1. The \client \assertively \confronts \the \health-care \provider.
2. The \client \insists \on \being \discharged \and \goes \for \a \long, \brisk \walk.
3. The \client \snaps \at \the \nurse \and \criticizes \the \nursing \care \provided.
4. The \client \hides \his \anger \by \explaining \the \logical \reasoning \for \the \diet \to
\his \spouse.

8. A \fourth-grade \boy \teases \and \makes \jokes \about \a \cute \girl \in \his \class. \A \nurse \would
\recognize \this \behavior \as \indicative \of \which \defense \mechanism?
1. Displacement
2. Projection
3. Reaction \formation
4. Sublimation
9. \ \ Which \nursing \statement \regarding \the \concept \of \psychosis \is \most \accurate?
1. Individuals \experiencing \psychoses \are \aware \that \their \behaviors \are \maladaptive.
2. Individuals \experiencing \psychoses \experience \little \distress.
3. Individuals \experiencing \psychoses \are \aware \of \experiencing
\psychological \problems.
4. Individuals \experiencing \psychoses \are \based \in \reality.
\ 10. \ When \under \stress, \a \client \routinely \uses \alcohol \to \excess. \When \the \client‘s \husband
\finds \her \drunk, \the \husband \yells \at \the \client \about \her \chronic \alcohol \abuse. \Which
\action \alerts \the \nurse \to \the \client‘s \use \of \the \defense \mechanism \of \denial?
1. The \client \hides \liquor \bottles \in \a \closet.
2. The \client \yells \at \her \son \for \slouching \in \his \chair.
3. The \client \burns \dinner \on \purpose.
4. The \client \says \to \the \spouse, \―I \don‘t \drink \too \much!‖
\ 11. \Devastated \by \a \divorce \from \an \abusive \husband, \a \wife \completes \grief \counseling. \Which
\statement \by \the \wife \would \indicate \to \a \nurse \that \the \client \is \in \the \acceptance \stage \of
\grief?
1. ―If \only \we \could \have \tried \again, \things \might \have \worked \out.‖
2. ―I \am \so \mad \that \the \children \and \I \had \to \put \up \with \him \as \long \as \we \did.‖
3. ―Yes, \it \was \a \difficult \relationship, \but \I \think \I \have \learned \from \the

, experience.‖
4. ―I \have \a \difficult \time \getting \out \of \bed \most \days.‖
\ 12. \ According \to \Maslow‘s \hierarchy \of \needs, \which \client \action \would \demonstrate \the
\highest \achievement \in \terms \of \mental \health?
1. Maintaining \a \long-term, \faithful, \intimate \relationship
2. Achieving \a \sense \of \self-confidence
3. Possessing \a \feeling \of \self-fulfillment \and \realizing \full \potential
4. Developing \a \sense \of \purpose \and \the \ability \to \direct \activities
\ 13. \ According \to \Maslow‘s \hierarchy \of \needs, \which \situation \on \an \inpatient \psychiatric \unit
\would \require \priority \intervention \by \a \nurse?
1. A \client \rudely \complaining \about \limited \visiting \hours
2. A \client \exhibiting \aggressive \behavior \toward \another \client
3. A \client \stating \that \no \one \cares
4. A \client \verbalizing \feelings \of \failure

Multiple \Response
Identify \one \or \more \choices \that \best \complete \the \statement \or \answer \the \question.

\ 14. \ Which \describes \a \defense \mechanism \an \individual \may \use \to \relieve \anxiety \in \a
\stressful \situation? \(Select \all \that \apply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail \biting
5. Sleeping
\ 15. \ The \nurse \is \reviewing \the \DSM-5 \definition \of \a \mental \health \disorder \and \notes \the
\definition \includes \a \disturbance \in \which \areas? \(Select \all \that \apply.)
1. Cognition
2. Physical
3. Emotional \regulation
4. Behavior
5. Developmental

Completion
Complete \each \statement.

16. is \a \diffuse \apprehension \that \is \vague \in \nature \and \is
\associated \with \feelings \of \uncertainty \and \helplessness.


17. is \a \subjective \state \of \emotional, \physical, \and \social \responses
\to \the \loss \of \a \valued \entity.



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