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Test Bank For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 9th Edition Karyn Morgan(CHAPTER 9,10,11,12)$2.99
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Multiple Choice
Identify the choice that best completes the statement or answers the question.
A new mother is concerned about her ability to perform her parental role. She is quite anxious
1. and ambivalent about leaving the postpartum unit. To offer effective client care, a nurse would
note that this type of crisis is precipitated by
1. Unexpected external stressors.
2. Preexisting psychopathology.
3. An acute response to an external situational stressor.
4. Normal life-cycle transitions that overwhelm the client.
A wife brings her husband to an emergency department (ED) after an attempt to hang himself.
He is a full-time student and works 8 hours at night to support his family. He states, “I can’t
2.
function any longer under all this stress.” Which type of crisis is the client experiencing?
1. Maturational/developmental crisis
2. Psychiatric emergency crisis
3. Anticipated life transition crisis
4. Traumatic stress crisis
A client comes to a psychiatric clinic experiencing sudden extreme fatigue, decreased sleep, and
decreased appetite. The client works 12 hours a day and rates anxiety as 8/10 on a numeric scale.
3.
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1. The client will change his type-A personality traits to more adaptive ones within
one week.
2. The client will list five positive self-attributes.
3. The client will examine how childhood events led to his overachieving orientation.
4. The client will return to previous adaptive levels of functioning by week six.
4.
6.
5.
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A 4. Risk for low self-esteem R/T loss events AEB suicidal ideations
high
school A client is brought to an emergency department by police after threatening to jump off a bridge
student several hours ago. To assess for suicide potential, which question would a nurse ask first?
has 1. “Are you currently thinking about harming yourself?”
learned 2. “Why do you want to harm yourself?”
that she 3. “Have you thought about the consequences of your actions?”
cannot 4. “Who is your emergency contact person?”
graduate.
Her An involuntarily committed client purposely pushes a dinner tray off the bedside table onto the
boyfrien floor. Which nursing intervention would a nurse implement to address this behavior?
d will be 1. Initiate forced medication protocol.
attending
a college
out of
state that
she
planned
to attend.
She is
admitted
to a
psychiatr
ic unit
after
overdosi
ng on
Tylenol.
Which is
the
priority
nursing
diagnosis
for this
client?
1. Ineffective
coping R/T
situational
crisis AEB
powerlessne
ss
2. Anxiety R/T
fear of
failure
3. Risk for self-
directed
violence R/T
hopelessnes
s
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2. Help the client to explore the source of anger.
3. Ignore the act to avoid reinforcing the behavior.
4. With staff support, set firm limits on the behavior.
A college student, who was nearly raped while out jogging, completes a series of appointments
7. with a rape crisis nurse. At the final session, which client statement most clearly suggests that the
goals of crisis intervention have been met?
1. “You’ve really been helpful. Can I count on you for continued support?”
2. “I work out in the college gym rather than jogging outdoors.”
3. “I’m really glad I didn’t go home. It would have been hard to come back.”
4. “I carry mace when I jog. It makes me feel safe and secure.”
A despondent client who has recently lost her husband of 30 years tearfully states, “I’ll feel a
lot better if I sell my house and move away.” Which nursing response is most appropriate?
8. 1. “I’m confident you know what’s best for you.”
2. “This may not be the best time for you to make such an important decision.”
3. “Your children will be terribly disappointed.”
4. “Tell me why you want to make this change.”
An inpatient client with a known history of violence suddenly begins to pace. Which
additional client behavior would alert a nurse to escalating anger and aggression?
1. The client requests prn medications.
9. 2. The client has a tense facial expression.
3. The client refuses to eat lunch.
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10. Which describes the rationale for holding a debriefing session with clients and staff after a
take-down intervention has taken place in an inpatient unit?
1. Reinforce unit rules with the client population.
2. Create protocols for the future release of tensions associated with anger.
3. Process client feelings and alleviate fears of undeserved seclusion and restraint.
4. Discuss the situation that led to inappropriate expressions of anger.
11. Which nursing action would be identified with Stage IV of Roberts’ Seven-stage Crisis
Intervention Model?
1. Collaboratively implement an action plan.
2. Help the client identify the major problems or crisis precipitants.
3. Help the client deal with feelings and emotions.
4. Collaboratively generate and explore alternatives.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
12. Which nursing statements or questions represent appropriate communication to assess an
individual in crisis? (Select all that apply.)
1. “Tell me what happened.”
2. “Which coping methods have you used, and did they work?”
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3. “Describe to me what your life was like before this happened.”
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