Test Bank For Davis Advantage for Townsend‘s
h h h h h h
Essentials of Psychiatric Mental Health Nursing
h h h h h h
9thEdition Karyn Morgan
h h h h
TEST BANK h
,Chapter 1: Mental Health and Mental Illness
h h h h h h
Multiple Choice
h
Identify the choice that best completes the statement or answers the question.
h h h h h h h h h h h
h 1. A nurse is assessing a client who experiences occasional feelings of sadness because of the
h h h h h h h h h h h h h h
recentdeath of a beloved pet. The client‘s appetite, sleep patterns, and daily routine have not
h h h h h h h h h h h h h h h h
changed. h
How would the nurse interpret the client‘s behaviors?
h h h h h h h
1. The client‘s behaviors demonstrate mental illness in the form of depression.
h h h h h h h h h h
2. The client‘s behaviors are inappropriate, which indicates the presence of
h h h h h h h h h
mentalillness. h h
3. The client‘s behaviors are not congruent with cultural norms.
h h h h h h h h
4. The client‘s behaviors demonstrate no functional impairment, indicating no
h h h h h h h h
mentalillness. h h
h 2.
At which point would the nurse determine that a client is at risk for developing a mental illness?
h h h h h h h h h h h h h h h h h
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
h h h h h h h h h h h
2. When maladaptive responses to stress are coupled with interference in
h h h h h h h h h
dailyfunctioning.h h
3. When a client communicates significant distress. h h h h h
4. When a client uses defense mechanisms as ego protection.
h h h h h h h h
h 3.
A client has been given a diagnosis of human immunodeficiency virus (HIV). Which
h h h h h h h h h h h h
statementmade by the client does thNeUnuRrS
h seIrN
ecGoT
h gnBiz.eCaO
sMthe bargaining stage of grief?
h h h h h h h h h h
1. ―I hate my partner for giving me this disease I will die from!‖
h h h h h h h h h h h h
2. ―If I don‘t do intravenous (IV) drugs anymore, God won‘t let me die.‖
h h h h h h h h h h h h
3. ―I am going to support groups and learn more about the disease.‖
h h h h h h h h h h h
4. ―Can you please re-draw the test results, I think they may be wrong?‖
h h h h h h h h h h h h
h 4.
A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted.
h h h h h h h h h h h h
Thenurse assesses the client‘s anxiety as which level?
h h h h h h h h h
1. Mild anxiety h
2. Moderate anxiety h
3. Severe anxiety h
4. Panic anxiety h
h 5.
A psychiatric nurse intern states, ―This client‘s use of defense mechanisms should be
h h h h h h h h h h h h
eliminated.‖Which is a correct evaluation of this nurse‘s statement?
h h h h h h h h h h
1. Defense mechanisms can be appropriate responses to stress and need not
h h h h h h h h h h
beeliminated. h h
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety
h h h h h h h h h h h
andshould always be eliminated.
h h h h h
,h 6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
h h h h h h h h h h h h
client angrily responds, ―I‘m here for my heart, not my head problems.‖ Which is the nurse‘s
h h h h h h h h h h h h h h h h
bestresponse?
h h
1. ―It is just a routine part of our assessment. All clients are asked these
h h h h h h h h h h h h h
samequestions.‖h h
2. ―Why are you concerned about these types of questions?‖
h h h h h h h h
3. ―Psychological factors, like excessive stress, have been found to affect h h h h h h h h h
medicalconditions.‖
h h
4. ―We can skip these questions, if you like. It isn‘t imperative that we complete
h h h h h h h h h h h h h
thissection.‖ h h
h 7. A client who is being treated for chronic kidney disease complains to the health-care provider
h h h h h h h h h h h h h h
thathe does not like the food available to him while hospitalized. The health-care provider insists
h h h h h h h h h h h h h h h h
that the client strictly adhere to the diet plan. What action can be expected is the client uses the
h h h h h h h h h h h h h h h h h h h
defensemechanism of displacement?
h h h h
1. The client assertively confronts the health-care provider.
h h h h h h
2. The client insists on being discharged and goes for a long, brisk walk.
h h h h h h h h h h h h
3. The client snaps at the nurse and criticizes the nursing care provided.
h h h h h h h h h h h
4. The client hides his anger by explaining the logical reasoning for the diet to
h h h h h h h h h h h h h
hisspouse. h h
h 8. A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would
h h h h h h h h h h h h h h h h
recognizethis behavior as indicative of which defense mechanism?
h h h h h h h h h
1. Displacement
2. Projection
3. Reaction formation h
4. Sublimation
h 9. Which nursing statement regarding the concept of psychosis is most accurate?
h h h h h h h h h h h
1. Individuals experiencing psychoses are aware that their behaviors are maladaptive.
h h h h h h h h h
2. Individuals experiencing psychoses experience little distress. h h h h h
3. Individuals experiencing psychoses are aware of experiencing h h h h h h
psychologicalproblems.
h h
4. Individuals experiencing psychoses are based in reality. h h h h h h
h hh h 10. When under stress, a client routinely uses alcohol to excess. When the client‘s husband finds
h h h h h h h h h h h h h h h
herdrunk, the husband yells at the client about her chronic alcohol abuse. Which action alerts
h h h h h h h h h h h h h h h h
the nurse to the client‘s use of the defense mechanism of denial?
h h h h h h h h h h h h
1. The client hides liquor bottles in a closet.
h h h h h h h
2. The client yells at her son for slouching in his chair.
h h h h h h h h h h
3. The client burns dinner on purpose. h h h h h
4. The client says to the spouse, ―I don‘t drink too much!‖
h h h h h h h h h h
h hh h 11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which
h h h h h h h h h h h h h h
statement by the wife would indicate to a nurse that the client is in the acceptance stage of
h h h h h h h h h h h h h h h h h h
grief?h
1. ―If only we could have tried again, things might have worked out.‖
h h h h h h h h h h h
2. ―I am so mad that the children and I had to put up with him as long as we did.‖
h h h h h h h h h h h h h h h h h h h
3. ―Yes, it was a difficult relationship, but I think I have learned from the
h h h h h h h h h h h h h
, experience.‖
4. ―I have a difficult time getting out of bed most days.‖
h h h h h h h h h h
h hh h 12. According to Maslow‘s hierarchy of needs, which client action would demonstrate the
h h h h h h h h h h h h
highestachievement in terms of mental health?
h h h h h h h
1. Maintaining a long-term, faithful, intimate relationship h h h h h
2. Achieving a sense of self-confidence h h h h
3. Possessing a feeling of self-fulfillment and realizing full potential
h h h h h h h h
4. Developing a sense of purpose and the ability to direct activities h h h h h h h h h h
h hh h 13. According to Maslow‘s hierarchy of needs, which situation on an inpatient psychiatric unit
h h h h h h h h h h h h h
wouldrequire priority intervention by a nurse?
h h h h h h h
1. A client rudely complaining about limited visiting hours
h h h h h h h
2. A client exhibiting aggressive behavior toward another client
h h h h h h h
3. A client stating that no one cares
h h h h h h
4. A client verbalizing feelings of failure
h h h h h
Multiple Response
h
Identify one or more choices that best complete the statement or answer the question.
h h h h h h h h h h h h h
h hh h 14. Which describes a defense mechanism an individual may use to relieve anxiety in a
h h h h h h h h h h h h h h
stressfulsituation? (Select all that apply.)
h h h h h h
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail biting h
5. Sleeping
h hh h 15. The nurse is reviewing the DSM-5 definition of a mental health disorder and notes the
h h h h h h h h h h h h h h h
definitionincludes a disturbance in which areas? (Select all that apply.)
h h h h h h h h h h h
1. Cognition
2. Physical
3. Emotional regulation h
4. Behavior
5. Developmental
Completion
Complete each statement.
h h
16. h is a diffuse apprehension that is vague in nature and is h h h h h h h h h h
associatedwith feelings of uncertainty and helplessness.
h h h h h h h
17. h is a subjective state of emotional, physical, and social responses
h h h h h h h h h
tothe loss of a valued entity.
h h h h h h h
Other