Davis/Townsend - 9th edition - Ch.1 TB - Mental Health and Mental Illne
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.: 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 criteria for
mental illness.
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.: 2. When
maladaptive responses to stress are coupled with interference in daily
functioning.
3. A client has been given a diagnosis of HIV. Which statement made by the
client does the nurse recognize as the bargaining stage of grief?
1. "I hate my partner for giving me this disease I will die from!"
2. "If I don't do IV drugs anymore, God won't let me die."
3. "I am going to support groups and learning more about the disease."
4. "Can you please re-draw the test results; I think they may be wrong?": 2. "If
I don't do IV drugs anymore, God won't let me die."
4. A nurse notes that a client is extremely withdrawn, delusional, and
emotionally exhausted. The nurse assesses the client's anxiety as which
level?
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, Davis/Townsend - 9th edition - Ch.1 TB - Mental Health and Mental Illne
1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
4. Panic 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.
3. Defense mechanisms, used by individuals with weak ego integrity,
should be discouraged and not completely eliminated.
4. Defense mechanisms cause disintegration of the ego and should be
fostered and encouraged.: 1. Defense mechanisms can be appropriate responses
to stress and need not 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
samequestions."
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.": 3. "Psychological factors, like excessive stress, have
been found to affect medical conditions."
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 if the client uses the defense
mechanism of displacement?
1. The client assertively confronts the health-care provider.
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