ESSENTIALSnOFnPSYCHIATRICnMENTALnHEALTHnNURSINGn8THnMORGANnTESTnBANK
Chaptern1:nMentalnHealthnandnMentalnIllness
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
1. Annursenisnassessingnanclientnwhonexperiencesnoccasionalnfeelingsnofnsadnessnbecausenofnt
henrecentndeathnofnanbelovednpet.nThenclient’snappetite,nsleepnpatterns,nandndailynroutinen
havennotnchanged.nHownwouldnthennurseninterpretnthenclient’snbehaviors?
1. Thenclient’snbehaviorsndemonstratenmentalnillnessninnthenformnofndepression.
2. Thenclient’snbehaviorsnareninappropriate,nwhichnindicatesnthenpresencenofn
mentalnillness.
3. Thenclient’snbehaviorsnarennotncongruentnwithnculturalnnorms.
4. Thenclient’snbehaviorsndemonstratennonfunctionalnimpairment,nindicatingnnon
mentalnillness.
2. Atnwhichnpointnwouldnthennursendeterminenthatnanclientnisnatnrisknforndevelopingnanmentalnil
lness?
1. Whennthoughts,nfeelings,nandnbehaviorsnarennotnreflectivenofnthenDSM-5ncriteria.
2. Whennmaladaptivenresponsesntonstressnarencouplednwithninterferencenin
ndailynfunctioning.
3. Whennanclientncommunicatesnsignificantndistress.
4. Whennanclientnusesndefensenmechanismsnasnegonprotection.
3. Anclientnhasnbeenngivennandiagnosisnofnhumannimmunodeficiencynvirusn(HIV).nWhichnst
atementnmadenbynthenclientndoesnthNe U
nR
urS
seIrN
ecGoT
gnBi.
zeCaO
snMt h e nbargainingnstagenofngrief?
1. “InhatenmynpartnernforngivingnmenthisndiseasenInwillndienfrom!”
2. “IfnIndon’tndonintravenousn(IV)ndrugsnanymore,nGodnwon’tnletnmendie.”
3. “Inamngoingntonsupportngroupsnandnlearnnmorenaboutnthendisease.”
4. “Cannyounpleasenre-drawnthentestnresults,nInthinkntheynmaynbenwrong?”
4. Annursennotesnthatnanclientnisnextremelynwithdrawn,ndelusional,nandnemotionallynexhaust
ed.nThennursenassessesnthenclient’snanxietynasnwhichnlevel?
1. Mildnanxiety
2. Moderatenanxiety
3. Severenanxiety
4. Panicnanxiety
5. Anpsychiatricnnurseninternnstates,n“Thisnclient’snusenofndefensenmechanismsnshouldnbenelim
inated.”nWhichnisnancorrectnevaluationnofnthisnnurse’snstatement?
1. Defensenmechanismsncannbenappropriatenresponsesntonstressnandnneedn
notnbeneliminated.
2. Defensenmechanismsnarenanmaladaptivenattemptnofnthenegontonmanagenanxi
etynandnshouldnalwaysnbeneliminated.
3. Defensenmechanisms,nusednbynindividualsnwithnweaknegonintegrity,nsho
uldnbendiscouragednandnnotncompletelyneliminated.
4. Defensenmechanismsncausendisintegrationnofnthenegonandnshouldnbenfoster
ednandnencouraged.
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6. Duringnannintakenassessment,nannursenasksnbothnphysiologicalnandnpsychosocialnquestions.nTh
e
clientnangrilynresponds,n“I’mnherenfornmynheart,nnotnmynheadnproblems.”nWhichnisnthennurse
’snbestnresponse?
1. “Itnisnjustnanroutinenpartnofnournassessment.nAllnclientsnarenaskednthe
sensamenquestions.”
2. “Whynarenyounconcernednaboutnthesentypesnofnquestions?”
3. “Psychologicalnfactors,nlikenexcessivenstress,nhavenbeennfoundntonaffectnm
edicalnconditions.”
4. “Wencannskipnthesenquestions,nifnyounlike.nItnisn’tnimperativenthatnwencomp
letenthisnsection.”
7. Anclientnwhonisnbeingntreatednfornchronicnkidneyndiseasencomplainsntonthenhealth-
carenprovidernthatnhendoesnnotnlikenthenfoodnavailablentonhimnwhilenhospitalized.nThenhealt
h-
carenproviderninsistsnthatnthenclientnstrictlynadherentonthendietnplan.nWhatnactionncannbenex
pectednisnthenclientnusesnthendefensenmechanismnofndisplacement?
1. Thenclientnassertivelynconfrontsnthenhealth-carenprovider.
2. Thenclientninsistsnonnbeingndischargednandngoesnfornanlong,nbrisknwalk.
3. Thenclientnsnapsnatnthennursenandncriticizesnthennursingncarenprovided.
4. Thenclientnhidesnhisnangernbynexplainingnthenlogicalnreasoningnfornthendi
etntonhisnspouse.
8. Anfourth-
gradenboynteasesnandnmakesnjokesnaboutnancutengirlninnhisnclass.nAnnursenwouldnrecogniz
enthisnbehaviornasnindicativenofnwhichndefensenmechanism?
1. Displacement
2. Projection NURSINGTB.COM
3. Reactionnformatio
n
4. Sublimation
9. Whichnnursingnstatementnregardingnthenconceptnofnpsychosisnisnmostnaccurate?
1. Individualsnexperiencingnpsychosesnarenawarenthatntheirnbehaviorsnarenmaladaptive.
2. Individualsnexperiencingnpsychosesnexperiencenlittlendistress.
3. Individualsnexperiencingnpsychosesnarenawarenofnexperiencingnpsycholo
gicalnproblems.
4. Individualsnexperiencingnpsychosesnarenbasedninnreality.
10. Whennundernstress,nanclientnroutinelynusesnalcoholntonexcess.nWhennthenclient’snhusbandn
findsnherndrunk,nthenhusbandnyellsnatnthenclientnaboutnhernchronicnalcoholnabuse.nWhichn
actionnalertsnthe
nursentonthenclient’snusenofnthendefensenmechanismnofndenial?
1. Thenclientnhidesnliquornbottlesninnancloset.
2. Thenclientnyellsnatnhernsonnfornslouchingninnhisnchair.
3. Thenclientnburnsndinnernonnpurpose.
4. Thenclientnsaysntonthenspouse,n“Indon’tndrinkntoonmuch!”
11. Devastatednbynandivorcenfromnannabusivenhusband,nanwifencompletesngriefncounseling.n
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Whichnstatementnbynthenwifenwouldnindicatentonannursenthatnthenclientnisninnthenacceptan
censtagenofngrief?
1. “Ifnonlynwencouldnhaventriednagain,nthingsnmightnhavenworkednout.”
2. “InamnsonmadnthatnthenchildrennandnInhadntonputnupnwithnhimnasnlongnasnwendid.”
3. “Yes,nitnwasnandifficultnrelationship,nbutnInthinknInhavenlearnednfromnthe
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experience.”
4. “Inhavenandifficultntimengettingnoutnofnbednmostndays.”
12.n AccordingntonMaslow’snhierarchynofnneeds,nwhichnclientnactionnwouldndemonstrat
enthenhighestnachievementninntermsnofnmentalnhealth?
1. Maintainingnanlong-term,nfaithful,nintimatenrelationship
2. Achievingnansensenofnself-confidence
3. Possessingnanfeelingnofnself-fulfillmentnandnrealizingnfullnpotential
4. Developingnansensenofnpurposenandnthenabilityntondirectnactivities
13.n AccordingntonMaslow’snhierarchynofnneeds,nwhichnsituationnonnanninpatientnpsychiatri
cnunitnwouldnrequirenpriorityninterventionnbynannurse?
1. Anclientnrudelyncomplainingnaboutnlimitednvisitingnhours
2. Anclientnexhibitingnaggressivenbehaviorntowardnanothernclient
3. Anclientnstatingnthatnnononencares
4. Anclientnverbalizingnfeelingsnofnfailure
MultiplenResponse
Identifynonenornmorenchoicesnthatnbestncompletenthenstatementnornanswernthenquestion.
14.n Whichndescribesnandefensenmechanismnannindividualnmaynusentonrelievenanxietyn
innanstressfulnsituation?n(Selectnallnthatnapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nailnbitin
g
5. Sleeping
15.n ThennursenisnreviewingnthenDSM-
5ndefinitionnofnanmentalnhealthndisordernandnnotesnthendefinitionnincludesnandisturbanceni
nnwhichnareas?n(Selectnallnthatnapply.)
1. Cognition
2. Physical
3. Emotionalnregulation
4. Behavior
5. Developmental
Completion
Completeneachnstatement.
16. isnandiffusenapprehensionnthatnisnvagueninnnaturenandnisnass
ociatednwithnfeelingsnofnuncertaintynandnhelplessness.
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