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Essentials of Psychiatric Mental Health Nursing

Institution
Essentials Of Psychiatric Mental Health Nursing

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

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Institution Essentials of Psychiatric Mental Health Nursing
Course Essentials of Psychiatric Mental Health Nursing

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Test Bank For Davis Advantage for Townsend’s
| | | | | |

Essentials of Psychiatric MentalHealth Nursing 9th
| | | | | | |

Edition Karyn Morgan
| | |

TESTBANK |

,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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