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Essentials of Psychiatric Mental Health Nursing 8th Morgan TEST BANK
Essentials of Psychiatric Mental Health Nursing 8th Morgan TEST BANK
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ESSENTIALS OF PSYCHIATRIC MENTALHEALTH NURSING 8TH MORGAN TEST BANK
Chapter 1: Mental Health and Mental Illness
k k k k k k
MultiplekChoice
Identifykthekchoicekthatkbestkcompleteskthekstatementkorkanswerskthekquestion.
1. Aknursekiskassessingkakclientkwhokexperienceskoccasionalkfeelingskofksadnesskbecausekofkthekrecentkd
eathkofkakbelovedkpet.kThekclient’skappetite,ksleepkpatterns,kandkdailykroutinekhaveknotkchanged.kHo
wkwouldktheknursekinterpretkthekclient’skbehaviors?
1. Thekclient’skbehaviorskdemonstratekmentalkillnesskinkthekformkofkdepression.
2. Thekclient’skbehaviorskarekinappropriate,kwhichkindicateskthekpresencekofkmentalki
llness.
3. Thekclient’skbehaviorskareknotkcongruentkwithkculturalknorms.
4. Thekclient’skbehaviorskdemonstrateknokfunctionalkimpairment,kindicatingknokmentalki
llness.
2. Atkwhichkpointkwouldktheknursekdeterminekthatkakclientkiskatkriskkforkdevelopingkakmentalkillness?
1. Whenkthoughts,kfeelings,kandkbehaviorskareknotkreflectivekofkthekDSM-5kcriteria.
2. Whenkmaladaptivekresponsesktokstresskarekcoupledkwithkinterferencekinkdailykf
unctioning.
3. Whenkakclientkcommunicatesksignificantkdistress.
4. Whenkakclientkuseskdefensekmechanismskaskegokprotection.
3. Akclientkhaskbeenkgivenkakdiagnosiskofkhumankimmunodeficiencykvirusk(HIV).kWhichkstatementk
madekbykthekclientkdoeskthNe U
nR
urS
seIrN
ecGoT
gnBi.
zeCaO
skMt h e kbargainingkstagekofkgrief?
1. “IkhatekmykpartnerkforkgivingkmekthiskdiseasekIkwillkdiekfrom!”
2. “IfkIkdon’tkdokintravenousk(IV)kdrugskanymore,kGodkwon’tkletkmekdie.”
3. “Ikamkgoingktoksupportkgroupskandklearnkmorekaboutkthekdisease.”
4. “Cankyoukpleasekre-drawkthektestkresults,kIkthinkktheykmaykbekwrong?”
4. Aknurseknoteskthatkakclientkiskextremelykwithdrawn,kdelusional,kandkemotionallykexhausted.kThekn
ursekassesseskthekclient’skanxietykaskwhichklevel?
1. Mildkanxiety
2. Moderatekanxiety
3. Severekanxiety
4. Panickanxiety
5. Akpsychiatricknursekinternkstates,k“Thiskclient’skusekofkdefensekmechanismskshouldkbekeliminated.”k
Whichkiskakcorrectkevaluationkofkthisknurse’skstatement?
1. Defensekmechanismskcankbekappropriatekresponsesktokstresskandkneedknotkbek
eliminated.
2. Defensekmechanismskarekakmaladaptivekattemptkofkthekegoktokmanagekanxietykandks
houldkalwayskbekeliminated.
3. Defensekmechanisms,kusedkbykindividualskwithkweakkegokintegrity,kshouldkbek
discouragedkandknotkcompletelykeliminated.
Copyrightk©k2020kF.kA.kDaviskCompany
WWW.NURSINGTB.COM
,4. Defensekmechanismskcausekdisintegrationkofkthekegokandkshouldkbekfosteredkandke
ncouraged.
Copyrightk©k2020kF.kA.kDaviskCompany
WWW.NURSINGTB.COM
, 6. Duringkankintakekassessment,kaknursekaskskbothkphysiologicalkandkpsychosocialkquestions.kThe
clientkangrilykresponds,k“I’mkherekforkmykheart,knotkmykheadkproblems.”kWhichkisktheknurse’skbestkrespon
se?
1. “Itkiskjustkakroutinekpartkofkourkassessment.kAllkclientskarekaskedktheseksamekq
uestions.”
2. “Whykarekyoukconcernedkaboutkthesektypeskofkquestions?”
3. “Psychologicalkfactors,klikekexcessivekstress,khavekbeenkfoundktokaffectkmedicalk
conditions.”
4. “Wekcankskipkthesekquestions,kifkyouklike.kItkisn’tkimperativekthatkwekcompletekthisks
ection.”
7. Akclientkwhokiskbeingktreatedkforkchronickkidneykdiseasekcomplainsktokthekhealth-
carekproviderkthatkhekdoesknotklikekthekfoodkavailablektokhimkwhilekhospitalized.kThekhealth-
carekproviderkinsistskthatkthekclientkstrictlykadherektokthekdietkplan.kWhatkactionkcankbekexpectedkiskthe
kclientkuseskthekdefensekmechanismkofkdisplacement?
1. Thekclientkassertivelykconfrontskthekhealth-carekprovider.
2. Thekclientkinsistskonkbeingkdischargedkandkgoeskforkaklong,kbriskkwalk.
3. Thekclientksnapskatktheknursekandkcriticizesktheknursingkcarekprovided.
4. Thekclientkhideskhiskangerkbykexplainingktheklogicalkreasoningkforkthekdietktokhisks
pouse.
8. Akfourth-
gradekboykteaseskandkmakeskjokeskaboutkakcutekgirlkinkhiskclass.kAknursekwouldkrecognizekthiskbehavi
orkaskindicativekofkwhichkdefensekmechanism?
1. Displacement
2. Projection NURSINGTB.COM
3. Reactionkformation
4. Sublimation
9. Whichknursingkstatementkregardingkthekconceptkofkpsychosiskiskmostkaccurate?
1. Individualskexperiencingkpsychoseskarekawarekthatktheirkbehaviorskarekmaladaptive.
2. Individualskexperiencingkpsychoseskexperienceklittlekdistress.
3. Individualskexperiencingkpsychoseskarekawarekofkexperiencingkpsychologicalk
problems.
4. Individualskexperiencingkpsychoseskarekbasedkinkreality.
10. Whenkunderkstress,kakclientkroutinelykuseskalcoholktokexcess.kWhenkthekclient’skhusbandkfindskherkd
runk,kthekhusbandkyellskatkthekclientkaboutkherkchronickalcoholkabuse.kWhichkactionkalertskthe
nursektokthekclient’skusekofkthekdefensekmechanismkofkdenial?
1. Thekclientkhideskliquorkbottleskinkakcloset.
2. Thekclientkyellskatkherksonkforkslouchingkinkhiskchair.
3. Thekclientkburnskdinnerkonkpurpose.
4. Thekclientksaysktokthekspouse,k“Ikdon’tkdrinkktookmuch!”
11. Devastatedkbykakdivorcekfromkankabusivekhusband,kakwifekcompleteskgriefkcounseling.kWhichkstate
mentkbykthekwifekwouldkindicatektokaknursekthatkthekclientkiskinkthekacceptancekstagekofkgrief?
1. “Ifkonlykwekcouldkhavektriedkagain,kthingskmightkhavekworkedkout.”
2. “IkamksokmadkthatkthekchildrenkandkIkhadktokputkupkwithkhimkasklongkaskwekdid.”
3. “Yes,kitkwaskakdifficultkrelationship,kbutkIkthinkkIkhaveklearnedkfromkthe
Copyrightk©k2020kF.kA.kDaviskCompany
WWW.NURSINGTB.COM
, experience.”
4. “Ikhavekakdifficultktimekgettingkoutkofkbedkmostkdays.”
12.k AccordingktokMaslow’skhierarchykofkneeds,kwhichkclientkactionkwouldkdemonstratekt
hekhighestkachievementkinktermskofkmentalkhealth?
1. Maintainingkaklong-term,kfaithful,kintimatekrelationship
2. Achievingkaksensekofkself-confidence
3. Possessingkakfeelingkofkself-fulfillmentkandkrealizingkfullkpotential
4. Developingkaksensekofkpurposekandkthekabilityktokdirectkactivities
13.k AccordingktokMaslow’skhierarchykofkneeds,kwhichksituationkonkankinpatientkpsychiatricku
nitkwouldkrequirekprioritykinterventionkbykaknurse?
1. Akclientkrudelykcomplainingkaboutklimitedkvisitingkhours
2. Akclientkexhibitingkaggressivekbehaviorktowardkanotherkclient
3. Akclientkstatingkthatknokonekcares
4. Akclientkverbalizingkfeelingskofkfailure
MultiplekResponse
Identifykonekorkmorekchoiceskthatkbestkcompletekthekstatementkorkanswerkthekquestion.
14.k Whichkdescribeskakdefensekmechanismkankindividualkmaykusektokrelievekanxietykinkak
stressfulksituation?k(Selectkallkthatkapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nailkbiting
5. Sleeping
15.k TheknursekiskreviewingkthekDSM-
5kdefinitionkofkakmentalkhealthkdisorderkandknoteskthekdefinitionkincludeskakdisturbancekinkwhichkar
eas?k(Selectkallkthatkapply.)
1. Cognition
2. Physical
3. Emotionalkregulation
4. Behavior
5. Developmental
Completion
Completekeachkstatement.
16. iskakdiffusekapprehensionkthatkiskvaguekinknaturekandkiskassociatedk
withkfeelingskofkuncertaintykandkhelplessness.
17. iskaksubjectivekstatekofkemotional,kphysical,kandksocialkresponsesktokt
Copyrightk©k2020kF.kA.kDaviskCompany
WWW.NURSINGTB.COM
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