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




TEST BANK “

,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.
― 3. 4. When ―a ―client ―uses ―defense ―mechanisms ―as ―ego ―protection.

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 ―M
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 ―intravenous ―(IV) ―drugs ―anymore, ―God ―won‘t ―let ―me ―die.‖
3. ―I ―am ―going ―to ―support ―groups ―and ―learn ―more ―about ―the ―disease.‖
― 4. 4. ―Can ―you ―please ―re-draw ―the ―test ―results, ―I ―think ―they ―may ―be ―wrong?‖

A ―nurse ―notes ―that ―a ―client ―is ―extremely ―withdrawn, ―delusional, ―and ―emotionally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
― 5. 4. Panic ―anxiety

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
― According ―to ―Maslow‘s ―hierarchy ―of ―needs, ―which ―situation ―on ―an ―inpatient ―psychiatric
― ― ― 13. ―
―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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