• Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Test Bank for Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing 1 11th Edition
by Karyn I. Morgan | Complete Chapters |
2026/2027 Latest Update | Complete Chapter
Questions & Answers with Rationales | Verified
Questions & Answers | Graded A+
A client who is known to abuse drugs is admitted to the psychiatric unit. Which medication should the nurse
anticipate administering to a client who is exhibiting benzodiazepine withdrawal symptoms?
P 1
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Perphenazine (Trilafon).
Diphenhydramine (Benadryl).
Chlordiazepoxide (Librium).
Isocarboxazid (Marplan). –
Correct Answer :Chlordiazepoxide (Librium).
Librium, an antianxiety drug as well as other benzodiazepines, is used in titrated doses to reduce the severity of
abrupt benzodiazepine withdrawal. The other medications are not indicated for benzodiazepine withdrawal.
An older male client in the intensive care unit who has been oriented suddenly becomes disoriented and fearful.
Assessment of vital signs and other physical parameters reveal no significant change and the nurse formulates
the client's problem as confusion related to ICU psychosis. Which intervention is most important for the nurse
implement?
Move all machines away from the client's immediate area.
Attempt to allay the client's fears by explaining the etiology of confusion.
Cluster care so brief periods of rest can be scheduled during the day.
Extend visitation times for family and friends. –
Correct Answer :Cluster care so brief periods of rest can be scheduled during the day.
The critical care environment confronts clients with an environment which is stressful and heightened by
treatment modalities that may prove to be lifesaving. These stressors can result in isolation or sensory overload
that leads to confusion. The best intervention is to cluster care to provide the client with uninterrupted rest
periods. The other actions may not be possible.
P 2
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
The nurse is planning care for a 32-year-old male client diagnosed with HIV infection who has a history of chronic
depression. Recently, the client's viral load has begun to increase rather than decrease despite his adherence to
the HIV drug regimen. What should the nurse do first while taking the client's history on admission to the
hospital?
Determine if the client attends a support group weekly.
Hold all antidepressant medications until further notice.
Ask the client if he takes St. John's Wort routinely.
Have the client describe any recent changes in mood. –
Correct Answer :Ask the client if he takes St. John's Wort routinely.
St. John's Wort, an herbal preparation, is an alternative therapy for depression and may adversely interact with
medications used to treat HIV infection. The nurse's top priority upon admission is to determine if the client has
been taking this herb concurrently with HIV antiviral drugs, which may explain the rise in the viral load. The other
actions are not indicated.
Which diet selection by a client who is depressed and taking the MAO inhibitor tranylcypromine sulfate (Parnate)
indicates to the nurse that the client understands the dietary restrictions imposed by this medication regimen?
Hamburger, French fries, and chocolate milkshake.
Liver and onions, broccoli, and decaffeinated coffee.
Pepperoni and cheese pizza, tossed salad, and a soft drink.
Roast beef, baked potato with butter, and iced tea. –
Correct Answer :Roast beef, baked potato with butter, and iced tea.
P 3
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Foods with tyramine interact with MAOI antidepressant, such as Parnate, and can cause a hypertensive crisis
that is life-threatening. Roast beef, potatoes, butter, and tea do not contain tyramine. The other selections
contain tyramine and should be avoided by the client who is taking Parnate.
A child is brought to the emergency room with a broken arm. Because of other injuries, the nurse suspects the
child may be a victim of abuse. When the nurse tries to give the child an injection, the child's mother becomes
very loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt my child!" What is the best
behavioral interpretation of the mother's statements?
Regressing to an earlier behavior pattern.
Sublimating anger.
Projecting feelings onto the nurse.
Suppressing fear.
- Correct Answer :Projecting feelings onto the nurse.
Projection is attributing one's own thoughts, impulses, or behaviors onto another--it may be the mother who
might be harming the child and she is attributing her actions to the nurse. The other evaluations are not the
most likely based on the child's history of previous injuries.
An adult client who has been hospitalized for two weeks for chronic paranoia continues to state that someone is
trying to steal the client's clothing. Which action should the nurse to take?
Encourage the client to actively participate in assigned activities on the unit.
Place a lock on the client's closet.
Ignore the client's paranoid ideation to extinguish these behaviors.
Explain to the client that his suspicions are false. - Correct Answer :Encourage the client to actively participate in
assigned activities on the unit.
P 4
Health Nursing 09/09/2026
11th Edition
Test Bank for Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing 1 11th Edition
by Karyn I. Morgan | Complete Chapters |
2026/2027 Latest Update | Complete Chapter
Questions & Answers with Rationales | Verified
Questions & Answers | Graded A+
A client who is known to abuse drugs is admitted to the psychiatric unit. Which medication should the nurse
anticipate administering to a client who is exhibiting benzodiazepine withdrawal symptoms?
P 1
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Perphenazine (Trilafon).
Diphenhydramine (Benadryl).
Chlordiazepoxide (Librium).
Isocarboxazid (Marplan). –
Correct Answer :Chlordiazepoxide (Librium).
Librium, an antianxiety drug as well as other benzodiazepines, is used in titrated doses to reduce the severity of
abrupt benzodiazepine withdrawal. The other medications are not indicated for benzodiazepine withdrawal.
An older male client in the intensive care unit who has been oriented suddenly becomes disoriented and fearful.
Assessment of vital signs and other physical parameters reveal no significant change and the nurse formulates
the client's problem as confusion related to ICU psychosis. Which intervention is most important for the nurse
implement?
Move all machines away from the client's immediate area.
Attempt to allay the client's fears by explaining the etiology of confusion.
Cluster care so brief periods of rest can be scheduled during the day.
Extend visitation times for family and friends. –
Correct Answer :Cluster care so brief periods of rest can be scheduled during the day.
The critical care environment confronts clients with an environment which is stressful and heightened by
treatment modalities that may prove to be lifesaving. These stressors can result in isolation or sensory overload
that leads to confusion. The best intervention is to cluster care to provide the client with uninterrupted rest
periods. The other actions may not be possible.
P 2
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
The nurse is planning care for a 32-year-old male client diagnosed with HIV infection who has a history of chronic
depression. Recently, the client's viral load has begun to increase rather than decrease despite his adherence to
the HIV drug regimen. What should the nurse do first while taking the client's history on admission to the
hospital?
Determine if the client attends a support group weekly.
Hold all antidepressant medications until further notice.
Ask the client if he takes St. John's Wort routinely.
Have the client describe any recent changes in mood. –
Correct Answer :Ask the client if he takes St. John's Wort routinely.
St. John's Wort, an herbal preparation, is an alternative therapy for depression and may adversely interact with
medications used to treat HIV infection. The nurse's top priority upon admission is to determine if the client has
been taking this herb concurrently with HIV antiviral drugs, which may explain the rise in the viral load. The other
actions are not indicated.
Which diet selection by a client who is depressed and taking the MAO inhibitor tranylcypromine sulfate (Parnate)
indicates to the nurse that the client understands the dietary restrictions imposed by this medication regimen?
Hamburger, French fries, and chocolate milkshake.
Liver and onions, broccoli, and decaffeinated coffee.
Pepperoni and cheese pizza, tossed salad, and a soft drink.
Roast beef, baked potato with butter, and iced tea. –
Correct Answer :Roast beef, baked potato with butter, and iced tea.
P 3
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Foods with tyramine interact with MAOI antidepressant, such as Parnate, and can cause a hypertensive crisis
that is life-threatening. Roast beef, potatoes, butter, and tea do not contain tyramine. The other selections
contain tyramine and should be avoided by the client who is taking Parnate.
A child is brought to the emergency room with a broken arm. Because of other injuries, the nurse suspects the
child may be a victim of abuse. When the nurse tries to give the child an injection, the child's mother becomes
very loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt my child!" What is the best
behavioral interpretation of the mother's statements?
Regressing to an earlier behavior pattern.
Sublimating anger.
Projecting feelings onto the nurse.
Suppressing fear.
- Correct Answer :Projecting feelings onto the nurse.
Projection is attributing one's own thoughts, impulses, or behaviors onto another--it may be the mother who
might be harming the child and she is attributing her actions to the nurse. The other evaluations are not the
most likely based on the child's history of previous injuries.
An adult client who has been hospitalized for two weeks for chronic paranoia continues to state that someone is
trying to steal the client's clothing. Which action should the nurse to take?
Encourage the client to actively participate in assigned activities on the unit.
Place a lock on the client's closet.
Ignore the client's paranoid ideation to extinguish these behaviors.
Explain to the client that his suspicions are false. - Correct Answer :Encourage the client to actively participate in
assigned activities on the unit.
P 4
