• Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Test Bank for Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing 2 11th
Edition by Karyn I. Morgan | Complete
Chapters | 2026/2027 Latest Update |
Complete Chapter Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
P 1
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
A male client with the diagnosis of a bipolar disorder, depressed episode, is found lying on the floor in his room in
the psychiatric unit. He states, "I don't deserve a comfortable bed; give it to someone else." What is the best
response response by the nurse?
1. "Everyone has a bed. This one is yours."
2. "You are not allowed to sleep on the floor."
3. "I don't understand why you're on the floor."
4. "You're a valuable person. You don't need to lie on the floor."
- Correct Answer :1. "Everyone has a bed. This one is yours."
A matter-of-fact approach helps avoid a cycle in which the nurse expresses concern to a client who feels
unworthy, which increases feelings of unworthiness. Citing a hospital policy focuses on rules and regulations,
which may exacerbate the client's negative personal feelings because he is breaking the rules. "I don't
understand why you're on the floor" is a statement that the client may not be able to respond to. Telling the
client that he is a valuable person and doesn't need to lie on the floor may increase feelings of unworthiness
because it creates a gap between the nurse's estimate of the client and what the client feels.
A client with a borderline personality disorder receives the wrong meal tray for lunch and angrily states, "The
next time I see the dietitian, I'm going to throw this tray at her!" What is the most appropriate response by the
nurse?
1. Suggesting that the client calm down and explaining that sometimes trays get mixed up
2. Informing the client that the behavior is inappropriate and sending the client out of the dining room
3. Telling the client that it is frustrating not to get the correct tray but that throwing the tray at the dietitian is
unacceptable behavior
4. Informing the client that throwing the tray at the dietitian will make matters worse and may result in his being
placed in seclusion –
P 2
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Correct Answer :3. Telling the client that it is frustrating not to get the correct tray but that throwing the tray at
the dietitian is unacceptable behavior
Validating the client's frustration and correcting the behavior are the most appropriate responses; safety is a
priority. Suggesting that the client calm down and explaining that sometimes trays get mixed up does not
validate the client's feelings. Sending the client out of the room without offering support and direction is not an
appropriate nursing response. Threatening seclusion is an inappropriate nursing intervention.
A client with the diagnosis of bipolar disorder, manic episode, is extremely active, talks constantly, and tends to
badger the other clients, some of whom are becoming agitated. What is the best strategy for a nurse to use with
this client?
1. Humor
2. Sympathy
3. Distraction
4. Confrontation –
Correct Answer :3. Distraction
During periods of hyperactivity the client has a short attention span and can be distracted easily; distraction will
serve as a therapeutic intervention for all of the clients. The nurse should be empathetic, not sympathetic.
Humor and confrontation may each worsen anxiety, increase activity, and aggravate aggressive behavior.
The nurse finds a client with schizophrenia lying under a bench in the hall. The client says, "God told me to lie
here." What is the best response by the nurse?
1. "I didn't hear anyone talking; come with me to your room."
2. "What you heard was in your head; it was your imagination."
3. "Come to the dayroom and watch television; you'll feel better."
P 3
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
4. "God wouldn't tell you to lie there in the hall. God wants you to behave reasonably." –
Correct Answer :1. "I didn't hear anyone talking; come with me to your room."
By saying "I didn't hear anyone talking; come with me to your room," the nurse is focusing on reality and trying
to distract and refocus the client's attention. "What you heard was in your head; it was your imagination" is too
blunt and belittling; this approach rarely is effective. "Come to the dayroom and watch television; you'll feel
better" is false reassurance; the nurse does not know that the client will feel better. "God wouldn't tell you to lie
in the hall; God wants you to behave reasonably" may be interpreted as belittling or an attempt to convince the
client that the behavior is irrational, which is usually ineffective.
An adult client with schizophrenia is involuntarily admitted to the psychiatric unit. While off the unit for needed
testing, the client runs away. Legally, who should the nurse notify immediately?
1. Probate judge
2. Client's family
3. Client's psychiatrist
4. Law enforcement officer –
Correct Answer :4. Law enforcement officer
Legally it is the responsibility of the staff to notify law enforcement officers so the client can be apprehended. A
judge may be involved later in a nonemergency situation. Although the client's family and psychiatrist will be
notified eventually, neither is the priority.
During a routine yearly physical an older adult says to a nurse, "I haven't had sex lately because I can't get an
erection anymore." What should the nurse's initial response be?
1. "Let's discuss this concern a little more."
2. "Be sure to tell your doctor about this problem."
P 4
Health Nursing 09/09/2026
11th Edition
Test Bank for Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing 2 11th
Edition by Karyn I. Morgan | Complete
Chapters | 2026/2027 Latest Update |
Complete Chapter Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
P 1
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
A male client with the diagnosis of a bipolar disorder, depressed episode, is found lying on the floor in his room in
the psychiatric unit. He states, "I don't deserve a comfortable bed; give it to someone else." What is the best
response response by the nurse?
1. "Everyone has a bed. This one is yours."
2. "You are not allowed to sleep on the floor."
3. "I don't understand why you're on the floor."
4. "You're a valuable person. You don't need to lie on the floor."
- Correct Answer :1. "Everyone has a bed. This one is yours."
A matter-of-fact approach helps avoid a cycle in which the nurse expresses concern to a client who feels
unworthy, which increases feelings of unworthiness. Citing a hospital policy focuses on rules and regulations,
which may exacerbate the client's negative personal feelings because he is breaking the rules. "I don't
understand why you're on the floor" is a statement that the client may not be able to respond to. Telling the
client that he is a valuable person and doesn't need to lie on the floor may increase feelings of unworthiness
because it creates a gap between the nurse's estimate of the client and what the client feels.
A client with a borderline personality disorder receives the wrong meal tray for lunch and angrily states, "The
next time I see the dietitian, I'm going to throw this tray at her!" What is the most appropriate response by the
nurse?
1. Suggesting that the client calm down and explaining that sometimes trays get mixed up
2. Informing the client that the behavior is inappropriate and sending the client out of the dining room
3. Telling the client that it is frustrating not to get the correct tray but that throwing the tray at the dietitian is
unacceptable behavior
4. Informing the client that throwing the tray at the dietitian will make matters worse and may result in his being
placed in seclusion –
P 2
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Correct Answer :3. Telling the client that it is frustrating not to get the correct tray but that throwing the tray at
the dietitian is unacceptable behavior
Validating the client's frustration and correcting the behavior are the most appropriate responses; safety is a
priority. Suggesting that the client calm down and explaining that sometimes trays get mixed up does not
validate the client's feelings. Sending the client out of the room without offering support and direction is not an
appropriate nursing response. Threatening seclusion is an inappropriate nursing intervention.
A client with the diagnosis of bipolar disorder, manic episode, is extremely active, talks constantly, and tends to
badger the other clients, some of whom are becoming agitated. What is the best strategy for a nurse to use with
this client?
1. Humor
2. Sympathy
3. Distraction
4. Confrontation –
Correct Answer :3. Distraction
During periods of hyperactivity the client has a short attention span and can be distracted easily; distraction will
serve as a therapeutic intervention for all of the clients. The nurse should be empathetic, not sympathetic.
Humor and confrontation may each worsen anxiety, increase activity, and aggravate aggressive behavior.
The nurse finds a client with schizophrenia lying under a bench in the hall. The client says, "God told me to lie
here." What is the best response by the nurse?
1. "I didn't hear anyone talking; come with me to your room."
2. "What you heard was in your head; it was your imagination."
3. "Come to the dayroom and watch television; you'll feel better."
P 3
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
4. "God wouldn't tell you to lie there in the hall. God wants you to behave reasonably." –
Correct Answer :1. "I didn't hear anyone talking; come with me to your room."
By saying "I didn't hear anyone talking; come with me to your room," the nurse is focusing on reality and trying
to distract and refocus the client's attention. "What you heard was in your head; it was your imagination" is too
blunt and belittling; this approach rarely is effective. "Come to the dayroom and watch television; you'll feel
better" is false reassurance; the nurse does not know that the client will feel better. "God wouldn't tell you to lie
in the hall; God wants you to behave reasonably" may be interpreted as belittling or an attempt to convince the
client that the behavior is irrational, which is usually ineffective.
An adult client with schizophrenia is involuntarily admitted to the psychiatric unit. While off the unit for needed
testing, the client runs away. Legally, who should the nurse notify immediately?
1. Probate judge
2. Client's family
3. Client's psychiatrist
4. Law enforcement officer –
Correct Answer :4. Law enforcement officer
Legally it is the responsibility of the staff to notify law enforcement officers so the client can be apprehended. A
judge may be involved later in a nonemergency situation. Although the client's family and psychiatrist will be
notified eventually, neither is the priority.
During a routine yearly physical an older adult says to a nurse, "I haven't had sex lately because I can't get an
erection anymore." What should the nurse's initial response be?
1. "Let's discuss this concern a little more."
2. "Be sure to tell your doctor about this problem."
P 4
