Test Bank for Davis Advantage for Townsend’s Psychiatric Mental Health Nursing 11th Edition by Karyn I. Morgan | Psychiatric Mental Health Nursing Exam Questions and Answers with Rationales | NGN | 100% Verified Solutions | Graded A+ | Latest 2026/2027 U

Test Bank For Davis Advantage for Townsend’s
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EssentialsofPsychiatricMentalHealthNursing9th
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Edition Karyn Morgan
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TESTBANK ce

,Chapter1: Mental Healthand Mental Illness
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Multiple Choice
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Identify thechoice thatbest completes the statement or answers the question.
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1. Anurse is assessing a client who experiences occasional feelings of sadness becauseof the recent death
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of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed. How would
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the nurse interpret the client’s behaviors?
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1. Theclient’s behaviors demonstrate mental illness in the form of depression. ce ce ce ce ce ce ce ce ce ce




2. Theclient’sbehaviorsareinappropriate,which indicates thepresenceof mental ce ce ce ce ce ce ce ce ce ce




illness. ce




3. Theclient’s behaviors are not congruent with cultural norms. ce ce ce ce ce ce ce ce




4. Theclient’sbehaviors demonstratenofunctionalimpairment,indicatingno mental ce ce ce ce ce ce ce ce ce




illness. ce




2. At which point would the nurse determine that a client is at risk for developing a mental illness?
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1. When thoughts, feelings, and behaviors arenot reflective of the DSM-5 criteria. ce ce ce ce ce ce ce ce ce ce ce




2. Whenmaladaptiveresponses tostress are coupled with interferenceindaily ce ce ce ce ce ce ce ce ce ce




functioning. ce




3. When a client communicates significant distress. ce ce ce ce ce




4. When a client uses defense mechanisms as ego protection. ce ce ce ce ce ce ce ce




3. Aclienthasbeengiven a diagnosis of human immunodeficiencyvirus (HIV). Which statement made
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by the client does thNe UnR
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seIrN
ecGoT
ce gnBi.
zeCaOsMt h e bargaining stage of grief?
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1. “Ihate my partner for giving me this disease I will die from!”
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2. “If Idon’t do intravenous (IV) drugs anymore, God won’t let me die.”
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3. “Iam going to support groups and learn more about the disease.”
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4. “Canyou please re-draw the test results, I think they may bewrong?” ce ce ce ce ce ce ce ce ce ce ce ce




4. Anurse notesthat a client isextremelywithdrawn, delusional, and emotionallyexhausted. The nurse
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assesses the client’s anxiety as which level?
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1. Mild anxiety ce




2. Moderate anxiety ce




3. Severeanxiety ce




4. Panic anxiety ce




5. Apsychiatric nurse internstates,“This client’s useof defensemechanismsshould beeliminated.” Which
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is a correct evaluation of this nurse’s statement?
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1. Defensemechanismscan beappropriateresponses to stress and neednot be ce ce ce ce ce ce ce ce ce ce ce




eliminated. ce




2. Defense mechanismsare amaladaptive attempt of the ego tomanage anxiety and ce ce ce ce ce ce ce ce ce ce ce ce




should always be eliminated. ce ce ce ce

, 6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The client
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angrily responds,“I’m here for my heart, not my head problems.”Which isthenurse’s best response?
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1. “Itisjust aroutine partof ourassessment.All clientsareasked thesesame
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questions.” ce




2. “Why are you concerned about thesetypes of questions?” ce ce ce ce ce ce ce ce




3. “Psychologicalfactors,likeexcessivestress,havebeenfoundtoaffectmedical ce ce ce ce ce ce ce ce ce ce




conditions.” ce




4. “Wecan skipthesequestions, if youlike. It isn’timperativethat we complete this ce ce ce ce ce ce ce ce ce ce ce ce ce ce




section.” ce




A client who is being treated for chronic kidney disease complains to the health-care provider that he
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7. does not like the food available to him while hospitalized. The health-care provider insists that the client
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strictly adhere to the diet plan. What action can be expected is the client uses the defense mechanism of
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displacement? ce




1. Theclient assertively confronts the health-care provider. ce ce ce ce ce ce




2. Theclient insists on being discharged and goes for a long, brisk walk. ce ce ce ce ce ce ce ce ce ce ce ce




3. Theclient snaps at the nurseand criticizes the nursing care provided. ce ce ce ce ce ce ce ce ce ce ce




4. Theclient hideshis anger by explaining the logicalreasoning for the dietto his
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spouse. ce




A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize this
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8. behavior as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation ce




4. Sublimation
9. Which nursing statement regarding the concept of psychosis ismost accurate?
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1. Individualsexperiencing psychoses are aware that their behaviors are maladaptive. ce ce ce ce ce ce ce ce ce




2. Individualsexperiencing psychoses experience little distress. ce ce ce ce ce




3. Individualsexperiencingpsychosesareawareofexperiencingpsychological ce ce ce ce ce ce ce




problems. ce




4. Individualsexperiencing psychoses are based in reality. ce ce ce ce ce ce




c e 10. When under stress, a client routinely uses alcohol to excess. When the client’shusband finds her
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drunk, the husband yells at the client about her chronic alcohol abuse. Which action alerts the nurse
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to the client’s use of the defense mechanism of denial?
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1. Theclient hides liquor bottles in a closet. ce ce ce ce ce ce ce




2. Theclient yells at her son for slouching in his chair. ce ce ce ce ce ce ce ce ce ce




3. The client burns dinner on purpose. ce ce ce ce ce




4. Theclient says to the spouse, “Idon’t drink too much!” ce ce ce ce ce ce ce ce ce ce




c e 11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which
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statement by the wife would indicateto a nurse that the client is in the acceptance stage of grief?
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1. “If only we could havetried again, things might have worked out.”
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2. “Iam so mad that the children and Ihad to put up with him as long as we did.”
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3. “Yes, it was a difficult relationship, but Ithink I have learned from the ce ce ce ce ce ce ce ce ce ce ce ce ce

, experience.”
4. “Ihave a difficult time getting out of bed most days.”
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c e 12. Accordingto Maslow’s hierarchy of needs, which clientactionwould demonstrate the highest
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achievement in terms of mental health?
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1. Maintaining a long-term, faithful, intimate relationship ce ce ce ce ce




2. Achieving a sense of self-confidence ce ce ce ce




3. Possessing a feeling of self-fulfillment and realizing full potential ce ce ce ce ce ce ce ce




4. Developinga sense of purpose and the ability to direct activities ce ce ce ce ce ce ce ce ce ce




c e 13. Accordingto Maslow’s hierarchy ofneeds, which situation on an inpatient psychiatric unit would
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require priority intervention by a nurse?
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1. A client rudely complaining about limited visiting hours
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2. Aclient exhibiting aggressive behavior toward another client
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3. A client stating that no one cares ce ce ce ce ce ce




4. Aclient verbalizing feelings of failure ce ce ce ce ce




MultipleResponse ce




Identify one or more choices that best complete the statement or answer the question.
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c e 14. Which describes a defense mechanism an individual may use to relieve anxiety in a stressful
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situation? (Select all that apply.)
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1. Homework
2. Smoking NURSINGTB.COM
3. Itching
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5. Sleeping
c e 15. Thenurse is reviewing the DSM-5 definitionof a mental health disorder and notes the definition
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includes a disturbance in which areas? (Select all that apply.)
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1. Cognition
2. Physical
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4. Behavior
5. Developmental

Completion
Completeeach statement. ce ce




16. isa diffuse apprehensionthat isvague in nature and isassociated with ce ce ce ce ce ce ce ce ce ce ce ce




ce feelings of uncertainty and helplessness. ce ce ce ce




17. isa subjective stateof emotional,physical, and social responses to the
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ce loss of a valued entity.
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Other