Test Bank For Davis Advantage for Townsends Essentials of
Psychiatric Mental Health Nursing 9th Edition Karyn Morgan
Chapters 1-32 , 9781719645768 , All Chapters with Answers
and Rationals
The worried mother of an adolescent girl with psychiatric illness says, "She injures her little brother
and brings him to me, as if she is very concerned about him." Which psychiatric illness could be
suspected in this client?
1. Factitious disorder
2. Illness anxiety disorder
3. Somatic symptom disorder
4. Functional neurological symptom disorder - ANSWER: answer: 1
Factitious disorder is a psychiatric complication in which the client may inflict injuries on self or others
to gain the attention of family members or peers.
Which statement would the nurse include in teaching about the psychodynamic theory of conversion
disorder?
1. "The emotions associated with traumatic events are transformed into physical symptoms."
2. "The physical symptoms occur as a result of a defense mechanism against guilt."
3. "The fear of recurring illness results in an exaggerated response to minor physical changes."
4. "The clients pretend to be ill in order to gain the attention of family members." - ANSWER: answer:
1
According to the psychodynamic theory of conversion disorder, the emotions associated with
traumatic events are converted to physical symptoms in clients with conversion disorder.
The registered nurse is teaching a group of nurses about psychological trauma. Which statement
would the registered nurse include in the lesson?
1. "Dissociative amnesia may be related to neurological amnesia."
2. "Traumatic experiences overcome the capacity to cope by any means other than dissociation."
3. "Repressing distressed mental contents from conscious awareness may lead to dissociative
behaviors."
4. "Genetic factors of pathological and nonpathological dissociative capacity may be associated with
dissociative identity disorder." - ANSWER: answer: 2
Psychological trauma explains that traumatic experiences overcome the capacity to cope by any
means other than dissociation.
The wife of a client complains that her husband has been found wandering far from home and is
sometimes unable to recall information about himself. Which would the nurse suspect as a diagnosis
for this client?
1. dissociative fugue
2. conversion disorder
3. somatic symptom disorder
4. dissociative identity disorder - ANSWER: answer: 1
Dissociative fugue is characterized by sudden unexpected travel from customary places, and the
individual may not be able to recall his identity. Therefore, the nurse would suspect dissociative fugue
in the client.
A psychiatric client looks at cotton swabs on the nursing table and says, "These cotton swabs are as
big as clouds." Which condition might be present in this client?
1. Factitious disorder
2. Derealization disorder
3. Illness anxiety disorder
4. Functional neurological symptom disorder - ANSWER: answer: 2
,Conversion disorder is characterized by the loss of or change in body function, which cannot be
explained by any known medical disorder.
Which behavior would the nurse most likely see in a client who is diagnosed with ineffective coping?
1. denying emotional problems
2. an unhygienic condition
3. verbalizing frustration due to lack of control
4. feigning of physical symptoms to gain attention - ANSWER: answer: 4
The nurse is caring for a client who is scheduled for hypnosis therapy. Which drug would facilitate this
therapy?
1. sertraline
2. venlafaxine
3. desipramine
4. sodium amobarbital - ANSWER: answer: 4
Sodium amobarbital is a barbiturate derivative mainly used to induce sleep during hypnosis.
Therefore, this drug would facilitate hypnosis therapy.
Which nursing intervention will the nurse provide to reduce the anxiety and maladaptive behavior of
a client with somatic symptom disorder?
1. Initially fulfilling the client's most urgent dependency needs
2. Helping the client identify ways to achieve recognition from others
3. Providing pain medication to the client as prescribed
4. Accepting that the physical complaint is real, even though it is inaccurate - ANSWER: answer: 1
Initially fulfilling the client's most urgent dependency needs would provide a feeling of comfort to the
client. This would reduce the client's anxiety and maladaptive behavior. The nurse will gradually
withdraw attention to physical symptoms.
Which of these does the psychodynamic theory of conversion disorder propose?
1. Increased incidence is seen in first-degree relatives.
2. Increased incoming sensory stimuli produce a deficiency of endorphins.
3. Aberrant behaviors associated with the disorder may be due to impairment in information
processing.
4. Emotions related to a traumatic event that are not expressed due to moral unacceptability are
converted into physical symptoms. - ANSWER: answer: 4
Psychodynamic theory proposes that emotions related to a traumatic event that are not expressed
due to moral unacceptability are converted into physical symptoms.
The client's mother says, "My daughter is possessed by spirits which make her act differently." Which
condition may the nurse suspect in this client?
1. factitious disorder
2. conversion disorder
3. dissociative amnesia
4. dissociative identity disorder - ANSWER: answer: 4
Dissociative identity disorder in some cultures is described as an experience of possession. It is
characterized by the presence of two or more personalities. As the client is said to behave differently,
the nurse may suspect the client to be suffering from dissociative identity disorder.
A client is diagnosed with depersonalization-derealization disorder. Which outcome would the nurse
expect while planning care for this client?
1. The client can recall all events of his life.
2. The client verbalizes understanding regarding the existence of multiple personalities.
3. The client can demonstrate more adaptive coping strategies to avert dissociative behaviors.
4. The client effectively uses adaptive coping strategies during stressful situations without resorting to
physical symptoms. - ANSWER: answer: 3
, Depersonalization-derealization disorder is characterized by dissociative symptoms. The client
demonstrating adaptive coping strategies to avert dissociative symptoms is the possible outcome for
depersonalization-derealization disorder.
After a traumatic event, a client reports paralysis in his left arm. The laboratory reports of the client
indicate that there is no underlying organic pathology. Which disorder might the nurse suspect in this
client?
1. Factitious disorder
2. Conversion disorder
3. Illness anxiety disorder
4. Somatic symptom disorder - ANSWER: answer: 2
Conversion disorder includes physical disability with no underlying organic pathology. Thus, the client
may have conversion disorder.
Which is a probable cause for dissociative identity disorder (DID) in a client?
1. Alcohol abuse
2. History of abuse as a child
3. Drug abuse and overmedication
4. Detachment with respect to surroundings - ANSWER: answer: 2
In DID, the client may have a history of childhood abuse.
A client is diagnosed with disturbed personal identity in which one of the personalities is suicidal.
Which nursing intervention would protect the client from self-harm?
1. Seeking assistance from a strong-willed personality
2. Helping the client understand the existence of subpersonalities
3. Helping the client identify stressful situations
4. Helping the subpersonalities understand that their existence will not be destroyed - ANSWER:
answer: 1
In disturbed personal identity, if one personality is suicidal it may be possible to seek assistance from
another subpersonality that is strong-willed to control the behavior of the suicidal personality.
Which is the goal of behavior therapy?
1. Establishing self-sufficiency and independence in the client
2. Providing social support and interaction to the client
3. Achieving practical solutions for the client's difficulties
4. Challenging feelings of unreality in the client - ANSWER: answer: 1
Behavioral therapy helps in establishing self-sufficiency and independence in the client in instances
when secondary gain is prominent.
A client is diagnosed with illness anxiety disorder. Which nursing action would help yield information
about maladaptive behavior present in the client?
1. Allowing the client to discuss physical concerns
2. Monitoring laboratory reports of the client
3. Assessing the function that the client's excessive concern is fulfilling for him
4. Determining the extent to which physical complaints correlate with times of increased anxiety -
ANSWER: answer: 3
Clients with illness anxiety disorder have unrealistic interpretations of bodily sensations, and they
depend on maladaptive behaviors to fulfill their needs. Assessing the function that the clients'
excessive concern is fulfilling may provide information about clients' maladaptive behaviors.
Which statement made by the client's family may suggest the presence of dissociative amnesia with
dissociative fugue in the client?
1. "My son assumed a new identity after the accident."
2. "My son is intentionally harming himself."
3. "My son is disoriented and detached from the environment."
4. "My son developed negative feelings about his capabilities." - ANSWER: answer: 1
Psychiatric Mental Health Nursing 9th Edition Karyn Morgan
Chapters 1-32 , 9781719645768 , All Chapters with Answers
and Rationals
The worried mother of an adolescent girl with psychiatric illness says, "She injures her little brother
and brings him to me, as if she is very concerned about him." Which psychiatric illness could be
suspected in this client?
1. Factitious disorder
2. Illness anxiety disorder
3. Somatic symptom disorder
4. Functional neurological symptom disorder - ANSWER: answer: 1
Factitious disorder is a psychiatric complication in which the client may inflict injuries on self or others
to gain the attention of family members or peers.
Which statement would the nurse include in teaching about the psychodynamic theory of conversion
disorder?
1. "The emotions associated with traumatic events are transformed into physical symptoms."
2. "The physical symptoms occur as a result of a defense mechanism against guilt."
3. "The fear of recurring illness results in an exaggerated response to minor physical changes."
4. "The clients pretend to be ill in order to gain the attention of family members." - ANSWER: answer:
1
According to the psychodynamic theory of conversion disorder, the emotions associated with
traumatic events are converted to physical symptoms in clients with conversion disorder.
The registered nurse is teaching a group of nurses about psychological trauma. Which statement
would the registered nurse include in the lesson?
1. "Dissociative amnesia may be related to neurological amnesia."
2. "Traumatic experiences overcome the capacity to cope by any means other than dissociation."
3. "Repressing distressed mental contents from conscious awareness may lead to dissociative
behaviors."
4. "Genetic factors of pathological and nonpathological dissociative capacity may be associated with
dissociative identity disorder." - ANSWER: answer: 2
Psychological trauma explains that traumatic experiences overcome the capacity to cope by any
means other than dissociation.
The wife of a client complains that her husband has been found wandering far from home and is
sometimes unable to recall information about himself. Which would the nurse suspect as a diagnosis
for this client?
1. dissociative fugue
2. conversion disorder
3. somatic symptom disorder
4. dissociative identity disorder - ANSWER: answer: 1
Dissociative fugue is characterized by sudden unexpected travel from customary places, and the
individual may not be able to recall his identity. Therefore, the nurse would suspect dissociative fugue
in the client.
A psychiatric client looks at cotton swabs on the nursing table and says, "These cotton swabs are as
big as clouds." Which condition might be present in this client?
1. Factitious disorder
2. Derealization disorder
3. Illness anxiety disorder
4. Functional neurological symptom disorder - ANSWER: answer: 2
,Conversion disorder is characterized by the loss of or change in body function, which cannot be
explained by any known medical disorder.
Which behavior would the nurse most likely see in a client who is diagnosed with ineffective coping?
1. denying emotional problems
2. an unhygienic condition
3. verbalizing frustration due to lack of control
4. feigning of physical symptoms to gain attention - ANSWER: answer: 4
The nurse is caring for a client who is scheduled for hypnosis therapy. Which drug would facilitate this
therapy?
1. sertraline
2. venlafaxine
3. desipramine
4. sodium amobarbital - ANSWER: answer: 4
Sodium amobarbital is a barbiturate derivative mainly used to induce sleep during hypnosis.
Therefore, this drug would facilitate hypnosis therapy.
Which nursing intervention will the nurse provide to reduce the anxiety and maladaptive behavior of
a client with somatic symptom disorder?
1. Initially fulfilling the client's most urgent dependency needs
2. Helping the client identify ways to achieve recognition from others
3. Providing pain medication to the client as prescribed
4. Accepting that the physical complaint is real, even though it is inaccurate - ANSWER: answer: 1
Initially fulfilling the client's most urgent dependency needs would provide a feeling of comfort to the
client. This would reduce the client's anxiety and maladaptive behavior. The nurse will gradually
withdraw attention to physical symptoms.
Which of these does the psychodynamic theory of conversion disorder propose?
1. Increased incidence is seen in first-degree relatives.
2. Increased incoming sensory stimuli produce a deficiency of endorphins.
3. Aberrant behaviors associated with the disorder may be due to impairment in information
processing.
4. Emotions related to a traumatic event that are not expressed due to moral unacceptability are
converted into physical symptoms. - ANSWER: answer: 4
Psychodynamic theory proposes that emotions related to a traumatic event that are not expressed
due to moral unacceptability are converted into physical symptoms.
The client's mother says, "My daughter is possessed by spirits which make her act differently." Which
condition may the nurse suspect in this client?
1. factitious disorder
2. conversion disorder
3. dissociative amnesia
4. dissociative identity disorder - ANSWER: answer: 4
Dissociative identity disorder in some cultures is described as an experience of possession. It is
characterized by the presence of two or more personalities. As the client is said to behave differently,
the nurse may suspect the client to be suffering from dissociative identity disorder.
A client is diagnosed with depersonalization-derealization disorder. Which outcome would the nurse
expect while planning care for this client?
1. The client can recall all events of his life.
2. The client verbalizes understanding regarding the existence of multiple personalities.
3. The client can demonstrate more adaptive coping strategies to avert dissociative behaviors.
4. The client effectively uses adaptive coping strategies during stressful situations without resorting to
physical symptoms. - ANSWER: answer: 3
, Depersonalization-derealization disorder is characterized by dissociative symptoms. The client
demonstrating adaptive coping strategies to avert dissociative symptoms is the possible outcome for
depersonalization-derealization disorder.
After a traumatic event, a client reports paralysis in his left arm. The laboratory reports of the client
indicate that there is no underlying organic pathology. Which disorder might the nurse suspect in this
client?
1. Factitious disorder
2. Conversion disorder
3. Illness anxiety disorder
4. Somatic symptom disorder - ANSWER: answer: 2
Conversion disorder includes physical disability with no underlying organic pathology. Thus, the client
may have conversion disorder.
Which is a probable cause for dissociative identity disorder (DID) in a client?
1. Alcohol abuse
2. History of abuse as a child
3. Drug abuse and overmedication
4. Detachment with respect to surroundings - ANSWER: answer: 2
In DID, the client may have a history of childhood abuse.
A client is diagnosed with disturbed personal identity in which one of the personalities is suicidal.
Which nursing intervention would protect the client from self-harm?
1. Seeking assistance from a strong-willed personality
2. Helping the client understand the existence of subpersonalities
3. Helping the client identify stressful situations
4. Helping the subpersonalities understand that their existence will not be destroyed - ANSWER:
answer: 1
In disturbed personal identity, if one personality is suicidal it may be possible to seek assistance from
another subpersonality that is strong-willed to control the behavior of the suicidal personality.
Which is the goal of behavior therapy?
1. Establishing self-sufficiency and independence in the client
2. Providing social support and interaction to the client
3. Achieving practical solutions for the client's difficulties
4. Challenging feelings of unreality in the client - ANSWER: answer: 1
Behavioral therapy helps in establishing self-sufficiency and independence in the client in instances
when secondary gain is prominent.
A client is diagnosed with illness anxiety disorder. Which nursing action would help yield information
about maladaptive behavior present in the client?
1. Allowing the client to discuss physical concerns
2. Monitoring laboratory reports of the client
3. Assessing the function that the client's excessive concern is fulfilling for him
4. Determining the extent to which physical complaints correlate with times of increased anxiety -
ANSWER: answer: 3
Clients with illness anxiety disorder have unrealistic interpretations of bodily sensations, and they
depend on maladaptive behaviors to fulfill their needs. Assessing the function that the clients'
excessive concern is fulfilling may provide information about clients' maladaptive behaviors.
Which statement made by the client's family may suggest the presence of dissociative amnesia with
dissociative fugue in the client?
1. "My son assumed a new identity after the accident."
2. "My son is intentionally harming himself."
3. "My son is disoriented and detached from the environment."
4. "My son developed negative feelings about his capabilities." - ANSWER: answer: 1
