Test Bank For Davis
Advantage for
Townsend’s Essentials
of Psychiatric Mental
Health Nursing 9th
Edition Karyn Morgan
,CHAPTER 1 : Mental HEAlth and mental illnes
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?
a. The client’s behaviors demonstrate mental illness in the form of depression.
b. The client’s behaviors are inappropriate, which indicates the presence of mental illness.
c. The client’s behaviors are not congruent with cultural norms.
d. The client’s behaviors demonstrate no functional impairment, indicating no mental illness.
1. ANS: d
Objective: Discuss cultural elements that influence attitudes toward mental health and mental
illness.
Page: 9 Heading: Grief
Integrated Processes: Nursing Process Client Need: Psychosocial Integrity Cognitive Level:
Analysis [Analyzing] Concept: Grief and Loss
,Difficulty: Moderate
Feedback
a. The client’s behaviors are to be expected in a time of grief.
b. The client’s behaviors are appropriate. It is quite normal for an individual to
function normally but to experience periods of sadness after the loss of a pet.
c. It is expected in most cultures to experience occasional feelings of sadness
following a loss, yet not experience an alteration in normal day-to-day activities
d. The nurse should assess that the client’s daily functioning is not impaired. The client who
experiences feelings of sadness after the loss of a pet is responding
within normal expectations.
PTS: 1 CON: Grief and Loss
2. At which point would the nurse determine that a client is at risk for developing a
mental illness?
a. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
b. When maladaptive responses to stress are coupled with interference in daily functioning.
c. When a client communicates significant distress.
d. When a client uses defense mechanisms as ego protection.
2. ANS: b
Integrated Processes: Nursing Process Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding] Concept: Stress
Difficulty: Easy
Feedback
a. The client with a mental illness would have symptoms that reflect the DSM-
b. The nurse should determine that the client is at risk for mental illness when
, responses to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates
that in order to be diagnosed with a mental illness, daily functioning must be significantly
impaired.
c. The client’s ability to communicate distress would be considered a positive
attribute.
d. The use of defense mechanisms does not indicate that the client is at risk for mental illness.
PTS: 1 CON: Stress
3.A client has been given a diagnosis of human immunodeficiency virus (HIV). Which
statement made by the client does the nurse recognize CaOs the bargaining stage of grief?
a. “I hate my partner for giving me this disease I will die from!”
b. “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.”
c. “I am going to support groups and learn more about the disease.”
d. “Can you please re-draw the test results, I think they may be wrong?”
4.A nurse notes that a client is extremely withdrawn, delusional, and emotionally
exhausted. The nurse assesses the client’s anxiety as which level?
a. Mild anxiety
b. Moderate anxiety
c. Severe anxiety
d. Panic anxiety
5. 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?
a. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
b. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and should
always be eliminated
Advantage for
Townsend’s Essentials
of Psychiatric Mental
Health Nursing 9th
Edition Karyn Morgan
,CHAPTER 1 : Mental HEAlth and mental illnes
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?
a. The client’s behaviors demonstrate mental illness in the form of depression.
b. The client’s behaviors are inappropriate, which indicates the presence of mental illness.
c. The client’s behaviors are not congruent with cultural norms.
d. The client’s behaviors demonstrate no functional impairment, indicating no mental illness.
1. ANS: d
Objective: Discuss cultural elements that influence attitudes toward mental health and mental
illness.
Page: 9 Heading: Grief
Integrated Processes: Nursing Process Client Need: Psychosocial Integrity Cognitive Level:
Analysis [Analyzing] Concept: Grief and Loss
,Difficulty: Moderate
Feedback
a. The client’s behaviors are to be expected in a time of grief.
b. The client’s behaviors are appropriate. It is quite normal for an individual to
function normally but to experience periods of sadness after the loss of a pet.
c. It is expected in most cultures to experience occasional feelings of sadness
following a loss, yet not experience an alteration in normal day-to-day activities
d. The nurse should assess that the client’s daily functioning is not impaired. The client who
experiences feelings of sadness after the loss of a pet is responding
within normal expectations.
PTS: 1 CON: Grief and Loss
2. At which point would the nurse determine that a client is at risk for developing a
mental illness?
a. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
b. When maladaptive responses to stress are coupled with interference in daily functioning.
c. When a client communicates significant distress.
d. When a client uses defense mechanisms as ego protection.
2. ANS: b
Integrated Processes: Nursing Process Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding] Concept: Stress
Difficulty: Easy
Feedback
a. The client with a mental illness would have symptoms that reflect the DSM-
b. The nurse should determine that the client is at risk for mental illness when
, responses to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates
that in order to be diagnosed with a mental illness, daily functioning must be significantly
impaired.
c. The client’s ability to communicate distress would be considered a positive
attribute.
d. The use of defense mechanisms does not indicate that the client is at risk for mental illness.
PTS: 1 CON: Stress
3.A client has been given a diagnosis of human immunodeficiency virus (HIV). Which
statement made by the client does the nurse recognize CaOs the bargaining stage of grief?
a. “I hate my partner for giving me this disease I will die from!”
b. “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.”
c. “I am going to support groups and learn more about the disease.”
d. “Can you please re-draw the test results, I think they may be wrong?”
4.A nurse notes that a client is extremely withdrawn, delusional, and emotionally
exhausted. The nurse assesses the client’s anxiety as which level?
a. Mild anxiety
b. Moderate anxiety
c. Severe anxiety
d. Panic anxiety
5. 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?
a. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
b. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and should
always be eliminated
