,
, Chapter-1:-Mental-Health-and-Mental-Illness
Multiple-Choice
------Answers-included.
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?
1. The-client‘s-behaviors-demonstrate-mental-illness-in-the-form-of-depression.
2. The-client‘s-behaviors-are-inappropriate,-which-indicates-the-presence-of-mental-
illness.
3. The-client‘s-behaviors-are-not-congruent-with-cultural-norms.
4. The-client‘s-behaviors-demonstrate-no-functional-impairment,-indicating-no-mental-
illness.
2. At-which-point-would-the-nurse-determine-that-a-client-is-at-risk-for-developing-a-mental-illness?
1. When-thoughts,-feelings,-and-behaviors-are-not-reflective-of-the-DSM-5-criteria.
2. When-maladaptive-responses-to-stress-are-coupled-with-interference-in-daily-
functioning.
3. When-a-client-communicates-significant-distress.
4. When-a-client-uses-defense-mechanisms-as-ego-protection.
3. A-client-has-been-given-a-diagnosis-of-human-immunodeficiency-virus-(HIV).-Which-statement-
made-by-the-client-does-thNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
s-Mt h e -bargaining-stage-of-grief?
1. ―I-hate-my-partner-for-giving-me-this-disease-I-will-die-from!‖
2. ―If-I-don‘t-do-intravenous-(IV)-drugs-anymore,-God-won‘t-let-me-die.‖
3. ―I-am-going-to-support-groups-and-learn-more-about-the-disease.‖
4. ―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 A-nurse-notes-that-a-client-is-extremely-withdrawn,-delusional,-and-emotionally-exhausted.-The-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?
1. Mild-anxiety
2. Moderate-anxiety
3. Severe-anxiety
4. 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?
1. Defense-mechanisms-can-be-appropriate-responses-to-stress-and-need-not-be-
eliminated.
2. Defense-mechanisms-are-a-maladaptive-attempt-of-the-ego-to-manage-anxiety-and-
should-always-be-eliminated.
, 6. During-an-intake-assessment,-a-nurse-asks-both-physiological-and-psychosocial-questions.-The-
client-angrily-responds,-―I‘m-here-for-my-heart,-not-my-head-problems.‖-Which-is-the-nurse‘s-best-
response?
1. ―It-is-just-a-routine-part-of-our-assessment.-All-clients-are-asked-these-same-
questions.‖
2. ―Why-are-you-concerned-about-these-types-of-questions?‖
3. ―Psychological-factors,-like-excessive-stress,-have-been-found-to-affect-medical-
conditions.‖
4. ―We-can-skip-these-questions,-if-you-like.-It-isn‘t-imperative-that-we-complete-this-
section.‖
7. A-client-who-is-being-treated-for-chronic-kidney-disease-complains-to-the-health-care-provider-that-
he-does-not-like-the-food-available-to-him-while-hospitalized.-The-health-care-provider-insists-that-
the-client-strictly-adhere-to-the-diet-plan.-What-action-can-be-expected-is-the-client-uses-the-defense-
mechanism-of-displacement?
1. The-client-assertively-confronts-the-health-care-provider.
2. The-client-insists-on-being-discharged-and-goes-for-a-long,-brisk-walk.
3. The-client-snaps-at-the-nurse-and-criticizes-the-nursing-care-provided.
4. The-client-hides-his-anger-by-explaining-the-logical-reasoning-for-the-diet-to-his-
spouse.
8. A-fourth-grade-boy-teases-and-makes-jokes-about-a-cute-girl-in-his-class.-A-nurse-would-recognize-
this-behavior-as-indicative-of-which-defense-mechanism?
1. Displacement
2. Projection
3. Reaction-formation
4. Sublimation
9.- - Which-nursing-statement-regarding-the-concept-of-psychosis-is-most-accurate?
1. Individuals-experiencing-psychoses-are-aware-that-their-behaviors-are-maladaptive.
2. Individuals-experiencing-psychoses-experience-little-distress.
3. Individuals-experiencing-psychoses-are-aware-of-experiencing-psychological-
problems.
4. Individuals-experiencing-psychoses-are-based-in-reality.
- 10.- When-under-stress,-a-client-routinely-uses-alcohol-to-excess.-When-the-client‘s-husband-finds-her-
drunk,-the-husband-yells-at-the-client-about-her-chronic-alcohol-abuse.-Which-action-alerts-the-
nurse-to-the-client‘s-use-of-the-defense-mechanism-of-denial?
1. The-client-hides-liquor-bottles-in-a-closet.
2. The-client-yells-at-her-son-for-slouching-in-his-chair.
3. The-client-burns-dinner-on-purpose.
4. The-client-says-to-the-spouse,-―I-don‘t-drink-too-much!‖
- 11.-Devastated-by-a-divorce-from-an-abusive-husband,-a-wife-completes-grief-counseling.-Which-
statement-by-the-wife-would-indicate-to-a-nurse-that-the-client-is-in-the-acceptance-stage-of-grief?
1. ―If-only-we-could-have-tried-again,-things-might-have-worked-out.‖
2. ―I-am-so-mad-that-the-children-and-I-had-to-put-up-with-him-as-long-as-we-did.‖
3. ―Yes,-it-was-a-difficult-relationship,-but-I-think-I-have-learned-from-the
, Chapter-1:-Mental-Health-and-Mental-Illness
Multiple-Choice
------Answers-included.
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?
1. The-client‘s-behaviors-demonstrate-mental-illness-in-the-form-of-depression.
2. The-client‘s-behaviors-are-inappropriate,-which-indicates-the-presence-of-mental-
illness.
3. The-client‘s-behaviors-are-not-congruent-with-cultural-norms.
4. The-client‘s-behaviors-demonstrate-no-functional-impairment,-indicating-no-mental-
illness.
2. At-which-point-would-the-nurse-determine-that-a-client-is-at-risk-for-developing-a-mental-illness?
1. When-thoughts,-feelings,-and-behaviors-are-not-reflective-of-the-DSM-5-criteria.
2. When-maladaptive-responses-to-stress-are-coupled-with-interference-in-daily-
functioning.
3. When-a-client-communicates-significant-distress.
4. When-a-client-uses-defense-mechanisms-as-ego-protection.
3. A-client-has-been-given-a-diagnosis-of-human-immunodeficiency-virus-(HIV).-Which-statement-
made-by-the-client-does-thNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
s-Mt h e -bargaining-stage-of-grief?
1. ―I-hate-my-partner-for-giving-me-this-disease-I-will-die-from!‖
2. ―If-I-don‘t-do-intravenous-(IV)-drugs-anymore,-God-won‘t-let-me-die.‖
3. ―I-am-going-to-support-groups-and-learn-more-about-the-disease.‖
4. ―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?
1. Mild-anxiety
2. Moderate-anxiety
3. Severe-anxiety
4. 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?
1. Defense-mechanisms-can-be-appropriate-responses-to-stress-and-need-not-be-
eliminated.
2. Defense-mechanisms-are-a-maladaptive-attempt-of-the-ego-to-manage-anxiety-and-
should-always-be-eliminated.
, 6. During-an-intake-assessment,-a-nurse-asks-both-physiological-and-psychosocial-questions.-The-
client-angrily-responds,-―I‘m-here-for-my-heart,-not-my-head-problems.‖-Which-is-the-nurse‘s-best-
response?
1. ―It-is-just-a-routine-part-of-our-assessment.-All-clients-are-asked-these-same-
questions.‖
2. ―Why-are-you-concerned-about-these-types-of-questions?‖
3. ―Psychological-factors,-like-excessive-stress,-have-been-found-to-affect-medical-
conditions.‖
4. ―We-can-skip-these-questions,-if-you-like.-It-isn‘t-imperative-that-we-complete-this-
section.‖
7. A-client-who-is-being-treated-for-chronic-kidney-disease-complains-to-the-health-care-provider-that-
he-does-not-like-the-food-available-to-him-while-hospitalized.-The-health-care-provider-insists-that-
the-client-strictly-adhere-to-the-diet-plan.-What-action-can-be-expected-is-the-client-uses-the-defense-
mechanism-of-displacement?
1. The-client-assertively-confronts-the-health-care-provider.
2. The-client-insists-on-being-discharged-and-goes-for-a-long,-brisk-walk.
3. The-client-snaps-at-the-nurse-and-criticizes-the-nursing-care-provided.
4. The-client-hides-his-anger-by-explaining-the-logical-reasoning-for-the-diet-to-his-
spouse.
8. A-fourth-grade-boy-teases-and-makes-jokes-about-a-cute-girl-in-his-class.-A-nurse-would-recognize-
this-behavior-as-indicative-of-which-defense-mechanism?
1. Displacement
2. Projection
3. Reaction-formation
4. Sublimation
9.- - Which-nursing-statement-regarding-the-concept-of-psychosis-is-most-accurate?
1. Individuals-experiencing-psychoses-are-aware-that-their-behaviors-are-maladaptive.
2. Individuals-experiencing-psychoses-experience-little-distress.
3. Individuals-experiencing-psychoses-are-aware-of-experiencing-psychological-
problems.
4. Individuals-experiencing-psychoses-are-based-in-reality.
- 10.- When-under-stress,-a-client-routinely-uses-alcohol-to-excess.-When-the-client‘s-husband-finds-her-
drunk,-the-husband-yells-at-the-client-about-her-chronic-alcohol-abuse.-Which-action-alerts-the-
nurse-to-the-client‘s-use-of-the-defense-mechanism-of-denial?
1. The-client-hides-liquor-bottles-in-a-closet.
2. The-client-yells-at-her-son-for-slouching-in-his-chair.
3. The-client-burns-dinner-on-purpose.
4. The-client-says-to-the-spouse,-―I-don‘t-drink-too-much!‖
- 11.-Devastated-by-a-divorce-from-an-abusive-husband,-a-wife-completes-grief-counseling.-Which-
statement-by-the-wife-would-indicate-to-a-nurse-that-the-client-is-in-the-acceptance-stage-of-grief?
1. ―If-only-we-could-have-tried-again,-things-might-have-worked-out.‖
2. ―I-am-so-mad-that-the-children-and-I-had-to-put-up-with-him-as-long-as-we-did.‖
3. ―Yes,-it-was-a-difficult-relationship,-but-I-think-I-have-learned-from-the
