Chapter 1: Mental Health and Mental Illness
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A pnurse pis passessing pa pclient pwho pexperiences poccasional pfeelings pof psadness pbecause pof
pthe precent pdeath pof pa pbeloved ppet. pThe pclient’s pappetite, psleep ppatterns, pand pdaily proutine
phave pnot pchanged. pHow pwould pthe pnurse pinterpret pthe pclient’s pbehaviors?
1. The pclient’s pbehaviors pdemonstrate pmental pillness pin pthe pform pof pdepression.
2. The pclient’s pbehaviors pare pinappropriate, pwhich pindicates pthe ppresence pof
pmental pillness.
3. The pclient’s pbehaviors pare pnot pcongruent pwith pcultural pnorms.
4. The pclient’s pbehaviors pdemonstrate pno pfunctional pimpairment, pindicating pno
pmental pillness.
2. At pwhich ppoint pwould pthe pnurse pdetermine pthat pa pclient pis pat prisk pfor pdeveloping pa pmental
pillness?
1. When pthoughts, pfeelings, pand pbehaviors pare pnot preflective pof pthe pDSM-5 pcriteria.
2. When pmaladaptive presponses pto pstress pare pcoupled pwith pinterference pin
pdaily pfunctioning.
3. When pa pclient pcommunicates psignificant pdistress.
4. When pa pclient puses pdefense pmechanisms pas pego pprotection.
3. A pclient phas pbeen pgiven pa pdiagnosis pof phuman pimmunodeficiency pvirus p(HIV). pWhich
pstatement pmade pby pthe pclient pdoes pthNeU nR
urS
seIrN
ecGoT
gnBi.
zeCaO
s pMt h e pbargaining pstage pof pgrief?
1. “I phate pmy ppartner pfor pgiving pme pthis pdisease pI pwill pdie pfrom!”
2. “If pI pdon’t pdo pintravenous p(IV) pdrugs panymore, pGod pwon’t plet pme pdie.”
3. “I pam pgoing pto psupport pgroups pand plearn pmore pabout pthe pdisease.”
4. “Can pyou pplease pre-draw pthe ptest presults, pI pthink pthey pmay pbe pwrong?”
4. A pnurse pnotes pthat pa pclient pis pextremely pwithdrawn, pdelusional, pand pemotionally
pexhausted. pThe pnurse passesses pthe pclient’s panxiety pas pwhich plevel?
1. Mild panxiety
2. Moderate panxiety
3. Severe panxiety
4. Panic panxiety
5. A ppsychiatric pnurse pintern pstates, p“This pclient’s puse pof pdefense pmechanisms pshould pbe
peliminated.” pWhich pis pa pcorrect pevaluation pof pthis pnurse’s pstatement?
1. Defense pmechanisms pcan pbe pappropriate presponses pto pstress pand pneed
pnot pbe peliminated.
2. Defense pmechanisms pare pa pmaladaptive pattempt pof pthe pego pto pmanage
panxiety pand pshould palways pbe peliminated.
3. Defense pmechanisms, pused pby pindividuals pwith pweak pego pintegrity,
pshould pbe pdiscouraged pand pnot pcompletely peliminated.
4. Defense pmechanisms pcause pdisintegration pof pthe pego pand pshould pbe
pfostered pand pencouraged.
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6. During pan pintake passessment, pa pnurse pasks pboth pphysiological pand ppsychosocial pquestions. pThe
client pangrily presponds, p“I’m phere pfor pmy pheart, pnot pmy phead pproblems.” pWhich pis pthe pnurse’s
pbest presponse?
1. “It pis pjust pa proutine ppart pof pour passessment. pAll pclients pare pasked
pthese psame pquestions.”
2. “Why pare pyou pconcerned pabout pthese ptypes pof pquestions?”
3. “Psychological pfactors, plike pexcessive pstress, phave pbeen pfound pto paffect
pmedical pconditions.”
4. “We pcan pskip pthese pquestions, pif pyou plike. pIt pisn’t pimperative pthat pwe
pcomplete pthis psection.”
7. A pclient pwho pis pbeing ptreated pfor pchronic pkidney pdisease pcomplains pto pthe phealth-care
pprovider pthat phe pdoes pnot plike pthe pfood pavailable pto phim pwhile phospitalized. pThe phealth-
care pprovider pinsists pthat pthe pclient pstrictly padhere pto pthe pdiet pplan. pWhat paction pcan pbe
pexpected pis pthe pclient puses pthe pdefense pmechanism pof pdisplacement?
1. The pclient passertively pconfronts pthe phealth-care pprovider.
2. The pclient pinsists pon pbeing pdischarged pand pgoes pfor pa plong, pbrisk pwalk.
3. The pclient psnaps pat pthe pnurse pand pcriticizes pthe pnursing pcare pprovided.
4. The pclient phides phis panger pby pexplaining pthe plogical preasoning pfor pthe
pdiet pto phis pspouse.
8. A pfourth-grade pboy pteases pand pmakes pjokes pabout pa pcute pgirl pin phis pclass. pA pnurse pwould
precognize pthis pbehavior pas pindicative pof pwhich pdefense pmechanism?
1. Displacement
2. Projection NURSINGTB.COM
3. Reaction
pformation
4. Sublimation
9. Which pnursing pstatement pregarding pthe pconcept pof ppsychosis pis pmost paccurate?
1. Individuals pexperiencing ppsychoses pare paware pthat ptheir pbehaviors pare pmaladaptive.
2. Individuals pexperiencing ppsychoses pexperience plittle pdistress.
3. Individuals pexperiencing ppsychoses pare paware pof pexperiencing
ppsychological pproblems.
4. Individuals pexperiencing ppsychoses pare pbased pin preality.
10. When punder pstress, pa pclient proutinely puses palcohol pto pexcess. pWhen pthe pclient’s phusband
pfinds pher pdrunk, pthe phusband pyells pat pthe pclient pabout pher pchronic palcohol pabuse. pWhich
paction palerts pthe
nurse pto pthe pclient’s puse pof pthe pdefense pmechanism pof pdenial?
1. The pclient phides pliquor pbottles pin pa pcloset.
2. The pclient pyells pat pher pson pfor pslouching pin phis pchair.
3. The pclient pburns pdinner pon ppurpose.
4. The pclient psays pto pthe pspouse, p“I pdon’t pdrink ptoo pmuch!”
11. Devastated pby pa pdivorce pfrom pan pabusive phusband, pa pwife pcompletes pgrief pcounseling.
pWhich pstatement pby pthe pwife pwould pindicate pto pa pnurse pthat pthe pclient pis pin pthe
pacceptance pstage pof pgrief?
1. “If ponly pwe pcould phave ptried pagain, pthings pmight phave pworked pout.”
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, ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
2. “I pam pso pmad pthat pthe pchildren pand pI phad pto pput pup pwith phim pas plong pas pwe pdid.”
3. “Yes, pit pwas pa pdifficult prelationship, pbut pI pthink pI phave plearned pfrom pthe
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, ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
experience.”
4. “I phave pa pdifficult ptime pgetting pout pof pbed pmost pdays.”
12. pAccording pto pMaslow’s phierarchy pof pneeds, pwhich pclient paction pwould pdemonstrate pthe
phighest pachievement pin pterms pof pmental phealth?
1. Maintaining pa plong-term, pfaithful, pintimate prelationship
2. Achieving pa psense pof pself-confidence
3. Possessing pa pfeeling pof pself-fulfillment pand prealizing pfull ppotential
4. Developing pa psense pof ppurpose pand pthe pability pto pdirect pactivities
13. pAccording pto pMaslow’s phierarchy pof pneeds, pwhich psituation pon pan pinpatient ppsychiatric
punit pwould prequire ppriority pintervention pby pa pnurse?
1. A pclient prudely pcomplaining pabout plimited pvisiting phours
2. A pclient pexhibiting paggressive pbehavior ptoward panother pclient
3. A pclient pstating pthat pno pone pcares
4. A pclient pverbalizing pfeelings pof pfailure
Multiple pResponse
Identify pone por pmore pchoices pthat pbest pcomplete pthe pstatement por panswer pthe pquestion.
14. p Which pdescribes pa pdefense pmechanism pan pindividual pmay puse pto prelieve panxiety pin pa
pstressful psituation? p(Select pall pthat papply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail
pbiting
5. Sleeping
15. p The pnurse pis previewing pthe pDSM-5 pdefinition pof pa pmental phealth pdisorder pand pnotes pthe
pdefinition pincludes pa pdisturbance pin pwhich pareas? p(Select pall pthat papply.)
1. Cognition
2. Physical
3. Emotional pregulation
4. Behavior
5. Developmental
Completion
Complete peach pstatement.
16. is pa pdiffuse papprehension pthat pis pvague pin pnature pand pis
passociated pwith pfeelings pof puncertainty pand phelplessness.
17. is pa psubjective pstate pof pemotional, pphysical, pand psocial
presponses pto pthe ploss pof pa pvalued pentity.
Other
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