Complete Test Bank Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 11th Edition by Karyn Morgan, All Chapters 1 to 32, Verified Newest Version 2026

,Chapter 1: Mental Health and Mental Illness
ki ki ki ki ki ki




Morgan: Davis Advantage for Townsend's Psychiatric Mental Health Nursing, 11th Edition Eleventh
ki ki ki ki ki ki ki ki ki ki ki




Edition
ki




Multiple Choice
ki



Identify the choice that best completes the statement or answers the question.
ki ki ki ki ki ki ki ki ki ki ki




1. A nurse is assessing a client who experiences occasional feelings of sadness because of the recent de
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



ath of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed. How
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



would the nurse interpret the client’s behaviors? ki ki ki ki ki ki



1. The client’s behaviors demonstrate mental illness in the form of depression.
ki ki ki ki ki ki ki ki ki ki



2. The client’s behaviors are inappropriate, which indicates the presence of mental ill
ki ki ki ki ki ki ki ki ki ki ki



ness.
3. The client’s behaviors are not congruent with cultural norms. ki ki ki ki ki ki ki ki



4. The client’s behaviors demonstrate no functional impairment, indicating no mental il
ki ki ki ki ki ki ki ki ki ki



lness.
2. At which point would the nurse determine that a client is at risk for developing a mental illness?
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria. ki ki ki ki ki ki ki ki ki ki ki



2. When maladaptive responses to stress are coupled with interference in daily f ki ki ki ki ki ki ki ki ki ki ki



unctioning.
3. When a client communicates significant distress. ki ki ki ki ki



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




3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement m
ki ki ki ki ki ki ki ki ki ki ki ki ki ki



ade by the client does the nurse recognize as the bargaining stage of grief?
ki ki ki ki ki ki ki ki ki ki ki ki ki



1. “I hate my partner for giving me this disease I will die from!”
ki ki ki ki ki ki ki ki ki ki ki ki



2. “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.”
ki ki ki ki ki ki ki ki ki ki ki ki



3. “I am going to support groups and learn more about the disease.”
ki ki ki ki ki ki ki ki ki ki ki



4. “Can you please re-draw the test results, I think they may be wrong?” ki ki ki ki ki ki ki ki ki ki ki ki




4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The nu
ki ki ki ki ki ki ki ki ki ki ki ki ki ki


rse assesses the client’s anxiety as which level?
ki ki ki ki ki ki ki



1. Mild anxiety ki



2. Moderate anxiety ki



3. Severe anxiety ki



4. Panic anxiety ki




5. A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.” W
ki ki ki ki ki ki ki ki ki ki ki ki ki ki



hich is a correct evaluation of this nurse’s statement?
ki ki ki ki ki ki ki ki



1. Defense mechanisms can be appropriate responses to stress and need not be el ki ki ki ki ki ki ki ki ki ki ki ki



iminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and sh ki ki ki ki ki ki ki ki ki ki ki ki ki



ould always be eliminated. ki ki ki



3. Defense mechanisms, used by individuals with weak ego integrity, should be d ki ki ki ki ki ki ki ki ki ki ki



iscouraged and not completely eliminated. ki ki ki ki



4. Defense mechanisms cause disintegration of the ego and should be fostered and e ki ki ki ki ki ki ki ki ki ki ki ki



ncouraged.

, 6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The clien
ki ki ki ki ki ki ki ki ki ki ki ki ki



t angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best response
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



?
1. “It is just a routine part of our assessment. All clients are asked these same qu
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



estions.”
2. “Why are you concerned about these types of questions?” ki ki ki ki ki ki ki ki



3. “Psychological factors, like excessive stress, have been found to affect medical c ki ki ki ki ki ki ki ki ki ki ki



onditions.”
4. “We can skip these questions, if you like. It isn’t imperative that we complete this se
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



ction.”
7. A client who is being treated for chronic kidney disease complains to the health-
ki ki ki ki ki ki ki ki ki ki ki ki ki



care provider that he does not like the food available to him while hospitalized. The health-
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



care provider insists that the client strictly adhere to the diet plan. What action can be expected is the
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



client uses the defense mechanism of displacement?
ki ki ki ki ki ki



1. The client assertively confronts the health-care provider.
ki ki ki ki ki ki



2. The client insists on being discharged and goes for a long, brisk walk.
ki ki ki ki ki ki ki ki ki ki ki ki



3. The client snaps at the nurse and criticizes the nursing care provided.
ki ki ki ki ki ki ki ki ki ki ki



4. The client hides his anger by explaining the logical reasoning for the diet to his sp
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



ouse.
8. A fourth- ki



grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize this behavio
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



r as indicative of which defense mechanism?
ki ki ki ki ki ki



1. Displacement
2. Projection
3. Reaction formation ki



4. Sublimation
9. Which nursing statement regarding the concept of psychosis is most accurate?
k i ki ki ki ki ki ki ki ki ki ki



1. Individuals experiencing psychoses are aware that their behaviors are maladaptive. ki ki ki ki ki ki ki ki ki



2. Individuals experiencing psychoses experience little distress. ki ki ki ki ki



3. Individuals experiencing psychoses are aware of experiencing psychological p ki ki ki ki ki ki ki ki



roblems.
4. Individuals experiencing psychoses are based in reality. ki ki ki ki ki ki




k i 10. When under stress, a client routinely uses alcohol to excess. When the client’s husband finds her d
k i ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



runk, the husband yells at the client about her chronic alcohol abuse. Which action alerts the nurs
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



e to the client’s use of the defense mechanism of denial?
ki ki ki ki ki ki ki ki ki ki



1. The client hides liquor bottles in a closet.ki ki ki ki ki ki ki



2. The client yells at her son for slouching in his chair.
ki ki ki ki ki ki ki ki ki ki



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



4. The client says to the spouse, “I don’t drink too much!”
ki ki ki ki ki ki ki ki ki ki




k i 11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which state
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



ment by the wife would indicate to a nurse that the client is in the acceptance stage of grief?
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



1. “If only we could have tried again, things might have worked out.”
ki ki ki ki ki ki ki ki ki ki ki



2. “I am so mad that the children and I had to put up with him as long as we did.”
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



3. “Yes, it was a difficult relationship, but I think I have learned from the
ki ki ki ki ki ki ki ki ki ki ki ki ki

, experience.”
4. “I have a difficult time getting out of bed most days.”
ki ki ki ki ki ki ki ki ki ki




k i 12. According to Maslow’s hierarchy of needs, which client action would demonstrate the highest a
k i ki ki ki ki ki ki ki ki ki ki ki ki ki



chievement in terms of mental health? ki ki ki ki ki



1. Maintaining a long-term, faithful, intimate relationship ki ki ki ki ki



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



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



4. Developing a sense of purpose and the ability to direct activities ki ki ki ki ki ki ki ki ki ki




k i 13. According to Maslow’s hierarchy of needs, which situation on an inpatient psychiatric unit would r
k i ki ki ki ki ki ki ki ki ki ki ki ki ki ki



equire priority intervention by a nurse?ki ki ki ki ki



1. A client rudely complaining about limited visiting hours
ki ki ki ki ki ki ki



2. A client exhibiting aggressive behavior toward another client
ki ki ki ki ki ki ki



3. A client stating that no one cares
ki ki ki ki ki ki



4. A client verbalizing feelings of failure
ki ki ki ki ki




Multiple Response ki



Identify one or more choices that best complete the statement or answer the question.
ki ki ki ki ki ki ki ki ki ki ki ki ki




k i 14. Which describes a defense mechanism an individual may use to relieve anxiety in a stressful si
k i ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



tuation? (Select all that apply.) ki ki ki ki



1. Homework
2. Smoking
3. Itching
4. Nail biting ki



5. Sleeping
k i 15. The nurse is reviewing the DSM-
k i ki ki ki ki ki



5 definition of a mental health disorder and notes the definition includes a disturbance in which ar
ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



eas? (Select all that apply.) ki ki ki ki



1. Cognition
2. Physical
3. Emotional regulation ki



4. Behavior
5. Developmental

Completion
Complete each statement.
ki ki




16. is a diffuse apprehension that is vague in nature and is associated w ki ki ki ki ki ki ki ki ki ki ki ki



ith feelings of uncertainty and helplessness.
ki ki ki ki ki




17. is a subjective state of emotional, physical, and social responses to th
ki ki ki ki ki ki ki ki ki ki ki



e loss of a valued entity.
ki ki ki ki ki




Other