Test Bank For Davis Advantage for Townsend’s
Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
TEST BANK
,Chapter 8t1: 8tMental 8tHealth 8tand 8tMental 8tIllness
Multiple 8tChoice
Identify 8tthe 8tchoice 8tthat 8tbest 8tcompletes 8tthe 8tstatement 8tor 8tanswers 8tthe 8tquestion.
1. A 8tnurse 8tis 8tassessing 8ta 8tclient 8twho 8texperiences 8toccasional 8tfeelings 8tof 8tsadness 8tbecause 8tof
8tthe 8trecent 8tdeath 8tof 8ta 8tbeloved 8tpet. 8tThe 8tclient’s 8tappetite, 8tsleep 8tpatterns, 8tand 8tdaily 8troutine
8thave 8tnot 8tchanged. 8tHow 8twould 8tthe 8tnurse 8tinterpret 8tthe 8tclient’s 8tbehaviors?
1. The 8tclient’s 8tbehaviors 8tdemonstrate 8tmental 8tillness 8tin 8tthe 8tform 8tof 8tdepression.
2. The 8tclient’s 8tbehaviors 8tare 8tinappropriate, 8twhich 8tindicates 8tthe 8tpresence 8tof
8tmental 8tillness.
3. The 8tclient’s 8tbehaviors 8tare 8tnot 8tcongruent 8twith 8tcultural 8tnorms.
4. The 8tclient’s 8tbehaviors 8tdemonstrate 8tno 8tfunctional 8timpairment, 8tindicating 8tno
8tmental 8tillness.
2. At 8twhich 8tpoint 8twould 8tthe 8tnurse 8tdetermine 8tthat 8ta 8tclient 8tis 8tat 8trisk 8tfor 8tdeveloping 8ta 8tmental 8tillness
1. When 8tthoughts, 8tfeelings, 8tand 8tbehaviors 8tare 8tnot 8treflective 8tof 8tthe 8tDSM-5 8tcriteria.
2. When 8tmaladaptive 8tresponses 8tto 8tstress 8tare 8tcoupled 8twith 8tinterference 8tin
8tdaily 8tfunctioning.
3. When 8ta 8tclient 8tcommunicates 8tsignificant 8tdistress.
4. When 8ta 8tclient 8tuses 8tdefense 8tmechanisms 8tas 8tego 8tprotection.
3. A 8tclient 8thas 8tbeen 8tgiven 8ta 8tdiagnosis 8tof 8thuman 8timmunodeficiency 8tvirus 8t(HIV). 8tWhich
8tstatement 8tmade 8tby 8tthe 8tclient 8tdoes 8tthN eU nuRrS
seIrN
ecGoT
gnBiz.eCaO
s8tMt h e 8tbargaining 8tstage 8tof 8tgrief?
1. “I 8thate 8tmy 8tpartner 8tfor 8tgiving 8tme 8tthis 8tdisease 8tI 8twill 8tdie 8tfrom!”
2. “If 8tI 8tdon’t 8tdo 8tintravenous 8t(IV) 8tdrugs 8tanymore, 8tGod 8twon’t 8tlet 8tme 8tdie.”
3. “I 8tam 8tgoing 8tto 8tsupport 8tgroups 8tand 8tlearn 8tmore 8tabout 8tthe 8tdisease.”
4. “Can 8tyou 8tplease 8tre-draw 8tthe 8ttest 8tresults, 8tI 8tthink 8tthey 8tmay 8tbe 8twrong?”
4. A 8tnurse 8tnotes 8tthat 8ta 8tclient 8tis 8textremely 8twithdrawn, 8tdelusional, 8tand 8temotionally
8texhausted. 8tThe 8tnurse 8tassesses 8tthe 8tclient’s 8tanxiety 8tas 8twhich 8tlevel?
1. Mild 8tanxiety
2. Moderate 8tanxiety
3. Severe 8tanxiety
4. Panic 8tanxiety
5. A 8tpsychiatric 8tnurse 8tintern 8tstates, 8t“This 8tclient’s 8tuse 8tof 8tdefense 8tmechanisms 8tshould 8tbe
8teliminated.” 8tWhich 8tis 8ta 8tcorrect 8tevaluation 8tof 8tthis 8tnurse’s 8tstatement?
1. Defense 8tmechanisms 8tcan 8tbe 8tappropriate 8tresponses 8tto 8tstress 8tand 8tneed
8tnot 8tbe 8teliminated.
, 6. During 8tan 8tintake 8tassessment, 8ta 8tnurse 8tasks 8tboth 8tphysiological 8tand 8tpsychosocial 8tquestions.
8tThe 8tclient 8tangrily 8tresponds, 8t“I’m 8there 8tfor 8tmy 8theart, 8tnot 8tmy 8thead 8tproblems.” 8tWhich 8tis 8tthe
8tnurse’s 8tbest 8tresponse?
1. “It 8tis 8tjust 8ta 8troutine 8tpart 8tof 8tour 8tassessment. 8tAll 8tclients 8tare 8tasked
8tthese 8tsame 8tquestions.”
2. “Why 8tare 8tyou 8tconcerned 8tabout 8tthese 8ttypes 8tof 8tquestions?”
3. “Psychological 8tfactors, 8tlike 8texcessive 8tstress, 8thave 8tbeen 8tfound 8tto 8taffect
8tmedical 8tconditions.”
4. “We 8tcan 8tskip 8tthese 8tquestions, 8tif 8tyou 8tlike. 8tIt 8tisn’t 8timperative 8tthat 8twe
8tcomplete 8tthis 8tsection.”
7. A 8tclient 8twho 8tis 8tbeing 8ttreated 8tfor 8tchronic 8tkidney 8tdisease 8tcomplains 8tto 8tthe 8thealth-care
8tprovider 8tthat 8the 8tdoes 8tnot 8tlike 8tthe 8tfood 8tavailable 8tto 8thim 8twhile 8thospitalized. 8tThe 8thealth-
care 8tprovider 8tinsists 8tthat 8tthe 8tclient 8tstrictly 8tadhere 8tto 8tthe 8tdiet 8tplan. 8tWhat 8taction 8tcan 8tbe
8texpected 8tis 8tthe 8tclient 8tuses 8tthe 8tdefense 8tmechanism 8tof 8tdisplacement?
1. The 8tclient 8tassertively 8tconfronts 8tthe 8thealth-care 8tprovider.
2. The 8tclient 8tinsists 8ton 8tbeing 8tdischarged 8tand 8tgoes 8tfor 8ta 8tlong, 8tbrisk 8twalk.
3. The 8tclient 8tsnaps 8tat 8tthe 8tnurse 8tand 8tcriticizes 8tthe 8tnursing 8tcare 8tprovided.
4. The 8tclient 8thides 8this 8tanger 8tby 8texplaining 8tthe 8tlogical 8treasoning 8tfor 8tthe
8tdiet 8tto 8this 8tspouse.
8. A 8tfourth-grade 8tboy 8tteases 8tand 8tmakes 8tjokes 8tabout 8ta 8tcute 8tgirl 8tin 8this 8tclass. 8tA 8tnurse 8twould
8trecognize 8tthis 8tbehavior 8tas 8tindicative 8tof 8twhich 8tdefense 8tmechanism?
1. Displacement
2. Projection
3. Reaction 8tformation
4. Sublimation
9. Which 8tnursing 8tstatement 8tregarding 8tthe 8tconcept 8tof 8tpsychosis 8tis 8tmost 8taccurate?
8 t
1. Individuals 8texperiencing 8tpsychoses 8tare 8taware 8tthat 8ttheir 8tbehaviors 8tare 8tmaladaptive.
2. Individuals 8texperiencing 8tpsychoses 8texperience 8tlittle 8tdistress.
3. Individuals 8texperiencing 8tpsychoses 8tare 8taware 8tof 8texperiencing
8tpsychological 8tproblems.
4. Individuals 8texperiencing 8tpsychoses 8tare 8tbased 8tin 8treality.
8t 10. 8 t When 8tunder 8tstress, 8ta 8tclient 8troutinely 8tuses 8talcohol 8tto 8texcess. 8tWhen 8tthe 8tclient’s 8thusband
8tfinds 8ther 8tdrunk, 8tthe 8thusband 8t yells 8tat 8tthe 8tclient 8tabout 8ther 8tchronic 8talcohol 8tabuse.
8tWhich 8taction 8talerts 8tthe 8tnurse 8tto 8tthe 8tclient’s 8tuse 8tof 8tthe 8tdefense 8tmechanism 8tof 8tdenial?
1. The 8tclient 8thides 8tliquor 8tbottles 8tin 8ta 8tcloset.
2. The 8tclient 8tyells 8tat 8ther 8tson 8tfor 8tslouching 8tin 8this 8tchair.
3. The 8tclient 8tburns 8tdinner 8ton 8tpurpose.
4. The 8tclient 8tsays 8tto 8tthe 8tspouse, 8t“I 8tdon’t 8tdrink 8ttoo 8tmuch!”
8t 11. 8tDevastated 8tby 8ta 8tdivorce 8tfrom 8tan 8tabusive 8thusband, 8ta 8twife 8tcompletes 8tgrief 8tcounseling.
8tWhich 8tstatement 8tby 8tthe 8twife 8twould 8tindicate 8tto 8ta 8tnurse 8tthat 8tthe 8tclient 8tis 8tin 8tthe
8tacceptance 8tstage 8tof 8tgrief?
1. “If 8tonly 8twe 8tcould 8thave 8ttried 8tagain, 8tthings 8tmight 8thave 8tworked 8tout.”
Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
TEST BANK
,Chapter 8t1: 8tMental 8tHealth 8tand 8tMental 8tIllness
Multiple 8tChoice
Identify 8tthe 8tchoice 8tthat 8tbest 8tcompletes 8tthe 8tstatement 8tor 8tanswers 8tthe 8tquestion.
1. A 8tnurse 8tis 8tassessing 8ta 8tclient 8twho 8texperiences 8toccasional 8tfeelings 8tof 8tsadness 8tbecause 8tof
8tthe 8trecent 8tdeath 8tof 8ta 8tbeloved 8tpet. 8tThe 8tclient’s 8tappetite, 8tsleep 8tpatterns, 8tand 8tdaily 8troutine
8thave 8tnot 8tchanged. 8tHow 8twould 8tthe 8tnurse 8tinterpret 8tthe 8tclient’s 8tbehaviors?
1. The 8tclient’s 8tbehaviors 8tdemonstrate 8tmental 8tillness 8tin 8tthe 8tform 8tof 8tdepression.
2. The 8tclient’s 8tbehaviors 8tare 8tinappropriate, 8twhich 8tindicates 8tthe 8tpresence 8tof
8tmental 8tillness.
3. The 8tclient’s 8tbehaviors 8tare 8tnot 8tcongruent 8twith 8tcultural 8tnorms.
4. The 8tclient’s 8tbehaviors 8tdemonstrate 8tno 8tfunctional 8timpairment, 8tindicating 8tno
8tmental 8tillness.
2. At 8twhich 8tpoint 8twould 8tthe 8tnurse 8tdetermine 8tthat 8ta 8tclient 8tis 8tat 8trisk 8tfor 8tdeveloping 8ta 8tmental 8tillness
1. When 8tthoughts, 8tfeelings, 8tand 8tbehaviors 8tare 8tnot 8treflective 8tof 8tthe 8tDSM-5 8tcriteria.
2. When 8tmaladaptive 8tresponses 8tto 8tstress 8tare 8tcoupled 8twith 8tinterference 8tin
8tdaily 8tfunctioning.
3. When 8ta 8tclient 8tcommunicates 8tsignificant 8tdistress.
4. When 8ta 8tclient 8tuses 8tdefense 8tmechanisms 8tas 8tego 8tprotection.
3. A 8tclient 8thas 8tbeen 8tgiven 8ta 8tdiagnosis 8tof 8thuman 8timmunodeficiency 8tvirus 8t(HIV). 8tWhich
8tstatement 8tmade 8tby 8tthe 8tclient 8tdoes 8tthN eU nuRrS
seIrN
ecGoT
gnBiz.eCaO
s8tMt h e 8tbargaining 8tstage 8tof 8tgrief?
1. “I 8thate 8tmy 8tpartner 8tfor 8tgiving 8tme 8tthis 8tdisease 8tI 8twill 8tdie 8tfrom!”
2. “If 8tI 8tdon’t 8tdo 8tintravenous 8t(IV) 8tdrugs 8tanymore, 8tGod 8twon’t 8tlet 8tme 8tdie.”
3. “I 8tam 8tgoing 8tto 8tsupport 8tgroups 8tand 8tlearn 8tmore 8tabout 8tthe 8tdisease.”
4. “Can 8tyou 8tplease 8tre-draw 8tthe 8ttest 8tresults, 8tI 8tthink 8tthey 8tmay 8tbe 8twrong?”
4. A 8tnurse 8tnotes 8tthat 8ta 8tclient 8tis 8textremely 8twithdrawn, 8tdelusional, 8tand 8temotionally
8texhausted. 8tThe 8tnurse 8tassesses 8tthe 8tclient’s 8tanxiety 8tas 8twhich 8tlevel?
1. Mild 8tanxiety
2. Moderate 8tanxiety
3. Severe 8tanxiety
4. Panic 8tanxiety
5. A 8tpsychiatric 8tnurse 8tintern 8tstates, 8t“This 8tclient’s 8tuse 8tof 8tdefense 8tmechanisms 8tshould 8tbe
8teliminated.” 8tWhich 8tis 8ta 8tcorrect 8tevaluation 8tof 8tthis 8tnurse’s 8tstatement?
1. Defense 8tmechanisms 8tcan 8tbe 8tappropriate 8tresponses 8tto 8tstress 8tand 8tneed
8tnot 8tbe 8teliminated.
, 6. During 8tan 8tintake 8tassessment, 8ta 8tnurse 8tasks 8tboth 8tphysiological 8tand 8tpsychosocial 8tquestions.
8tThe 8tclient 8tangrily 8tresponds, 8t“I’m 8there 8tfor 8tmy 8theart, 8tnot 8tmy 8thead 8tproblems.” 8tWhich 8tis 8tthe
8tnurse’s 8tbest 8tresponse?
1. “It 8tis 8tjust 8ta 8troutine 8tpart 8tof 8tour 8tassessment. 8tAll 8tclients 8tare 8tasked
8tthese 8tsame 8tquestions.”
2. “Why 8tare 8tyou 8tconcerned 8tabout 8tthese 8ttypes 8tof 8tquestions?”
3. “Psychological 8tfactors, 8tlike 8texcessive 8tstress, 8thave 8tbeen 8tfound 8tto 8taffect
8tmedical 8tconditions.”
4. “We 8tcan 8tskip 8tthese 8tquestions, 8tif 8tyou 8tlike. 8tIt 8tisn’t 8timperative 8tthat 8twe
8tcomplete 8tthis 8tsection.”
7. A 8tclient 8twho 8tis 8tbeing 8ttreated 8tfor 8tchronic 8tkidney 8tdisease 8tcomplains 8tto 8tthe 8thealth-care
8tprovider 8tthat 8the 8tdoes 8tnot 8tlike 8tthe 8tfood 8tavailable 8tto 8thim 8twhile 8thospitalized. 8tThe 8thealth-
care 8tprovider 8tinsists 8tthat 8tthe 8tclient 8tstrictly 8tadhere 8tto 8tthe 8tdiet 8tplan. 8tWhat 8taction 8tcan 8tbe
8texpected 8tis 8tthe 8tclient 8tuses 8tthe 8tdefense 8tmechanism 8tof 8tdisplacement?
1. The 8tclient 8tassertively 8tconfronts 8tthe 8thealth-care 8tprovider.
2. The 8tclient 8tinsists 8ton 8tbeing 8tdischarged 8tand 8tgoes 8tfor 8ta 8tlong, 8tbrisk 8twalk.
3. The 8tclient 8tsnaps 8tat 8tthe 8tnurse 8tand 8tcriticizes 8tthe 8tnursing 8tcare 8tprovided.
4. The 8tclient 8thides 8this 8tanger 8tby 8texplaining 8tthe 8tlogical 8treasoning 8tfor 8tthe
8tdiet 8tto 8this 8tspouse.
8. A 8tfourth-grade 8tboy 8tteases 8tand 8tmakes 8tjokes 8tabout 8ta 8tcute 8tgirl 8tin 8this 8tclass. 8tA 8tnurse 8twould
8trecognize 8tthis 8tbehavior 8tas 8tindicative 8tof 8twhich 8tdefense 8tmechanism?
1. Displacement
2. Projection
3. Reaction 8tformation
4. Sublimation
9. Which 8tnursing 8tstatement 8tregarding 8tthe 8tconcept 8tof 8tpsychosis 8tis 8tmost 8taccurate?
8 t
1. Individuals 8texperiencing 8tpsychoses 8tare 8taware 8tthat 8ttheir 8tbehaviors 8tare 8tmaladaptive.
2. Individuals 8texperiencing 8tpsychoses 8texperience 8tlittle 8tdistress.
3. Individuals 8texperiencing 8tpsychoses 8tare 8taware 8tof 8texperiencing
8tpsychological 8tproblems.
4. Individuals 8texperiencing 8tpsychoses 8tare 8tbased 8tin 8treality.
8t 10. 8 t When 8tunder 8tstress, 8ta 8tclient 8troutinely 8tuses 8talcohol 8tto 8texcess. 8tWhen 8tthe 8tclient’s 8thusband
8tfinds 8ther 8tdrunk, 8tthe 8thusband 8t yells 8tat 8tthe 8tclient 8tabout 8ther 8tchronic 8talcohol 8tabuse.
8tWhich 8taction 8talerts 8tthe 8tnurse 8tto 8tthe 8tclient’s 8tuse 8tof 8tthe 8tdefense 8tmechanism 8tof 8tdenial?
1. The 8tclient 8thides 8tliquor 8tbottles 8tin 8ta 8tcloset.
2. The 8tclient 8tyells 8tat 8ther 8tson 8tfor 8tslouching 8tin 8this 8tchair.
3. The 8tclient 8tburns 8tdinner 8ton 8tpurpose.
4. The 8tclient 8tsays 8tto 8tthe 8tspouse, 8t“I 8tdon’t 8tdrink 8ttoo 8tmuch!”
8t 11. 8tDevastated 8tby 8ta 8tdivorce 8tfrom 8tan 8tabusive 8thusband, 8ta 8twife 8tcompletes 8tgrief 8tcounseling.
8tWhich 8tstatement 8tby 8tthe 8twife 8twould 8tindicate 8tto 8ta 8tnurse 8tthat 8tthe 8tclient 8tis 8tin 8tthe
8tacceptance 8tstage 8tof 8tgrief?
1. “If 8tonly 8twe 8tcould 8thave 8ttried 8tagain, 8tthings 8tmight 8thave 8tworked 8tout.”
