Test Bank For Davis Advantage for Townsend‘s
Essentials of Psychiatric Mental Health Nursing 9th
Edition Karyn Morgan
TEST BANK 01
,Chapter w d 1: w d Mental w d Health w d and
w d Mental w d Illness
Multiplew d Choice
Identifyw d thew d choicew d thatw d bestw d completesw d thew d statementw d orw d answersw d thew d question.
1.w d Aw d nursew d isw d assessingw d aw d clientw d whow d experiencesw d occasionalw d feeli
ngsw d ofw d sadnessw d becausew d ofw d thew d recentw d deathw d ofw d aw d belovedw d pet.w d Thew d
client‘sw d appetite,w d sleepw d patterns,w d andw d dailyw d routinew d havew d notw d changed.w d H
oww d wouldw d thew d nursew d interpretw d thew d client‘sw d behaviors?
1. Thew d client‘sw d behaviorsw d demonstratew d mentalw d illnessw d inw d thew d formw d ofw d depressi
on.
2. Thew d client‘sw d behaviorsw d arew d inappropriate,w d whichw d indicatesw d the
w d presencewdofw d mentalw d illness.
3. Thew d client‘sw d behaviorsw d arew d notw d congruentw d withw d culturalw d norms.
4. Thew d client‘sw d behaviorsw d demonstratew d now d functionalw d impairment,w d in
dicatingw d nwdow d mentalw d illness.
2.w d Atw d whichw d pointw d wouldw d thew d nursew d determinew d thatw d aw d clientw d isw d a
tw d riskw d forw d developingw d aw d mentalw d illness?
1. Whenw d thoughts,w d feelings,w d andw d behaviorsw d arew d notw d reflectivew d ofw d thew d DSM-
5w d criteria.
2. Whenw d maladaptivew d responsesw d tow d stressw d arew d coupledw d withw d i
nterferencewdinw d dailyw d functioning.
3. Whenw d aw d clientw d communicatesw d significantw d distress.
4. Whenw d aw d clientw d usesw d defensew d mechanismsw d asw d egow d protection.
3.w d Aw d clientw d hasw d beenw d givenw d aw d diagnosisw d ofw d humanw d immunodeficie
ncyw d virusw d (HIV).w d Whiwdchw d statementw d madew d byw d thew d clientw d doesw d thNeUnR
urSseI
rN
ecGoT
gnBiz.eCaO
s01Mtwdhwdew d bargainingw d stagew d of
grief?
1. ―Iw d hatew d myw d partnerw d forw d givingw d mew d thisw d diseasew d Iw d willw d diew d from!‖
2. ―Ifw d Iw d don‘tw d dow d intravenousw d (IV)w d drugsw d anymore,w d Godw d won‘tw d letw d mew d die.
‖
3. ―Iw d amw d goingw d tow d supportw d groupsw d andw d learnw d morew d aboutw d thew d disease.‖
4. ―Canw d youw d pleasew d re-
draww d thew d testw d results,w d Iw d thinkw d theyw d mayw d bew d wrong?‖
4.w d Aw d nursew d notesw d thatw d aw d clientw d isw d extremelyw d withdrawn,w d delusion
al,w d andw d emotionallyw d exwdhausted.w d Thew d nursew d assessesw d thew d client‘sw d anxiety
w d asw d whichw d level?
1. Mildw d anxiety
,2. Moderatew d anxiety
3. Severew d anxiety
4. Panicw d anxiety
5.w d Aw d psychiatricw d nursew d internw d states,w d ―Thisw d client‘sw d usew d ofw d defensew
d mechanismsw d shouldw d bewdeliminated.‖w d Whichw d isw d aw d correctw d evaluationw d ofw d th
isw d nurse‘sw d statement?
1. Defensew d mechanismsw d canw d bew d appropriatew d responsesw d tow d stres
sw d andw d newdedw d notw d bew d eliminated.
2. Defensew d mechanismsw d arew d aw d maladaptivew d attemptw d ofw d thew d egow
d tow d managewdanxietyw d andw d shouldw d always w d bew d eliminated.
, 6. Duringw d anw d intakew d assessment,w d aw d nursew d asksw d bothw d physiologicalw d andw d psychos
ocialw d questiowdns.w d Thew d clientw d angrilyw d responds,w d ―I‘mw d herew d forw d myw d heart,w d n
otw d myw d headw d problems.‖w d Whwdichw d isw d thew d nurse‘sw d bestw d response?
1. ―Itw d isw d justw d aw d routinew d partw d ofw d ourw d assessment.w d Allw d clientsw d ar
ew d askedwdthesew d samew d questions.‖
2. ―Whyw d arew d youw d concernedw d aboutw d thesew d typesw d ofw d questions?‖
3. ―Psychologicalwdfactors,wdlikewdexcessivewdstress,wdhavewdbeenwdfoundwdtowdaffectw
dmedicalw d conditions.‖
4. ―Wewdcanwdskipwdthesewdquestions,wdifwdyouwdlike.wdItwdisn‘twdimperativewdthatwdwew
d completew d this w d section.‖
7. Aw d clientw d whow d isw d beingw d treatedw d forw d chronicw d kidneyw d diseasew d complainsw
d tow d thew d health-
wdcarew d providerw d thatw d hew d doesw d notw d likew d thew d foodw d availablew d tow d himw d whil
ew d hospitalized.w d The
health-
carew d providerw d insistsw d thatw d thew d clientw d strictlyw d adherew d tow d thew d dietw d plan.w d
Whatw d actionw d canw d bew d expectedw d isw d thew d clientw d usesw d thew d defensew d mechanism
w d ofw d displacement?
1. Thew d clientw d assertivelyw d confrontsw d thew d health-carew d provider.
2. Thew d clientw d insistsw d onw d beingw d dischargedw d andw d goesw d forw d aw d long,w d briskw d wa
8. lk.
3. Thew d clientw d snapsw d atw d thew d nursew d andw d criticizesw d thew d nursingw d carew d provided.
4. Thew d clientw d hidesw d hisw d angerw d byw d explainingw d thew d logicalw d reaso
ningw d forw d thw d ew d dietw d tow d hisw d spouse.
Aw d fourth-
gradew d boyw d teasesw d andw d makesw d jokesw d aboutw d aw d cutew d girlw d inw d hisw d class.w d Aw
d nursew d wouldw d recwdognizew d thisw d behaviorw d asw d indicativew d ofw d whichw d defensew d me
chanism?
1. Displacement
2. Projection
3. Reactionw d formation
4. Sublimation
9.
Whichw d nursingw d statementw d regardingw d thew d conceptw d ofw d psychosisw d isw d mostw d accurate?
1. Individualsw d experiencingw d psychosesw d arew d awarew d thatw d theirw d behaviorsw d arew d mala
daptive.
2. Individualsw d experiencingw d psychosesw d experiencew d littlew d distress.
3. Individualsw d experiencingw d psychosesw d arew d awarew d ofw d experiencingw d ps
ychow d logicalw d problems.
4. Individualsw d experiencingw d psychosesw d arew d basedw d inw d reality.
10.
Whenw d underw d stress,w d aw d clientw d routinelyw d usesw d alcoholw d tow d excess.w d Whenw d
thew d client‘sw d hwdusbandw d findsw d herw d drunk,w d thew d husbandw d yellsw d atw d thew d clientw
d aboutw d herw d chronicw d alcoholw d abuse.w d Whichw d actionw d alertsw d thew d nursew d tow d
thew d client‘sw d usew d ofw d thew d defensew d mechanismwdofw d denial?
1. Thew d clientw d hidesw d liquorw d bottlesw d inw d aw d closet.
2. Thew d clientw d yellsw d atw d herw d sonw d forw d slouchingw d inw d hisw d chair.
3. Thew d clientw d burnsw d dinnerw d onw d purpose.
Essentials of Psychiatric Mental Health Nursing 9th
Edition Karyn Morgan
TEST BANK 01
,Chapter w d 1: w d Mental w d Health w d and
w d Mental w d Illness
Multiplew d Choice
Identifyw d thew d choicew d thatw d bestw d completesw d thew d statementw d orw d answersw d thew d question.
1.w d Aw d nursew d isw d assessingw d aw d clientw d whow d experiencesw d occasionalw d feeli
ngsw d ofw d sadnessw d becausew d ofw d thew d recentw d deathw d ofw d aw d belovedw d pet.w d Thew d
client‘sw d appetite,w d sleepw d patterns,w d andw d dailyw d routinew d havew d notw d changed.w d H
oww d wouldw d thew d nursew d interpretw d thew d client‘sw d behaviors?
1. Thew d client‘sw d behaviorsw d demonstratew d mentalw d illnessw d inw d thew d formw d ofw d depressi
on.
2. Thew d client‘sw d behaviorsw d arew d inappropriate,w d whichw d indicatesw d the
w d presencewdofw d mentalw d illness.
3. Thew d client‘sw d behaviorsw d arew d notw d congruentw d withw d culturalw d norms.
4. Thew d client‘sw d behaviorsw d demonstratew d now d functionalw d impairment,w d in
dicatingw d nwdow d mentalw d illness.
2.w d Atw d whichw d pointw d wouldw d thew d nursew d determinew d thatw d aw d clientw d isw d a
tw d riskw d forw d developingw d aw d mentalw d illness?
1. Whenw d thoughts,w d feelings,w d andw d behaviorsw d arew d notw d reflectivew d ofw d thew d DSM-
5w d criteria.
2. Whenw d maladaptivew d responsesw d tow d stressw d arew d coupledw d withw d i
nterferencewdinw d dailyw d functioning.
3. Whenw d aw d clientw d communicatesw d significantw d distress.
4. Whenw d aw d clientw d usesw d defensew d mechanismsw d asw d egow d protection.
3.w d Aw d clientw d hasw d beenw d givenw d aw d diagnosisw d ofw d humanw d immunodeficie
ncyw d virusw d (HIV).w d Whiwdchw d statementw d madew d byw d thew d clientw d doesw d thNeUnR
urSseI
rN
ecGoT
gnBiz.eCaO
s01Mtwdhwdew d bargainingw d stagew d of
grief?
1. ―Iw d hatew d myw d partnerw d forw d givingw d mew d thisw d diseasew d Iw d willw d diew d from!‖
2. ―Ifw d Iw d don‘tw d dow d intravenousw d (IV)w d drugsw d anymore,w d Godw d won‘tw d letw d mew d die.
‖
3. ―Iw d amw d goingw d tow d supportw d groupsw d andw d learnw d morew d aboutw d thew d disease.‖
4. ―Canw d youw d pleasew d re-
draww d thew d testw d results,w d Iw d thinkw d theyw d mayw d bew d wrong?‖
4.w d Aw d nursew d notesw d thatw d aw d clientw d isw d extremelyw d withdrawn,w d delusion
al,w d andw d emotionallyw d exwdhausted.w d Thew d nursew d assessesw d thew d client‘sw d anxiety
w d asw d whichw d level?
1. Mildw d anxiety
,2. Moderatew d anxiety
3. Severew d anxiety
4. Panicw d anxiety
5.w d Aw d psychiatricw d nursew d internw d states,w d ―Thisw d client‘sw d usew d ofw d defensew
d mechanismsw d shouldw d bewdeliminated.‖w d Whichw d isw d aw d correctw d evaluationw d ofw d th
isw d nurse‘sw d statement?
1. Defensew d mechanismsw d canw d bew d appropriatew d responsesw d tow d stres
sw d andw d newdedw d notw d bew d eliminated.
2. Defensew d mechanismsw d arew d aw d maladaptivew d attemptw d ofw d thew d egow
d tow d managewdanxietyw d andw d shouldw d always w d bew d eliminated.
, 6. Duringw d anw d intakew d assessment,w d aw d nursew d asksw d bothw d physiologicalw d andw d psychos
ocialw d questiowdns.w d Thew d clientw d angrilyw d responds,w d ―I‘mw d herew d forw d myw d heart,w d n
otw d myw d headw d problems.‖w d Whwdichw d isw d thew d nurse‘sw d bestw d response?
1. ―Itw d isw d justw d aw d routinew d partw d ofw d ourw d assessment.w d Allw d clientsw d ar
ew d askedwdthesew d samew d questions.‖
2. ―Whyw d arew d youw d concernedw d aboutw d thesew d typesw d ofw d questions?‖
3. ―Psychologicalwdfactors,wdlikewdexcessivewdstress,wdhavewdbeenwdfoundwdtowdaffectw
dmedicalw d conditions.‖
4. ―Wewdcanwdskipwdthesewdquestions,wdifwdyouwdlike.wdItwdisn‘twdimperativewdthatwdwew
d completew d this w d section.‖
7. Aw d clientw d whow d isw d beingw d treatedw d forw d chronicw d kidneyw d diseasew d complainsw
d tow d thew d health-
wdcarew d providerw d thatw d hew d doesw d notw d likew d thew d foodw d availablew d tow d himw d whil
ew d hospitalized.w d The
health-
carew d providerw d insistsw d thatw d thew d clientw d strictlyw d adherew d tow d thew d dietw d plan.w d
Whatw d actionw d canw d bew d expectedw d isw d thew d clientw d usesw d thew d defensew d mechanism
w d ofw d displacement?
1. Thew d clientw d assertivelyw d confrontsw d thew d health-carew d provider.
2. Thew d clientw d insistsw d onw d beingw d dischargedw d andw d goesw d forw d aw d long,w d briskw d wa
8. lk.
3. Thew d clientw d snapsw d atw d thew d nursew d andw d criticizesw d thew d nursingw d carew d provided.
4. Thew d clientw d hidesw d hisw d angerw d byw d explainingw d thew d logicalw d reaso
ningw d forw d thw d ew d dietw d tow d hisw d spouse.
Aw d fourth-
gradew d boyw d teasesw d andw d makesw d jokesw d aboutw d aw d cutew d girlw d inw d hisw d class.w d Aw
d nursew d wouldw d recwdognizew d thisw d behaviorw d asw d indicativew d ofw d whichw d defensew d me
chanism?
1. Displacement
2. Projection
3. Reactionw d formation
4. Sublimation
9.
Whichw d nursingw d statementw d regardingw d thew d conceptw d ofw d psychosisw d isw d mostw d accurate?
1. Individualsw d experiencingw d psychosesw d arew d awarew d thatw d theirw d behaviorsw d arew d mala
daptive.
2. Individualsw d experiencingw d psychosesw d experiencew d littlew d distress.
3. Individualsw d experiencingw d psychosesw d arew d awarew d ofw d experiencingw d ps
ychow d logicalw d problems.
4. Individualsw d experiencingw d psychosesw d arew d basedw d inw d reality.
10.
Whenw d underw d stress,w d aw d clientw d routinelyw d usesw d alcoholw d tow d excess.w d Whenw d
thew d client‘sw d hwdusbandw d findsw d herw d drunk,w d thew d husbandw d yellsw d atw d thew d clientw
d aboutw d herw d chronicw d alcoholw d abuse.w d Whichw d actionw d alertsw d thew d nursew d tow d
thew d client‘sw d usew d ofw d thew d defensew d mechanismwdofw d denial?
1. Thew d clientw d hidesw d liquorw d bottlesw d inw d aw d closet.
2. Thew d clientw d yellsw d atw d herw d sonw d forw d slouchingw d inw d hisw d chair.
3. Thew d clientw d burnsw d dinnerw d onw d purpose.
