• Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Test Bank for Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing 3 11th
Edition by Karyn I. Morgan | Complete
Chapters | 2026/2027 Latest Update |
Complete Chapter Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
P 1
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
A client visits the mental health clinic because of an aversion to arachnids. The client reports screaming
hysterically when a spider is in the vicinity and indicates that this phobia is interfering with her job performance.
What defense mechanisms does the nurse conclude that the client is using?
1
Undoing and sublimation
2
Repression and identification
3
Introjection and reaction formation
4
Displacement and projection –
Correct Answer :4
The defense mechanisms of displacement and projection defense are related to phobias; displacement is the
release of pent-up feelings onto something or someone else that is less threatening than the original source of
the feelings, and projection is the attribution of one's own unacceptable characteristics or motives to another.
Undoing and sublimation are not related to phobias; undoing is an attempt to atone for unacceptable acts or
wishes; sublimation is the channeling of unacceptable impulses into constructive acceptable behaviors.
Repression is the unconscious process of keeping from the consciousness ideas or impulses that are
unacceptable to the individual; suppression is the conscious inhibition of an idea, impulse, or affect. Neither is
related to phobias. Introjection is treating something outside the self as if it is actually inside the self; reaction
formation is the expression of unacceptable desires by the use of opposite behaviors in an exaggerated way.
Neither is related to phobias.
In conjunction with which classification of medication are trihexyphenidyl, biperiden (Akineton), and benztropine
(Cogentin) often prescribed?
1
P 2
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Anxiolytics
2
Barbiturates
3
Antidepressants
4
Antipsychotics –
Correct Answer :4
Antipsychotics are used to control the extrapyramidal (parkinsonian) symptoms that often develop as a side
effect of antipsychotic therapy. There is no documented use of anxiolytics with antianxiety agents because they
do not have extrapyramidal side effects. Barbiturates do not have extrapyramidal side effects that respond to
these drugs. Antiparkinsonian drugs usually are not prescribed in conjunction with antidepressants because
antidepressants do not cause parkinsonian symptoms.
A man has completed an alcohol detoxification program and is setting goals for rehabilitation. When setting
goals it is important for this client to understand the need to:
1
Restructure his life without alcohol.
2
Plan to avoid people who drink.
3
Accept that he is a fragile person.
4
Develop new social drinking skills.
- Correct Answer :1
P 3
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Clients must learn new lifestyles and coping skills to maintain sobriety. Planning to avoid people who drink is an
unrealistic, unattainable plan. Accepting that he is a fragile person is judgmental, negative thinking that will lower
self-esteem. Abstinence is essential; social drinking is not an option.
A client has been attending weekly outpatient psychotherapy sessions for several months. The nurse
psychotherapist has been working with the client to help lessen obsessive-compulsive behaviors that have
interfered with the client's work performance. What information about the client best validates the client's
improvement?
1
She states that she spends less time on ritualistic behaviors while at work.
2
She discusses techniques she uses to provide distraction from obsessive thoughts.
3
She reports spending an increased amount of time with friends in pleasurable activities.
4
She receives a letter from a supervisor at work stating that her job performance has improved. –
Correct Answer :4
The letter provides objective validation that the client's work performance has improved. Although spending less
time at work on compulsive behavior, coming up with techniques to lessen the need for the behavior, and
spending more time with friends in pleasurable activities are all acceptable outcomes of therapy, they all
represent subjective information reported by the client.
When caring for clients with the diagnosis of anorexia nervosa or bulimia nervosa, it is important that the nurse
understand the sociocultural influences related to eating disorders in the United States. What are these
influences? Select all that apply.
1
Diet industry
2
Fashion trends
P 4
Health Nursing 09/09/2026
11th Edition
Test Bank for Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing 3 11th
Edition by Karyn I. Morgan | Complete
Chapters | 2026/2027 Latest Update |
Complete Chapter Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
P 1
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
A client visits the mental health clinic because of an aversion to arachnids. The client reports screaming
hysterically when a spider is in the vicinity and indicates that this phobia is interfering with her job performance.
What defense mechanisms does the nurse conclude that the client is using?
1
Undoing and sublimation
2
Repression and identification
3
Introjection and reaction formation
4
Displacement and projection –
Correct Answer :4
The defense mechanisms of displacement and projection defense are related to phobias; displacement is the
release of pent-up feelings onto something or someone else that is less threatening than the original source of
the feelings, and projection is the attribution of one's own unacceptable characteristics or motives to another.
Undoing and sublimation are not related to phobias; undoing is an attempt to atone for unacceptable acts or
wishes; sublimation is the channeling of unacceptable impulses into constructive acceptable behaviors.
Repression is the unconscious process of keeping from the consciousness ideas or impulses that are
unacceptable to the individual; suppression is the conscious inhibition of an idea, impulse, or affect. Neither is
related to phobias. Introjection is treating something outside the self as if it is actually inside the self; reaction
formation is the expression of unacceptable desires by the use of opposite behaviors in an exaggerated way.
Neither is related to phobias.
In conjunction with which classification of medication are trihexyphenidyl, biperiden (Akineton), and benztropine
(Cogentin) often prescribed?
1
P 2
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Anxiolytics
2
Barbiturates
3
Antidepressants
4
Antipsychotics –
Correct Answer :4
Antipsychotics are used to control the extrapyramidal (parkinsonian) symptoms that often develop as a side
effect of antipsychotic therapy. There is no documented use of anxiolytics with antianxiety agents because they
do not have extrapyramidal side effects. Barbiturates do not have extrapyramidal side effects that respond to
these drugs. Antiparkinsonian drugs usually are not prescribed in conjunction with antidepressants because
antidepressants do not cause parkinsonian symptoms.
A man has completed an alcohol detoxification program and is setting goals for rehabilitation. When setting
goals it is important for this client to understand the need to:
1
Restructure his life without alcohol.
2
Plan to avoid people who drink.
3
Accept that he is a fragile person.
4
Develop new social drinking skills.
- Correct Answer :1
P 3
, • Psychiatric Mental
Health Nursing 09/09/2026
11th Edition
Clients must learn new lifestyles and coping skills to maintain sobriety. Planning to avoid people who drink is an
unrealistic, unattainable plan. Accepting that he is a fragile person is judgmental, negative thinking that will lower
self-esteem. Abstinence is essential; social drinking is not an option.
A client has been attending weekly outpatient psychotherapy sessions for several months. The nurse
psychotherapist has been working with the client to help lessen obsessive-compulsive behaviors that have
interfered with the client's work performance. What information about the client best validates the client's
improvement?
1
She states that she spends less time on ritualistic behaviors while at work.
2
She discusses techniques she uses to provide distraction from obsessive thoughts.
3
She reports spending an increased amount of time with friends in pleasurable activities.
4
She receives a letter from a supervisor at work stating that her job performance has improved. –
Correct Answer :4
The letter provides objective validation that the client's work performance has improved. Although spending less
time at work on compulsive behavior, coming up with techniques to lessen the need for the behavior, and
spending more time with friends in pleasurable activities are all acceptable outcomes of therapy, they all
represent subjective information reported by the client.
When caring for clients with the diagnosis of anorexia nervosa or bulimia nervosa, it is important that the nurse
understand the sociocultural influences related to eating disorders in the United States. What are these
influences? Select all that apply.
1
Diet industry
2
Fashion trends
P 4
