Complete Test Bank Guide
Davis Advantage For Townsend's Essentials Of Psychiatric Mental-
Health Nursing Concepts Of Care In Evidence-Based Practice Ninth
Edition By Karyn I. Morgan
Printed Pdf| Original Directly From The Publisher| 100% Verified Answers| Download Immedietly After The
Order
,Table Of Contents
I Introduction To Psychiatric Mental Health Concepts ................................................... 3
Chapter 1. Mental Health And Mental Illness ........................................................................................... 3
Chapter 2. Biological Implications ........................................................................................................... 10
Chapter 3. Ethical And Legal Issues ......................................................................................................... 19
Chapter 4. Psychopharmacology ............................................................................................................. 27
II. Psychiatric Mental Health Nursing Interventions ..........................................39
Chapter 5 . Relationship Development And Therapeutic Communication.............................................. 39
Chapter 6. The Nursing Process In Psychiatric/Mental Health Nursing................................................... 49
Chapter 7. Psychosocial Interventions And Spiritual Care....................................................................... 56
Chapter 8. Intervention In Groups .......................................................................................................... 90
Chapter 9. Crisis Intervention .................................................................................................................. 99
Chapter 10. The Recovery Model .......................................................................................................... 107
Chapter 11. Suicide Prevention ............................................................................................................. 114
III. Care Of Patients With Psychiatric Disorders ............................................... 122
Chapter 12. Caring For Patients With Mental Illness And Substance Use Disorders In General Practice
Settings .................................................................................................................................................. 122
Chapter 13. Neurocognitive Disorders .................................................................................................. 132
Chapter 14. Substance Use And Addictive Disorders ............................................................................ 140
Chapter 15. Schizophrenia Spectrum And Other Psychotic Disorders .................................................. 156
Chapter 16. Depressive Disorders ......................................................................................................... 171
Chapter 17. Bipolar And Related Disorders ........................................................................................... 186
Chapter 18. Anxiety, Obsessive-Compulsive, And Related Disorders.................................................... 195
Chapter 19. Trauma- And Stressor-Related Disorders .......................................................................... 209
Chapter 20. Somatic Symptom And Dissociative Disorders .................................................................. 223
Chapter 21. Eating Disorders ................................................................................................................. 231
Chapter 22. Personality Disorders ......................................................................................................... 238
IV. Psychiatric Mental Health Nursing Of Special Populations ........................ 255
, Chapter 23. Children And Adolescents .................................................................................................. 255
Chapter 24. The Aging Individual........................................................................................................... 273
Chapter 25. Survivors Of Abuse And Neglect ........................................................................................ 280
Chapter 26. Community Mental Health Nursing ................................................................................... 289
Chapter 27. The Bereaved Individual .................................................................................................... 297
Chapter 28. Military Families ................................................................................................................ 304
V. Online Chapters .......................................................................................... 308
Chapter 29. Concepts Of Personality Development .............................................................................. 308
Chapter 30. Complementary And Integrative Therapies ....................................................................... 315
Chapter 31. Cultural Concepts Relevant To Psychiatric Mental Health Nursing ................................... 322
Chapter 32. Issues Related To Human Sexuality And Gender Dysphoria .............................................. 330
,I Introduction To Psychiatric Mental Health Concepts
Chapter 1. Mental Health And Mental Illness
Multiple Choice
1. A Nurse Is Assessing A Client Who Is Experiencing Occasional Feelings Of Sadness Because Of
The Recent Death Of A Beloved Pet. The Clients Appetite, Sleep Patterns, And Daily Routine Have Not
Changed. How Should The Nurse Interpret The Clients Behaviors?
1. The Clients Behaviors Demonstrate Mental Illness In The Form Of Depression.
2. The Clients Behaviors Are Extensive, Which Indicates The Presence Of Mental Illness.
3. The Clients Behaviors Are Not Congruent With Cultural Norms.
4. The Clients Behaviors Demonstrate No Functional Impairment, Indicating No Mental Illness.
CORRECT ANS:>4
Opinion: The Nurse Should Assess That The Clients Daily Functioning Is Not Impaired. The Client Who
Experiences Feelings Of Sadness After The Loss Of A Pet Is Responding Within Normal Expectations.
Without Significant Impairment, The Clients Distress Does Not Indicate A Mental Illness.
Cognitive Level: Analysis Integrated Process:
Assessment
2. At What Point Should The Nurse Determine That A Client Is At Risk For Developing A Mental
Illness?
1. When Thoughts, Feelings, And Behaviors Are Not Reflective Of The Dsm-5 Criteria.
2. When Maladaptive Responses To Stress Are Coupled With Interference In Daily Functioning.
,3. When A Client Communicates Significant Distress.
4. When A Client Uses Defense Mechanisms As Ego Protection.
CORRECT ANS:>2
Opinion: The Nurse Should Determine That The Client Is At Risk For Mental Illness When Responses To
Stress Are Maladaptive And Interfere With Daily Functioning.
The Dsm-5 Indicates That In Order To Be Diagnosed With A Mental Illness, Daily Functioning Must Be
Significantly Impaired. The Clients Ability To Communicate Distress Would Be Considered A Positive
Attribute.
Cognitive Level:
Application Integrated Process: Assessment
3. A Nurse Is Assessing A Set Of 15-Year-Old Identical Twins Who Respond Very Differently To
Stress. One Twin Becomes Anxious And Irritable, And The Other Withdraws And Cries. How Should The
Nurse Explain These Different Stress Responses To The Parents?
1. Reactions To Stress Are Relative Rather Than Absolute; Individual Responses To Stress Vary.
2. It Is Abnormal For Identical Twins To React Differently To Similar Stressors.
3. Identical Twins Should Share The Same Temperament And Respond Similarly To Stress.
4. Environmental Influences To Stress Weigh More Heavily Than Genetic Influences.
CORRECT ANS:>1
Opinion: The Nurse Should Explain To The Parents That, Although The Twins Have Identical Dna, There
Are Several Other Factors That Affect Reactions To Stress.
Mental Health Is A State Of Being That Is Relative To The Individual Client. Environmental Influences
And Temperament Can Affect Stress Reactions.
Cognitive Level: Application Integrated Process:
Implementation
4. Which Client Should The Nurse Anticipate To Be Most Receptive To Psychiatric Treatment?
1. A Jewish, Female Social Worker.
2. A Baptist, Homeless Male.
3. A Catholic, Black Male.
4. A Protestant, Swedish Business Executive.
CORRECT ANS:>1
,Opinion: The Nurse Should Anticipate That The Client Of Jewish Culture Would Place A High
Importance On Preventative Health Care And Would Consider Mental Health As Equally Important As
Physical Health. Women Are Also More Likely To Seek Treatment For Mental Health Problems Than
Men.
Cognitive Level:
Application Integrated Process: Planning
5. A Psychiatric Nurse Intern States, This Clients Use Of Defense Mechanisms Should Be Eliminated.
Which Is A Correct Evaluation Of This Nurses Statement?
1. Defense Mechanisms Can Be Appropriate Responses To Stress And Need Not Be Eliminated.
2. Defense Mechanisms Are A Maladaptive Attempt Of The Ego To Manage Anxiety And Should
Always Be Eliminated.
3. Defense Mechanisms, Used By Individuals With Weak Ego Integrity, Should Be Discouraged And
Not Eliminated.
4. Defense Mechanisms Cause Disintegration Of The Ego And Should Be Fostered And Encouraged.
CORRECT ANS:>1
Opinion: The Nurse Should Determine That Defense Mechanisms Can Be Appropriate During Times Of
Stress. The Client With No Defense Mechanisms May Have A Lower Tolerance For Stress, Thus Leading
To Anxiety Disorders. Defense Mechanisms Should Be Confronted When They Impede The Client From
Developing Healthy Coping Skills.
Cognitive Level:
Application Integrated Process: Evaluation
6. During An Intake Assessment, A Nurse Asks Both Physiological And Psychosocial Questions. The
Client Angrily Responds, Im Here For My Heart, Not My Head Problems. Which Is The Nurses Best
Response?
1. Its Just A Routine Part Of Our Assessment. All Clients Are Asked These Same Questions.
2. Why Are You Concerned About These Types Of Questions?
3. Psychological Factors, Like Excessive Stress, Have Been Found To Affect Medical Conditions.
4. We Can Skip These Questions, If You Like. It Isnt Imperative That We Complete This Section.
CORRECT ANS:>3
Opinion: The Nurse Should Attempt To Educate The Client On The Negative Effects Of Excessive Stress
On Medical Conditions. It Is Not Appropriate To Skip Physiological And Psychosocial Questions, As This
Would Lead To An Inaccurate Assessment.
,Cognitive Level: Application Integrated Process:
Implementation
7. An Employee Uses The Defense Mechanism Of Displacement When The Boss Openly Disagrees
With Suggestions. What Behavior Would Be Expected From This Employee?
1. The Employee Assertively Confronts The Boss.
2. The Employee Leaves The Staff Meeting To Work Out In The Gym.
3. The Employee Criticizes A Coworker.
4. The Employee Takes The Boss Out To Lunch.
CORRECT ANS:>3
Opinion: The Nurse Should Expect That The Client Using The Defense Mechanism Displacement Would
Criticize A Coworker After Being Confronted By The Boss.
Displacement Refers To Transferring Feelings From One Target To A Neutral Or Less- Threatening Target.
Cognitive Level: Analysis Integrated Process:
Assessment
8. A Fourth-Grade Boy Teases And Makes Jokes About A Cute Girl In His Class. This Behavior Should
Be Identified By A Nurse As Indicative Of Which Defense Mechanism?
1. Displacement
2. Projection
3. Reaction Formation
4. Sublimation
CORRECT ANS:>3
Opinion: The Nurse Should Identify That The Boy Is Using Reaction Formation As A Defense
Mechanism. Reaction Formation Is The Attempt To Prevent Undesirable Thoughts From Being
Expressed By Expressing Opposite Thoughts Or Behaviors.
Displacement Refers To Transferring Feelings From One Target To Another. Rationalization Refers To
Making Excuses To Justify Behavior. Projection Refers To The Attribution Of Unacceptable Feelings Or
Behaviors To Another Person.
Sublimation Refers To Channeling Unacceptable Drives Or Impulses Into More Constructive, Acceptable
Activities.
Cognitive Level:
Application Integrated Process: Assessment
,9. Which Nursing Statement About The Concept Of Neurosis Is Most Accurate?
1. An Individual Experiencing Neurosis Is Unaware That He Or She Is Experiencing Distress.
2. An Individual Experiencing Neurosis Feels Helpless To Change His Or Her Situation.
3. An Individual Experiencing Neurosis Is Aware Of Psychological Causes Of His Or Her Behavior.
4. An Individual Experiencing Neurosis Has A Loss Of Contact With Reality.
CORRECT ANS:>2
Opinion: The Nurse Should Define The Concept Of Neurosis With The Following Characteristics:
The Client Feels Helpless To Change His Or Her Situation, The Client Is Aware That He Or She Is
Experiencing Distress, The Client Is Aware The Behaviors Are Maladaptive, The Client Is Unaware Of The
Psychological Causes Of The Distress, And The Client Experiences No Loss Of Contact With Reality.
Cognitive Level:
Application Integrated Process: Assessment
10. Which Nursing Statement Regarding The Concept Of Psychosis Is Most Accurate?
1. Individuals Experiencing Psychoses Are Aware That Their Behaviors Are Maladaptive.
2. Individuals Experiencing Psychoses Experience Little Distress.
3. Individuals Experiencing Psychoses Are Aware Of Experiencing Psychological Problems.
4. Individuals Experiencing Psychoses Are Based In Reality.
CORRECT ANS:>2
Opinion: The Nurse Should Understand That The Client With Psychosis Experiences Little Distress
Owing To His Or Her Lack Of Awareness Of Reality. The Client With Psychosis Is Unaware That His Or Her
Behavior Is Maladaptive Or That He Or She Has A Psychological Problem.
Cognitive Level:
Application Integrated Process: Assessment
11. When Under Stress, A Client Routinely Uses Alcohol To Excess. Finding Her Drunk, Her Husband
Yells At The Client About Her Chronic Alcohol Abuse. Which Action Alerts The Nurse To The Clients Use
Of The Defense Mechanism Of Denial?
1. The Client Hides Liquor Bottles In A Closet.
2. The Client Yells At Her Son For Slouching In His Chair.
3. The Client Burns Dinner On Purpose.
4. The Client Says To The Spouse, I Dont Drink Too Much!
,CORRECT ANS:>4
Opinion: The Clients Statement I Dont Drink Too Much! Alerts The Nurse To The Use Of The Defense
Mechanism Of Denial. The Client Is Refusing To Acknowledge The Existence Of A Real Situation And The
Feelings Associated With It.
Cognitive Level:
Application Integrated Process: Assessment
12. Devastated By A Divorce From An Abusive Husband, A Wife Completes Grief Counseling. Which
Statement By The Wife Should Indicate To A Nurse That The Client Is In The Acceptance Stage Of Grief?
1. If Only We Could Have Tried Again, Things Might Have Worked Out.
2. I Am So Mad That The Children And I Had To Put Up With Him As Long As We Did.
3. Yes, It Was A Difficult Relationship, But I Think I Have Learned From The Experience.
4. I Still Dont Have Any Appetite And Continue To Lose Weight.
CORRECT ANS:>3
Opinion: The Nurse Should Evaluate That The Client Is In The Acceptance Stage Of Grief Because During
This Stage Of The Grief Process, The Client Would Be Able To Focus On The Reality Of The Loss And Its
Meaning In Relation To Life.
Cognitive Level: Analysis Integrated Process:
Evaluation
13. A Nurse Is Performing A Mental Health Assessment On An Adult Client. According To Maslows
Hierarchy Of Needs, Which Client Action Would Demonstrate The Highest Achievement In Terms Of
Mental Health?1. Maintaining A Long-Term, Faithful, Intimate Relationship.2. Achieving A Sense Of Self-
Confidence.3. Possessing A Feeling Of Self-Fulfillment And Realizing Full Potential.4. Developing A Sense
Of Purpose And The Ability To Direct Activities.
CORRECT ANS:>3
Opinion: The Nurse Should Identify That The Client Who Possesses A Feeling Of Self-Fulfillment And
Realizes His Or Her Full Potential Has Achieved Self- Actualization, The Highest Level On Maslows
Hierarchy Of Needs.
Cognitive Level:
Application Integrated Process: Assessment
14. According To Maslows Hierarchy Of Needs, Which Situation On An In-Patient Psychiatric Unit
Would Require Priority Intervention By A Nurse?1. A Client Rudely Complaining About Limited Visiting
Hours.2. A Client Exhibiting Aggressive Behavior Toward Another Client.3. A Client Stating That No One
Cares.
, 4. A Client Verbalizing Feelings Of Failure. CORRECT ANS:>2
Opinion: The Nurse Should Immediately Intervene When A Client Exhibits Aggressive Behavior Toward
Another Client. Safety And Security Are Considered Lower-Level Needs According To Maslows Hierarchy
Of Needs And Must Be Fulfilled Before Other Higher-Level Needs Can Be Met. Clients Who Complain,
Have Feelings Of Failure, Or State That No One Cares Are Struggling With Higher- Level Needs Such As
The Need For Love And Belonging Or The Need For Self- Esteem.
Cognitive Level: Analysis Integrated Process:
Evaluation
15. How Would A Nurse Best Complete The New Dsm-5 Definition Of A Mental Disorder? A Health
Condition Characterized By Significant Dysfunction In An Individuals Cognitions, Or Behaviors That
Reflects A Disturbance In The
1. Psychosocial, Biological, Or Developmental Process Underlying Mental Functioning.
2. Psychological, Cognitive, Or Developmental Process Underlying Mental Functioning.
3. Psychological, Biological, Or Developmental Process Underlying Mental Functioning.
4. Psychological, Biological, Or Psychosocial Process Underlying Mental Functioning.
CORRECT ANS:>3
Opinion: A Health Condition Characterized By Significant Dysfunction In An Individuals Cognitions, Or
Behaviors That Reflects A Disturbance In The Psychological, Biological, Or Developmental Process
Underlying Mental Functioning, Is The New Dsm 5 Definition Of A Mental Disorder.
Cognitive Level: Application Integrated Process: Assessment
Multiple Response
16. A Nurse Is Assessing A Client Who Appears To Be Experiencing Some Anxiety During
Questioning. Which Symptoms Might The Client Demonstrate That Would Indicate Anxiety? (Select All
That Apply.)
1. Fidgeting
2. Laughing Inappropriately
3. Palpitations
4. Nail Biting
5. Limited Attention Span
CORRECT ANS:>1, 2, 4
Davis Advantage For Townsend's Essentials Of Psychiatric Mental-
Health Nursing Concepts Of Care In Evidence-Based Practice Ninth
Edition By Karyn I. Morgan
Printed Pdf| Original Directly From The Publisher| 100% Verified Answers| Download Immedietly After The
Order
,Table Of Contents
I Introduction To Psychiatric Mental Health Concepts ................................................... 3
Chapter 1. Mental Health And Mental Illness ........................................................................................... 3
Chapter 2. Biological Implications ........................................................................................................... 10
Chapter 3. Ethical And Legal Issues ......................................................................................................... 19
Chapter 4. Psychopharmacology ............................................................................................................. 27
II. Psychiatric Mental Health Nursing Interventions ..........................................39
Chapter 5 . Relationship Development And Therapeutic Communication.............................................. 39
Chapter 6. The Nursing Process In Psychiatric/Mental Health Nursing................................................... 49
Chapter 7. Psychosocial Interventions And Spiritual Care....................................................................... 56
Chapter 8. Intervention In Groups .......................................................................................................... 90
Chapter 9. Crisis Intervention .................................................................................................................. 99
Chapter 10. The Recovery Model .......................................................................................................... 107
Chapter 11. Suicide Prevention ............................................................................................................. 114
III. Care Of Patients With Psychiatric Disorders ............................................... 122
Chapter 12. Caring For Patients With Mental Illness And Substance Use Disorders In General Practice
Settings .................................................................................................................................................. 122
Chapter 13. Neurocognitive Disorders .................................................................................................. 132
Chapter 14. Substance Use And Addictive Disorders ............................................................................ 140
Chapter 15. Schizophrenia Spectrum And Other Psychotic Disorders .................................................. 156
Chapter 16. Depressive Disorders ......................................................................................................... 171
Chapter 17. Bipolar And Related Disorders ........................................................................................... 186
Chapter 18. Anxiety, Obsessive-Compulsive, And Related Disorders.................................................... 195
Chapter 19. Trauma- And Stressor-Related Disorders .......................................................................... 209
Chapter 20. Somatic Symptom And Dissociative Disorders .................................................................. 223
Chapter 21. Eating Disorders ................................................................................................................. 231
Chapter 22. Personality Disorders ......................................................................................................... 238
IV. Psychiatric Mental Health Nursing Of Special Populations ........................ 255
, Chapter 23. Children And Adolescents .................................................................................................. 255
Chapter 24. The Aging Individual........................................................................................................... 273
Chapter 25. Survivors Of Abuse And Neglect ........................................................................................ 280
Chapter 26. Community Mental Health Nursing ................................................................................... 289
Chapter 27. The Bereaved Individual .................................................................................................... 297
Chapter 28. Military Families ................................................................................................................ 304
V. Online Chapters .......................................................................................... 308
Chapter 29. Concepts Of Personality Development .............................................................................. 308
Chapter 30. Complementary And Integrative Therapies ....................................................................... 315
Chapter 31. Cultural Concepts Relevant To Psychiatric Mental Health Nursing ................................... 322
Chapter 32. Issues Related To Human Sexuality And Gender Dysphoria .............................................. 330
,I Introduction To Psychiatric Mental Health Concepts
Chapter 1. Mental Health And Mental Illness
Multiple Choice
1. A Nurse Is Assessing A Client Who Is Experiencing Occasional Feelings Of Sadness Because Of
The Recent Death Of A Beloved Pet. The Clients Appetite, Sleep Patterns, And Daily Routine Have Not
Changed. How Should The Nurse Interpret The Clients Behaviors?
1. The Clients Behaviors Demonstrate Mental Illness In The Form Of Depression.
2. The Clients Behaviors Are Extensive, Which Indicates The Presence Of Mental Illness.
3. The Clients Behaviors Are Not Congruent With Cultural Norms.
4. The Clients Behaviors Demonstrate No Functional Impairment, Indicating No Mental Illness.
CORRECT ANS:>4
Opinion: The Nurse Should Assess That The Clients Daily Functioning Is Not Impaired. The Client Who
Experiences Feelings Of Sadness After The Loss Of A Pet Is Responding Within Normal Expectations.
Without Significant Impairment, The Clients Distress Does Not Indicate A Mental Illness.
Cognitive Level: Analysis Integrated Process:
Assessment
2. At What Point Should The Nurse Determine That A Client Is At Risk For Developing A Mental
Illness?
1. When Thoughts, Feelings, And Behaviors Are Not Reflective Of The Dsm-5 Criteria.
2. When Maladaptive Responses To Stress Are Coupled With Interference In Daily Functioning.
,3. When A Client Communicates Significant Distress.
4. When A Client Uses Defense Mechanisms As Ego Protection.
CORRECT ANS:>2
Opinion: The Nurse Should Determine That The Client Is At Risk For Mental Illness When Responses To
Stress Are Maladaptive And Interfere With Daily Functioning.
The Dsm-5 Indicates That In Order To Be Diagnosed With A Mental Illness, Daily Functioning Must Be
Significantly Impaired. The Clients Ability To Communicate Distress Would Be Considered A Positive
Attribute.
Cognitive Level:
Application Integrated Process: Assessment
3. A Nurse Is Assessing A Set Of 15-Year-Old Identical Twins Who Respond Very Differently To
Stress. One Twin Becomes Anxious And Irritable, And The Other Withdraws And Cries. How Should The
Nurse Explain These Different Stress Responses To The Parents?
1. Reactions To Stress Are Relative Rather Than Absolute; Individual Responses To Stress Vary.
2. It Is Abnormal For Identical Twins To React Differently To Similar Stressors.
3. Identical Twins Should Share The Same Temperament And Respond Similarly To Stress.
4. Environmental Influences To Stress Weigh More Heavily Than Genetic Influences.
CORRECT ANS:>1
Opinion: The Nurse Should Explain To The Parents That, Although The Twins Have Identical Dna, There
Are Several Other Factors That Affect Reactions To Stress.
Mental Health Is A State Of Being That Is Relative To The Individual Client. Environmental Influences
And Temperament Can Affect Stress Reactions.
Cognitive Level: Application Integrated Process:
Implementation
4. Which Client Should The Nurse Anticipate To Be Most Receptive To Psychiatric Treatment?
1. A Jewish, Female Social Worker.
2. A Baptist, Homeless Male.
3. A Catholic, Black Male.
4. A Protestant, Swedish Business Executive.
CORRECT ANS:>1
,Opinion: The Nurse Should Anticipate That The Client Of Jewish Culture Would Place A High
Importance On Preventative Health Care And Would Consider Mental Health As Equally Important As
Physical Health. Women Are Also More Likely To Seek Treatment For Mental Health Problems Than
Men.
Cognitive Level:
Application Integrated Process: Planning
5. A Psychiatric Nurse Intern States, This Clients Use Of Defense Mechanisms Should Be Eliminated.
Which Is A Correct Evaluation Of This Nurses Statement?
1. Defense Mechanisms Can Be Appropriate Responses To Stress And Need Not Be Eliminated.
2. Defense Mechanisms Are A Maladaptive Attempt Of The Ego To Manage Anxiety And Should
Always Be Eliminated.
3. Defense Mechanisms, Used By Individuals With Weak Ego Integrity, Should Be Discouraged And
Not Eliminated.
4. Defense Mechanisms Cause Disintegration Of The Ego And Should Be Fostered And Encouraged.
CORRECT ANS:>1
Opinion: The Nurse Should Determine That Defense Mechanisms Can Be Appropriate During Times Of
Stress. The Client With No Defense Mechanisms May Have A Lower Tolerance For Stress, Thus Leading
To Anxiety Disorders. Defense Mechanisms Should Be Confronted When They Impede The Client From
Developing Healthy Coping Skills.
Cognitive Level:
Application Integrated Process: Evaluation
6. During An Intake Assessment, A Nurse Asks Both Physiological And Psychosocial Questions. The
Client Angrily Responds, Im Here For My Heart, Not My Head Problems. Which Is The Nurses Best
Response?
1. Its Just A Routine Part Of Our Assessment. All Clients Are Asked These Same Questions.
2. Why Are You Concerned About These Types Of Questions?
3. Psychological Factors, Like Excessive Stress, Have Been Found To Affect Medical Conditions.
4. We Can Skip These Questions, If You Like. It Isnt Imperative That We Complete This Section.
CORRECT ANS:>3
Opinion: The Nurse Should Attempt To Educate The Client On The Negative Effects Of Excessive Stress
On Medical Conditions. It Is Not Appropriate To Skip Physiological And Psychosocial Questions, As This
Would Lead To An Inaccurate Assessment.
,Cognitive Level: Application Integrated Process:
Implementation
7. An Employee Uses The Defense Mechanism Of Displacement When The Boss Openly Disagrees
With Suggestions. What Behavior Would Be Expected From This Employee?
1. The Employee Assertively Confronts The Boss.
2. The Employee Leaves The Staff Meeting To Work Out In The Gym.
3. The Employee Criticizes A Coworker.
4. The Employee Takes The Boss Out To Lunch.
CORRECT ANS:>3
Opinion: The Nurse Should Expect That The Client Using The Defense Mechanism Displacement Would
Criticize A Coworker After Being Confronted By The Boss.
Displacement Refers To Transferring Feelings From One Target To A Neutral Or Less- Threatening Target.
Cognitive Level: Analysis Integrated Process:
Assessment
8. A Fourth-Grade Boy Teases And Makes Jokes About A Cute Girl In His Class. This Behavior Should
Be Identified By A Nurse As Indicative Of Which Defense Mechanism?
1. Displacement
2. Projection
3. Reaction Formation
4. Sublimation
CORRECT ANS:>3
Opinion: The Nurse Should Identify That The Boy Is Using Reaction Formation As A Defense
Mechanism. Reaction Formation Is The Attempt To Prevent Undesirable Thoughts From Being
Expressed By Expressing Opposite Thoughts Or Behaviors.
Displacement Refers To Transferring Feelings From One Target To Another. Rationalization Refers To
Making Excuses To Justify Behavior. Projection Refers To The Attribution Of Unacceptable Feelings Or
Behaviors To Another Person.
Sublimation Refers To Channeling Unacceptable Drives Or Impulses Into More Constructive, Acceptable
Activities.
Cognitive Level:
Application Integrated Process: Assessment
,9. Which Nursing Statement About The Concept Of Neurosis Is Most Accurate?
1. An Individual Experiencing Neurosis Is Unaware That He Or She Is Experiencing Distress.
2. An Individual Experiencing Neurosis Feels Helpless To Change His Or Her Situation.
3. An Individual Experiencing Neurosis Is Aware Of Psychological Causes Of His Or Her Behavior.
4. An Individual Experiencing Neurosis Has A Loss Of Contact With Reality.
CORRECT ANS:>2
Opinion: The Nurse Should Define The Concept Of Neurosis With The Following Characteristics:
The Client Feels Helpless To Change His Or Her Situation, The Client Is Aware That He Or She Is
Experiencing Distress, The Client Is Aware The Behaviors Are Maladaptive, The Client Is Unaware Of The
Psychological Causes Of The Distress, And The Client Experiences No Loss Of Contact With Reality.
Cognitive Level:
Application Integrated Process: Assessment
10. Which Nursing Statement Regarding The Concept Of Psychosis Is Most Accurate?
1. Individuals Experiencing Psychoses Are Aware That Their Behaviors Are Maladaptive.
2. Individuals Experiencing Psychoses Experience Little Distress.
3. Individuals Experiencing Psychoses Are Aware Of Experiencing Psychological Problems.
4. Individuals Experiencing Psychoses Are Based In Reality.
CORRECT ANS:>2
Opinion: The Nurse Should Understand That The Client With Psychosis Experiences Little Distress
Owing To His Or Her Lack Of Awareness Of Reality. The Client With Psychosis Is Unaware That His Or Her
Behavior Is Maladaptive Or That He Or She Has A Psychological Problem.
Cognitive Level:
Application Integrated Process: Assessment
11. When Under Stress, A Client Routinely Uses Alcohol To Excess. Finding Her Drunk, Her Husband
Yells At The Client About Her Chronic Alcohol Abuse. Which Action Alerts The Nurse To The Clients Use
Of The Defense Mechanism Of Denial?
1. The Client Hides Liquor Bottles In A Closet.
2. The Client Yells At Her Son For Slouching In His Chair.
3. The Client Burns Dinner On Purpose.
4. The Client Says To The Spouse, I Dont Drink Too Much!
,CORRECT ANS:>4
Opinion: The Clients Statement I Dont Drink Too Much! Alerts The Nurse To The Use Of The Defense
Mechanism Of Denial. The Client Is Refusing To Acknowledge The Existence Of A Real Situation And The
Feelings Associated With It.
Cognitive Level:
Application Integrated Process: Assessment
12. Devastated By A Divorce From An Abusive Husband, A Wife Completes Grief Counseling. Which
Statement By The Wife Should Indicate To A Nurse That The Client Is In The Acceptance Stage Of Grief?
1. If Only We Could Have Tried Again, Things Might Have Worked Out.
2. I Am So Mad That The Children And I Had To Put Up With Him As Long As We Did.
3. Yes, It Was A Difficult Relationship, But I Think I Have Learned From The Experience.
4. I Still Dont Have Any Appetite And Continue To Lose Weight.
CORRECT ANS:>3
Opinion: The Nurse Should Evaluate That The Client Is In The Acceptance Stage Of Grief Because During
This Stage Of The Grief Process, The Client Would Be Able To Focus On The Reality Of The Loss And Its
Meaning In Relation To Life.
Cognitive Level: Analysis Integrated Process:
Evaluation
13. A Nurse Is Performing A Mental Health Assessment On An Adult Client. According To Maslows
Hierarchy Of Needs, Which Client Action Would Demonstrate The Highest Achievement In Terms Of
Mental Health?1. Maintaining A Long-Term, Faithful, Intimate Relationship.2. Achieving A Sense Of Self-
Confidence.3. Possessing A Feeling Of Self-Fulfillment And Realizing Full Potential.4. Developing A Sense
Of Purpose And The Ability To Direct Activities.
CORRECT ANS:>3
Opinion: The Nurse Should Identify That The Client Who Possesses A Feeling Of Self-Fulfillment And
Realizes His Or Her Full Potential Has Achieved Self- Actualization, The Highest Level On Maslows
Hierarchy Of Needs.
Cognitive Level:
Application Integrated Process: Assessment
14. According To Maslows Hierarchy Of Needs, Which Situation On An In-Patient Psychiatric Unit
Would Require Priority Intervention By A Nurse?1. A Client Rudely Complaining About Limited Visiting
Hours.2. A Client Exhibiting Aggressive Behavior Toward Another Client.3. A Client Stating That No One
Cares.
, 4. A Client Verbalizing Feelings Of Failure. CORRECT ANS:>2
Opinion: The Nurse Should Immediately Intervene When A Client Exhibits Aggressive Behavior Toward
Another Client. Safety And Security Are Considered Lower-Level Needs According To Maslows Hierarchy
Of Needs And Must Be Fulfilled Before Other Higher-Level Needs Can Be Met. Clients Who Complain,
Have Feelings Of Failure, Or State That No One Cares Are Struggling With Higher- Level Needs Such As
The Need For Love And Belonging Or The Need For Self- Esteem.
Cognitive Level: Analysis Integrated Process:
Evaluation
15. How Would A Nurse Best Complete The New Dsm-5 Definition Of A Mental Disorder? A Health
Condition Characterized By Significant Dysfunction In An Individuals Cognitions, Or Behaviors That
Reflects A Disturbance In The
1. Psychosocial, Biological, Or Developmental Process Underlying Mental Functioning.
2. Psychological, Cognitive, Or Developmental Process Underlying Mental Functioning.
3. Psychological, Biological, Or Developmental Process Underlying Mental Functioning.
4. Psychological, Biological, Or Psychosocial Process Underlying Mental Functioning.
CORRECT ANS:>3
Opinion: A Health Condition Characterized By Significant Dysfunction In An Individuals Cognitions, Or
Behaviors That Reflects A Disturbance In The Psychological, Biological, Or Developmental Process
Underlying Mental Functioning, Is The New Dsm 5 Definition Of A Mental Disorder.
Cognitive Level: Application Integrated Process: Assessment
Multiple Response
16. A Nurse Is Assessing A Client Who Appears To Be Experiencing Some Anxiety During
Questioning. Which Symptoms Might The Client Demonstrate That Would Indicate Anxiety? (Select All
That Apply.)
1. Fidgeting
2. Laughing Inappropriately
3. Palpitations
4. Nail Biting
5. Limited Attention Span
CORRECT ANS:>1, 2, 4
