h h h h h h
hEssentials of Psychiatric Mental Health Nursing 9th
h h h h h h
Edition Karyn Morgan
h h h
,Chapter 1: Mental Health and Mental Illness
h h h h h h
Multiple hChoice
Identify hthe hchoice hthat hbest hcompletes hthe hstatement hor hanswers hthe hquestion.
1. A hnurse his hassessing ha hclient hwho hexperiences hoccasional hfeelings hof hsadness hbecause hof hthe
hrecent hdeath hof ha hbeloved hpet. hThe hclient‘s happetite, hsleep hpatterns, hand hdaily hroutine hhave hnot
hchanged. hHow hwould hthe hnurse hinterpret hthe hclient‘s hbehaviors?
1. The hclient‘s hbehaviors hdemonstrate hmental hillness hin hthe hform hof hdepression.
2. The hclient‘s hbehaviors hare hinappropriate, hwhich hindicates hthe hpresence hof
hmental hillness.
3. The hclient‘s hbehaviors hare hnot hcongruent hwith hcultural hnorms.
4. The hclient‘s hbehaviors hdemonstrate hno hfunctional himpairment, hindicating hno
hmental hillness.
2. At hwhich hpoint hwould hthe hnurse hdetermine hthat ha hclient his hat hrisk hfor hdeveloping ha hmental hillness?
1. When hthoughts, hfeelings, hand hbehaviors hare hnot hreflective hof hthe hDSM-5 hcriteria.
2. When hmaladaptive hresponses hto hstress hare hcoupled hwith hinterference hin
hdaily hfunctioning.
3. When ha hclient hcommunicates hsignificant hdistress.
4. When ha hclient huses hdefense hmechanisms has hego hprotection.
3. A hclient hhas hbeen hgiven ha hdiagnosis hof hhuman himmunodeficiency hvirus h(HIV). hWhich
hstatement hmade hby hthe hclient hdoes hth NeUnR
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zeCaOshMt h e hbargaining hstage hof hgrief?
1. ―I hhate hmy hpartner hfor hgiving hme hthis hdisease hI hwill hdie hfrom!‖
2. ―If hI hdon‘t hdo hintravenous h(IV) hdrugs hanymore, hGod hwon‘t hlet hme hdie.‖
3. ―I ham hgoing hto hsupport hgroups hand hlearn hmore habout hthe hdisease.‖
4. ―Can hyou hplease hre-draw hthe htest hresults, hI hthink hthey hmay hbe hwrong?‖
4. A hnurse hnotes hthat ha hclient his hextremely hwithdrawn, hdelusional, hand hemotionally hexhausted.
hThe hnurse hassesses hthe hclient‘s hanxiety has hwhich hlevel?
1. Mild hanxiety
2. Moderate hanxiety
3. Severe hanxiety
4. Panic hanxiety
5. A hpsychiatric hnurse hintern hstates, h―This hclient‘s huse hof hdefense hmechanisms hshould hbe
heliminated.‖ hWhich his ha hcorrect hevaluation hof hthis hnurse‘s hstatement?
1. Defense hmechanisms hcan hbe happropriate hresponses hto hstress hand hneed hnot
hbe heliminated.
2. Defense hmechanisms hare ha hmaladaptive hattempt hof hthe hego hto hmanage hanxiety
hand hshould halways hbe heliminated.
, 6. During han hintake hassessment, ha hnurse hasks hboth hphysiological hand hpsychosocial hquestions. hThe
hclient hangrily hresponds, h―I‘m hhere hfor hmy hheart, hnot hmy hhead hproblems.‖ hWhich his hthe hnurse‘s
hbest hresponse?
1. ―It his hjust ha hroutine hpart hof hour hassessment. hAll hclients hare hasked hthese
hsame hquestions.‖
2. ―Why hare hyou hconcerned habout hthese htypes hof hquestions?‖
3. ―Psychological hfactors, hlike hexcessive hstress, hhave hbeen hfound hto haffect
hmedical hconditions.‖
4. ―We hcan hskip hthese hquestions, hif hyou hlike. hIt hisn‘t himperative hthat hwe hcomplete
hthis hsection.‖
7. A hclient hwho his hbeing htreated hfor hchronic hkidney hdisease hcomplains hto hthe hhealth-care hprovider
hthat hhe hdoes hnot hlike hthe hfood havailable hto hhim hwhile hhospitalized. hThe hhealth-care hprovider
hinsists hthat hthe hclient hstrictly hadhere hto hthe hdiet hplan. hWhat haction hcan hbe hexpected his hthe hclient
huses hthe hdefense hmechanism hof hdisplacement?
1. The hclient hassertively hconfronts hthe hhealth-care hprovider.
2. The hclient hinsists hon hbeing hdischarged hand hgoes hfor ha hlong, hbrisk hwalk.
3. The hclient hsnaps hat hthe hnurse hand hcriticizes hthe hnursing hcare hprovided.
4. The hclient hhides hhis hanger hby hexplaining hthe hlogical hreasoning hfor hthe hdiet hto
hhis hspouse.
8. A hfourth-grade hboy hteases hand hmakes hjokes habout ha hcute hgirl hin hhis hclass. hA hnurse hwould
hrecognize hthis hbehavior has hindicative hof hwhich hdefense hmechanism?
1. Displacement
2. Projection
3. Reaction hformation
4. Sublimation
9. h h Which hnursing hstatement hregarding hthe hconcept hof hpsychosis his hmost haccurate?
1. Individuals hexperiencing hpsychoses hare haware hthat htheir hbehaviors hare hmaladaptive.
2. Individuals hexperiencing hpsychoses hexperience hlittle hdistress.
3. Individuals hexperiencing hpsychoses hare haware hof hexperiencing
hpsychological hproblems.
4. Individuals hexperiencing hpsychoses hare hbased hin hreality.
h 10. h When hunder hstress, ha hclient hroutinely huses halcohol hto hexcess. hWhen hthe hclient‘s hhusband hfinds
hher hdrunk, hthe hhusband hyells hat hthe hclient habout hher hchronic halcohol habuse. hWhich haction
halerts hthe hnurse hto hthe hclient‘s huse hof hthe hdefense hmechanism hof hdenial?
1. The hclient hhides hliquor hbottles hin ha hcloset.
2. The hclient hyells hat hher hson hfor hslouching hin hhis hchair.
3. The hclient hburns hdinner hon hpurpose.
4. The hclient hsays hto hthe hspouse, h―I hdon‘t hdrink htoo hmuch!‖
h 11. hDevastated hby ha hdivorce hfrom han habusive hhusband, ha hwife hcompletes hgrief hcounseling. hWhich
hstatement hby hthe hwife hwould hindicate hto ha hnurse hthat hthe hclient his hin hthe hacceptance hstage hof
hgrief?
1. ―If honly hwe hcould hhave htried hagain, hthings hmight hhave hworked hout.‖
2. ―I ham hso hmad hthat hthe hchildren hand hI hhad hto hput hup hwith hhim has hlong has hwe hdid.‖
3. ―Yes, hit hwas ha hdifficult hrelationship, hbut hI hthink hI hhave hlearned hfrom hthe
, experience.‖
4. ―I hhave ha hdifficult htime hgetting hout hof hbed hmost hdays.‖
h 12. h According hto hMaslow‘s hhierarchy hof hneeds, hwhich hclient haction hwould hdemonstrate hthe
hhighest hachievement hin hterms hof hmental hhealth?
1. Maintaining ha hlong-term, hfaithful, hintimate hrelationship
2. Achieving ha hsense hof hself-confidence
3. Possessing ha hfeeling hof hself-fulfillment hand hrealizing hfull hpotential
4. Developing ha hsense hof hpurpose hand hthe hability hto hdirect hactivities
h 13. h According hto hMaslow‘s hhierarchy hof hneeds, hwhich hsituation hon han hinpatient hpsychiatric hunit
hwould hrequire hpriority hintervention hby ha hnurse?
1. A hclient hrudely hcomplaining habout hlimited hvisiting hhours
2. A hclient hexhibiting haggressive hbehavior htoward hanother hclient
3. A hclient hstating hthat hno hone hcares
4. A hclient hverbalizing hfeelings hof hfailure
Multiple hResponse
Identify hone hor hmore hchoices hthat hbest hcomplete hthe hstatement hor hanswer hthe hquestion.
h 14. h Which hdescribes ha hdefense hmechanism han hindividual hmay huse hto hrelieve hanxiety hin ha
hstressful hsituation? h(Select hall hthat happly.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail hbiting
5. Sleeping
h 15. h The hnurse his hreviewing hthe hDSM-5 hdefinition hof ha hmental hhealth hdisorder hand hnotes hthe
hdefinition hincludes ha hdisturbance hin hwhich hareas? h(Select hall hthat happly.)
1. Cognition
2. Physical
3. Emotional hregulation
4. Behavior
5. Developmental
Completion
Complete heach hstatement.
16. is ha hdiffuse happrehension hthat his hvague hin hnature hand his
hassociated hwith hfeelings hof huncertainty hand hhelplessness.
17. is ha hsubjective hstate hof hemotional, hphysical, hand hsocial hresponses
hto hthe hloss hof ha hvalued hentity.
Other