Essentials of Psychiatric Mental Health Nursing, 11th Edition
, Essentials of Psychiatric Mental Health Nursing, 11th Edition
Chapter 1: Mental Health and Mental Illness
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is assessing a client who experiences occasional feelings of sadness because of the recent
death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed.
How would the nurse interpret the client’s behaviors?
1. The client’s behaviors demonstrate mental illness in the form of depression.
2. The client’s behaviors are inappropriate, which indicates the presence of mental
illness.
3. The client’s behaviors are not congruent with cultural norms.
4. The client’s behaviors demonstrate no functional impairment, indicating no mental
illness.
2. At which point would 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.
3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement
made by the client does thNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
sMthe bargaining stage of grief?
1. “I hate my partner for giving me this disease I will die from!”
2. “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.”
3. “I am going to support groups and learn more about the disease.”
4. “Can you please re-draw the test results, I think they may be wrong?”
4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The
nurse assesses the client’s anxiety as which level?
1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
4. Panic anxiety
5. A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.”
Which is a correct evaluation of this nurse’s 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 completely eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
, Essentials of Psychiatric Mental Health Nursing, 11th Edition
6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
client angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best
response?
1. “It is 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. “Weכלcan .בבחינות להצליח
skip these לעזור לכם
questions, if youכדי בקפידה
like. It isn’tשנוצרו ,במיוחד
imperative thatאיכותיים
we complete this
מכסה את כל הנושאים המרכזיים עם הסברים,מאגר מבחנים הוא מקיף
section.”
ברירה ותרחישי תרגול שמשקפים תנאי בחינה- שאלות רב,מפורטים
7. A client.אמיתיים
who is being treated for chronic kidney disease complains to the health-care provider that
he does,אמינים
not likeמחומרים
the food נלקחים
availableהםto?שלי
him המבחנים לבחור במאגרי
while hospitalized. למה
The health-care provider insists that
,הלימודים
the client בתוכנית
strictly adhere to עדכניים שינויים
the diet plan. לשקף
What כדיcan
action קבוע
beבאופן מעודכנים
expected is the client uses the defense
mechanism, עסקים, בין אם אתם לומדים סיעוד.ומעוצבים על ידי מומחים בתחום
of displacement?
1. Theאישית
client מותאמים
assertivelyמשאבים
confronts תמצאו ,דיסציפלינה אחרת
the health-care provider.הנדסה או כל
2. The.שלכם
clientוהביצועים שמעלים את הביטחון
insists on being discharged and goes for a long, brisk walk.
3. Theגלשוclient.תוצאות
snaps atשמביאה
the nurse and criticizes
באיכות השקיעוthe nursing
.בינוניים careבכלי
לימוד provided.
אל תסתפקו
4. Theהורדות
client hides his anger by explaining the logical
עם.שלי היום ועשו את הצעד הראשון להצלחה אקדמית reasoning for the diet to his
באוסף
spouse.
941( . ההכנה לבחינות מעולם לא הייתה קלה יותר,מיידיות ומחירים נוחים
) מיליםboy teases and makes jokes about a cute girl in his class. A nurse would recognize
8. A fourth-grade
Իմ Stuvia
this behavior խանութի նկարագրություն
as indicative of which defense (Հայերեն)
mechanism?
Բարի գալուստ իմ Stuvia խանութը, որտեղ գերազանցությունը
1. Displacement
2. Projection NURSINGTB.COM
հանդիպում է հարմարավետության ակադեմիական
ճանապարհորդության
3. Reaction formation ժամանակ: Ես մասնագիտացած եմ
բարձրորակ թեստային բանկերի տրամադրումում, որոնք
4. Sublimation
մանրակրկիտ ստեղծված են ձեզ օգնելու հաջողության հասնել
9. Which nursing statement regarding the concept of psychosis is most accurate?
Ձեր քննություններում: Յուրաքանչյուր թեստային բանկը
1. Individuals experiencing psychoses are aware that their behaviors are maladaptive.
համապարփակ է, ընդգրկում է բոլոր հիմնական թեմաները՝
2. Individuals experiencing psychoses experience little distress.
մանրամասն բացատրություններով, բազմակի ընտրության
3. Individuals experiencing psychoses are aware of experiencing psychological
հարցերով և պրակտիկ սցենարներով, որոնք արտացոլում են
problems.
իրական քննության
4. Individuals պայմանները:
experiencing psychoses are based in reality.
Ինչու ընտրել իմ թեստային բանկերը: Դրանք վերցված են
վստահելի
10. When under նյութերից,
stress, a client կանոնավոր թարմացվում
routinely uses alcohol toեն՝excess. When the client’s husband finds her
drunk, արտացոլելով
the husband yellsվերջինat հանրագրչական
the client aboutփոփոխությունները,
her chronic alcohol և abuse. Which action alerts the
nurse toնախագծված
the client’sենuseոլորտի
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 don’t drink too much!”
11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which
statement by the wife would 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
, Essentials of Psychiatric Mental Health Nursing, 11th Edition
experience.”
4. “I have a difficult time getting out of bed most days.”
12. According to Maslow’s 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
13. According to Maslow’s hierarchy of needs, which situation on an inpatient 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
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
14. Which describes a defense mechanism an individual may use to relieve anxiety in a stressful
situation? (Select all that apply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail biting
5. Sleeping
15. The nurse is reviewing the DSM-5 definition of a mental health disorder and notes the definition
includes a disturbance in which areas? (Select all that apply.)
1. Cognition
2. Physical
3. Emotional regulation
4. Behavior
5. Developmental
Completion
Complete each statement.
16. is a diffuse apprehension that is vague in nature and is associated
with feelings of uncertainty and helplessness.
17. is a subjective state of emotional, physical, and social responses to
the loss of a valued entity.
Other
, Essentials of Psychiatric Mental Health Nursing, 11th Edition
Chapter 1: Mental Health and Mental Illness
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is assessing a client who experiences occasional feelings of sadness because of the recent
death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed.
How would the nurse interpret the client’s behaviors?
1. The client’s behaviors demonstrate mental illness in the form of depression.
2. The client’s behaviors are inappropriate, which indicates the presence of mental
illness.
3. The client’s behaviors are not congruent with cultural norms.
4. The client’s behaviors demonstrate no functional impairment, indicating no mental
illness.
2. At which point would 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.
3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement
made by the client does thNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
sMthe bargaining stage of grief?
1. “I hate my partner for giving me this disease I will die from!”
2. “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.”
3. “I am going to support groups and learn more about the disease.”
4. “Can you please re-draw the test results, I think they may be wrong?”
4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The
nurse assesses the client’s anxiety as which level?
1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
4. Panic anxiety
5. A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.”
Which is a correct evaluation of this nurse’s 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 completely eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
, Essentials of Psychiatric Mental Health Nursing, 11th Edition
6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
client angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best
response?
1. “It is 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. “Weכלcan .בבחינות להצליח
skip these לעזור לכם
questions, if youכדי בקפידה
like. It isn’tשנוצרו ,במיוחד
imperative thatאיכותיים
we complete this
מכסה את כל הנושאים המרכזיים עם הסברים,מאגר מבחנים הוא מקיף
section.”
ברירה ותרחישי תרגול שמשקפים תנאי בחינה- שאלות רב,מפורטים
7. A client.אמיתיים
who is being treated for chronic kidney disease complains to the health-care provider that
he does,אמינים
not likeמחומרים
the food נלקחים
availableהםto?שלי
him המבחנים לבחור במאגרי
while hospitalized. למה
The health-care provider insists that
,הלימודים
the client בתוכנית
strictly adhere to עדכניים שינויים
the diet plan. לשקף
What כדיcan
action קבוע
beבאופן מעודכנים
expected is the client uses the defense
mechanism, עסקים, בין אם אתם לומדים סיעוד.ומעוצבים על ידי מומחים בתחום
of displacement?
1. Theאישית
client מותאמים
assertivelyמשאבים
confronts תמצאו ,דיסציפלינה אחרת
the health-care provider.הנדסה או כל
2. The.שלכם
clientוהביצועים שמעלים את הביטחון
insists on being discharged and goes for a long, brisk walk.
3. Theגלשוclient.תוצאות
snaps atשמביאה
the nurse and criticizes
באיכות השקיעוthe nursing
.בינוניים careבכלי
לימוד provided.
אל תסתפקו
4. Theהורדות
client hides his anger by explaining the logical
עם.שלי היום ועשו את הצעד הראשון להצלחה אקדמית reasoning for the diet to his
באוסף
spouse.
941( . ההכנה לבחינות מעולם לא הייתה קלה יותר,מיידיות ומחירים נוחים
) מיליםboy teases and makes jokes about a cute girl in his class. A nurse would recognize
8. A fourth-grade
Իմ Stuvia
this behavior խանութի նկարագրություն
as indicative of which defense (Հայերեն)
mechanism?
Բարի գալուստ իմ Stuvia խանութը, որտեղ գերազանցությունը
1. Displacement
2. Projection NURSINGTB.COM
հանդիպում է հարմարավետության ակադեմիական
ճանապարհորդության
3. Reaction formation ժամանակ: Ես մասնագիտացած եմ
բարձրորակ թեստային բանկերի տրամադրումում, որոնք
4. Sublimation
մանրակրկիտ ստեղծված են ձեզ օգնելու հաջողության հասնել
9. Which nursing statement regarding the concept of psychosis is most accurate?
Ձեր քննություններում: Յուրաքանչյուր թեստային բանկը
1. Individuals experiencing psychoses are aware that their behaviors are maladaptive.
համապարփակ է, ընդգրկում է բոլոր հիմնական թեմաները՝
2. Individuals experiencing psychoses experience little distress.
մանրամասն բացատրություններով, բազմակի ընտրության
3. Individuals experiencing psychoses are aware of experiencing psychological
հարցերով և պրակտիկ սցենարներով, որոնք արտացոլում են
problems.
իրական քննության
4. Individuals պայմանները:
experiencing psychoses are based in reality.
Ինչու ընտրել իմ թեստային բանկերը: Դրանք վերցված են
վստահելի
10. When under նյութերից,
stress, a client կանոնավոր թարմացվում
routinely uses alcohol toեն՝excess. When the client’s husband finds her
drunk, արտացոլելով
the husband yellsվերջինat հանրագրչական
the client aboutփոփոխությունները,
her chronic alcohol և abuse. Which action alerts the
nurse toնախագծված
the client’sենuseոլորտի
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 don’t drink too much!”
11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which
statement by the wife would 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
, Essentials of Psychiatric Mental Health Nursing, 11th Edition
experience.”
4. “I have a difficult time getting out of bed most days.”
12. According to Maslow’s 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
13. According to Maslow’s hierarchy of needs, which situation on an inpatient 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
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
14. Which describes a defense mechanism an individual may use to relieve anxiety in a stressful
situation? (Select all that apply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail biting
5. Sleeping
15. The nurse is reviewing the DSM-5 definition of a mental health disorder and notes the definition
includes a disturbance in which areas? (Select all that apply.)
1. Cognition
2. Physical
3. Emotional regulation
4. Behavior
5. Developmental
Completion
Complete each statement.
16. is a diffuse apprehension that is vague in nature and is associated
with feelings of uncertainty and helplessness.
17. is a subjective state of emotional, physical, and social responses to
the loss of a valued entity.
Other
