Test Bank for Davis Advantage for
Townsend's Essentials of Psychiatric
Mental Health Nursing, 10th Edition by
Karyn I. Morgan
Chapter 1: Mental Health and Mental Illness
1. Question:
A nurse is assessing a customer who experiences occasional feelings of sadness because of the recent death of a
beloved pet. The customer’s appetite, sleep patterns, and daily routine have not changed.
How would the nurse interpret the customer’s behaviors?
Choices:
1. The customer’s behaviors demonstrate psychological sickness in the form of depression.
2. The customer’s behaviors are inappropriate, which indicates the presence of psychological sickness.
3. The customer’s behaviors are not congruent with natural norms.
4. The customer’s behaviors demonstrate no functional impairment, indicating no psychological sickness.
2. Question:
At which point would the nurse determine that a customer is at risk for developing a psychological sickness?
,Choices:
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 customer communicates significant distress.
4. When a customer uses defense mechanisms as ego protection.
3. Question:
A customer has been given a diagnosis of human immunodeficiency virus (HIV). Which statement made by the
customer does the nurse recognize as the bargaining stage of grief?
Choices:
1. “I hate my partner for giving me this infection. I will die from it!”
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 infection.”
4. “Can you please re-draw the test results? I think they may be wrong?”
4. Question:
A nurse notes that a customer is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the
customer’s concern as which level?
Choices:
1. Mild concern
2. Sensible concern
3. Severe concern
4. Panic concern
,5. Question:
A psychiatric nurse intern states, “This customer’s use of defense mechanisms should be eliminated.” Which is a
correct evaluation of this nurse’s statement?
Choices:
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 concern and should always be eliminated.
3. Defense mechanisms, used by characters with weak ego integrity, should be discouraged and not completely
eliminated.
4. Defense mechanisms cause disintegration of the ego and should be nurseed and encouraged.
6. Question:
During an intake assessment, a nurse asks both physiological and psychosocial questions. The customer angrily
responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best response?
Choices:
1. “It is just a routine part of our assessment. All customers 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 isn’t imperative that we complete this section.”
7Question:
A customer who is being treated for chronic kidney infection complains to the fitness-care provider that he does not
like the food available to him while hospitalized. The fitness-care provider insists that the customer strictly adhere to
the diet plan. What action can be expected if the customer uses the defense mechanism of displacement?
Choices:
1. The customer assertively confronts the fitness-care provider.
2. The customer insists on being discharged and goes for a long, brisk walk.
3. The customer snaps at the nurse and complains about the nursing care provided.
, 4. The customer hides his anger by explaining the logical reasoning for the diet to his spouse.
8Question:
A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize this behavior as
indicative of which defense mechanism?
Choices:
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
9. Question:
Which nursing statement regarding the concept of psychosis is most accurate?
Choices:
1. Characters experiencing psychosis are aware that their behaviors are maladaptive.
2. Characters experiencing psychosis experience little distress.
3. Characters experiencing psychosis are aware of having psychological problems.
4. Characters experiencing psychosis are based in reality.
10. Question:
When under stress, a customer routinely uses liquor to excess. When the customer’s husband finds her drunk, the
husband yells at the customer about her chronic liquor abuse. Which action alerts the nurse to the customer’s use of the
defense mechanism of denial?
Townsend's Essentials of Psychiatric
Mental Health Nursing, 10th Edition by
Karyn I. Morgan
Chapter 1: Mental Health and Mental Illness
1. Question:
A nurse is assessing a customer who experiences occasional feelings of sadness because of the recent death of a
beloved pet. The customer’s appetite, sleep patterns, and daily routine have not changed.
How would the nurse interpret the customer’s behaviors?
Choices:
1. The customer’s behaviors demonstrate psychological sickness in the form of depression.
2. The customer’s behaviors are inappropriate, which indicates the presence of psychological sickness.
3. The customer’s behaviors are not congruent with natural norms.
4. The customer’s behaviors demonstrate no functional impairment, indicating no psychological sickness.
2. Question:
At which point would the nurse determine that a customer is at risk for developing a psychological sickness?
,Choices:
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 customer communicates significant distress.
4. When a customer uses defense mechanisms as ego protection.
3. Question:
A customer has been given a diagnosis of human immunodeficiency virus (HIV). Which statement made by the
customer does the nurse recognize as the bargaining stage of grief?
Choices:
1. “I hate my partner for giving me this infection. I will die from it!”
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 infection.”
4. “Can you please re-draw the test results? I think they may be wrong?”
4. Question:
A nurse notes that a customer is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the
customer’s concern as which level?
Choices:
1. Mild concern
2. Sensible concern
3. Severe concern
4. Panic concern
,5. Question:
A psychiatric nurse intern states, “This customer’s use of defense mechanisms should be eliminated.” Which is a
correct evaluation of this nurse’s statement?
Choices:
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 concern and should always be eliminated.
3. Defense mechanisms, used by characters with weak ego integrity, should be discouraged and not completely
eliminated.
4. Defense mechanisms cause disintegration of the ego and should be nurseed and encouraged.
6. Question:
During an intake assessment, a nurse asks both physiological and psychosocial questions. The customer angrily
responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best response?
Choices:
1. “It is just a routine part of our assessment. All customers 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 isn’t imperative that we complete this section.”
7Question:
A customer who is being treated for chronic kidney infection complains to the fitness-care provider that he does not
like the food available to him while hospitalized. The fitness-care provider insists that the customer strictly adhere to
the diet plan. What action can be expected if the customer uses the defense mechanism of displacement?
Choices:
1. The customer assertively confronts the fitness-care provider.
2. The customer insists on being discharged and goes for a long, brisk walk.
3. The customer snaps at the nurse and complains about the nursing care provided.
, 4. The customer hides his anger by explaining the logical reasoning for the diet to his spouse.
8Question:
A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize this behavior as
indicative of which defense mechanism?
Choices:
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
9. Question:
Which nursing statement regarding the concept of psychosis is most accurate?
Choices:
1. Characters experiencing psychosis are aware that their behaviors are maladaptive.
2. Characters experiencing psychosis experience little distress.
3. Characters experiencing psychosis are aware of having psychological problems.
4. Characters experiencing psychosis are based in reality.
10. Question:
When under stress, a customer routinely uses liquor to excess. When the customer’s husband finds her drunk, the
husband yells at the customer about her chronic liquor abuse. Which action alerts the nurse to the customer’s use of the
defense mechanism of denial?
