ii. ii i- i ii
Essentials iof iPsychiatric iMental iHealth iNursing i8th
iEditioniConcepts iof iCare iin iEvidence- iBased iPractice i8th
iEdition iMorgan iTownsend iTest iBank
ii. ii i- i ii
Chapter i1. iMental iHealth iand
iMental iiIllness iMultiple iChoice
1. iA inurse iis iassessing ia iclient iwho iis iexperiencing ioccasional ifeelings iof isadness
ibecause iof itherecent ideath iof ia ibeloved ipet. iThe iclients iappetite, isleep ipatterns, iand
idaily iroutineihave inot ichanged. i How ishould i the inurse i interpret ithe iclients ibehaviors?
1. The iclients ibehaviors idemonstrate imental iillness iin ithe iform iof idepression.
2. The iclients ibehaviors iare iextensive, iwhich iindicates ithe ipresence iof imental iillness.
3. The iclients ibehaviors iare inot icongruent iwith icultural inorms.
4. The iclients ibehaviors idemonstrate ino ifunctional iimpairment, iindicating ino
imentaliillness.
ANS: i4
Rationale: iThe inurse ishould iassess ithat ithe iclients idaily ifunctioning iis inot
iimpaired. iThe iclientwho iexperiences ifeelings iof isadness iafter ithe iloss iof ia ipet iis
iresponding iwithininormal iexpectations. iWithout isignificant iimpairment, ithe iclients
idistress idoes inot iindicate ia imental i illness.
Cognitive iLevel:
iAnalysisiIntegrated
iProcess:
Assessment
2. iAt iwhat ipoint ishould ithe inurse idetermine ithat ia iclient iis iat irisk ifor ideveloping
iaimentalillness?
1. When ithoughts, ifeelings, iand ibehaviors iare inot ireflective iof ithe iDSM-5 icriteria.
2. When imaladaptive iresponses ito istress iare icoupled iwith iinterference iin
idailyifunctioning.
3. When ia iclient i iimunicates isignificant idistress.
4. When ia iclient iuses idefense imechanisms ias iego iprotection.
ANS: i2
Downloaded iby: iclintonson i|
Distribution iof ithis idocument iis iillegal
,Rationale: iThe inurse ishould idetermine ithat ithe iclient iis iat irisk ifor imental iillness
lOMoAR cPSD| 7906827
iwhen
responsesto istress iarSetum
viaa
.cloamd-aTp
ht
eiM
vaerkaen
tpd
lacientote
Brufyearne weilltyhoudr iSatiuldyy iM
d iS fuan
terciatlioning. iThe iDSM-5
iindicates ithat iin iorderto ibe idiagnosed iwith ia imental iillness, idaily ifunctioning imust ibe
significantly iimpaired. iThe iclients iability ito i iimunicate idistress iwould ibe
iconsideredia ipositive iattribute.
Cognitive iLevel:
iApplicationiIntegrated
iProcess:
Assessment
3. iA inurse iis iassessing ia iset iof i15-year-old iidentical itwins iwho irespond ivery
idifferentlyito istress.One itwin ibe iies ianxious iand iirritable, iand ithe iother iwithdraws
iand icries. iHow ishould ithe inurse iexplain ithese idifferent i stress iresponses ito ithe
iparents?
1. Reactions ito istress iare irelative irather ithan iabsolute; iindividual iresponses ito
i stressivary.
2. It iis iabnormal ifor iidentical itwins ito ireact idifferently ito isimilar istressors.
3. Identical itwins ishould ishare ithe isame itemperament i and irespond isimilarly ito istress.
4. Environmental iinfluences ito istress iweigh imore iheavily ithan igenetic iinfluences.
ANS: i1
Rationale: iThe inurse ishould iexplain ito ithe iparents ithat, ialthough ithe itwins ihave
iidentical iDNA,there iare iseveral iother ifactors ithat iaffect ireactions ito istress.
iMentalihealth iis ia istate iof ibeing ithatis irelative ito ithe iindividual iclient.
iEnvironmental iinfluences iand itemperament ican iaffect istress i reactions.
Cognitive iLevel:
iApplicationiIntegrated
iProcess:
Implementation
4. iWhich iclient ishould ithe inurse ianticipate ito ibe imost ireceptive ito ipsychiatric
itreatment?
1. A iJewish, ifemale isocial iworker.
2. A iBaptist, ihomeless imale.
3. A iCatholic, iblack imale.
4. A iProtestant, iSwedish ibusiness iexecutive.
ANS: i1
Rationale: iThe inurse ishould ianticipate ithat ithe iclient iof iJewish iculture iwould
Downloaded iby: iclintonson i|
Distribution iof ithis idocument iis iillegal
, lOMoAR cPSD| 7906827
ii.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy
iplace ia ihigh iimportance
iMaterialion ipreventative ihealth icare iand iwould iconsider imental
ihealth ias iequally iimportant iasphysical ihealth. iWomen iare ialso imore ilikely ito iseek
itreatment iforimental ihealth iproblems ithan imen.
Cognitive iLevel:
ApplicationIntegratedi
Process: iPlanning
5. A ipsychiatric inurse iintern istates, iThis iclients iuse iof idefense imechanisms ishould
ibeieliminated.Which iis ia icorrect i evaluation iof ithis inurses istatement?
1. Defense imechanisms ican ibe iappropriate iresponses ito istress iand ineed inot
ibeieliminated.
2. Defense imechanisms iare ia imaladaptive iattempt iof ithe iego ito imanage
ianxietyiand ishouldalways i be ieliminated.
3. Defense imechanisms, iused iby iindividuals iwith iweak iego iintegrity, ishould
ibeidiscouraged iandnot ieliminated.
4. Defense imechanisms icause idisintegration iof ithe iego iand ishould ibe ifostered
iandiencouraged.
ANS: i1
ANS: i1
Rationale: iThe inurse ishould idetermine ithat idefense imechanisms ican ibe
iappropriate iduring itimesof istress. iThe iclient iwith ino idefense imechanisms imay
ihave ia ilower itolerance ifor istress, ithus ileading ito ianxiety idisorders. iDefense
imechanisms ishould ibeiconfronted iwhen ithey iimpede ithe iclient i from ideveloping
i healthy icoping iskills.
Cognitive iLevel:
Application
iIntegratediProcess:
iEvaluation
6. iDuring ian iintake iassessment, ia inurse iasks iboth iphysiological iand
ipsychosocial iquestions. iTheclient iangrily iresponds, iIm ihere ifor imy iheart, inot
imy ihead iproblems.iWhich iis ithe inurses ibest i response?
1. Its ijust ia iroutine ipart iof iour iassessment. iAll iclients iare iasked ithese isame iquestions.
2. Why iare iyou iconcerned iabout ithese itypes iof iquestions?
3. Psychological ifactors, ilike iexcessive istress, ihave ibeen ifound ito iaffect
imedicaliconditions.
Downloaded iby: iclintonson i|
Distribution iof ithis idocument iis iillegal
, lOMoAR cPSD| 7906827
ii.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy
4. We ican iskip itheseiMaterial
iquestions, iif iyou ilike. iIt iisnt iimperative ithat iwe i iiplete
ithisisection.
ANS: i3
Rationale: iThe inurse ishould iattempt ito ieducate ithe iclient ion ithe inegative
ieffects iof iexcessivestress ion imedical iconditions. iIt iis inot iappropriate ito iskip
iphysiological iandipsychosocial iquestions, i as ithis iwould ilead i to ian iinaccurate
iassessment.
Cognitive iLevel:
iApplicationiIntegrated
iProcess:
Implementation
7. iAn iemployee iuses ithe idefense imechanism iof idisplacement i when ithe iboss
iopenlyidisagreeswith isuggestions. iWhat i behavior iwould ibe iexpected ifrom ithis
iemployee?
1. The iemployee iassertively iconfronts ithe iboss.
2. The iemployee ileaves ithe istaff imeeting ito iwork iout iin ithe igym.
3. The iemployee icriticizes ia icoworker.
4. The iemployee itakes ithe iboss iout ito ilunch.
ANS: i3
Rationale: iThe inurse ishould iexpect ithat ithe iclient iusing ithe idefense
imechanismidisplacementwould icriticize ia icoworker iafter ibeing iconfronted iby ithe iboss.
Displacement irefers ito itransferring ifeelings ifrom ione itarget ito ia ineutral ior
iless-ithreatening itarget.
Cognitive iLevel:
iAnalysisiIntegrated
iProcess:
Assessment
8. iA ifourth-grade iboy iteases iand imakes ijokes iabout ia icute igirl iin ihis iclass. iThis
ibehaviorishouldbe iidentified i by ia i nurse ias i indicative iof iwhich idefense i mechanism?
1. Displacement
2. Projection
Downloaded iby: iclintonson i|
Distribution iof ithis idocument iis iillegal
Essentials iof iPsychiatric iMental iHealth iNursing i8th
iEditioniConcepts iof iCare iin iEvidence- iBased iPractice i8th
iEdition iMorgan iTownsend iTest iBank
ii. ii i- i ii
Chapter i1. iMental iHealth iand
iMental iiIllness iMultiple iChoice
1. iA inurse iis iassessing ia iclient iwho iis iexperiencing ioccasional ifeelings iof isadness
ibecause iof itherecent ideath iof ia ibeloved ipet. iThe iclients iappetite, isleep ipatterns, iand
idaily iroutineihave inot ichanged. i How ishould i the inurse i interpret ithe iclients ibehaviors?
1. The iclients ibehaviors idemonstrate imental iillness iin ithe iform iof idepression.
2. The iclients ibehaviors iare iextensive, iwhich iindicates ithe ipresence iof imental iillness.
3. The iclients ibehaviors iare inot icongruent iwith icultural inorms.
4. The iclients ibehaviors idemonstrate ino ifunctional iimpairment, iindicating ino
imentaliillness.
ANS: i4
Rationale: iThe inurse ishould iassess ithat ithe iclients idaily ifunctioning iis inot
iimpaired. iThe iclientwho iexperiences ifeelings iof isadness iafter ithe iloss iof ia ipet iis
iresponding iwithininormal iexpectations. iWithout isignificant iimpairment, ithe iclients
idistress idoes inot iindicate ia imental i illness.
Cognitive iLevel:
iAnalysisiIntegrated
iProcess:
Assessment
2. iAt iwhat ipoint ishould ithe inurse idetermine ithat ia iclient iis iat irisk ifor ideveloping
iaimentalillness?
1. When ithoughts, ifeelings, iand ibehaviors iare inot ireflective iof ithe iDSM-5 icriteria.
2. When imaladaptive iresponses ito istress iare icoupled iwith iinterference iin
idailyifunctioning.
3. When ia iclient i iimunicates isignificant idistress.
4. When ia iclient iuses idefense imechanisms ias iego iprotection.
ANS: i2
Downloaded iby: iclintonson i|
Distribution iof ithis idocument iis iillegal
,Rationale: iThe inurse ishould idetermine ithat ithe iclient iis iat irisk ifor imental iillness
lOMoAR cPSD| 7906827
iwhen
responsesto istress iarSetum
viaa
.cloamd-aTp
ht
eiM
vaerkaen
tpd
lacientote
Brufyearne weilltyhoudr iSatiuldyy iM
d iS fuan
terciatlioning. iThe iDSM-5
iindicates ithat iin iorderto ibe idiagnosed iwith ia imental iillness, idaily ifunctioning imust ibe
significantly iimpaired. iThe iclients iability ito i iimunicate idistress iwould ibe
iconsideredia ipositive iattribute.
Cognitive iLevel:
iApplicationiIntegrated
iProcess:
Assessment
3. iA inurse iis iassessing ia iset iof i15-year-old iidentical itwins iwho irespond ivery
idifferentlyito istress.One itwin ibe iies ianxious iand iirritable, iand ithe iother iwithdraws
iand icries. iHow ishould ithe inurse iexplain ithese idifferent i stress iresponses ito ithe
iparents?
1. Reactions ito istress iare irelative irather ithan iabsolute; iindividual iresponses ito
i stressivary.
2. It iis iabnormal ifor iidentical itwins ito ireact idifferently ito isimilar istressors.
3. Identical itwins ishould ishare ithe isame itemperament i and irespond isimilarly ito istress.
4. Environmental iinfluences ito istress iweigh imore iheavily ithan igenetic iinfluences.
ANS: i1
Rationale: iThe inurse ishould iexplain ito ithe iparents ithat, ialthough ithe itwins ihave
iidentical iDNA,there iare iseveral iother ifactors ithat iaffect ireactions ito istress.
iMentalihealth iis ia istate iof ibeing ithatis irelative ito ithe iindividual iclient.
iEnvironmental iinfluences iand itemperament ican iaffect istress i reactions.
Cognitive iLevel:
iApplicationiIntegrated
iProcess:
Implementation
4. iWhich iclient ishould ithe inurse ianticipate ito ibe imost ireceptive ito ipsychiatric
itreatment?
1. A iJewish, ifemale isocial iworker.
2. A iBaptist, ihomeless imale.
3. A iCatholic, iblack imale.
4. A iProtestant, iSwedish ibusiness iexecutive.
ANS: i1
Rationale: iThe inurse ishould ianticipate ithat ithe iclient iof iJewish iculture iwould
Downloaded iby: iclintonson i|
Distribution iof ithis idocument iis iillegal
, lOMoAR cPSD| 7906827
ii.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy
iplace ia ihigh iimportance
iMaterialion ipreventative ihealth icare iand iwould iconsider imental
ihealth ias iequally iimportant iasphysical ihealth. iWomen iare ialso imore ilikely ito iseek
itreatment iforimental ihealth iproblems ithan imen.
Cognitive iLevel:
ApplicationIntegratedi
Process: iPlanning
5. A ipsychiatric inurse iintern istates, iThis iclients iuse iof idefense imechanisms ishould
ibeieliminated.Which iis ia icorrect i evaluation iof ithis inurses istatement?
1. Defense imechanisms ican ibe iappropriate iresponses ito istress iand ineed inot
ibeieliminated.
2. Defense imechanisms iare ia imaladaptive iattempt iof ithe iego ito imanage
ianxietyiand ishouldalways i be ieliminated.
3. Defense imechanisms, iused iby iindividuals iwith iweak iego iintegrity, ishould
ibeidiscouraged iandnot ieliminated.
4. Defense imechanisms icause idisintegration iof ithe iego iand ishould ibe ifostered
iandiencouraged.
ANS: i1
ANS: i1
Rationale: iThe inurse ishould idetermine ithat idefense imechanisms ican ibe
iappropriate iduring itimesof istress. iThe iclient iwith ino idefense imechanisms imay
ihave ia ilower itolerance ifor istress, ithus ileading ito ianxiety idisorders. iDefense
imechanisms ishould ibeiconfronted iwhen ithey iimpede ithe iclient i from ideveloping
i healthy icoping iskills.
Cognitive iLevel:
Application
iIntegratediProcess:
iEvaluation
6. iDuring ian iintake iassessment, ia inurse iasks iboth iphysiological iand
ipsychosocial iquestions. iTheclient iangrily iresponds, iIm ihere ifor imy iheart, inot
imy ihead iproblems.iWhich iis ithe inurses ibest i response?
1. Its ijust ia iroutine ipart iof iour iassessment. iAll iclients iare iasked ithese isame iquestions.
2. Why iare iyou iconcerned iabout ithese itypes iof iquestions?
3. Psychological ifactors, ilike iexcessive istress, ihave ibeen ifound ito iaffect
imedicaliconditions.
Downloaded iby: iclintonson i|
Distribution iof ithis idocument iis iillegal
, lOMoAR cPSD| 7906827
ii.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy
4. We ican iskip itheseiMaterial
iquestions, iif iyou ilike. iIt iisnt iimperative ithat iwe i iiplete
ithisisection.
ANS: i3
Rationale: iThe inurse ishould iattempt ito ieducate ithe iclient ion ithe inegative
ieffects iof iexcessivestress ion imedical iconditions. iIt iis inot iappropriate ito iskip
iphysiological iandipsychosocial iquestions, i as ithis iwould ilead i to ian iinaccurate
iassessment.
Cognitive iLevel:
iApplicationiIntegrated
iProcess:
Implementation
7. iAn iemployee iuses ithe idefense imechanism iof idisplacement i when ithe iboss
iopenlyidisagreeswith isuggestions. iWhat i behavior iwould ibe iexpected ifrom ithis
iemployee?
1. The iemployee iassertively iconfronts ithe iboss.
2. The iemployee ileaves ithe istaff imeeting ito iwork iout iin ithe igym.
3. The iemployee icriticizes ia icoworker.
4. The iemployee itakes ithe iboss iout ito ilunch.
ANS: i3
Rationale: iThe inurse ishould iexpect ithat ithe iclient iusing ithe idefense
imechanismidisplacementwould icriticize ia icoworker iafter ibeing iconfronted iby ithe iboss.
Displacement irefers ito itransferring ifeelings ifrom ione itarget ito ia ineutral ior
iless-ithreatening itarget.
Cognitive iLevel:
iAnalysisiIntegrated
iProcess:
Assessment
8. iA ifourth-grade iboy iteases iand imakes ijokes iabout ia icute igirl iin ihis iclass. iThis
ibehaviorishouldbe iidentified i by ia i nurse ias i indicative iof iwhich idefense i mechanism?
1. Displacement
2. Projection
Downloaded iby: iclintonson i|
Distribution iof ithis idocument iis iillegal
