Davis/Townsend - 9th edition - Ch.1 TB - Mental Health and Mental Illne
Study online at https://quizlet.com/_dx6935
1. A nurse is assessing a client who experiences occasional feelings of sad-
ness 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.: 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 devel-
oping a mental illness?
1. When thoughts, feelings, and behaviors are not reflective of the criteria for
mental illness.
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.: 2. When mal-
adaptive responses to stress are coupled with interference in daily functioning.
3. A client has been given a diagnosis of HIV. Which statement made by the
client does the nurse recognize as the bargaining stage of grief?
1. "I hate my partner for giving me this disease I will die from!"
2. "If I don't do IV drugs anymore, God won't let me die."
3. "I am going to support groups and learning more about the disease."
4. "Can you please re-draw the test results; I think they may be wrong?": 2. "If
I don't do IV drugs anymore, God won't let me die."
4. A nurse notes that a client is extremely withdrawn, delusional, and emotion-
ally exhausted. The nurse assesses the client's anxiety as which level?
1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
4. Panic 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?
1/5
, Davis/Townsend - 9th edition - Ch.1 TB - Mental Health and Mental Illne
Study online at https://quizlet.com/_dx6935
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 fos-
tered and encouraged.: 1. Defense mechanisms can be appropriate responses to
stress and need not be eliminated.
6. During an intake assessment, a nurse asks both physiological and psy-
chosocial 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. "We can skip these questions, if you like. It isn't imperative that we complete
this section.": 3. "Psychological factors, like excessive stress, have been found to
affect medical conditions."
7. A client who is being treated for chronic kidney disease complains to the
health-care provider that he does not like the food available to him while
hospitalized. The health-care provider insists that the client strictly adhere
to the diet plan. What action can be expected if the client uses the defense
mechanism of displacement?
1. The client assertively confronts the health-care provider.
2. The client insists on being discharged and goes for a long, brisk walk.
3. The client snaps at the nurse and criticizes the nursing care provided.
4. The client hides his anger by explaining the logical reasoning for the diet
to his spouse.: 3. The client snaps at the nurse and criticizes the nursing care
provided.
8. 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 mech-
anism?
1. Displacement
2/5
Study online at https://quizlet.com/_dx6935
1. A nurse is assessing a client who experiences occasional feelings of sad-
ness 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.: 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 devel-
oping a mental illness?
1. When thoughts, feelings, and behaviors are not reflective of the criteria for
mental illness.
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.: 2. When mal-
adaptive responses to stress are coupled with interference in daily functioning.
3. A client has been given a diagnosis of HIV. Which statement made by the
client does the nurse recognize as the bargaining stage of grief?
1. "I hate my partner for giving me this disease I will die from!"
2. "If I don't do IV drugs anymore, God won't let me die."
3. "I am going to support groups and learning more about the disease."
4. "Can you please re-draw the test results; I think they may be wrong?": 2. "If
I don't do IV drugs anymore, God won't let me die."
4. A nurse notes that a client is extremely withdrawn, delusional, and emotion-
ally exhausted. The nurse assesses the client's anxiety as which level?
1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
4. Panic 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?
1/5
, Davis/Townsend - 9th edition - Ch.1 TB - Mental Health and Mental Illne
Study online at https://quizlet.com/_dx6935
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 fos-
tered and encouraged.: 1. Defense mechanisms can be appropriate responses to
stress and need not be eliminated.
6. During an intake assessment, a nurse asks both physiological and psy-
chosocial 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. "We can skip these questions, if you like. It isn't imperative that we complete
this section.": 3. "Psychological factors, like excessive stress, have been found to
affect medical conditions."
7. A client who is being treated for chronic kidney disease complains to the
health-care provider that he does not like the food available to him while
hospitalized. The health-care provider insists that the client strictly adhere
to the diet plan. What action can be expected if the client uses the defense
mechanism of displacement?
1. The client assertively confronts the health-care provider.
2. The client insists on being discharged and goes for a long, brisk walk.
3. The client snaps at the nurse and criticizes the nursing care provided.
4. The client hides his anger by explaining the logical reasoning for the diet
to his spouse.: 3. The client snaps at the nurse and criticizes the nursing care
provided.
8. 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 mech-
anism?
1. Displacement
2/5
