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EssentialsofPsychiatricMentalHealthNursing 9
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th Edition Karyn Morgan
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TESTBANK -
,ChapterQ1:QMentalQHealthQandQMentalQIllness
MultipleQChoice
IdentifyQtheQchoiceQthatQbestQcompletesQtheQstatementQorQanswersQtheQquestion.
1. AQnurseQisQassessingQa-
clientQwhoQexperiencesQoccasionalQfeelingsQofQsadnessQbecauseQofQtheQrecentQdeathQofQaQbe
lovedQpet.QTheQclient‘sQappetite,QsleepQpatterns,QandQdaily-routineQhaveQnotQchanged.QHow-
wouldQtheQnurseQinterpretQtheQclient‘sQbehaviors?
1. TheQclient‘sQbehaviorsQdemonstrateQmentalQillnessQinQtheQformQofQdepression.
2. TheQclient‘sQbehaviorsQareQinappropriate,QwhichQindicatesQtheQpresenceQofQ
mentalQillness.
3. TheQclient‘sQbehaviorsQareQnotQcongruentQwithQculturalQnorms.
4. TheQclient‘sQbehaviorsQdemonstrateQnoQfunctionalQimpairment,QindicatingQnoQ
mentalQillness.
2. AtQwhichQpointQwouldQtheQnurseQdetermineQthatQaQclientQisQatQriskQfor-
developingQaQmentalQillness?
1. WhenQthoughts,Qfeelings,QandQbehaviorsQareQnotQreflectiveQofQtheQDSM-5Qcriteria.
2. WhenQmaladaptiveQresponsesQtoQstressQareQcoupledQwithQinterferenceQin
QdailyQfunctioning.
3. WhenQaQclientQcommunicatesQsignificantQdistress.
4. WhenQaQclientQusesQdefenseQmechanismsQasQegoQprotection.
3. AQclientQhasQbeenQgivenQaQdiagnosisQof-
humanQimmunodeficiencyQvirusQ(HIV).QWhichQstatementQmadeQbyQtheQclientQdoesQthN
eUnuRr
SseIrNecGoTgnBiz.eCaOs-MtQhQeQ bargainingQstageQofQgrief?
1. ―IQhateQmyQpartner-for-givingQmeQthisQdiseaseQI-willQdieQfrom!‖
2. ―IfQIQdon‘tQdoQintravenousQ(IV)QdrugsQanymore,QGodQwon‘tQletQmeQdie.‖
3. ―IQamQgoingQtoQsupportQgroupsQandQlearnQmoreQaboutQtheQdisease.‖
4. ―CanQyouQpleaseQre-drawQtheQtest-results,QIQthinkQtheyQmay-beQwrong?‖
4. AQnurseQnotesQthatQaQclientQisQextremely-withdrawn,Qdelusional,QandQemotionally-
exhausted.QTheQnurseQassessesQtheQclient‘sQanxiety-asQwhichQlevel?
1. MildQanxiety
2. ModerateQanxiety
3. SevereQanxiety
4. PanicQanxiety
5. AQpsychiatricQnurseQinternQstates,Q―ThisQclient‘sQuseQofQdefenseQmechanismsQshouldQbeQelim
inated.‖QWhichQisQaQcorrectQevaluationQofQthisQnurse‘sQstatement?
1. DefenseQmechanismsQcanQbeQappropriateQresponsesQtoQstressQandQneedQ
notQbeQeliminated.
2. DefenseQmechanismsQare-
aQmaladaptiveQattemptQofQtheQegoQtoQmanageQanxiety-
,andQshouldQalwaysQbeQeliminated.
, 6. DuringQanQintakeQassessment,QaQnurseQasksQbothQphysiologicalQandQpsychosocialQquestions.
QTheQclientQangrilyQresponds,Q―I‘mQhereQforQmyQheart,QnotQmyQheadQproblems.‖QWhichQisQt
heQnurse‘sQbestQresponse?
1. ―ItQisQjustQaQroutineQpartQofQourQassessment.QAllQclientsQareQaskedQthe
seQsameQquestions.‖
2. ―WhyQareQyouQconcernedQaboutQtheseQtypesQofQquestions?‖
3. ―PsychologicalQfactors,QlikeQexcessiveQstress,Qhave-
beenQfoundQtoQaffectQmedicalQconditions.‖
4. ―WeQcanQskipQtheseQquestions,Qif-
youQlike.QItQisn‘tQimperativeQthatQweQcompleteQthisQsection.‖
7. AQclientQwhoQisQbeingQtreatedQforQchronicQkidney-diseaseQcomplainsQtoQtheQhealth-
careQproviderQthatQheQdoesQnotQlikeQtheQfoodQavailableQtoQhimQwhileQhospitalized.QTheQhealt
h-
careQproviderQinsistsQthatQtheQclientQstrictlyQadhereQtoQtheQdietQplan.QWhatQactionQcanQbeQex
pectedQisQtheQclientQusesQtheQdefenseQmechanismQofQdisplacement?
1. TheQclientQassertivelyQconfrontsQtheQhealth-careQprovider.
2. TheQclientQinsistsQonQbeing-dischargedQandQgoesQfor-aQlong,QbriskQwalk.
3. TheQclientQsnapsQatQtheQnurseQandQcriticizesQtheQnursingQcareQprovided.
4. TheQclientQhidesQhisQanger-byQexplainingQtheQlogicalQreasoning-
forQtheQdiet-toQhisQspouse.
8.
AQfourth-
gradeQboyQteasesQandQmakesQjokesQaboutQaQcuteQgirlQinQhisQclass.QAQnurseQwouldQrecognizeQ
thisQbehaviorQasQindicativeQofQwhichQdefenseQmechanism?
1. Displacement
2. Projection
3. ReactionQformation
4. Sublimation
9.Q WhichQnursingQstatementQregardingQtheQconceptQofQpsychosisQisQmostQaccurate?
1. IndividualsQexperiencingQpsychosesQareQawareQthatQtheir-behaviorsQareQmaladaptive.
2. IndividualsQexperiencingQpsychosesQexperienceQlittleQdistress.
3. IndividualsQexperiencingQpsychosesQareQawareQofQexperiencingQpsycholo
gicalQproblems.
4. IndividualsQexperiencingQpsychosesQareQbasedQinQreality.
Q 10.Q WhenQunder-stress,QaQclientQroutinely-
usesQalcoholQtoQexcess.QWhenQtheQclient‘sQhusbandQfindsQher-
Q drunk,QtheQhusbandQyellsQatQtheQclientQaboutQherQchronicQalcoholQabuse.QWhichQactionQ
alertsQtheQnurseQtoQtheQclient‘sQuseQofQtheQdefenseQmechanismQofQdenial?
1. TheQclientQhidesQliquor-bottlesQinQaQcloset.
2. TheQclientQyellsQatQherQsonQforQslouchingQinQhisQchair.
3. TheQclientQburnsQdinnerQonQpurpose.
4. TheQclientQsaysQtoQtheQspouse,Q―IQdon‘tQdrink-tooQmuch!‖
Q 11.QDevastatedQbyQaQdivorceQfromQanQabusiveQhusband,QaQwifeQcompletesQgriefQcounseling.Q
WhichQstatementQbyQtheQwifeQwouldQindicateQtoQaQnurseQthatQtheQclientQisQinQtheQacceptan
ceQstageQofQgrief?
1. ―IfQonly-weQcouldQhaveQtriedQagain,QthingsQmightQhaveQworkedQout.‖
2. ―IQamQsoQmadQthatQtheQchildrenQandQIQhad-toQputQupQwithQhimQasQlongQasQweQdid.‖
3. ―Yes,QitQwasQaQdifficultQrelationship,QbutQIQthinkQI-have-learnedQfromQthe