Test Bank For Davis Advantage for Townsend’s
Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
TESTBANK
,Chapter1:MentalHealthandMentalIllness
MultipleChoice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Anurseisassessingaclientwhoexperiencesoccasionalfeelingsofsadnessbecauseoftherecentdeathofa
belovedpet.Theclient’sappetite,sleeppatterns,anddailyroutinehavenotchanged.Howwouldthenurse
interprettheclient’sbehaviors?
1. Theclient’sbehaviorsdemonstratementalillnessintheformofdepression.
2. Theclient’sbehaviorsareinappropriate,whichindicatesthepresenceofmentalillnes
s.
3. Theclient’sbehaviorsarenotcongruentwithculturalnorms.
4. Theclient’sbehaviorsdemonstratenofunctionalimpairment,indicatingnomentalillnes
s.
2. Atwhichpointwouldthenursedeterminethataclientisatriskfordevelopingamentalillness?
1. Whenthoughts,feelings,andbehaviorsarenotreflectiveoftheDSM-5criteria.
2. Whenmaladaptiveresponsestostressarecoupledwithinterferenceindailyfuncti
oning.
3. Whenaclientcommunicatessignificantdistress.
4. Whenaclientusesdefensemechanismsasegoprotection.
3. Aclienthasbeengivenadiagnosisofhumanimmunodeficiencyvirus(HIV).Whichstatementmadeby
theclientdoesthNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
sMt h e bargainingstageofgrief?
1. “IhatemypartnerforgivingmethisdiseaseIwilldiefrom!”
2. “IfIdon’tdointravenous(IV)drugsanymore,Godwon’tletmedie.”
3. “Iamgoingtosupportgroupsandlearnmoreaboutthedisease.”
4. “Canyoupleasere-drawthetestresults,Ithinktheymaybewrong?”
4. Anursenotesthataclientisextremelywithdrawn,delusional,andemotionallyexhausted.Thenurseas
sessestheclient’sanxietyaswhichlevel?
1. Mildanxiety
2. Moderateanxiety
3. Severeanxiety
4. Panicanxiety
5. Apsychiatricnurseinternstates,“Thisclient’suseofdefensemechanismsshouldbeeliminated.”Whichi
sacorrectevaluationofthisnurse’sstatement?
1. Defensemechanismscanbeappropriateresponsestostressandneednotbeelimin
ated.
2. Defensemechanismsareamaladaptiveattemptoftheegotomanageanxietyandshould
alwaysbeeliminated.
, 6. Duringanintakeassessment,anurseasksbothphysiologicalandpsychosocialquestions.Theclientangril
yresponds,“I’mhereformyheart,notmyheadproblems.”Whichisthenurse’sbestresponse?
1. “Itisjustaroutinepartofourassessment.Allclientsareaskedthesesamequestion
s.”
2. “Whyareyouconcernedaboutthesetypesofquestions?”
3. “Psychologicalfactors,likeexcessivestress,havebeenfoundtoaffectmedicalcondi
tions.”
4. “Wecanskipthesequestions,ifyoulike.Itisn’timperativethatwecompletethissection.
”
Aclientwhoisbeingtreatedforchronickidneydiseasecomplainstothehealth-
7. careproviderthathedoesnotlikethefoodavailabletohimwhilehospitalized.Thehealth-
careproviderinsiststhattheclientstrictlyadheretothedietplan.Whatactioncanbeexpectedistheclientuse
sthedefensemechanismofdisplacement?
1. Theclientassertivelyconfrontsthehealth-careprovider.
2. Theclientinsistsonbeingdischargedandgoesforalong,briskwalk.
3. Theclientsnapsatthenurseandcriticizesthenursingcareprovided.
4. Theclienthideshisangerbyexplainingthelogicalreasoningforthediettohisspouse.
Afourth-
gradeboyteasesandmakesjokesaboutacutegirlinhisclass.Anursewouldrecognizethisbehaviorasindic
8. ativeofwhichdefensemechanism?
1. Displacement
2. Projection
3. Reactionformation
4. Sublimation
9.Whichnursingstatementregardingtheconceptofpsychosisismostaccurate?
1. Individualsexperiencingpsychosesareawarethattheirbehaviorsaremaladaptive.
2. Individualsexperiencingpsychosesexperiencelittledistress.
3. Individualsexperiencingpsychosesareawareofexperiencingpsychologicalpro
blems.
4. Individualsexperiencingpsychosesarebasedinreality.
10.Whenunderstress,aclientroutinelyusesalcoholtoexcess.Whentheclient’shusbandfindsherdrunk,thehu
sbandyellsattheclientaboutherchronicalcoholabuse.Whichactionalertsthenursetotheclient’suseof
thedefensemechanismofdenial?
1. Theclienthidesliquorbottlesinacloset.
2. Theclientyellsathersonforslouchinginhischair.
3. Theclientburnsdinneronpurpose.
4. Theclientsaystothespouse,“Idon’tdrinktoomuch!”
11.Devastatedbyadivorcefromanabusivehusband,awifecompletesgriefcounseling.Whichstatementbythe
wifewouldindicatetoanursethattheclientisintheacceptancestageofgrief?
1. “Ifonlywecouldhavetriedagain,thingsmighthaveworkedout.”
2. “IamsomadthatthechildrenandIhadtoputupwithhimaslongaswedid.”
3. “Yes,itwasadifficultrelationship,butIthinkIhavelearnedfromthe
, experience.”
4. “Ihaveadifficulttimegettingoutofbedmostdays.”
12.AccordingtoMaslow’shierarchyofneeds,whichclientactionwoulddemonstratethehighestachievem
entintermsofmentalhealth?
1. Maintainingalong-term,faithful,intimaterelationship
2. Achievingasenseofself-confidence
3. Possessingafeelingofself-fulfillmentandrealizingfullpotential
4. Developingasenseofpurposeandtheabilitytodirectactivities
13.AccordingtoMaslow’shierarchyofneeds,whichsituationonaninpatientpsychiatricunitwouldrequirepri
orityinterventionbyanurse?
1. Aclientrudelycomplainingaboutlimitedvisitinghours
2. Aclientexhibitingaggressivebehaviortowardanotherclient
3. Aclientstatingthatnoonecares
4. Aclientverbalizingfeelingsoffailure
MultipleResponse
Identifyoneormorechoicesthatbestcompletethestatementoranswerthequestion.
14.Whichdescribesadefensemechanismanindividualmayusetorelieveanxietyinastressfulsituation?(S
electallthatapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nailbiting
5. Sleeping
15.ThenurseisreviewingtheDSM-
5definitionofamentalhealthdisorderandnotesthedefinitionincludesadisturbanceinwhichareas?(Se
lectallthatapply.)
1. Cognition
2. Physical
3. Emotionalregulation
4. Behavior
5. Developmental
Completion
Completeeachstatement.
16. isadiffuseapprehensionthatisvagueinnatureandisassociatedwithfe
elingsofuncertaintyandhelplessness.
17. isasubjectivestateofemotional,physical,andsocialresponsestothelos
sofavaluedentity.
Other
Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
TESTBANK
,Chapter1:MentalHealthandMentalIllness
MultipleChoice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Anurseisassessingaclientwhoexperiencesoccasionalfeelingsofsadnessbecauseoftherecentdeathofa
belovedpet.Theclient’sappetite,sleeppatterns,anddailyroutinehavenotchanged.Howwouldthenurse
interprettheclient’sbehaviors?
1. Theclient’sbehaviorsdemonstratementalillnessintheformofdepression.
2. Theclient’sbehaviorsareinappropriate,whichindicatesthepresenceofmentalillnes
s.
3. Theclient’sbehaviorsarenotcongruentwithculturalnorms.
4. Theclient’sbehaviorsdemonstratenofunctionalimpairment,indicatingnomentalillnes
s.
2. Atwhichpointwouldthenursedeterminethataclientisatriskfordevelopingamentalillness?
1. Whenthoughts,feelings,andbehaviorsarenotreflectiveoftheDSM-5criteria.
2. Whenmaladaptiveresponsestostressarecoupledwithinterferenceindailyfuncti
oning.
3. Whenaclientcommunicatessignificantdistress.
4. Whenaclientusesdefensemechanismsasegoprotection.
3. Aclienthasbeengivenadiagnosisofhumanimmunodeficiencyvirus(HIV).Whichstatementmadeby
theclientdoesthNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
sMt h e bargainingstageofgrief?
1. “IhatemypartnerforgivingmethisdiseaseIwilldiefrom!”
2. “IfIdon’tdointravenous(IV)drugsanymore,Godwon’tletmedie.”
3. “Iamgoingtosupportgroupsandlearnmoreaboutthedisease.”
4. “Canyoupleasere-drawthetestresults,Ithinktheymaybewrong?”
4. Anursenotesthataclientisextremelywithdrawn,delusional,andemotionallyexhausted.Thenurseas
sessestheclient’sanxietyaswhichlevel?
1. Mildanxiety
2. Moderateanxiety
3. Severeanxiety
4. Panicanxiety
5. Apsychiatricnurseinternstates,“Thisclient’suseofdefensemechanismsshouldbeeliminated.”Whichi
sacorrectevaluationofthisnurse’sstatement?
1. Defensemechanismscanbeappropriateresponsestostressandneednotbeelimin
ated.
2. Defensemechanismsareamaladaptiveattemptoftheegotomanageanxietyandshould
alwaysbeeliminated.
, 6. Duringanintakeassessment,anurseasksbothphysiologicalandpsychosocialquestions.Theclientangril
yresponds,“I’mhereformyheart,notmyheadproblems.”Whichisthenurse’sbestresponse?
1. “Itisjustaroutinepartofourassessment.Allclientsareaskedthesesamequestion
s.”
2. “Whyareyouconcernedaboutthesetypesofquestions?”
3. “Psychologicalfactors,likeexcessivestress,havebeenfoundtoaffectmedicalcondi
tions.”
4. “Wecanskipthesequestions,ifyoulike.Itisn’timperativethatwecompletethissection.
”
Aclientwhoisbeingtreatedforchronickidneydiseasecomplainstothehealth-
7. careproviderthathedoesnotlikethefoodavailabletohimwhilehospitalized.Thehealth-
careproviderinsiststhattheclientstrictlyadheretothedietplan.Whatactioncanbeexpectedistheclientuse
sthedefensemechanismofdisplacement?
1. Theclientassertivelyconfrontsthehealth-careprovider.
2. Theclientinsistsonbeingdischargedandgoesforalong,briskwalk.
3. Theclientsnapsatthenurseandcriticizesthenursingcareprovided.
4. Theclienthideshisangerbyexplainingthelogicalreasoningforthediettohisspouse.
Afourth-
gradeboyteasesandmakesjokesaboutacutegirlinhisclass.Anursewouldrecognizethisbehaviorasindic
8. ativeofwhichdefensemechanism?
1. Displacement
2. Projection
3. Reactionformation
4. Sublimation
9.Whichnursingstatementregardingtheconceptofpsychosisismostaccurate?
1. Individualsexperiencingpsychosesareawarethattheirbehaviorsaremaladaptive.
2. Individualsexperiencingpsychosesexperiencelittledistress.
3. Individualsexperiencingpsychosesareawareofexperiencingpsychologicalpro
blems.
4. Individualsexperiencingpsychosesarebasedinreality.
10.Whenunderstress,aclientroutinelyusesalcoholtoexcess.Whentheclient’shusbandfindsherdrunk,thehu
sbandyellsattheclientaboutherchronicalcoholabuse.Whichactionalertsthenursetotheclient’suseof
thedefensemechanismofdenial?
1. Theclienthidesliquorbottlesinacloset.
2. Theclientyellsathersonforslouchinginhischair.
3. Theclientburnsdinneronpurpose.
4. Theclientsaystothespouse,“Idon’tdrinktoomuch!”
11.Devastatedbyadivorcefromanabusivehusband,awifecompletesgriefcounseling.Whichstatementbythe
wifewouldindicatetoanursethattheclientisintheacceptancestageofgrief?
1. “Ifonlywecouldhavetriedagain,thingsmighthaveworkedout.”
2. “IamsomadthatthechildrenandIhadtoputupwithhimaslongaswedid.”
3. “Yes,itwasadifficultrelationship,butIthinkIhavelearnedfromthe
, experience.”
4. “Ihaveadifficulttimegettingoutofbedmostdays.”
12.AccordingtoMaslow’shierarchyofneeds,whichclientactionwoulddemonstratethehighestachievem
entintermsofmentalhealth?
1. Maintainingalong-term,faithful,intimaterelationship
2. Achievingasenseofself-confidence
3. Possessingafeelingofself-fulfillmentandrealizingfullpotential
4. Developingasenseofpurposeandtheabilitytodirectactivities
13.AccordingtoMaslow’shierarchyofneeds,whichsituationonaninpatientpsychiatricunitwouldrequirepri
orityinterventionbyanurse?
1. Aclientrudelycomplainingaboutlimitedvisitinghours
2. Aclientexhibitingaggressivebehaviortowardanotherclient
3. Aclientstatingthatnoonecares
4. Aclientverbalizingfeelingsoffailure
MultipleResponse
Identifyoneormorechoicesthatbestcompletethestatementoranswerthequestion.
14.Whichdescribesadefensemechanismanindividualmayusetorelieveanxietyinastressfulsituation?(S
electallthatapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nailbiting
5. Sleeping
15.ThenurseisreviewingtheDSM-
5definitionofamentalhealthdisorderandnotesthedefinitionincludesadisturbanceinwhichareas?(Se
lectallthatapply.)
1. Cognition
2. Physical
3. Emotionalregulation
4. Behavior
5. Developmental
Completion
Completeeachstatement.
16. isadiffuseapprehensionthatisvagueinnatureandisassociatedwithfe
elingsofuncertaintyandhelplessness.
17. isasubjectivestateofemotional,physical,andsocialresponsestothelos
sofavaluedentity.
Other
