Test Bank for
Essentials of Psychiatric Mental Health Nursing
Author: Karyn I. Morgan
,TABLE OF CONTENT
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS
1. Mental Health and Mental Illness
2. Biological Implications
3. Ethical and Legal Issues
4. Psychopharmacology
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
5. Relationship Development and Therapeutic Communication
6. The Nursing Process in Psychiatric/Mental Health Nursing
7. Psychosocial Interventions and Spiritual Care
8. Intervention in Groups
9. Crisis Intervention
10. The Recovery Model
11. Suicide Prevention
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
13. Neurocognitive Disorders
14. Substance Use and Addiction Disorders
15. Schizophrenia Spectrum and Other Psychotic Disorders
16. Depressive Disorders
17. Bipolar and Related Disorders
18. Anxiety, Obsessive-Compulsive, and Related Disorders
19. Trauma- and Stressor-Related Disorders
20. Somatic Symptom and Dissociative Disorders
21. Eating Disorders
22. Personality Disorders
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
23. Children and Adolescents
24. The Aging Individual
25. Survivors of Abuse or Neglect
26. Community Mental Health Nursing
27. The Bereaved Individual
28. Military Families
V. ONLINE CHAPTERS
29. Concepts of Personality Development
30. Complementary and Integrative Therapies
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
32. Issues Related to Human Sexuality and Gender Dysphoria
,Chapter 1: Mental Health and Mental Illness
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is assessing a client who experiences occasional feelings of sadness 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.
2. At which point would the nurse determine that a client is at risk for developing a mental
illness?
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 client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which
statement made by the client does thNe UnuRrSseIrNecGoTgnBi.zeCaOs Mt h e bargaining stage of grief?
1. “I hate my partner for giving me this disease I will die from!”
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 disease.”
4. “Can you please re-draw the test results, I think they may be wrong?”
4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted.
The nurse assesses the client’s anxiety as which level?
1. Mild anxiety
2. Moderate anxiety
3. Severe 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. 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 fostered
and encouraged.
, 6. During an intake assessment, a nurse asks both physiological and psychosocial 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.”
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 is 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.
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 mechanism?
1. Displacement
2. Projection NURSINGTB.COM
3. Reaction
formation
4. Sublimation
Essentials of Psychiatric Mental Health Nursing
Author: Karyn I. Morgan
,TABLE OF CONTENT
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS
1. Mental Health and Mental Illness
2. Biological Implications
3. Ethical and Legal Issues
4. Psychopharmacology
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
5. Relationship Development and Therapeutic Communication
6. The Nursing Process in Psychiatric/Mental Health Nursing
7. Psychosocial Interventions and Spiritual Care
8. Intervention in Groups
9. Crisis Intervention
10. The Recovery Model
11. Suicide Prevention
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
13. Neurocognitive Disorders
14. Substance Use and Addiction Disorders
15. Schizophrenia Spectrum and Other Psychotic Disorders
16. Depressive Disorders
17. Bipolar and Related Disorders
18. Anxiety, Obsessive-Compulsive, and Related Disorders
19. Trauma- and Stressor-Related Disorders
20. Somatic Symptom and Dissociative Disorders
21. Eating Disorders
22. Personality Disorders
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
23. Children and Adolescents
24. The Aging Individual
25. Survivors of Abuse or Neglect
26. Community Mental Health Nursing
27. The Bereaved Individual
28. Military Families
V. ONLINE CHAPTERS
29. Concepts of Personality Development
30. Complementary and Integrative Therapies
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
32. Issues Related to Human Sexuality and Gender Dysphoria
,Chapter 1: Mental Health and Mental Illness
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is assessing a client who experiences occasional feelings of sadness 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.
2. At which point would the nurse determine that a client is at risk for developing a mental
illness?
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 client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which
statement made by the client does thNe UnuRrSseIrNecGoTgnBi.zeCaOs Mt h e bargaining stage of grief?
1. “I hate my partner for giving me this disease I will die from!”
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 disease.”
4. “Can you please re-draw the test results, I think they may be wrong?”
4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted.
The nurse assesses the client’s anxiety as which level?
1. Mild anxiety
2. Moderate anxiety
3. Severe 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. 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 fostered
and encouraged.
, 6. During an intake assessment, a nurse asks both physiological and psychosocial 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.”
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 is 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.
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 mechanism?
1. Displacement
2. Projection NURSINGTB.COM
3. Reaction
formation
4. Sublimation
