Test bank for Essentials of Psychiatric Mental Health Nursing Concepts of Care in
Evidence-Based Practice 8th edition Morgan, Townsend
Test bank for Essentials of Psychiatric Mental Health Nursing
Concepts of Care in Evidence-Based Practice 8th edition Morgan,
Townsend
pg. 1
, Test bank for Essentials of Psychiatric Mental Health Nursing Concepts of Care in
Evidence-Based Practice 8th edition Morgan, Townsend
Testbank for Essentials of Psychiatric Mental Health Nursing Concepts of
Care in Evidence-Based Practice 8th edition Morgan, Townsend
Chapter 1. Mental Health and Mental Illness
Multiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The clients appetite, sleep patterns,
and daily routine have not changed. How should the nurse interpret the clients
behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental
illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no
mental illness.
CORRECT ANS ✅ : 4
Rationale: The nurse should assess that the clients daily functioning is not
impaired. The client who experiences feelings of sadness after the loss of a pet is
responding within normal expectations. Without significant impairment, the clients
distress does not indicate a mental illness.
Cognitive Level: Analysis
Integrated Process: Assessment
2. At what point should 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.
pg. 2
, Test bank for Essentials of Psychiatric Mental Health Nursing Concepts of Care in
Evidence-Based Practice 8th edition Morgan, Townsend
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.
CORRECT ANS ✅ : 2
Rationale: The nurse should determine that the client is at risk for mental illness
when responses to stress are maladaptive and interfere with daily functioning. The
DSM-5 indicates that in order to be diagnosed with a mental illness, daily
functioning must be significantly impaired. The clients ability to communicate
distress would be considered a positive attribute.
Cognitive Level: Application
Integrated Process: Assessment
3. A nurse is assessing a set of 15-year-old identical twins who respond very
differently to stress. One twin becomes anxious and irritable, and the other
withdraws and cries. How should the nurse explain these different stress responses
to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to
stress vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to
stress.
4. Environmental influences to stress weigh more heavily than genetic influences.
CORRECT ANS ✅ : 1
Rationale: The nurse should explain to the parents that, although the twins have
identical DNA, there are several other factors that affect reactions to stress. Mental
health is a state of being that is relative to the individual client. Environmental
influences and temperament can affect stress reactions.
Cognitive Level: Application
pg. 3
, Test bank for Essentials of Psychiatric Mental Health Nursing Concepts of Care in
Evidence-Based Practice 8th edition Morgan, Townsend
Integrated Process: Implementation
4. Which client should the nurse anticipate to be most receptive to psychiatric
treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
CORRECT ANS ✅ : 1
Rationale: The nurse should anticipate that the client of Jewish culture would place
a high importance on preventative health care and would consider mental health as
equally important as physical health. Women are also more likely to seek treatment
for mental health problems than men.
Cognitive Level: Application
Integrated Process: Planning
5. A psychiatric nurse intern states, This clients use of defense mechanisms should
be eliminated. Which is a correct evaluation of this nurses 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 eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
CORRECT ANS ✅ : 1
Rationale: The nurse should determine that defense mechanisms can be appropriate
during times of stress. The client with no defense mechanisms may have a lower
pg. 4
Evidence-Based Practice 8th edition Morgan, Townsend
Test bank for Essentials of Psychiatric Mental Health Nursing
Concepts of Care in Evidence-Based Practice 8th edition Morgan,
Townsend
pg. 1
, Test bank for Essentials of Psychiatric Mental Health Nursing Concepts of Care in
Evidence-Based Practice 8th edition Morgan, Townsend
Testbank for Essentials of Psychiatric Mental Health Nursing Concepts of
Care in Evidence-Based Practice 8th edition Morgan, Townsend
Chapter 1. Mental Health and Mental Illness
Multiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The clients appetite, sleep patterns,
and daily routine have not changed. How should the nurse interpret the clients
behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental
illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no
mental illness.
CORRECT ANS ✅ : 4
Rationale: The nurse should assess that the clients daily functioning is not
impaired. The client who experiences feelings of sadness after the loss of a pet is
responding within normal expectations. Without significant impairment, the clients
distress does not indicate a mental illness.
Cognitive Level: Analysis
Integrated Process: Assessment
2. At what point should 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.
pg. 2
, Test bank for Essentials of Psychiatric Mental Health Nursing Concepts of Care in
Evidence-Based Practice 8th edition Morgan, Townsend
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.
CORRECT ANS ✅ : 2
Rationale: The nurse should determine that the client is at risk for mental illness
when responses to stress are maladaptive and interfere with daily functioning. The
DSM-5 indicates that in order to be diagnosed with a mental illness, daily
functioning must be significantly impaired. The clients ability to communicate
distress would be considered a positive attribute.
Cognitive Level: Application
Integrated Process: Assessment
3. A nurse is assessing a set of 15-year-old identical twins who respond very
differently to stress. One twin becomes anxious and irritable, and the other
withdraws and cries. How should the nurse explain these different stress responses
to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to
stress vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to
stress.
4. Environmental influences to stress weigh more heavily than genetic influences.
CORRECT ANS ✅ : 1
Rationale: The nurse should explain to the parents that, although the twins have
identical DNA, there are several other factors that affect reactions to stress. Mental
health is a state of being that is relative to the individual client. Environmental
influences and temperament can affect stress reactions.
Cognitive Level: Application
pg. 3
, Test bank for Essentials of Psychiatric Mental Health Nursing Concepts of Care in
Evidence-Based Practice 8th edition Morgan, Townsend
Integrated Process: Implementation
4. Which client should the nurse anticipate to be most receptive to psychiatric
treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
CORRECT ANS ✅ : 1
Rationale: The nurse should anticipate that the client of Jewish culture would place
a high importance on preventative health care and would consider mental health as
equally important as physical health. Women are also more likely to seek treatment
for mental health problems than men.
Cognitive Level: Application
Integrated Process: Planning
5. A psychiatric nurse intern states, This clients use of defense mechanisms should
be eliminated. Which is a correct evaluation of this nurses 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 eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
CORRECT ANS ✅ : 1
Rationale: The nurse should determine that defense mechanisms can be appropriate
during times of stress. The client with no defense mechanisms may have a lower
pg. 4
