ESSENTIALShOFhPSYCHIATRIChMENTALhHEALTHhNURSINGh8THhMORGANhTESThBANK
h
Chapter 1: Mental Health and Mental Illness
h h h h h h h
h
MultiplehChoiceh
Identifyhthehchoicehthathbesthcompleteshthehstatementhorhanswershthehquestion.h
h
__ 1. Ahnursehishassessinghahclienthwhohexperienceshoccasionalhfeelingshofhsadnesshbecausehofhthehrecenthdeathhofh
__h ahbelovedhpet.hThehclient’shappetite,hsleephpatterns,handhdailyhroutinehhavehnothchanged.h
Howhwouldhthehnursehinterpreththehclient’shbehaviors?h
1. Thehclient’shbehaviorshdemonstratehmentalhillnesshinhthehformhofhdepression.h
2. Thehclient’shbehaviorsharehinappropriate,hwhichhindicateshthehpresencehofhmentalhillness.h
3. Thehclient’shbehaviorsharehnothcongruenthwithhculturalhnorms.h
4. Thehclient’shbehaviorshdemonstratehnohfunctionalhimpairment,hindicatinghnohmentalhillness.h
hh
2. Athwhichhpointhwouldhthehnursehdeterminehthathahclienthishathriskhforhdevelopinghahmentalhillness?h
1. Whenhthoughts,hfeelings,handhbehaviorsharehnothreflectivehofhthehDSM-5hcriteria.h
__ 2. Whenhmaladaptivehresponseshtohstressharehcoupledhwithhinterferencehinhdailyhfunctioning.h
__h 3. Whenhahclienthcommunicateshsignificanthdistress.h
4. Whenhahclienthuseshdefensehmechanismshashegohprotection.h
hh
3. Ahclienthhashbeenhgivenhahdiagnosishofhhumanhimmunodeficiencyhvirush(HIV).hWhichhstatementh
madehbyhthehclienthdoeshthehnursehrecognizehashthehbargaininghstagehofhgrief?NhhhhhhhhhhhhMhhhhhhhURSINGTB.C
Oh h
__ 1. “IhhatehmyhpartnerhforhgivinghmehthishdiseasehIhwillhdiehfrom!”h
__h 2. “IfhIhdon’thdohintravenoush(IV)hdrugshanymore,hGodhwon’thlethmehdie.”h
3. “Ihamhgoinghtohsupporthgroupshandhlearnhmorehabouththehdisease.”h
4. “Canhyouhpleasehre-drawhthehtesthresults,hIhthinkhtheyhmayhbehwrong?”h
h
h
__ 4.hAhnursehnoteshthathahclienthishextremelyhwithdrawn,hdelusional,handhemotionallyhexhausted.hTheh
__h nursehassesseshthehclient’shanxietyhashwhichhlevel?h
1. Mildhanxietyh
2. Moderatehanxietyh
3. Severehanxietyh
4. Panichanxietyh
h
h
__ 5.hAhpsychiatrichnursehinternhstates,h“Thishclient’shusehofhdefensehmechanismshshouldhbeheliminated.”hWhichhish
__h ahcorrecthevaluationhofhthishnurse’shstatement?h
1. Defensehmechanismshcanhbehappropriatehresponseshtohstresshandhneedhnothbeheliminated.h
2. Defensehmechanismsharehahmaladaptivehattempthofhthehegohtohmanagehanxietyhandhshouldhalwaysh
beheliminated.h
3. Defensehmechanisms,husedhbyhindividualshwithhweakhegohintegrity,hshouldhbehdiscouragedhandhno
thcompletelyheliminated.h
4. Defensehmechanismshcausehdisintegrationhofhthehegohandhshouldhbehfosteredhandhencouraged.h
h
h
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WWW.NURSINGTB.COM
, ESSENTIALShOFhPSYCHIATRIChMENTALhHEALTHhNURSINGh8THhMORGANhTESThBANK
h
_ 6. Duringhanhintakehassessment,hahnursehaskshbothhphysiologicalhandhpsychosocialhquestions.hTheh
_ clienthangrilyhresponds,h“I’mhherehforhmyhheart,hnothmyhheadhproblems.”hWhichhishthehnurse’shbesthrespons
_ e?h
_h 1. “Ithishjusthahroutinehparthofhourhassessment.hAllhclientsharehaskedhthesehsamehquestions.”h
2. “Whyharehyouhconcernedhabouththesehtypeshofhquestions?”h
3. “Psychologicalhfactors,hlikehexcessivehstress,hhavehbeenhfoundhtohaffecthmedicalhconditions.”h
4. “Wehcanhskiphthesehquestions,hifhyouhlike.hIthisn’thimperativehthathwehcompletehthishsection.”h
hh
7. Ahclienthwhohishbeinghtreatedhforhchronichkidneyhdiseasehcomplainshtohthehhealth-
carehproviderhthathhehdoeshnothlikehthehfoodhavailablehtohhimhwhilehhospitalized.hThehhealth-
carehproviderhinsistshthaththehclienthstrictlyhadherehtohthehdiethplan.hWhathactionhcanhbehexpectedhishthehclient
huseshthehdefensehmechanismhofhdisplacement?h
1. Thehclienthassertivelyhconfrontshthehhealth-carehprovider.h
_ 2. Thehclienthinsistshonhbeinghdischargedhandhgoeshforhahlong,hbriskhwalk.h
_ 3. Thehclienthsnapshaththehnursehandhcriticizeshthehnursinghcarehprovided.h
_ 4. Thehclienthhideshhishangerhbyhexplaininghthehlogicalhreasoninghforhthehdiethtohhishspouse.h
hh
_h 8. Ahfourth-
gradehboyhteaseshandhmakeshjokeshabouthahcutehgirlhinhhishclass.hAhnursehwouldhrecognizehthishbehaviorhashi
ndicativehofhwhichhdefensehmechanism?h
1. Displacementh
2. Projection NhhhhhhhhhhhhMhhhhhhhURSINGTB.COh
h
3. Reactionhformationh
4. Sublimationh
h
h
_
_
_
_h
_ 9.hWhichhnursinghstatementhregardinghthehconcepthofhpsychosishishmosthaccurate?h
_ 1. Individualshexperiencinghpsychosesharehawarehthaththeirhbehaviorsharehmaladaptive.h
_ 2. Individualshexperiencinghpsychoseshexperiencehlittlehdistress.h
_h 3. Individualshexperiencinghpsychosesharehawarehofhexperiencinghpsychologicalhproblems.h
4. Individualshexperiencinghpsychosesharehbasedhinhreality.h
h
h
_ 10.hWhenhunderhstress,hahclienthroutinelyhuseshalcoholhtohexcess.hWhenhthehclient’shhusbandhfindshherhdrunk,htheh
_ husbandhyellshaththehclienthabouthherhchronichalcoholhabuse.hWhichhactionhalertshthehnursehtohthehclient’shus
_ ehofhthehdefensehmechanismhofhdenial?h
_h 1. Thehclienthhideshliquorhbottleshinhahcloset.h
2. Thehclienthyellshathherhsonhforhslouchinghinhhishchair.h
3. Thehclienthburnshdinnerhonhpurpose.h
4. Thehclienthsayshtohthehspouse,h“Ihdon’thdrinkhtoohmuch!”h
Copyrighth©h2020hF.hA.hDavishCompanyh
WWW.NURSINGTB.COM
, ESSENTIALShOFhPSYCHIATRIChMENTALhHEALTHhNURSINGh8THhMORGANhTESThBANK
h
h
h
_ 11.hDevastatedhbyhahdivorcehfromhanhabusivehhusband,hahwifehcompleteshgriefhcounseling.hWhichhstatementhbyht
_ hehwifehwouldhindicatehtohahnursehthaththehclienthishinhthehacceptancehstagehofhgrief?h
_ 1. “Ifhonlyhwehcouldhhavehtriedhagain,hthingshmighthhavehworkedhout.”h
_h 2. “IhamhsohmadhthaththehchildrenhandhIhhadhtohputhuphwithhhimhashlonghashwehdid.”h
3. “Yes,hithwashahdifficulthrelationship,hbuthIhthinkhIhhavehlearnedhfromhtheh
experience.”h
4.h“Ihhavehahdifficulthtimehgettinghouthofhbedhmosthdays.”h
h
h
___ 12.hAccordinghtohMaslow’shhierarchyhofhneeds,hwhichhclienthactionhwouldhdemonstratehthehhighesthachieveme
_h nthinhtermshofhmentalhhealth?h
1. Maintaininghahlong-term,hfaithful,hintimatehrelationshiph
2. Achievinghahsensehofhself-confidenceh
3. Possessinghahfeelinghofhself-fulfillmenthandhrealizinghfullhpotentialh
4. Developinghahsensehofhpurposehandhthehabilityhtohdirecthactivitiesh
h
h
___ 13.hAccordinghtohMaslow’shhierarchyhofhneeds,hwhichhsituationhonhanhinpatienthpsychiatrichunithwouldhrequire
_h hpriorityhinterventionhbyhahnurse?h
1. Ahclienthrudelyhcomplaininghabouthlimitedhvisitinghhoursh
2. Ahclienthexhibitinghaggressivehbehaviorhtowardhanotherhclienth
3. Ahclienthstatinghthathnohonehcaresh
4. Ahclienthverbalizinghfeelingshofhfailureh
h
h
MultiplehResponseh
Identifyhonehorhmorehchoiceshthathbesthcompletehthehstatementhorhanswerhthehquestion.h
h
___ 14.hWhichhdescribeshahdefensehmechanismhanhindividualhmayhusehtohrelievehanxietyhinhahstressfulhsituation?h(S
_h electhallhthathapply.)h
1. Homeworkh
2. Smokingh hhhhhhhhhhhhMhhhhhhhNURSINGTB.COh
3. Itchingh
4. Nailhbitingh
5. Sleepingh
h
h
Copyrighth©h2020hF.hA.hDavishCompanyh
WWW.NURSINGTB.COM
, ESSENTIALShOFhPSYCHIATRIChMENTALhHEALTHhNURSINGh8THhMORGANhTESThBANK
h
___ 15.hThehnursehishreviewinghthehDSM-
_h 5hdefinitionhofhahmentalhhealthhdisorderhandhnoteshthehdefinitionhincludeshahdisturbancehinhwhichhareas?h(
Selecthallhthathapply.)h
1. Cognitionh
2. Physicalh
3. Emotionalhregulationh
4. Behaviorh
5. Developmentalh
h
h
Completionh
Completeheachhstatement.h
h
16. _______________________hishahdiffusehapprehensionhthathishvaguehinhnaturehandhishassociatedhwithhfeelingsh
ofhuncertaintyhandhhelplessness.h
h
17. _______________________hishahsubjectivehstatehofhemotional,hphysical,handhsocialhresponseshtohthehlosshofha
hvaluedhentity.h
h
Otherh
h
h 18.hPlacehinhorderhthehKüblerhRosshstageshofhgriefhfromh1-
5.h(Enterhthehnumberhofheachhstephinhthehproperhsequence,husinghcommahandhspacehformat,hsuchhas:h1,
h2,h3,h4.)h
1. Bargainingh
2. Denialh
3. Acceptanceh
4. Depressionh5.hAnger
N M
hhhhhhhhhhhh URSINGTB.CO
hhhhhhh h
h
Chapter 1: Mental Health and Mental Illness Answer Section
h h h h h h h h h
h
Copyrighth©h2020hF.hA.hDavishCompanyh
WWW.NURSINGTB.COM
h
Chapter 1: Mental Health and Mental Illness
h h h h h h h
h
MultiplehChoiceh
Identifyhthehchoicehthathbesthcompleteshthehstatementhorhanswershthehquestion.h
h
__ 1. Ahnursehishassessinghahclienthwhohexperienceshoccasionalhfeelingshofhsadnesshbecausehofhthehrecenthdeathhofh
__h ahbelovedhpet.hThehclient’shappetite,hsleephpatterns,handhdailyhroutinehhavehnothchanged.h
Howhwouldhthehnursehinterpreththehclient’shbehaviors?h
1. Thehclient’shbehaviorshdemonstratehmentalhillnesshinhthehformhofhdepression.h
2. Thehclient’shbehaviorsharehinappropriate,hwhichhindicateshthehpresencehofhmentalhillness.h
3. Thehclient’shbehaviorsharehnothcongruenthwithhculturalhnorms.h
4. Thehclient’shbehaviorshdemonstratehnohfunctionalhimpairment,hindicatinghnohmentalhillness.h
hh
2. Athwhichhpointhwouldhthehnursehdeterminehthathahclienthishathriskhforhdevelopinghahmentalhillness?h
1. Whenhthoughts,hfeelings,handhbehaviorsharehnothreflectivehofhthehDSM-5hcriteria.h
__ 2. Whenhmaladaptivehresponseshtohstressharehcoupledhwithhinterferencehinhdailyhfunctioning.h
__h 3. Whenhahclienthcommunicateshsignificanthdistress.h
4. Whenhahclienthuseshdefensehmechanismshashegohprotection.h
hh
3. Ahclienthhashbeenhgivenhahdiagnosishofhhumanhimmunodeficiencyhvirush(HIV).hWhichhstatementh
madehbyhthehclienthdoeshthehnursehrecognizehashthehbargaininghstagehofhgrief?NhhhhhhhhhhhhMhhhhhhhURSINGTB.C
Oh h
__ 1. “IhhatehmyhpartnerhforhgivinghmehthishdiseasehIhwillhdiehfrom!”h
__h 2. “IfhIhdon’thdohintravenoush(IV)hdrugshanymore,hGodhwon’thlethmehdie.”h
3. “Ihamhgoinghtohsupporthgroupshandhlearnhmorehabouththehdisease.”h
4. “Canhyouhpleasehre-drawhthehtesthresults,hIhthinkhtheyhmayhbehwrong?”h
h
h
__ 4.hAhnursehnoteshthathahclienthishextremelyhwithdrawn,hdelusional,handhemotionallyhexhausted.hTheh
__h nursehassesseshthehclient’shanxietyhashwhichhlevel?h
1. Mildhanxietyh
2. Moderatehanxietyh
3. Severehanxietyh
4. Panichanxietyh
h
h
__ 5.hAhpsychiatrichnursehinternhstates,h“Thishclient’shusehofhdefensehmechanismshshouldhbeheliminated.”hWhichhish
__h ahcorrecthevaluationhofhthishnurse’shstatement?h
1. Defensehmechanismshcanhbehappropriatehresponseshtohstresshandhneedhnothbeheliminated.h
2. Defensehmechanismsharehahmaladaptivehattempthofhthehegohtohmanagehanxietyhandhshouldhalwaysh
beheliminated.h
3. Defensehmechanisms,husedhbyhindividualshwithhweakhegohintegrity,hshouldhbehdiscouragedhandhno
thcompletelyheliminated.h
4. Defensehmechanismshcausehdisintegrationhofhthehegohandhshouldhbehfosteredhandhencouraged.h
h
h
Copyrighth©h2020hF.hA.hDavishCompanyh
WWW.NURSINGTB.COM
, ESSENTIALShOFhPSYCHIATRIChMENTALhHEALTHhNURSINGh8THhMORGANhTESThBANK
h
_ 6. Duringhanhintakehassessment,hahnursehaskshbothhphysiologicalhandhpsychosocialhquestions.hTheh
_ clienthangrilyhresponds,h“I’mhherehforhmyhheart,hnothmyhheadhproblems.”hWhichhishthehnurse’shbesthrespons
_ e?h
_h 1. “Ithishjusthahroutinehparthofhourhassessment.hAllhclientsharehaskedhthesehsamehquestions.”h
2. “Whyharehyouhconcernedhabouththesehtypeshofhquestions?”h
3. “Psychologicalhfactors,hlikehexcessivehstress,hhavehbeenhfoundhtohaffecthmedicalhconditions.”h
4. “Wehcanhskiphthesehquestions,hifhyouhlike.hIthisn’thimperativehthathwehcompletehthishsection.”h
hh
7. Ahclienthwhohishbeinghtreatedhforhchronichkidneyhdiseasehcomplainshtohthehhealth-
carehproviderhthathhehdoeshnothlikehthehfoodhavailablehtohhimhwhilehhospitalized.hThehhealth-
carehproviderhinsistshthaththehclienthstrictlyhadherehtohthehdiethplan.hWhathactionhcanhbehexpectedhishthehclient
huseshthehdefensehmechanismhofhdisplacement?h
1. Thehclienthassertivelyhconfrontshthehhealth-carehprovider.h
_ 2. Thehclienthinsistshonhbeinghdischargedhandhgoeshforhahlong,hbriskhwalk.h
_ 3. Thehclienthsnapshaththehnursehandhcriticizeshthehnursinghcarehprovided.h
_ 4. Thehclienthhideshhishangerhbyhexplaininghthehlogicalhreasoninghforhthehdiethtohhishspouse.h
hh
_h 8. Ahfourth-
gradehboyhteaseshandhmakeshjokeshabouthahcutehgirlhinhhishclass.hAhnursehwouldhrecognizehthishbehaviorhashi
ndicativehofhwhichhdefensehmechanism?h
1. Displacementh
2. Projection NhhhhhhhhhhhhMhhhhhhhURSINGTB.COh
h
3. Reactionhformationh
4. Sublimationh
h
h
_
_
_
_h
_ 9.hWhichhnursinghstatementhregardinghthehconcepthofhpsychosishishmosthaccurate?h
_ 1. Individualshexperiencinghpsychosesharehawarehthaththeirhbehaviorsharehmaladaptive.h
_ 2. Individualshexperiencinghpsychoseshexperiencehlittlehdistress.h
_h 3. Individualshexperiencinghpsychosesharehawarehofhexperiencinghpsychologicalhproblems.h
4. Individualshexperiencinghpsychosesharehbasedhinhreality.h
h
h
_ 10.hWhenhunderhstress,hahclienthroutinelyhuseshalcoholhtohexcess.hWhenhthehclient’shhusbandhfindshherhdrunk,htheh
_ husbandhyellshaththehclienthabouthherhchronichalcoholhabuse.hWhichhactionhalertshthehnursehtohthehclient’shus
_ ehofhthehdefensehmechanismhofhdenial?h
_h 1. Thehclienthhideshliquorhbottleshinhahcloset.h
2. Thehclienthyellshathherhsonhforhslouchinghinhhishchair.h
3. Thehclienthburnshdinnerhonhpurpose.h
4. Thehclienthsayshtohthehspouse,h“Ihdon’thdrinkhtoohmuch!”h
Copyrighth©h2020hF.hA.hDavishCompanyh
WWW.NURSINGTB.COM
, ESSENTIALShOFhPSYCHIATRIChMENTALhHEALTHhNURSINGh8THhMORGANhTESThBANK
h
h
h
_ 11.hDevastatedhbyhahdivorcehfromhanhabusivehhusband,hahwifehcompleteshgriefhcounseling.hWhichhstatementhbyht
_ hehwifehwouldhindicatehtohahnursehthaththehclienthishinhthehacceptancehstagehofhgrief?h
_ 1. “Ifhonlyhwehcouldhhavehtriedhagain,hthingshmighthhavehworkedhout.”h
_h 2. “IhamhsohmadhthaththehchildrenhandhIhhadhtohputhuphwithhhimhashlonghashwehdid.”h
3. “Yes,hithwashahdifficulthrelationship,hbuthIhthinkhIhhavehlearnedhfromhtheh
experience.”h
4.h“Ihhavehahdifficulthtimehgettinghouthofhbedhmosthdays.”h
h
h
___ 12.hAccordinghtohMaslow’shhierarchyhofhneeds,hwhichhclienthactionhwouldhdemonstratehthehhighesthachieveme
_h nthinhtermshofhmentalhhealth?h
1. Maintaininghahlong-term,hfaithful,hintimatehrelationshiph
2. Achievinghahsensehofhself-confidenceh
3. Possessinghahfeelinghofhself-fulfillmenthandhrealizinghfullhpotentialh
4. Developinghahsensehofhpurposehandhthehabilityhtohdirecthactivitiesh
h
h
___ 13.hAccordinghtohMaslow’shhierarchyhofhneeds,hwhichhsituationhonhanhinpatienthpsychiatrichunithwouldhrequire
_h hpriorityhinterventionhbyhahnurse?h
1. Ahclienthrudelyhcomplaininghabouthlimitedhvisitinghhoursh
2. Ahclienthexhibitinghaggressivehbehaviorhtowardhanotherhclienth
3. Ahclienthstatinghthathnohonehcaresh
4. Ahclienthverbalizinghfeelingshofhfailureh
h
h
MultiplehResponseh
Identifyhonehorhmorehchoiceshthathbesthcompletehthehstatementhorhanswerhthehquestion.h
h
___ 14.hWhichhdescribeshahdefensehmechanismhanhindividualhmayhusehtohrelievehanxietyhinhahstressfulhsituation?h(S
_h electhallhthathapply.)h
1. Homeworkh
2. Smokingh hhhhhhhhhhhhMhhhhhhhNURSINGTB.COh
3. Itchingh
4. Nailhbitingh
5. Sleepingh
h
h
Copyrighth©h2020hF.hA.hDavishCompanyh
WWW.NURSINGTB.COM
, ESSENTIALShOFhPSYCHIATRIChMENTALhHEALTHhNURSINGh8THhMORGANhTESThBANK
h
___ 15.hThehnursehishreviewinghthehDSM-
_h 5hdefinitionhofhahmentalhhealthhdisorderhandhnoteshthehdefinitionhincludeshahdisturbancehinhwhichhareas?h(
Selecthallhthathapply.)h
1. Cognitionh
2. Physicalh
3. Emotionalhregulationh
4. Behaviorh
5. Developmentalh
h
h
Completionh
Completeheachhstatement.h
h
16. _______________________hishahdiffusehapprehensionhthathishvaguehinhnaturehandhishassociatedhwithhfeelingsh
ofhuncertaintyhandhhelplessness.h
h
17. _______________________hishahsubjectivehstatehofhemotional,hphysical,handhsocialhresponseshtohthehlosshofha
hvaluedhentity.h
h
Otherh
h
h 18.hPlacehinhorderhthehKüblerhRosshstageshofhgriefhfromh1-
5.h(Enterhthehnumberhofheachhstephinhthehproperhsequence,husinghcommahandhspacehformat,hsuchhas:h1,
h2,h3,h4.)h
1. Bargainingh
2. Denialh
3. Acceptanceh
4. Depressionh5.hAnger
N M
hhhhhhhhhhhh URSINGTB.CO
hhhhhhh h
h
Chapter 1: Mental Health and Mental Illness Answer Section
h h h h h h h h h
h
Copyrighth©h2020hF.hA.hDavishCompanyh
WWW.NURSINGTB.COM
