, TESTBANK FOR Davis Advantage for Townsend's Essentials of Psychiatric
Mental Health Nursing 10th Edition Morgan
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
🔒 Safe & secure – thousands of satisfied students trust us every semester.
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🔄 Wrong File? No Problem: Contact us and we will replace it immediately with the
correct version, free of charge.
⏰ 24/7 Support: We are always here – reach out anytime and expect a fast response.
Contact Email:
,Morgan 1
Townsend’s Essentials PMHN 10e
Test Bank
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 pat-
terns, and daily routine have not changed. How would the nurse interpret the
client’s behavior?
1. The client’s behaviors demonstrate mental illness in the form of depres-
sion.
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 criteria for
mental illness
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
Copyright © 2026 F. A. Davis Company
,Morgan 2
Townsend’s Essentials PMHN 10e
Test Bank
____ 3. Which response occurs during the alarm reaction stage of Selye’s general
adaptation syndrome?
1. The body's fight-or-flight response is activated.
2. The individual successfully adapts to the stressor.
3. The body's adaptive energy becomes depleted.
4. Homeostasis is immediately restored.
____ 4. The nurse notes that a client is extremely withdrawn, delusional, and emotion-
ally exhausted. The nurse assesses the client’s anxiety at which level?
1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
4. Panic anxiety
____ 5. The psychiatric nurse intern states, “This client’s use of defense mechanisms
should be eliminated.” Which is a correct evaluation of this nurse’s state-
ment?
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 fos-
tered and encouraged.
Copyright © 2026 F. A. Davis Company
,Morgan 3
Townsend’s Essentials PMHN 10e
Test Bank
____ 6. During an intake assessment, the nurse asks both physiological and psy-
chosocial questions. The client angrily responds, “I’m here for my heart, not
my head problems.” Which response by the nurse is the best?
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 com-
plete this section.”
____ 7. A client who is being treated for chronic kidney disease complains to the
health-care provider that they do not like the food available to them while hos-
pitalized. The health-care provider insists that the client strictly adhere to the
diet plan. What action can be expected if the client uses the defense mecha-
nism 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 their anger by explaining the logical reasoning for the diet
to their spouse.
____ 8. A fourth-grade boy teases and makes jokes about a cute girl in his class. The
nurse would recognize this behavior as indicative of which defense mecha-
nism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
Copyright © 2026 F. A. Davis Company
,Morgan 4
Townsend’s Essentials PMHN 10e
Test Bank
____ 9. Which nursing statement regarding the concept of psychosis is most accu-
rate?
1. Individuals experiencing psychoses are aware that their behaviors are
maladaptive.
2. Individuals experiencing psychoses experience little distress.
3. Individuals experiencing psychoses are aware of experiencing psychologi-
cal problems.
4. Individuals experiencing psychoses are based in reality.
____ 10. When under stress, a client routinely uses alcohol to excess. When the
client’s spouse finds them drunk, the spouse yells at the client about their
chronic alcohol abuse. Which action alerts the nurse to the client’s use of the
defense mechanism of denial?
1. The client hides liquor bottles in a closet.
2. The client yells at their child for slouching in their chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, “I don’t drink too much!”
____ 11. The nurse is assessing a client who is in the stage of resistance in Selye’s
general adaptation syndrome. Which findings are consistent with this stage?
1. The client experiences a sudden increase in heart rate, blood pressure,
and rapid breathing in response to a stressful situation.
2. The client has developed ulcers and frequent respiratory infections due to
prolonged stress.
3. The client exhibits muscle tension and heightened alertness in reaction to
a specific stressful event.
4. The client reports feeling exhausted and unable to cope with stress, lead-
ing to decreased functioning.
Copyright © 2026 F. A. Davis Company
,Morgan 5
Townsend’s Essentials PMHN 10e
Test Bank
____ 12. According to Maslow’s hierarchy of needs, which client action would demon-
strate the highest achievement in terms of mental health?
1. Maintaining a long-term, faithful, intimate relationship
2. Achieving a sense of self-confidence
3. Possessing a feeling of self-fulfillment and realizing their full potential
4. Developing a sense of purpose and the ability to direct activities
____ 13. According to Maslow’s hierarchy of needs, which situation on an inpatient
psychiatric unit would require priority intervention by a nurse?
1. A client rudely complaining about limited visiting hours
2. A client exhibiting aggressive behavior toward another client
3. A client stating that no one cares
4. A client verbalizing feelings of failure
____ 14. Which response by the student indicates effective learning regarding the
physiological response occurring during the initial stage of stress during “fight-
or-flight” syndrome?
1. “I can expect the client’s heart rate to decrease to 53 during fight-or-flight
syndrome."
2. “During fight-or-flight syndrome, my client may have a blood pressure of
92/54.”
3. “When my client is under stress, they will experience an increase in glyco-
genesis during fight-or-flight syndrome.”
4. “My client will have a decrease in gastric acid secretions during the stress
experienced in fight-or-flight syndrome.”
Copyright © 2026 F. A. Davis Company
,Morgan 6
Townsend’s Essentials PMHN 10e
Test Bank
____ 15. Which psychotic response may the nurse observe in a client during the panic
anxiety stage?
1. Obsessions
2. Compulsions
3. Schizophrenia
4. Hypochondriasis
____ 16. A client attempts to increase their self-worth by acquiring certain characteris-
tics of an individual whom they admire. Which type of ego defense mecha-
nism does the nurse suspect in this client?
1. Identification
2. Intellectualization
3. Suppression
4. Sublimation
____ 17. A client who is depressed about a pending divorce proceeding tells the nurse,
“I just don’t want to talk about the divorce. There’s nothing I can do about it
anyway.” Which ego defense mechanism does the nurse suspect in this
client?
1. Undoing
2. Repression
3. Sublimation
4. Suppression
Copyright © 2026 F. A. Davis Company
,Morgan 7
Townsend’s Essentials PMHN 10e
Test Bank
____ 18. A client tells the nurse, “My family members hate me.” On further communica-
tion with the client, the nurse finds that the client shows no emotion while talk-
ing about their family; instead, the client tries to provide a rationale for their
family members’ feelings. Which ego defense mechanism does the nurse
suspect in this client?
1. Denial
2. Rationalization
3. Intellectualization
4. Reaction formation
____ 19. The nurse anticipates that a client is showing the displacement type of ego
defense mechanism. Which statement made by the client’s caregiver sup-
ports the nurse’s assumption?
1. “My friend breaks things when they’re angry.”
2. “My friend imitates the dressing style of their favorite athlete.”
3. “My friend sleeps for a long period of time when experiencing stress.”
4. “My friend ignores me and refuses to speak when I ask about an unpleas-
ant memory.”
____ 20. A client is retreating to an earlier level of development in response to stress.
Which ego defense mechanism does the nurse suspect in this client?
1. Isolation
2. Projection
3. Regression
4. Displacement
Copyright © 2026 F. A. Davis Company
, Morgan 8
Townsend’s Essentials PMHN 10e
Test Bank
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 21. Which describes neurosis? Select all that apply.
1. Neurosis is a unique category of mental disorder.
2. Neurosis is a psychological disturbance characterized by excessive anxi-
ety.
3. Symptoms of neurosis include gross distortions of reality.
4. Neurosis may be expressed directly or altered through a defense mecha-
nism.
5. A person experiencing neurosis is often aware that their behaviors are
maladaptive.
____ 22. The nurse is reviewing the definition of a mental health disorder and notes the
definition includes disturbance in which areas? Select all that apply.
1. Cognition
2. Physical
3. Emotional regulation
4. Behavior
5. Developmental
____ 23. Which emotional symptoms help the nurse to identify that a client is experi-
encing severe anxiety? Select all that apply.
1. Feeling of dread
2. Feeling of horror
3. Feeling of confusion
4. Feeling of being poisoned
5. Feeling of being plotted against
Copyright © 2026 F. A. Davis Company
Mental Health Nursing 10th Edition Morgan
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
🔒 Safe & secure – thousands of satisfied students trust us every semester.
🛡️Our Guarantees
💰 Money-Back Guarantee: Not satisfied? We offer a full refund – no questions asked.
🔄 Wrong File? No Problem: Contact us and we will replace it immediately with the
correct version, free of charge.
⏰ 24/7 Support: We are always here – reach out anytime and expect a fast response.
Contact Email:
,Morgan 1
Townsend’s Essentials PMHN 10e
Test Bank
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 pat-
terns, and daily routine have not changed. How would the nurse interpret the
client’s behavior?
1. The client’s behaviors demonstrate mental illness in the form of depres-
sion.
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 criteria for
mental illness
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
Copyright © 2026 F. A. Davis Company
,Morgan 2
Townsend’s Essentials PMHN 10e
Test Bank
____ 3. Which response occurs during the alarm reaction stage of Selye’s general
adaptation syndrome?
1. The body's fight-or-flight response is activated.
2. The individual successfully adapts to the stressor.
3. The body's adaptive energy becomes depleted.
4. Homeostasis is immediately restored.
____ 4. The nurse notes that a client is extremely withdrawn, delusional, and emotion-
ally exhausted. The nurse assesses the client’s anxiety at which level?
1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
4. Panic anxiety
____ 5. The psychiatric nurse intern states, “This client’s use of defense mechanisms
should be eliminated.” Which is a correct evaluation of this nurse’s state-
ment?
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 fos-
tered and encouraged.
Copyright © 2026 F. A. Davis Company
,Morgan 3
Townsend’s Essentials PMHN 10e
Test Bank
____ 6. During an intake assessment, the nurse asks both physiological and psy-
chosocial questions. The client angrily responds, “I’m here for my heart, not
my head problems.” Which response by the nurse is the best?
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 com-
plete this section.”
____ 7. A client who is being treated for chronic kidney disease complains to the
health-care provider that they do not like the food available to them while hos-
pitalized. The health-care provider insists that the client strictly adhere to the
diet plan. What action can be expected if the client uses the defense mecha-
nism 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 their anger by explaining the logical reasoning for the diet
to their spouse.
____ 8. A fourth-grade boy teases and makes jokes about a cute girl in his class. The
nurse would recognize this behavior as indicative of which defense mecha-
nism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
Copyright © 2026 F. A. Davis Company
,Morgan 4
Townsend’s Essentials PMHN 10e
Test Bank
____ 9. Which nursing statement regarding the concept of psychosis is most accu-
rate?
1. Individuals experiencing psychoses are aware that their behaviors are
maladaptive.
2. Individuals experiencing psychoses experience little distress.
3. Individuals experiencing psychoses are aware of experiencing psychologi-
cal problems.
4. Individuals experiencing psychoses are based in reality.
____ 10. When under stress, a client routinely uses alcohol to excess. When the
client’s spouse finds them drunk, the spouse yells at the client about their
chronic alcohol abuse. Which action alerts the nurse to the client’s use of the
defense mechanism of denial?
1. The client hides liquor bottles in a closet.
2. The client yells at their child for slouching in their chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, “I don’t drink too much!”
____ 11. The nurse is assessing a client who is in the stage of resistance in Selye’s
general adaptation syndrome. Which findings are consistent with this stage?
1. The client experiences a sudden increase in heart rate, blood pressure,
and rapid breathing in response to a stressful situation.
2. The client has developed ulcers and frequent respiratory infections due to
prolonged stress.
3. The client exhibits muscle tension and heightened alertness in reaction to
a specific stressful event.
4. The client reports feeling exhausted and unable to cope with stress, lead-
ing to decreased functioning.
Copyright © 2026 F. A. Davis Company
,Morgan 5
Townsend’s Essentials PMHN 10e
Test Bank
____ 12. According to Maslow’s hierarchy of needs, which client action would demon-
strate the highest achievement in terms of mental health?
1. Maintaining a long-term, faithful, intimate relationship
2. Achieving a sense of self-confidence
3. Possessing a feeling of self-fulfillment and realizing their full potential
4. Developing a sense of purpose and the ability to direct activities
____ 13. According to Maslow’s hierarchy of needs, which situation on an inpatient
psychiatric unit would require priority intervention by a nurse?
1. A client rudely complaining about limited visiting hours
2. A client exhibiting aggressive behavior toward another client
3. A client stating that no one cares
4. A client verbalizing feelings of failure
____ 14. Which response by the student indicates effective learning regarding the
physiological response occurring during the initial stage of stress during “fight-
or-flight” syndrome?
1. “I can expect the client’s heart rate to decrease to 53 during fight-or-flight
syndrome."
2. “During fight-or-flight syndrome, my client may have a blood pressure of
92/54.”
3. “When my client is under stress, they will experience an increase in glyco-
genesis during fight-or-flight syndrome.”
4. “My client will have a decrease in gastric acid secretions during the stress
experienced in fight-or-flight syndrome.”
Copyright © 2026 F. A. Davis Company
,Morgan 6
Townsend’s Essentials PMHN 10e
Test Bank
____ 15. Which psychotic response may the nurse observe in a client during the panic
anxiety stage?
1. Obsessions
2. Compulsions
3. Schizophrenia
4. Hypochondriasis
____ 16. A client attempts to increase their self-worth by acquiring certain characteris-
tics of an individual whom they admire. Which type of ego defense mecha-
nism does the nurse suspect in this client?
1. Identification
2. Intellectualization
3. Suppression
4. Sublimation
____ 17. A client who is depressed about a pending divorce proceeding tells the nurse,
“I just don’t want to talk about the divorce. There’s nothing I can do about it
anyway.” Which ego defense mechanism does the nurse suspect in this
client?
1. Undoing
2. Repression
3. Sublimation
4. Suppression
Copyright © 2026 F. A. Davis Company
,Morgan 7
Townsend’s Essentials PMHN 10e
Test Bank
____ 18. A client tells the nurse, “My family members hate me.” On further communica-
tion with the client, the nurse finds that the client shows no emotion while talk-
ing about their family; instead, the client tries to provide a rationale for their
family members’ feelings. Which ego defense mechanism does the nurse
suspect in this client?
1. Denial
2. Rationalization
3. Intellectualization
4. Reaction formation
____ 19. The nurse anticipates that a client is showing the displacement type of ego
defense mechanism. Which statement made by the client’s caregiver sup-
ports the nurse’s assumption?
1. “My friend breaks things when they’re angry.”
2. “My friend imitates the dressing style of their favorite athlete.”
3. “My friend sleeps for a long period of time when experiencing stress.”
4. “My friend ignores me and refuses to speak when I ask about an unpleas-
ant memory.”
____ 20. A client is retreating to an earlier level of development in response to stress.
Which ego defense mechanism does the nurse suspect in this client?
1. Isolation
2. Projection
3. Regression
4. Displacement
Copyright © 2026 F. A. Davis Company
, Morgan 8
Townsend’s Essentials PMHN 10e
Test Bank
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 21. Which describes neurosis? Select all that apply.
1. Neurosis is a unique category of mental disorder.
2. Neurosis is a psychological disturbance characterized by excessive anxi-
ety.
3. Symptoms of neurosis include gross distortions of reality.
4. Neurosis may be expressed directly or altered through a defense mecha-
nism.
5. A person experiencing neurosis is often aware that their behaviors are
maladaptive.
____ 22. The nurse is reviewing the definition of a mental health disorder and notes the
definition includes disturbance in which areas? Select all that apply.
1. Cognition
2. Physical
3. Emotional regulation
4. Behavior
5. Developmental
____ 23. Which emotional symptoms help the nurse to identify that a client is experi-
encing severe anxiety? Select all that apply.
1. Feeling of dread
2. Feeling of horror
3. Feeling of confusion
4. Feeling of being poisoned
5. Feeling of being plotted against
Copyright © 2026 F. A. Davis Company
