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Psychiatric Mental Health Nursing: Concepts of Care in
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Evidence-Based Practice, 9th Edition by Morgan Townsend |
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Newest Update 2025/2026
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, https://www.stuvia.com/user/Prose1
Chapter 1: Mental Health and Mental Illness
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. A nurse is assessing a client who experiences occasional feelings of sadness because of the
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recent death of a beloved pet. The client‘s appetite, sleep patterns, and daily routine have not
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changed. How would the nurse interpret the client‘s behaviors?
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1. The client‘s behaviors demonstrate mental illness in the form of depression.
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2. The client‘s behaviors are inappropriate, which indicates the presence of mental
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illness. p1
3. The client‘s behaviors are not congruent with cultural norms.
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4. The client‘s behaviors demonstrate no functional impairment, indicating no mental
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illness. p1
2. At which point would the nurse determine that a client is at risk for developing a mental illness?
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1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress are coupled with interference in daily
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functioning. p1
3. When a client communicates significant distress. p1 p1 p1 p1 p1
4. When a client uses defense mechanisms as ego protection.
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3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which
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statement made by the client does thNeUnR
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seIrN
ecGoT
gnBi.
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sMt h e bargaining stage of grief?
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1. ―I hate my partner for giving me this disease I will die from!‖
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2. ―If I don‘t do intravenous (IV) drugs anymore, God won‘t let me die.‖
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3. ―I am going to support groups and learn more about the disease.‖
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4. ―Can you please re-draw the test results, I think they may be wrong?‖
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4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted.
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The nurse assesses the client‘s anxiety as which level?
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1. Mild anxiety p1
2. Moderate anxiety p1
3. Severe anxiety p1
4. Panic anxiety p1
5. A psychiatric nurse intern states, ―This client‘s use of defense mechanisms should be
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eliminated.‖ Which is a correct evaluation of this nurse‘s statement?
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1. Defense mechanisms can be appropriate responses to stress and need not
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be eliminated. p1 p1
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety
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and should always be eliminated.
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