&*#^$^*&()(*&(*$@(&)*()*)($(*)@$*$@)(*$@)(@$*)($*$)(*@$()*_@*$)($*()@$*)($__($@*(%@&(
@$*)(*@(($*@()3909I
Test Bank for Davis
Advantage for
Townsend's
Psychiatric Mental
Health Nursing, 11th
Edition | Karyn I.
Morgan
Chapter 01
Multiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
Because of the recent death of a beloved pet. The client’s appetite, sleep patterns,
and daily routine have not changed. How should the nurse interpret the client’s
behaviors?
1. The client’s behaviors demonstrate mental illness in the form of depression.
2. The client’s behaviors are extensive, which indicates the presence of mentalillness.
3. The client’s behaviors are not congruent with cultural norms.
4. The client’s behaviors demonstrate no functional impairment, indicating no mentalillness.
ANS:- 4
FEEDBACK: The nurse should assess that the client’s daily functioning is not impaired. The
client who experiences feelings of sadness after the loss of a pet is responding within normal
expectations. Without significant impairment, the client’s distress does not indicate a mental
illness.
,&*#^$^*&()(*&(*$@(&)*()*)($(*)@$*$@)(*$@)(@$*)($*$)(*@$()*_@*$)($*()@$*)($__($@*(%@&(
@$*)(*@(($*@()3909I
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?
When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
When maladaptive responses to stress are coupled with interference in daily
functioning.
When a client communicates significant distress.
When a client uses defense mechanisms as ego protection.
ANS:- 2
FEEDBACK: The nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. TheDSM-5 indicates
that in order to be diagnosed with a mental illness, daily
Functioning must be significantly impaired. The client s ability to communicatedistress would be
considered a positive attribute.
COGNITIVE LEVEL:
Application
INTERGRATED
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 responsesto the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stressvary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly tostress.
4. Environmental influences to stress weigh more heavily than genetic influences.
ANS:- 1
FEEDBACK: 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
INTEGRATED PROCESS:
Implementation
4. Which client should the nurse anticipate to be most receptive to psychiatrictreatment?
1. A Jewish, female social worker.
,&*#^$^*&()(*&(*$@(&)*()*)($(*)@$*$@)(*$@)(@$*)($*$)(*@$()*_@*$)($*()@$*)($__($@*(%@&(
@$*)(*@(($*@()3909I
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
ANS:- 1
FEEDBACK: 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 a 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 client’s use of defense mechanisms shouldbe eliminated
.Which is a correct evaluation of this nurse’s statement?
1. Defense mechanisms can be appropriate responses to stress and need not beeliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manageanxiety and
should always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should bediscouraged
and not eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered andencouraged.
ANS:- 1
FEEDBACK: The nurse should determine that defense mechanisms can be
appropriate during times of stress. The client with no defense mechanisms may
have a lower tolerance for stress, thus leading to anxiety disorders. Defense
mechanisms should be confronted when they impede the client from developing
Healthy coping skills.
COGNITIVE LEVEL:
Application
Integrated Process:
Evaluation
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 samequestions.
2. Why are you concerned about these types of questions?
3. Psychological factors, like excessive stress, have been found to affect medicalconditions.
4. We can skip these questions, if you like. It is not imperative that we complete thissection.
ANS:- 3
FEEDBACK: The nurse should attempt to educate the client on the negative effects of
excessive stress on medical conditions. It is not appropriate to skip physiological and
, &*#^$^*&()(*&(*$@(&)*()*)($(*)@$*$@)(*$@)(@$*)($*$)(*@$()*_@*$)($*()@$*)($__($@*(%@&(
@$*)(*@(($*@()3909I
psychosocial questions, as this would lead to an inaccurate assessment.
COGNITIVE LEVEL: Application
INTEGRATED PROCESS:
Implementation
7. An employee uses the defense mechanism of displacement when the boss openly
disagrees with suggestions. What behavior would be expected from this employee?
1. The employee assertively confronts the boss.
2. The employee leaves the staff meeting to work out in the gym.
3. The employee criticizes a coworker.
4. The employee takes the boss out to lunch.
ANS:- 3
FEEDBACK: The nurse should expect that the client using the defense mechanism
displacement would criticize a coworker after being confronted by the boss.
Displacement refers to transferring feelings from one target to a neutral or less-
threatening target.
COGNITIVE LEVEL:
Analysis
INTEGRATED PROCESS:
Assessment
8. A fourth-grade boy teases and makes jokes about a cute girl in his class. This
behavior should be identified by a nurse as indicative of which defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
ANS:- 3
FEEDBACK: The nurse should identify that the boy is using reaction formation as a
defense mechanism. Reaction formation is the attempt to prevent undesirable
thoughts from being expressed by expressing opposite thoughts or behaviors.
Displacement refers to transferring feelings from one target to another.
Rationalization refers to making excuses to justify behavior. Projection refers to the
attribution of unacceptable feelings or behaviors to another person.
Sublimation refers to channeling unacceptable drives or impulses into more
constructive, acceptable activities.
COGNITIVE LEVEL:
Application
INTEGRATED
PROCESS: Assessment
9. Which nursing statement about the concept of neurosis is most accurate?
1. An individual experiencing neurosis is unaware that he or she is experiencingdistress.
@$*)(*@(($*@()3909I
Test Bank for Davis
Advantage for
Townsend's
Psychiatric Mental
Health Nursing, 11th
Edition | Karyn I.
Morgan
Chapter 01
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 client’s appetite, sleep patterns,
and daily routine have not changed. How should 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 extensive, which indicates the presence of mentalillness.
3. The client’s behaviors are not congruent with cultural norms.
4. The client’s behaviors demonstrate no functional impairment, indicating no mentalillness.
ANS:- 4
FEEDBACK: The nurse should assess that the client’s 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 client’s distress does not indicate a mental
illness.
,&*#^$^*&()(*&(*$@(&)*()*)($(*)@$*$@)(*$@)(@$*)($*$)(*@$()*_@*$)($*()@$*)($__($@*(%@&(
@$*)(*@(($*@()3909I
COGNITIVE LEVEL:
Analysis
INTEGRATED PROCESS:
Assessment
2. At what point should the nurse determine that a client is at risk for developing a
mental illness?
When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
When maladaptive responses to stress are coupled with interference in daily
functioning.
When a client communicates significant distress.
When a client uses defense mechanisms as ego protection.
ANS:- 2
FEEDBACK: The nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. TheDSM-5 indicates
that in order to be diagnosed with a mental illness, daily
Functioning must be significantly impaired. The client s ability to communicatedistress would be
considered a positive attribute.
COGNITIVE LEVEL:
Application
INTERGRATED
PROCESS: Assessment
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
stress. One twin becomes anxious and irritable, and the other withdraws and cries. How should
the nurse explain these different stress responsesto the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stressvary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly tostress.
4. Environmental influences to stress weigh more heavily than genetic influences.
ANS:- 1
FEEDBACK: The nurse should explain to the parents that, although the twins have
identical DNA, there are several other factors that affect reactions to stress.
Mental health is a state of being that is relative to the individual client.
Environmental influences and temperament can affect stress reactions .
COGNITIVE LEVEL:
Application
INTEGRATED PROCESS:
Implementation
4. Which client should the nurse anticipate to be most receptive to psychiatrictreatment?
1. A Jewish, female social worker.
,&*#^$^*&()(*&(*$@(&)*()*)($(*)@$*$@)(*$@)(@$*)($*$)(*@$()*_@*$)($*()@$*)($__($@*(%@&(
@$*)(*@(($*@()3909I
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
ANS:- 1
FEEDBACK: 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 a 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 client’s use of defense mechanisms shouldbe eliminated
.Which is a correct evaluation of this nurse’s statement?
1. Defense mechanisms can be appropriate responses to stress and need not beeliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manageanxiety and
should always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should bediscouraged
and not eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered andencouraged.
ANS:- 1
FEEDBACK: The nurse should determine that defense mechanisms can be
appropriate during times of stress. The client with no defense mechanisms may
have a lower tolerance for stress, thus leading to anxiety disorders. Defense
mechanisms should be confronted when they impede the client from developing
Healthy coping skills.
COGNITIVE LEVEL:
Application
Integrated Process:
Evaluation
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 samequestions.
2. Why are you concerned about these types of questions?
3. Psychological factors, like excessive stress, have been found to affect medicalconditions.
4. We can skip these questions, if you like. It is not imperative that we complete thissection.
ANS:- 3
FEEDBACK: The nurse should attempt to educate the client on the negative effects of
excessive stress on medical conditions. It is not appropriate to skip physiological and
, &*#^$^*&()(*&(*$@(&)*()*)($(*)@$*$@)(*$@)(@$*)($*$)(*@$()*_@*$)($*()@$*)($__($@*(%@&(
@$*)(*@(($*@()3909I
psychosocial questions, as this would lead to an inaccurate assessment.
COGNITIVE LEVEL: Application
INTEGRATED PROCESS:
Implementation
7. An employee uses the defense mechanism of displacement when the boss openly
disagrees with suggestions. What behavior would be expected from this employee?
1. The employee assertively confronts the boss.
2. The employee leaves the staff meeting to work out in the gym.
3. The employee criticizes a coworker.
4. The employee takes the boss out to lunch.
ANS:- 3
FEEDBACK: The nurse should expect that the client using the defense mechanism
displacement would criticize a coworker after being confronted by the boss.
Displacement refers to transferring feelings from one target to a neutral or less-
threatening target.
COGNITIVE LEVEL:
Analysis
INTEGRATED PROCESS:
Assessment
8. A fourth-grade boy teases and makes jokes about a cute girl in his class. This
behavior should be identified by a nurse as indicative of which defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
ANS:- 3
FEEDBACK: The nurse should identify that the boy is using reaction formation as a
defense mechanism. Reaction formation is the attempt to prevent undesirable
thoughts from being expressed by expressing opposite thoughts or behaviors.
Displacement refers to transferring feelings from one target to another.
Rationalization refers to making excuses to justify behavior. Projection refers to the
attribution of unacceptable feelings or behaviors to another person.
Sublimation refers to channeling unacceptable drives or impulses into more
constructive, acceptable activities.
COGNITIVE LEVEL:
Application
INTEGRATED
PROCESS: Assessment
9. Which nursing statement about the concept of neurosis is most accurate?
1. An individual experiencing neurosis is unaware that he or she is experiencingdistress.
