Test Bank For Davis Advantage for Townsend’s
l l l l l l
l Essentials of Psychiatric Mental Health Nursing 9th
l l l l l l
Edition Karyn Morgan
l l l
TESTBANK l
,Chapter 1: Mental Health and Mental Illness
l l l l l l
Multiple lChoice
Identify lthe lchoice lthat lbest lcompletes lthe lstatement lor lanswers lthe lquestion.
1. A lnurse lis lassessing la lclient lwho lexperiences loccasional lfeelings lof lsadness lbecause lof lthe
lrecent ldeath lof la lbeloved lpet. lThe lclient’s lappetite, lsleep lpatterns, land ldaily lroutine lhave lnot
lchanged. lHow lwould lthe lnurse linterpret lthe lclient’s lbehaviors?
1. The lclient’s lbehaviors ldemonstrate lmental lillness lin lthe lform lof ldepression.
2. The lclient’s lbehaviors lare linappropriate, lwhich lindicates lthe lpresence lof
lmental lillness.
3. The lclient’s lbehaviors lare lnot lcongruent lwith lcultural lnorms.
4. The lclient’s lbehaviors ldemonstrate lno lfunctional limpairment, lindicating lno
lmental lillness.
2. At lwhich lpoint lwould lthe lnurse ldetermine lthat la lclient lis lat lrisk lfor ldeveloping la lmental lillness?
1. When lthoughts, lfeelings, land lbehaviors lare lnot lreflective lof lthe lDSM-5 lcriteria.
2. When lmaladaptive lresponses lto lstress lare lcoupled lwith linterference lin
ldaily lfunctioning.
3. When la lclient lcommunicates lsignificant ldistress.
4. When la lclient luses ldefense lmechanisms las lego lprotection.
3. A lclient lhas lbeen lgiven la ldiagnosis lof lhuman limmunodeficiency lvirus l(HIV). lWhich
lstatement lmade lby lthe lclient ldoes lth NeUnR
urS
seIrN
ecGoT
gnBi.
zeCaOslMt h e lbargaining lstage lof lgrief?
1. “I lhate lmy lpartner lfor lgiving lme lthis ldisease lI lwill ldie lfrom!”
2. “If lI ldon’t ldo lintravenous l(IV) ldrugs lanymore, lGod lwon’t llet lme ldie.”
3. “I lam lgoing lto lsupport lgroups land llearn lmore labout lthe ldisease.”
4. “Can lyou lplease lre-draw lthe ltest lresults, lI lthink lthey lmay lbe lwrong?”
4. A lnurse lnotes lthat la lclient lis lextremely lwithdrawn, ldelusional, land lemotionally lexhausted.
lThe lnurse lassesses lthe lclient’s lanxiety las lwhich llevel?
1. Mild lanxiety
2. Moderate lanxiety
3. Severe lanxiety
4. Panic lanxiety
5. A lpsychiatric lnurse lintern lstates, l“This lclient’s luse lof ldefense lmechanisms lshould lbe
leliminated.” lWhich lis la lcorrect levaluation lof lthis lnurse’s lstatement?
1. Defense lmechanisms lcan lbe lappropriate lresponses lto lstress land lneed lnot
lbe leliminated.
2. Defense lmechanisms lare la lmaladaptive lattempt lof lthe lego lto lmanage lanxiety
land lshould lalways lbe leliminated.
, 6. During lan lintake lassessment, la lnurse lasks lboth lphysiological land lpsychosocial lquestions. lThe
lclient langrily lresponds, l“I’m lhere lfor lmy lheart, lnot lmy lhead lproblems.” lWhich lis lthe lnurse’s
lbest lresponse?
1. “It lis ljust la lroutine lpart lof lour lassessment. lAll lclients lare lasked lthese
lsame lquestions.”
2. “Why lare lyou lconcerned labout lthese ltypes lof lquestions?”
3. “Psychological lfactors, llike lexcessive lstress, lhave lbeen lfound lto laffect lmedical
lconditions.”
4. “We lcan lskip lthese lquestions, lif lyou llike. lIt lisn’t limperative lthat lwe lcomplete
lthis lsection.”
7. A lclient lwho lis lbeing ltreated lfor lchronic lkidney ldisease lcomplains lto lthe lhealth-care lprovider
lthat lhe ldoes lnot llike lthe lfood lavailable lto lhim lwhile lhospitalized. lThe lhealth-care lprovider
linsists lthat lthe lclient lstrictly ladhere lto lthe ldiet lplan. lWhat laction lcan lbe lexpected lis lthe lclient
luses lthe ldefense lmechanism lof ldisplacement?
1. The lclient lassertively lconfronts lthe lhealth-care lprovider.
2. The lclient linsists lon lbeing ldischarged land lgoes lfor la llong, lbrisk lwalk.
3. The lclient lsnaps lat lthe lnurse land lcriticizes lthe lnursing lcare lprovided.
4. The lclient lhides lhis langer lby lexplaining lthe llogical lreasoning lfor lthe ldiet lto
lhis lspouse.
8. A lfourth-grade lboy lteases land lmakes ljokes labout la lcute lgirl lin lhis lclass. lA lnurse lwould
lrecognize lthis lbehavior las lindicative lof lwhich ldefense lmechanism?
1. Displacement
2. Projection
3. Reaction lformation
4. Sublimation
9. l Which lnursing lstatement lregarding lthe lconcept lof lpsychosis lis lmost laccurate?
l
1. Individuals lexperiencing lpsychoses lare laware lthat ltheir lbehaviors lare lmaladaptive.
2. Individuals lexperiencing lpsychoses lexperience llittle ldistress.
3. Individuals lexperiencing lpsychoses lare laware lof lexperiencing lpsychological
lproblems.
4. Individuals lexperiencing lpsychoses lare lbased lin lreality.
l 10. l When lunder lstress, la lclient lroutinely luses lalcohol lto lexcess. lWhen lthe lclient’s lhusband
lfinds lher ldrunk, lthe lhusband l yells lat lthe lclient labout lher lchronic lalcohol labuse. lWhich
laction lalerts lthe lnurse lto lthe lclient’s luse lof lthe ldefense lmechanism lof ldenial?
1. The lclient lhides lliquor lbottles lin la lcloset.
2. The lclient lyells lat lher lson lfor lslouching lin lhis lchair.
3. The lclient lburns ldinner lon lpurpose.
4. The lclient lsays lto lthe lspouse, l“I ldon’t ldrink ltoo lmuch!”
l 11. lDevastated lby la ldivorce lfrom lan labusive lhusband, la lwife lcompletes lgrief lcounseling. lWhich
lstatement lby lthe lwife lwould lindicate lto la lnurse lthat lthe lclient lis lin lthe lacceptance lstage lof
lgrief?
1. “If lonly lwe lcould lhave ltried lagain, lthings lmight lhave lworked lout.”
2. “I lam lso lmad lthat lthe lchildren land lI lhad lto lput lup lwith lhim las llong las lwe ldid.”
3. “Yes, lit lwas la ldifficult lrelationship, lbut lI lthink lI lhave llearned lfrom lthe
, experience.”
4. “I lhave la ldifficult ltime lgetting lout lof lbed lmost ldays.”
l 12. l According lto lMaslow’s lhierarchy lof lneeds, lwhich lclient laction lwould ldemonstrate lthe
lhighest lachievement lin lterms lof lmental lhealth?
1. Maintaining la llong-term, lfaithful, lintimate lrelationship
2. Achieving la lsense lof lself-confidence
3. Possessing la lfeeling lof lself-fulfillment land lrealizing lfull lpotential
4. Developing la lsense lof lpurpose land lthe lability lto ldirect lactivities
l 13. l According lto lMaslow’s lhierarchy lof lneeds, lwhich lsituation lon lan linpatient lpsychiatric lunit
lwould lrequire lpriority lintervention lby la lnurse?
1. A lclient lrudely lcomplaining labout llimited lvisiting lhours
2. A lclient lexhibiting laggressive lbehavior ltoward lanother lclient
3. A lclient lstating lthat lno lone lcares
4. A lclient lverbalizing lfeelings lof lfailure
Multiple lResponse
Identify lone lor lmore lchoices lthat lbest lcomplete lthe lstatement lor lanswer lthe lquestion.
l 14. l Which ldescribes la ldefense lmechanism lan lindividual lmay luse lto lrelieve lanxiety lin la
lstressful lsituation? l(Select lall lthat lapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail lbiting
5. Sleeping
l 15. l The lnurse lis lreviewing lthe lDSM-5 ldefinition lof la lmental lhealth ldisorder land lnotes lthe
ldefinition lincludes la ldisturbance lin lwhich lareas? l(Select lall lthat lapply.)
1. Cognition
2. Physical
3. Emotional lregulation
4. Behavior
5. Developmental
Completion
Complete leach lstatement.
16. is la ldiffuse lapprehension lthat lis lvague lin lnature land lis
lassociated lwith lfeelings lof luncertainty land lhelplessness.
17. is la lsubjective lstate lof lemotional, lphysical, land lsocial lresponses
lto lthe lloss lof la lvalued lentity.
Other
l l l l l l
l Essentials of Psychiatric Mental Health Nursing 9th
l l l l l l
Edition Karyn Morgan
l l l
TESTBANK l
,Chapter 1: Mental Health and Mental Illness
l l l l l l
Multiple lChoice
Identify lthe lchoice lthat lbest lcompletes lthe lstatement lor lanswers lthe lquestion.
1. A lnurse lis lassessing la lclient lwho lexperiences loccasional lfeelings lof lsadness lbecause lof lthe
lrecent ldeath lof la lbeloved lpet. lThe lclient’s lappetite, lsleep lpatterns, land ldaily lroutine lhave lnot
lchanged. lHow lwould lthe lnurse linterpret lthe lclient’s lbehaviors?
1. The lclient’s lbehaviors ldemonstrate lmental lillness lin lthe lform lof ldepression.
2. The lclient’s lbehaviors lare linappropriate, lwhich lindicates lthe lpresence lof
lmental lillness.
3. The lclient’s lbehaviors lare lnot lcongruent lwith lcultural lnorms.
4. The lclient’s lbehaviors ldemonstrate lno lfunctional limpairment, lindicating lno
lmental lillness.
2. At lwhich lpoint lwould lthe lnurse ldetermine lthat la lclient lis lat lrisk lfor ldeveloping la lmental lillness?
1. When lthoughts, lfeelings, land lbehaviors lare lnot lreflective lof lthe lDSM-5 lcriteria.
2. When lmaladaptive lresponses lto lstress lare lcoupled lwith linterference lin
ldaily lfunctioning.
3. When la lclient lcommunicates lsignificant ldistress.
4. When la lclient luses ldefense lmechanisms las lego lprotection.
3. A lclient lhas lbeen lgiven la ldiagnosis lof lhuman limmunodeficiency lvirus l(HIV). lWhich
lstatement lmade lby lthe lclient ldoes lth NeUnR
urS
seIrN
ecGoT
gnBi.
zeCaOslMt h e lbargaining lstage lof lgrief?
1. “I lhate lmy lpartner lfor lgiving lme lthis ldisease lI lwill ldie lfrom!”
2. “If lI ldon’t ldo lintravenous l(IV) ldrugs lanymore, lGod lwon’t llet lme ldie.”
3. “I lam lgoing lto lsupport lgroups land llearn lmore labout lthe ldisease.”
4. “Can lyou lplease lre-draw lthe ltest lresults, lI lthink lthey lmay lbe lwrong?”
4. A lnurse lnotes lthat la lclient lis lextremely lwithdrawn, ldelusional, land lemotionally lexhausted.
lThe lnurse lassesses lthe lclient’s lanxiety las lwhich llevel?
1. Mild lanxiety
2. Moderate lanxiety
3. Severe lanxiety
4. Panic lanxiety
5. A lpsychiatric lnurse lintern lstates, l“This lclient’s luse lof ldefense lmechanisms lshould lbe
leliminated.” lWhich lis la lcorrect levaluation lof lthis lnurse’s lstatement?
1. Defense lmechanisms lcan lbe lappropriate lresponses lto lstress land lneed lnot
lbe leliminated.
2. Defense lmechanisms lare la lmaladaptive lattempt lof lthe lego lto lmanage lanxiety
land lshould lalways lbe leliminated.
, 6. During lan lintake lassessment, la lnurse lasks lboth lphysiological land lpsychosocial lquestions. lThe
lclient langrily lresponds, l“I’m lhere lfor lmy lheart, lnot lmy lhead lproblems.” lWhich lis lthe lnurse’s
lbest lresponse?
1. “It lis ljust la lroutine lpart lof lour lassessment. lAll lclients lare lasked lthese
lsame lquestions.”
2. “Why lare lyou lconcerned labout lthese ltypes lof lquestions?”
3. “Psychological lfactors, llike lexcessive lstress, lhave lbeen lfound lto laffect lmedical
lconditions.”
4. “We lcan lskip lthese lquestions, lif lyou llike. lIt lisn’t limperative lthat lwe lcomplete
lthis lsection.”
7. A lclient lwho lis lbeing ltreated lfor lchronic lkidney ldisease lcomplains lto lthe lhealth-care lprovider
lthat lhe ldoes lnot llike lthe lfood lavailable lto lhim lwhile lhospitalized. lThe lhealth-care lprovider
linsists lthat lthe lclient lstrictly ladhere lto lthe ldiet lplan. lWhat laction lcan lbe lexpected lis lthe lclient
luses lthe ldefense lmechanism lof ldisplacement?
1. The lclient lassertively lconfronts lthe lhealth-care lprovider.
2. The lclient linsists lon lbeing ldischarged land lgoes lfor la llong, lbrisk lwalk.
3. The lclient lsnaps lat lthe lnurse land lcriticizes lthe lnursing lcare lprovided.
4. The lclient lhides lhis langer lby lexplaining lthe llogical lreasoning lfor lthe ldiet lto
lhis lspouse.
8. A lfourth-grade lboy lteases land lmakes ljokes labout la lcute lgirl lin lhis lclass. lA lnurse lwould
lrecognize lthis lbehavior las lindicative lof lwhich ldefense lmechanism?
1. Displacement
2. Projection
3. Reaction lformation
4. Sublimation
9. l Which lnursing lstatement lregarding lthe lconcept lof lpsychosis lis lmost laccurate?
l
1. Individuals lexperiencing lpsychoses lare laware lthat ltheir lbehaviors lare lmaladaptive.
2. Individuals lexperiencing lpsychoses lexperience llittle ldistress.
3. Individuals lexperiencing lpsychoses lare laware lof lexperiencing lpsychological
lproblems.
4. Individuals lexperiencing lpsychoses lare lbased lin lreality.
l 10. l When lunder lstress, la lclient lroutinely luses lalcohol lto lexcess. lWhen lthe lclient’s lhusband
lfinds lher ldrunk, lthe lhusband l yells lat lthe lclient labout lher lchronic lalcohol labuse. lWhich
laction lalerts lthe lnurse lto lthe lclient’s luse lof lthe ldefense lmechanism lof ldenial?
1. The lclient lhides lliquor lbottles lin la lcloset.
2. The lclient lyells lat lher lson lfor lslouching lin lhis lchair.
3. The lclient lburns ldinner lon lpurpose.
4. The lclient lsays lto lthe lspouse, l“I ldon’t ldrink ltoo lmuch!”
l 11. lDevastated lby la ldivorce lfrom lan labusive lhusband, la lwife lcompletes lgrief lcounseling. lWhich
lstatement lby lthe lwife lwould lindicate lto la lnurse lthat lthe lclient lis lin lthe lacceptance lstage lof
lgrief?
1. “If lonly lwe lcould lhave ltried lagain, lthings lmight lhave lworked lout.”
2. “I lam lso lmad lthat lthe lchildren land lI lhad lto lput lup lwith lhim las llong las lwe ldid.”
3. “Yes, lit lwas la ldifficult lrelationship, lbut lI lthink lI lhave llearned lfrom lthe
, experience.”
4. “I lhave la ldifficult ltime lgetting lout lof lbed lmost ldays.”
l 12. l According lto lMaslow’s lhierarchy lof lneeds, lwhich lclient laction lwould ldemonstrate lthe
lhighest lachievement lin lterms lof lmental lhealth?
1. Maintaining la llong-term, lfaithful, lintimate lrelationship
2. Achieving la lsense lof lself-confidence
3. Possessing la lfeeling lof lself-fulfillment land lrealizing lfull lpotential
4. Developing la lsense lof lpurpose land lthe lability lto ldirect lactivities
l 13. l According lto lMaslow’s lhierarchy lof lneeds, lwhich lsituation lon lan linpatient lpsychiatric lunit
lwould lrequire lpriority lintervention lby la lnurse?
1. A lclient lrudely lcomplaining labout llimited lvisiting lhours
2. A lclient lexhibiting laggressive lbehavior ltoward lanother lclient
3. A lclient lstating lthat lno lone lcares
4. A lclient lverbalizing lfeelings lof lfailure
Multiple lResponse
Identify lone lor lmore lchoices lthat lbest lcomplete lthe lstatement lor lanswer lthe lquestion.
l 14. l Which ldescribes la ldefense lmechanism lan lindividual lmay luse lto lrelieve lanxiety lin la
lstressful lsituation? l(Select lall lthat lapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail lbiting
5. Sleeping
l 15. l The lnurse lis lreviewing lthe lDSM-5 ldefinition lof la lmental lhealth ldisorder land lnotes lthe
ldefinition lincludes la ldisturbance lin lwhich lareas? l(Select lall lthat lapply.)
1. Cognition
2. Physical
3. Emotional lregulation
4. Behavior
5. Developmental
Completion
Complete leach lstatement.
16. is la ldiffuse lapprehension lthat lis lvague lin lnature land lis
lassociated lwith lfeelings lof luncertainty land lhelplessness.
17. is la lsubjective lstate lof lemotional, lphysical, land lsocial lresponses
lto lthe lloss lof la lvalued lentity.
Other
