TEST BANK
Introductory Mental Health Nursing 5th Edition
Cynthia Kincheloe
, Table of content
Chapter 1, Mental Health and Mental Illness ............................................................................................................. 1
Chapter 2, The Delivery of Mental Health Care ....................................................................................................... 13
Chapter 3, Theories of Development ........................................................................................................................ 23
Chapter 4, Treatment of Mental Illness .................................................................................................................... 35
Chapter 5, Establishing and Maintaining a Therapeutic Relationship ...................................................................... 45
Chapter 6, Dynamics of Anger, Violence, and Crises .............................................................................................. 54
Chapter 7, Communication in Mental Health Nursing ............................................................................................. 64
Chapter 8, The Nursing Process in Mental Health Nursing...................................................................................... 74
Chapter 9, Anxiety Disorders ................................................................................................................................... 83
Chapter 10, Mood Disorders ..................................................................................................................................... 93
Chapter 11, Psychotic Disorders ............................................................................................................................. 102
Chapter 12, Personality Disorders .......................................................................................................................... 111
Chapter 13, Somatic Symptom and Related Disorders ........................................................................................... 120
Chapter 14, Dissociative Disorders......................................................................................................................... 130
Chapter 15, Substance Use and Addiction .............................................................................................................. 144
Chapter 16, Eating Disorders .................................................................................................................................. 158
Chapter 17, Mental Health Issues Related to Gender and Sexuality ...................................................................... 169
Chapter 18, Disorders and Issues of Children and Adolescents ............................................................................. 180
Chapter 19, Disorders and Issues of the Older Adult ............................................................................................. 192
,Chapter 1, Mental Health and Mental Illness
1. The nurse is evaluating a client's ability to engage in adaptive stress management. Which
client statement supports the nurse's belief that the client is successfully managing the stress
of a recent divorce?
A) “Loving someone is no guarantee that they will love you back.”
B) “I know now that we were never really meant to be together.”
C) “It's not my fault that I loved someone who was incapable of being faithful.”
D) “I'm a lovable person who has control over my own happiness.”
ANS: C
Feedback: In most situations, the sense of control an individual feels over a particular
stressor determines how he or she thinks about or perceives it. Reframing is a way of
restructuring our thinking about a stressful event into one that is less disturbing and over
which we can have some control such as the belief that one is lovable and in control. The
remaining options state feelings that deflect the hurt felt or that provide a rationale for the
divorce.
PTS: 1 DIF: Difficult
REF: Header: Promoting Adaptive Coping Strategies OBJ: 6
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Analyze NOT: Multiple Choice
2. When working with a client who is grieving, which nursing action best demonstrates
understanding of the grieving process and the most effective means of facilitating the
client's ability to bring about closure and display hope for the future?
A) Using open-ended questioning techniques when communicating with the client
who is currently in the grieving process
B) Sharing with the grieving client that the client's grief is demonstrated in very
specific and personal ways that are unique to the person alone
C) Devoting time each meeting to discussing the feelings the client has described in
daily journal entries
D) Assuring the client that while the grieving process has identifiable stages, there is
no specific timetable for moving through these stages
ANS: C
Feedback: Interventions that assist individuals with the grieving process should encourage
openness and honesty about their feelings, while encouraging expressions of hope for the
future and reinvestment in life interests. Journaling, that encourages the expression of
grief-related feelings, has proven to be an effective intervention in this process. Open-ended
questioning focuses on effective information gathering especially related to the assessment
of the grieving client. It is true that the grieving process is an experience that is unique to
each individual and not bound by specific timetables; sharing this information with the
client does not facilitate the expression of feelings so necessary to the successful
management of acute grief.
PTS: 1 DIF: Difficult REF: Header: Coping with Grief and Loss
1|Page
, OBJ: 9 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Apply NOT: Multiple Choice
3. When considering the various aspects of stress, which statement would accurately describe
eustress?
A) “I often feel stressed by the end of a very hectic shift here at the clinic.”
B) “When I'm really stressed, I usually get a severe headache.”
C) “I generally do my best work when I feel some stress.”
D) “When you become a nurse, you become familiar with stress.”
ANS: C
Feedback: Eustress is positive and motivating, as shown by one's confidence in the ability to
master a challenge or stressor. Stress results when a threat or challenge to one's well-being
requires the person to adjust or adapt to the environment. Distress in response to a threat or
challenge is actually harmful to one's health. This is a negative stress and demands an
exhausting type of energy.
PTS: 1 DIF: Moderate REF: Header: Defining Stress
OBJ: 4 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Analyze NOT: Multiple Choice
4. Which client statement supports the nurse's suspicions that a client being treated for chronic
depression is experiencing severe emotional distress produced by external circumstances?
A) “I have been depressed ever since I was diagnosed with leukemia.”
B) “My doctor told me that I have to manage my stress or risk having a heart attack.”
C) “My professional life is ruined because my boss never recognizes my worth and
value.”
D) “I'm never comfortable when I know that I have to fly for my work.”
ANS: C
Feedback: It is important to recognize that many times we view external circumstances as
the cause of our stress such as in the case of the client's perception of the boss's viewpoint.
The remaining options demonstrate internal or self-perceptions and viewpoints.
PTS: 1 DIF: Difficult
REF: Header: Contributing Factors to Stress and Anxiety OBJ: 5
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Analyze NOT: Multiple Choice
5. A young adult student recently failed a major exam. While talking with the student, which
statement by the student supports the nurse's belief that the client is using reframing to cope
with the resulting anxiety?
A) “That course is taught again next semester; if I fail, I'll take it over then.”
B) “I've decided to transfer to another section that's taught by an easier teacher.”
2|Page
Introductory Mental Health Nursing 5th Edition
Cynthia Kincheloe
, Table of content
Chapter 1, Mental Health and Mental Illness ............................................................................................................. 1
Chapter 2, The Delivery of Mental Health Care ....................................................................................................... 13
Chapter 3, Theories of Development ........................................................................................................................ 23
Chapter 4, Treatment of Mental Illness .................................................................................................................... 35
Chapter 5, Establishing and Maintaining a Therapeutic Relationship ...................................................................... 45
Chapter 6, Dynamics of Anger, Violence, and Crises .............................................................................................. 54
Chapter 7, Communication in Mental Health Nursing ............................................................................................. 64
Chapter 8, The Nursing Process in Mental Health Nursing...................................................................................... 74
Chapter 9, Anxiety Disorders ................................................................................................................................... 83
Chapter 10, Mood Disorders ..................................................................................................................................... 93
Chapter 11, Psychotic Disorders ............................................................................................................................. 102
Chapter 12, Personality Disorders .......................................................................................................................... 111
Chapter 13, Somatic Symptom and Related Disorders ........................................................................................... 120
Chapter 14, Dissociative Disorders......................................................................................................................... 130
Chapter 15, Substance Use and Addiction .............................................................................................................. 144
Chapter 16, Eating Disorders .................................................................................................................................. 158
Chapter 17, Mental Health Issues Related to Gender and Sexuality ...................................................................... 169
Chapter 18, Disorders and Issues of Children and Adolescents ............................................................................. 180
Chapter 19, Disorders and Issues of the Older Adult ............................................................................................. 192
,Chapter 1, Mental Health and Mental Illness
1. The nurse is evaluating a client's ability to engage in adaptive stress management. Which
client statement supports the nurse's belief that the client is successfully managing the stress
of a recent divorce?
A) “Loving someone is no guarantee that they will love you back.”
B) “I know now that we were never really meant to be together.”
C) “It's not my fault that I loved someone who was incapable of being faithful.”
D) “I'm a lovable person who has control over my own happiness.”
ANS: C
Feedback: In most situations, the sense of control an individual feels over a particular
stressor determines how he or she thinks about or perceives it. Reframing is a way of
restructuring our thinking about a stressful event into one that is less disturbing and over
which we can have some control such as the belief that one is lovable and in control. The
remaining options state feelings that deflect the hurt felt or that provide a rationale for the
divorce.
PTS: 1 DIF: Difficult
REF: Header: Promoting Adaptive Coping Strategies OBJ: 6
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Analyze NOT: Multiple Choice
2. When working with a client who is grieving, which nursing action best demonstrates
understanding of the grieving process and the most effective means of facilitating the
client's ability to bring about closure and display hope for the future?
A) Using open-ended questioning techniques when communicating with the client
who is currently in the grieving process
B) Sharing with the grieving client that the client's grief is demonstrated in very
specific and personal ways that are unique to the person alone
C) Devoting time each meeting to discussing the feelings the client has described in
daily journal entries
D) Assuring the client that while the grieving process has identifiable stages, there is
no specific timetable for moving through these stages
ANS: C
Feedback: Interventions that assist individuals with the grieving process should encourage
openness and honesty about their feelings, while encouraging expressions of hope for the
future and reinvestment in life interests. Journaling, that encourages the expression of
grief-related feelings, has proven to be an effective intervention in this process. Open-ended
questioning focuses on effective information gathering especially related to the assessment
of the grieving client. It is true that the grieving process is an experience that is unique to
each individual and not bound by specific timetables; sharing this information with the
client does not facilitate the expression of feelings so necessary to the successful
management of acute grief.
PTS: 1 DIF: Difficult REF: Header: Coping with Grief and Loss
1|Page
, OBJ: 9 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Apply NOT: Multiple Choice
3. When considering the various aspects of stress, which statement would accurately describe
eustress?
A) “I often feel stressed by the end of a very hectic shift here at the clinic.”
B) “When I'm really stressed, I usually get a severe headache.”
C) “I generally do my best work when I feel some stress.”
D) “When you become a nurse, you become familiar with stress.”
ANS: C
Feedback: Eustress is positive and motivating, as shown by one's confidence in the ability to
master a challenge or stressor. Stress results when a threat or challenge to one's well-being
requires the person to adjust or adapt to the environment. Distress in response to a threat or
challenge is actually harmful to one's health. This is a negative stress and demands an
exhausting type of energy.
PTS: 1 DIF: Moderate REF: Header: Defining Stress
OBJ: 4 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Analyze NOT: Multiple Choice
4. Which client statement supports the nurse's suspicions that a client being treated for chronic
depression is experiencing severe emotional distress produced by external circumstances?
A) “I have been depressed ever since I was diagnosed with leukemia.”
B) “My doctor told me that I have to manage my stress or risk having a heart attack.”
C) “My professional life is ruined because my boss never recognizes my worth and
value.”
D) “I'm never comfortable when I know that I have to fly for my work.”
ANS: C
Feedback: It is important to recognize that many times we view external circumstances as
the cause of our stress such as in the case of the client's perception of the boss's viewpoint.
The remaining options demonstrate internal or self-perceptions and viewpoints.
PTS: 1 DIF: Difficult
REF: Header: Contributing Factors to Stress and Anxiety OBJ: 5
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 01: Mental Health and Mental Illness
KEY: Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BLM: Cognitive Level: Analyze NOT: Multiple Choice
5. A young adult student recently failed a major exam. While talking with the student, which
statement by the student supports the nurse's belief that the client is using reframing to cope
with the resulting anxiety?
A) “That course is taught again next semester; if I fail, I'll take it over then.”
B) “I've decided to transfer to another section that's taught by an easier teacher.”
2|Page
