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Essentials of Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice (COMPLETE TEST BANK WITH CORRECT ANSWERS)
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Contents Unit 1 Introduction toPsychiatric MentalHealth Concepts Chapter 1 Mental Health and Mental Illness Introduction Mental Illness Mental Health Physical and Psychological Responses to Stre ss Physical Responses Psychological Responses Summary and Key Points Chapter 2 Biological Implications I...
essentials of psychiatric mental health nursing concepts of care in evidence based practice
mental health and mental illness
biological implications introduction the nervous system an anatomical rev
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Test Bank For Davis Advantage For Psychiatric Mental Health Nursing 10th Edition By Karyn Morgan & Mary Townsend ISBN-13: 9780803699670
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, 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 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 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 what point should 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 DSM-5 criteria.
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.
____ 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 responses to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stress
vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to stress.
4. Environmental influences to stress weigh more heavily than genetic influences.
____ 4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
____ 5. A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.”
Which is a correct evaluation of this nurse’s statement?
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 eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
,____ 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 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 complete this
section.”
____ 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.
____ 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
____ 9. Which nursing statement about the concept of neurosis is most accurate?
1. An individual experiencing neurosis is unaware that he or she is experiencing
distress.
2. An individual experiencing neurosis feels helpless to change his or her situation.
3. An individual experiencing neurosis is aware of the psychological causes of his or
her behavior.
4. An individual experiencing neurosis has a loss of contact with reality.
____ 10. Which nursing statement regarding the concept of psychosis is most accurate?
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 psychological
problems.
4. Individuals experiencing psychoses are based in reality.
____ 11. When under stress, a client routinely uses alcohol to excess. Finding her drunk, her husband yells at
the client about her 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 her son for slouching in his chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, “I don’t drink too much!”
, ____ 12. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which
statement by the wife should indicate to a nurse that the client is in the acceptance stage of grief?
1. “If only we could have tried again, things might have worked out.”
2. “I am so mad that the children and I had to put up with him as long as we did.”
3. “Yes, it was a difficult relationship, but I think I have learned from the
experience.”
4. “I still don’t have any appetite and continue to lose weight.”
____ 13. A nurse is performing a mental health assessment on an adult client. According to Maslow’s
hierarchy of needs, which client action would demonstrate 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 full potential
4. Developing a sense of purpose and the ability to direct activities
____ 14. 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
____ 15. How would a nurse best complete the new DSM-5 definition of a mental disorder? “A health
condition characterized by significant dysfunction in an individual’s cognitions, or behaviors that
reflect a disturbance in …” which of the following?
1. Psychosocial, biological, or developmental process underlying mental functioning
2. Psychological, cognitive, or developmental process underlying mental functioning
3. Psychological, biological, or developmental process underlying mental functioning
4. Psychological, biological, or psychosocial process underlying mental functioning
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 16. A nurse is assessing a client who appears to be experiencing some anxiety during questioning.
Which symptoms might the client demonstrate that would indicate anxiety? (Select all that apply.)
1. Fidgeting
2. Laughing inappropriately
3. Palpitations
4. Nail biting
5. Limited attention span
Completion
Complete each statement.
17. _______________________ is a diffuse apprehension that is vague in nature and is associated with
feelings of uncertainty and helplessness.
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