Test Bank For Davis Advantage for Townsend‘s
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Essentials of Psychiatric Mental Health Nursing
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9thEdition Karyn Morgan
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TEST BANK h
,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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h 1. A nurse is assessing a client who experiences occasional feelings of sadness because of the
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recentdeath of a beloved pet. The client‘s appetite, sleep patterns, and daily routine have not
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changed. h
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
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mentalillness. h h
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
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mentalillness. h h
h 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
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dailyfunctioning.h h
3. When a client communicates significant distress. h h h h h
4. When a client uses defense mechanisms as ego protection.
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h 3.
A client has been given a diagnosis of human immunodeficiency virus (HIV). Which
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statementmade by the client does thNeUnuRrS
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ecGoT
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sMthe 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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h 4.
A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted.
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Thenurse assesses the client‘s anxiety as which level?
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1. Mild anxiety h
2. Moderate anxiety h
3. Severe anxiety h
4. Panic anxiety h
h 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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beeliminated. h h
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety
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andshould always be eliminated.
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,h 6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
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client angrily responds, ―I‘m here for my heart, not my head problems.‖ Which is the nurse‘s
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bestresponse?
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1. ―It is just a routine part of our assessment. All clients are asked these
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samequestions.‖h h
2. ―Why are you concerned about these types of questions?‖
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3. ―Psychological factors, like excessive stress, have been found to affect h h h h h h h h h
medicalconditions.‖
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4. ―We can skip these questions, if you like. It isn‘t imperative that we complete
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thissection.‖ h h
h 7. A client who is being treated for chronic kidney disease complains to the health-care provider
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thathe does not like the food available to him while hospitalized. The health-care provider insists
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that the client strictly adhere to the diet plan. What action can be expected is the client uses the
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defensemechanism of displacement?
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1. The client assertively confronts the health-care provider.
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2. The client insists on being discharged and goes for a long, brisk walk.
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3. The client snaps at the nurse and criticizes the nursing care provided.
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4. The client hides his anger by explaining the logical reasoning for the diet to
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hisspouse. h h
h 8. A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would
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recognizethis behavior as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation h
4. Sublimation
h 9. Which nursing statement regarding the concept of psychosis is most accurate?
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1. Individuals experiencing psychoses are aware that their behaviors are maladaptive.
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2. Individuals experiencing psychoses experience little distress. h h h h h
3. Individuals experiencing psychoses are aware of experiencing h h h h h h
psychologicalproblems.
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4. Individuals experiencing psychoses are based in reality. h h h h h h
h hh h 10. When under stress, a client routinely uses alcohol to excess. When the client‘s husband finds
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herdrunk, the husband yells at the client about her chronic alcohol abuse. Which action alerts
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the nurse to the client‘s use of the defense mechanism of denial?
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1. The client hides liquor bottles in a closet.
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2. The client yells at her son for slouching in his chair.
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3. The client burns dinner on purpose. h h h h h
4. The client says to the spouse, ―I don‘t drink too much!‖
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h hh h 11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which
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statement by the wife would indicate to a nurse that the client is in the acceptance stage of
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grief?h
1. ―If only we could have tried again, things might have worked out.‖
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2. ―I am so mad that the children and I had to put up with him as long as we did.‖
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3. ―Yes, it was a difficult relationship, but I think I have learned from the
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, experience.‖
4. ―I have a difficult time getting out of bed most days.‖
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h hh h 12. According to Maslow‘s hierarchy of needs, which client action would demonstrate the
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highestachievement in terms of mental health?
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1. Maintaining a long-term, faithful, intimate relationship h h h h h
2. Achieving a sense of self-confidence h h h h
3. Possessing a feeling of self-fulfillment and realizing full potential
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4. Developing a sense of purpose and the ability to direct activities h h h h h h h h h h
h hh h 13. According to Maslow‘s hierarchy of needs, which situation on an inpatient psychiatric unit
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wouldrequire priority intervention by a nurse?
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1. A client rudely complaining about limited visiting hours
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2. A client exhibiting aggressive behavior toward another client
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3. A client stating that no one cares
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4. A client verbalizing feelings of failure
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Multiple Response
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Identify one or more choices that best complete the statement or answer the question.
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h hh h 14. Which describes a defense mechanism an individual may use to relieve anxiety in a
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stressfulsituation? (Select all that apply.)
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1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail biting h
5. Sleeping
h hh h 15. The nurse is reviewing the DSM-5 definition of a mental health disorder and notes the
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definitionincludes a disturbance in which areas? (Select all that apply.)
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1. Cognition
2. Physical
3. Emotional regulation h
4. Behavior
5. Developmental
Completion
Complete each statement.
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16. h is a diffuse apprehension that is vague in nature and is h h h h h h h h h h
associatedwith feelings of uncertainty and helplessness.
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17. h is a subjective state of emotional, physical, and social responses
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tothe loss of a valued entity.
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Other
