Test Bank for Davis Advantage for Townsend's Psychiatric Mental Health Nursing, 11th Edition by Karyn I. Morgan
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Davis Advantage for Townsend\\\'s Psych
Institution
Davis Advantage For Townsend\\\'s Psych
Test Bank for Davis Advantage for Townsend's
Psychiatric Mental Health Nursing, 11th Edition by
Karyn I. MorganPsychiatric Mental Health Nursing, 11th Edition by
Karyn I. Morgan
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a...
Test Bank for Davis Advantage for Townsend's
Psychiatric Mental Health Nursing, 11th Edition by
Karyn I. Morgan
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. The nurse determines the client's behaviors:
1. Demonstrate typical variations in daily mood, not mental illness
2. Are clinically significant and indicate serious mental illness
3. Are incongruent with cultural norms and indicate mental illness 4. Show common
symptoms of grief and do not indicate mental illness - ANSWER 4. This is correct.
Feelings of sadness are expected and normal following the loss of a pet. This client
does not demonstrate changes in daily function but does demonstrate common
symptoms of grief.
2. Which indicates a client is likely demonstrating a mental disorder?
1. The client expresses mild anxiety and is eating more than usual before an
examination.
2. The client displays an inability to concentrate, including reduced job performance.
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3. The client describes engaging in fidgeting behavior consistently over a few days.
4. The client states an increase in smoking over a few days from 0.5 to 1 pack per
day. - ANSWER 2. This is correct. The client is unable to concentrate, and job
performance has been negatively impacted. This demonstrates a possible mental
disorder
3. A mental health nurse is speaking with parents who are concerned about their
teenage children's responses to stress. One child becomes anxious and irritable and
the other withdraws and cries. Which is the nurse's best response?
1. "Individual responses to stress are affected by many factors and can vary."
2. "Children from the same family should not react so differently to stress."
3. "Children should have similar dispositions and responses to stress."
4. "Environmental factors influence stress responses more than genetic factors." -
ANSWER 1. This is correct. Responses to stress are variable among individuals
and may be influenced by perception, past experiences, environmental factors, and
genetic factors
4. The nurse is interviewing a client with a history of excessive drinking and multiple
arrests for impaired driving. The client states, "I work hard to provide for my family. I
don't see why I can't drink to relax." Which defense mechanism is the client
demonstrating?
1. Projection
2. Rationalization
, 3. Regression
4. Sublimation - ANSWER 2. This is correct. The client is using rationalization, a
common defense mechanism. The client is attempting to make excuses and create
logical reasons to justify unacceptable feelings or behaviors.
5. Which best describes the impact that the National Mental Health Act of 1946 had
on care for the mentally ill in the United States?
1. People were no longer perceived as demonized when displaying mental illness.
2. Mental health professionals were provided funding to increase their education.
3. A system of hospitals for the mentally ill was developed in communities.
4. The first hospital for just the mentally ill was opened and staffed by professionals.
- ANSWER 2. This is correct. The National Mental Health Act of 1946 helped
provide funding for educating mental health professionals who could provide care to
the mentally ill.
6. A new psychiatric-mental health nurse states, "This client's use of defense
mechanisms should be eliminated." Which is the correct evaluation of the nurse's
statement?
1. Defense mechanisms are self-protective responses to stress and do not need to
be eliminated.
2. Defense mechanisms are maladaptive attempts of the ego to manage anxiety and
should be eliminated.
3. Defense mechanisms are used by individuals with weak ego integrity and should
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not be eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged. - ANSWER 1. This is correct. Defense mechanisms serve the purpose
of reducing anxiety during times of stress. A client with no defense mechanisms may
have a lower tolerance for stress, predisposing him or her to anxiety disorders.
Defense mechanisms should be confronted when they impede the client from
developing healthy coping skills.
7. During an intake assessment, the nurse asks a client physiological and
psychosocial questions. The client angrily responds, "I'm here for my heart problems,
not for my head." Which is the nurse's best response?
1. "We ask all clients these questions."
2. "Why are you concerned about these questions?"
3. "Psychological stress can affect medical conditions."
4. "We can skip these questions if you prefer." - ANSWER 3. This is correct. The
nurse should not skip either physiological or psychosocial questions, as this would
lead to an inaccurate assessment. The nurse should always attempt to educate the
client on the negative effects of excessive stress on medical conditions.
8. Teaching regarding the concepts of mental health and mental illness is effective
when the student nurse states which of the following?
1. "The concepts are rigid and based on religious beliefs."
2. "The concepts are multidimensional and culturally defined."
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