Test Bank For Davis Advantage for Townsend’s Ess
n n n n n n n
entials of Psychiatric Mental Health Nursing 9thEditi
n n n n n n n
on Karyn Morgan
n n
TEST BANK n
,Chaptern1:nMentalnHealthnandnMentalnIllness
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
n 1. Annursenisnassessingnanclientnwhonexperiencesnoccasionalnfeelingsnofnsadnessnbecausenofnthenrec
entndeathnofnanbelovednpet.nThenclient’snappetite,nsleepnpatterns,nandndailynroutinenhavennotnchan
ged.
Hownwouldnthennurseninterpretnthenclient’snbehaviors?
1. Thenclient’snbehaviorsndemonstratenmentalnillnessninnthenformnofndepression.
2. Thenclient’snbehaviorsnareninappropriate,nwhichnindicatesnthenpresencenofnmen
talnillness.
3. Thenclient’snbehaviorsnarennotncongruentnwithnculturalnnorms.
4. Thenclient’snbehaviorsndemonstratennonfunctionalnimpairment,nindicatingnnonment
alnillness.
n 2.
Atnwhichnpointnwouldnthennursendeterminenthatnanclientnisnatnrisknforndevelopingnanmentalnillness?
1. Whennthoughts,nfeelings,nandnbehaviorsnarennotnreflectivenofnthenDSM-5ncriteria.
2. Whennmaladaptivenresponsesntonstressnarencouplednwithninterferenceninndai
lynfunctioning.
3. Whennanclientncommunicatesnsignificantndistress.
4. Whennanclientnusesndefensenmechanismsnasnegonprotection.
n 3.
Anclientnhasnbeenngivennandiagnosisnofnhumannimmunodeficiencynvirusn(HIV).nWhichnstatem
entnmadenbynthenclientndoesnthNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
snM
thenbargainingnstagenofngrief?
1. “InhatenmynpartnernforngivingnmenthisndiseasenInwillndienfrom!”
2. “IfnIndon’tndonintravenousn(IV)ndrugsnanymore,nGodnwon’tnletnmendie.”
3. “Inamngoingntonsupportngroupsnandnlearnnmorenaboutnthendisease.”
4. “Cannyounpleasenre-drawnthentestnresults,nInthinkntheynmaynbenwrong?”
n 4.
Annursennotesnthatnanclientnisnextremelynwithdrawn,ndelusional,nandnemotionallynexhausted.n
Thennursenassessesnthenclient’snanxietynasnwhichnlevel?
1. Mildnanxiety
2. Moderatenanxiety
3. Severenanxiety
4. Panicnanxiety
n 5.
Anpsychiatricnnurseninternnstates,n“Thisnclient’snusenofndefensenmechanismsnshouldnbeneliminate
d.”nWhichnisnancorrectnevaluationnofnthisnnurse’snstatement?
1. Defensenmechanismsncannbenappropriatenresponsesntonstressnandnneednnotn
beneliminated.
2. Defensenmechanismsnarenanmaladaptivenattemptnofnthenegontonmanagenanxietyna
ndnshouldnalwaysnbeneliminated.
,n 6. Duringnannintakenassessment,nannursenasksnbothnphysiologicalnandnpsychosocialnquestions.nThen
clientnangrilynresponds,n“I’mnherenfornmynheart,nnotnmynheadnproblems.”nWhichnisnthennurse’sn
bestnresponse?
1. “Itnisnjustnanroutinenpartnofnournassessment.nAllnclientsnarenaskednthesensa
menquestions.”
2. “Whynarenyounconcernednaboutnthesentypesnofnquestions?”
3. “Psychologicalnfactors,nlikenexcessivenstress,nhavenbeennfoundntonaffectnmedi
calnconditions.”
4. “Wencannskipnthesenquestions,nifnyounlike.nItnisn’tnimperativenthatnwencompletent
hisnsection.”
n 7. Anclientnwhonisnbeingntreatednfornchronicnkidneyndiseasencomplainsntonthenhealth-
carenprovidernthatnhendoesnnotnlikenthenfoodnavailablentonhimnwhilenhospitalized.nThenhealth-
carenproviderninsistsnthatnthenclientnstrictlynadherentonthendietnplan.nWhatnactionncannbenexpected
nisnthenclientnusesnthendefensenmechanismnofndisplacement?
1. Thenclientnassertivelynconfrontsnthenhealth-carenprovider.
2. Thenclientninsistsnonnbeingndischargednandngoesnfornanlong,nbrisknwalk.
3. Thenclientnsnapsnatnthennursenandncriticizesnthennursingncarenprovided.
4. Thenclientnhidesnhisnangernbynexplainingnthenlogicalnreasoningnfornthendietnton
hisnspouse.
n 8. Anfourth-
gradenboynteasesnandnmakesnjokesnaboutnancutengirlninnhisnclass.nAnnursenwouldnrecognizenthisnb
ehaviornasnindicativenofnwhichndefensenmechanism?
1. Displacement
2. Projection
3. Reactionnformation
4. Sublimation
n 9.n Whichnnursingnstatementnregardingnthenconceptnofnpsychosisnisnmostnaccurate?
1. Individualsnexperiencingnpsychosesnarenawarenthatntheirnbehaviorsnarenmaladaptive.
2. Individualsnexperiencingnpsychosesnexperiencenlittlendistress.
3. Individualsnexperiencingnpsychosesnarenawarenofnexperiencingnpsychologic
alnproblems.
4. Individualsnexperiencingnpsychosesnarenbasedninnreality.
n
nnn 10.n Whennundernstress,nanclientnroutinelynusesnalcoholntonexcess.nWhennthenclient’sn
husbandnfindsnherndrunk,nthenhusbandnyellsnatnthenclientnaboutnhernchronicnalcoholnabuse.nWhi
chnactionnalertsnthennursentonthenclient’snusenofnthendefensenmechanismnofndenial?
1. Thenclientnhidesnliquornbottlesninnancloset.
2. Thenclientnyellsnatnhernsonnfornslouchingninnhisnchair.
3. Thenclientnburnsndinnernonnpurpose.
4. Thenclientnsaysntonthenspouse,n“Indon’tndrinkntoonmuch!”
n
nnn 11.nDevastatednbynandivorcenfromnannabusivenhusband,nanwifencompletesngriefncounse
ling.nWhichnstatementnbynthenwifenwouldnindicatentonannursenthatnthenclientnisninnthenacceptanc
enstagenofngrief?
1. “Ifnonlynwencouldnhaventriednagain,nthingsnmightnhavenworkednout.”
2. “InamnsonmadnthatnthenchildrennandnInhadntonputnupnwithnhimnasnlongnasnwendid.”
3. “Yes,nitnwasnandifficultnrelationship,nbutnInthinknInhavenlearnednfromnthe
, experience.”
4. “Inhavenandifficultntimengettingnoutnofnbednmostndays.”
n
nnn 12.n AccordingntonMaslow’snhierarchynofnneeds,nwhichnclientnactionnwouldndemon
stratenthenhighestnachievementninntermsnofnmentalnhealth?
1. Maintainingnanlong-term,nfaithful,nintimatenrelationship
2. Achievingnansensenofnself-confidence
3. Possessingnanfeelingnofnself-fulfillmentnandnrealizingnfullnpotential
4. Developingnansensenofnpurposenandnthenabilityntondirectnactivities
n
nnn 13.n AccordingntonMaslow’snhierarchynofnneeds,nwhichnsituationnonnanninpatientnpsych
iatricnunitnwouldnrequirenpriorityninterventionnbynannurse?
1. Anclientnrudelyncomplainingnaboutnlimitednvisitingnhours
2. Anclientnexhibitingnaggressivenbehaviorntowardnanothernclient
3. Anclientnstatingnthatnnononencares
4. Anclientnverbalizingnfeelingsnofnfailure
MultiplenResponse
Identifynonenornmorenchoicesnthatnbestncompletenthenstatementnornanswernthenquestion.
n
nnn 14.n Whichndescribesnandefensenmechanismnannindividualnmaynusentonrelievenanxi
etyninnanstressfulnsituation?n(Selectnallnthatnapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nailnbiting
5. Sleeping
n nnn 15.n ThennursenisnreviewingnthenDSM-
5ndefinitionnofnanmentalnhealthndisordernandnnotesnthendefinitionnincludesnandisturbanceninnwhi
chnareas?n(Selectnallnthatnapply.)
1. Cognition
2. Physical
3. Emotionalnregulation
4. Behavior
5. Developmental
Completion
Completeneachnstatement.
16. n
isnandiffusenapprehensionnthatnisnvagueninnnaturenandnisnassociat
ednwithnfeelingsnofnuncertaintynandnhelplessness.
17. n
isnansubjectivenstatenofnemotional,nphysical,nandnsocialnresponses
ntonthenlossnofnanvaluednentity.
