1|Page
Mental Health Exam 1: Townsend Test Bank CH
1-5 & ATI RN Mental Health Nursing Unit 1&2
A nurse is assessing a client who, over the past 3 years has
experienced feelings of sadness r/t death of a beloved aunt. Client
barely eats, or sleeps and is socially isolative. How should the nurse
interpret the behavior?
A. Clients functional impairment indicates a need for psychiatric
commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness -
CORRECT ANSWERS S -D
Which of the following is an immediate physical response associated
with fight or flight? (Select all that apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed - CORRECT
ANSWERS S -B, D
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The nurse is caring for a client who is experiencing alcohol
withdrawal. The nurse would be most concerned if the client
exhibited which of the following?
A. Hallucinations
B. Nervousness
C. Diaphoresis
D. Nausea - CORRECT ANSWERS S -A
A client asks a nurse not to tell his parents about his alcohol
problem. What is the most appropriate response by the nurse?
A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?" -
CORRECT ANSWERS S -D
A client who is withdrawing from alcohol is being given lorazepam
(Ativan). The client's family asks the nurse about the medication.
What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of
withdrawal"
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D. "The lorazepam will also help with his heart disease" - CORRECT
ANSWERS S -B
A nurse is caring for a client undergoing treatment for acute alcohol
dependence. The client tells the nurse, "I don't have a problem. My
wife made me come here." Which defense mechanism does the
nurse interpret the client's statement as representing?
A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial - CORRECT ANSWERS S -B
An alcoholic client tells the nurse, "I feel so depressed about what
I've done to my family that I feel like giving up." It is most important
for the nurse to assess the client for which of the following?
A. Family support
B. A plan for self-harm
C. A sponsor for the client
D. Other ambivalent feelings - CORRECT ANSWERS S -B
A healthcare provider prescribes disulfiram for a client who abuses
alcohol. The nurse teaches the client that disulfiram will have which
action?
pg. 3
, 4|Page
A. Affect short-term memory
B. Permit a healthier lifestyle
C. Allow the client to tolerate small amounts of alcohol
D. Cause a severe adverse reaction if alcohol is consumed - CORRECT
ANSWERS S -D
A 45-year-old client who recently completed alcohol detoxification
reports plans to begin using disulfiram (Antabuse) as part of the
alcoholism treatment regimen. What important client teaching does
the nurse share regarding this drug?
A. Voluntary compliance with the disulfiram regimen is very high
B. A single dose of oral disulfiram will be effective for up to 72 hours
C. Disulfiram may be taken intramuscularly and will be effective for
as long as 7 days
D. Foods, medications, and any topical preparation containing
alcohol should be avoided - CORRECT ANSWERS S -D
An angry patient is in the community room. She picks up a chair and
uses it to hit another patient on the head. When you come into the
community room, what should your first response to the patient
holding the chair be?
A. "Are you crazy? Hitting people can hurt them!"
B. "Hitting others is unacceptable. Please put the chair completely
down on the floor."
C. "How would you like it if I hit you over the head with a chair?"
pg. 4
Mental Health Exam 1: Townsend Test Bank CH
1-5 & ATI RN Mental Health Nursing Unit 1&2
A nurse is assessing a client who, over the past 3 years has
experienced feelings of sadness r/t death of a beloved aunt. Client
barely eats, or sleeps and is socially isolative. How should the nurse
interpret the behavior?
A. Clients functional impairment indicates a need for psychiatric
commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness -
CORRECT ANSWERS S -D
Which of the following is an immediate physical response associated
with fight or flight? (Select all that apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed - CORRECT
ANSWERS S -B, D
pg. 1
,2|Page
The nurse is caring for a client who is experiencing alcohol
withdrawal. The nurse would be most concerned if the client
exhibited which of the following?
A. Hallucinations
B. Nervousness
C. Diaphoresis
D. Nausea - CORRECT ANSWERS S -A
A client asks a nurse not to tell his parents about his alcohol
problem. What is the most appropriate response by the nurse?
A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?" -
CORRECT ANSWERS S -D
A client who is withdrawing from alcohol is being given lorazepam
(Ativan). The client's family asks the nurse about the medication.
What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of
withdrawal"
pg. 2
,3|Page
D. "The lorazepam will also help with his heart disease" - CORRECT
ANSWERS S -B
A nurse is caring for a client undergoing treatment for acute alcohol
dependence. The client tells the nurse, "I don't have a problem. My
wife made me come here." Which defense mechanism does the
nurse interpret the client's statement as representing?
A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial - CORRECT ANSWERS S -B
An alcoholic client tells the nurse, "I feel so depressed about what
I've done to my family that I feel like giving up." It is most important
for the nurse to assess the client for which of the following?
A. Family support
B. A plan for self-harm
C. A sponsor for the client
D. Other ambivalent feelings - CORRECT ANSWERS S -B
A healthcare provider prescribes disulfiram for a client who abuses
alcohol. The nurse teaches the client that disulfiram will have which
action?
pg. 3
, 4|Page
A. Affect short-term memory
B. Permit a healthier lifestyle
C. Allow the client to tolerate small amounts of alcohol
D. Cause a severe adverse reaction if alcohol is consumed - CORRECT
ANSWERS S -D
A 45-year-old client who recently completed alcohol detoxification
reports plans to begin using disulfiram (Antabuse) as part of the
alcoholism treatment regimen. What important client teaching does
the nurse share regarding this drug?
A. Voluntary compliance with the disulfiram regimen is very high
B. A single dose of oral disulfiram will be effective for up to 72 hours
C. Disulfiram may be taken intramuscularly and will be effective for
as long as 7 days
D. Foods, medications, and any topical preparation containing
alcohol should be avoided - CORRECT ANSWERS S -D
An angry patient is in the community room. She picks up a chair and
uses it to hit another patient on the head. When you come into the
community room, what should your first response to the patient
holding the chair be?
A. "Are you crazy? Hitting people can hurt them!"
B. "Hitting others is unacceptable. Please put the chair completely
down on the floor."
C. "How would you like it if I hit you over the head with a chair?"
pg. 4
