Page 1 of 100
Davis Advantage for Townsend’s Essentials of
Psychiatric Mental Health Nursing 9th Edition
by Karyn Morgan | Chapters 1-32 | Complete
Study Guide & Answer Key | Latest Edition |
ISBN 10: / ISBN 13: 978-1719645768
Question 1
The nurse is assessing a client who experiences occasional
feelings of sadness following the recent death of a beloved pet.
The client’s appetite, sleep patterns, and daily routine have
remained unchanged. How should the nurse interpret this finding?
1. The client’s behaviors demonstrate mental illness in the form
of depression
2. The client’s behaviors are inappropriate and indicate the
presence of mental illness
,Page 2 of 100
3. The client’s behaviors are not congruent with cultural norms
4. The client’s behaviors demonstrate no functional impairment,
indicating no mental illness
Correct Answer: 4
Rationale: The absence of functional impairment (maintained
appetite, sleep, routine) suggests a normal grief response rather
than mental illness. Mental illness typically involves maladaptive
responses that interfere with daily functioning.
Question 2
At which point would 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
,Page 3 of 100
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
Correct Answer: 2
Rationale: Risk for mental illness increases when a person cannot
adapt to stress and experiences impaired function. A diagnosis
of mental illness is typically made when there is both distress and
dysfunction in everyday life.
Question 3
A client newly diagnosed with HIV tells the nurse, “If I stop doing
IV drugs, God won’t let me die.” This statement is evidence of
which stage of grief according to Kübler-Ross?
1. Denial
, Page 4 of 100
2. Anger
3. Bargaining
4. Depression
Correct Answer: 3
Rationale: Bargaining is an attempt to postpone death by
making a deal with a higher power. This statement (“If I stop …
God won’t let me die”) is a classic example of bargaining.
Question 4
Which statement best reflects the concept of mental health?
1. Absence of psychiatric symptoms
2. Ability to function effectively and adapt to stress
3. Genetic protection from mental illness
4. Emotional stability at all times
Davis Advantage for Townsend’s Essentials of
Psychiatric Mental Health Nursing 9th Edition
by Karyn Morgan | Chapters 1-32 | Complete
Study Guide & Answer Key | Latest Edition |
ISBN 10: / ISBN 13: 978-1719645768
Question 1
The nurse is assessing a client who experiences occasional
feelings of sadness following the recent death of a beloved pet.
The client’s appetite, sleep patterns, and daily routine have
remained unchanged. How should the nurse interpret this finding?
1. The client’s behaviors demonstrate mental illness in the form
of depression
2. The client’s behaviors are inappropriate and indicate the
presence of mental illness
,Page 2 of 100
3. The client’s behaviors are not congruent with cultural norms
4. The client’s behaviors demonstrate no functional impairment,
indicating no mental illness
Correct Answer: 4
Rationale: The absence of functional impairment (maintained
appetite, sleep, routine) suggests a normal grief response rather
than mental illness. Mental illness typically involves maladaptive
responses that interfere with daily functioning.
Question 2
At which point would 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
,Page 3 of 100
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
Correct Answer: 2
Rationale: Risk for mental illness increases when a person cannot
adapt to stress and experiences impaired function. A diagnosis
of mental illness is typically made when there is both distress and
dysfunction in everyday life.
Question 3
A client newly diagnosed with HIV tells the nurse, “If I stop doing
IV drugs, God won’t let me die.” This statement is evidence of
which stage of grief according to Kübler-Ross?
1. Denial
, Page 4 of 100
2. Anger
3. Bargaining
4. Depression
Correct Answer: 3
Rationale: Bargaining is an attempt to postpone death by
making a deal with a higher power. This statement (“If I stop …
God won’t let me die”) is a classic example of bargaining.
Question 4
Which statement best reflects the concept of mental health?
1. Absence of psychiatric symptoms
2. Ability to function effectively and adapt to stress
3. Genetic protection from mental illness
4. Emotional stability at all times
