MENTAL HEALTH AND MENTAL ILLNESS HISTORICAL AND
THEORETICAL CONCEPTS
C Chapter 2. Mental Health and Mental Illness: Historical and Theoretical Concepts
1. The nurse recognizes which principle underlies effective patient teaching?
A. Moderate to severe anxiety increases patient learning.
B. Mild anxiety enhances patient learning.
C. Panic-level anxiety improves nurses’ teaching.
D. Severe anxiety intensifies concentration and enhances attention.
2. A male high school student is attracted to a female teacher. The school nurse overhears the student say, “I know she wants me.” The
nurse recognizes the student is using which defense mechanism?
A. Displacement
B. Projection
C. Rationalization
D. Sublimation
Chapter 3. Concepts of Psychobiology
Which client statement indicates the nurse’s teaching about the effect of circadian rhythms is effective?
A. “When I dream about my mother’s horrible train accident, I become hysterical.”
B. “I get really irritable during my menstrual cycle.”
C. “I’m a morning person, so I get my best work done in the a.m.”
D. “Every February, I tend to experience periods of sadness.”
A client experiencing sleep apnea underwent a sleep study. During stage 3 of sleep, a delta rhythm was
recorded. The nurse recognizes that a delta rhythm is characterized by which sleep activity?
A. Dozing
B. Deep and restful sleep
C. Relaxed waking
D. Dreaming
Chapter 5 Legal and Ethical Issues
Group therapy is strongly encouraged, but not mandatory, on an inpatient psychiatric unit. The unit
manager’s policy is that clients can make a choice about whether to attend group therapy. Which ethical
principle does the unit manager’s policy preserve?
A. Justice
B. Autonomy
C. Veracity
D. Beneficence
Which client should a nurse identify as a potential candidate for involuntarily commitment?
A. A client living under a bridge in a cardboard box
B. A client verbalizing intent to commit suicide
C. A homeless client refusing to bathe
D. A client who eats waste out of a garbage can
Townsend, M. C. and Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in evidence-based practice (9th ed.). F.A. Davis.
, A psychiatrist working on an inpatient unit refuses to treat clients who do not have health insurance
coverage and also prematurely discharges clients whose health insurance benefits have expired. The nurse
recognizes the psychiatrist is violating which ethical principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Which situation contradicts the ethical principle of veracity?
A. A nurse provides a client with outpatient resources to benefit recovery.
B. A nurse refuses to give information to a physician who is not responsible for a client’s care.
C. A nurse tricks a client into seclusion by asking the client to carry linen to the seclusion room.
D. A nurse treats all clients equally, regardless of the acuity of their illness.
Which situation exemplifies both assault and battery?
A. The nurse becomes angry, calls the client offensive names, and withholds treatment.
B. The nurse threatens to “tie down” the client and then does so against the client’s wishes.
C. The nurse hides the client’s clothes and medicates the client to prevent elopement.
D. The nurse restrains the client without just cause and communicates this to family.
Chapter 7. Relationship Development
What is the most essential task for a nurse prior to forming a therapeutic relationship with a client?
A. Clarify personal attitudes, values, and beliefs.
B. Obtain thorough assessment data.
C. Determine the client’s length of stay.
D. Establish personal goals for the interaction.
Which of the following is the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?
A. Acknowledge the client’s actions and generate alternative behaviors.
B. Establish rapport and develop mutually agreeable treatment goals.
C. Attempt to find alternative placement for the client.
D. Explore how thoughts and feelings may adversely impact nursing care.
Which outcome does the nurse expect during the working phase of the nurse-client relationship?
A. The client gains insight and incorporates alternative behaviors.
B. The client and nurse establish rapport and mutually develop treatment goals.
C. The client explores feelings related to reentering the community.
D. The client explores personal strengths and weaknesses that impact behaviors.
Townsend, M. C. and Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in evidence-based practice (9th ed.). F.A. Davis.
THEORETICAL CONCEPTS
C Chapter 2. Mental Health and Mental Illness: Historical and Theoretical Concepts
1. The nurse recognizes which principle underlies effective patient teaching?
A. Moderate to severe anxiety increases patient learning.
B. Mild anxiety enhances patient learning.
C. Panic-level anxiety improves nurses’ teaching.
D. Severe anxiety intensifies concentration and enhances attention.
2. A male high school student is attracted to a female teacher. The school nurse overhears the student say, “I know she wants me.” The
nurse recognizes the student is using which defense mechanism?
A. Displacement
B. Projection
C. Rationalization
D. Sublimation
Chapter 3. Concepts of Psychobiology
Which client statement indicates the nurse’s teaching about the effect of circadian rhythms is effective?
A. “When I dream about my mother’s horrible train accident, I become hysterical.”
B. “I get really irritable during my menstrual cycle.”
C. “I’m a morning person, so I get my best work done in the a.m.”
D. “Every February, I tend to experience periods of sadness.”
A client experiencing sleep apnea underwent a sleep study. During stage 3 of sleep, a delta rhythm was
recorded. The nurse recognizes that a delta rhythm is characterized by which sleep activity?
A. Dozing
B. Deep and restful sleep
C. Relaxed waking
D. Dreaming
Chapter 5 Legal and Ethical Issues
Group therapy is strongly encouraged, but not mandatory, on an inpatient psychiatric unit. The unit
manager’s policy is that clients can make a choice about whether to attend group therapy. Which ethical
principle does the unit manager’s policy preserve?
A. Justice
B. Autonomy
C. Veracity
D. Beneficence
Which client should a nurse identify as a potential candidate for involuntarily commitment?
A. A client living under a bridge in a cardboard box
B. A client verbalizing intent to commit suicide
C. A homeless client refusing to bathe
D. A client who eats waste out of a garbage can
Townsend, M. C. and Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in evidence-based practice (9th ed.). F.A. Davis.
, A psychiatrist working on an inpatient unit refuses to treat clients who do not have health insurance
coverage and also prematurely discharges clients whose health insurance benefits have expired. The nurse
recognizes the psychiatrist is violating which ethical principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Which situation contradicts the ethical principle of veracity?
A. A nurse provides a client with outpatient resources to benefit recovery.
B. A nurse refuses to give information to a physician who is not responsible for a client’s care.
C. A nurse tricks a client into seclusion by asking the client to carry linen to the seclusion room.
D. A nurse treats all clients equally, regardless of the acuity of their illness.
Which situation exemplifies both assault and battery?
A. The nurse becomes angry, calls the client offensive names, and withholds treatment.
B. The nurse threatens to “tie down” the client and then does so against the client’s wishes.
C. The nurse hides the client’s clothes and medicates the client to prevent elopement.
D. The nurse restrains the client without just cause and communicates this to family.
Chapter 7. Relationship Development
What is the most essential task for a nurse prior to forming a therapeutic relationship with a client?
A. Clarify personal attitudes, values, and beliefs.
B. Obtain thorough assessment data.
C. Determine the client’s length of stay.
D. Establish personal goals for the interaction.
Which of the following is the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?
A. Acknowledge the client’s actions and generate alternative behaviors.
B. Establish rapport and develop mutually agreeable treatment goals.
C. Attempt to find alternative placement for the client.
D. Explore how thoughts and feelings may adversely impact nursing care.
Which outcome does the nurse expect during the working phase of the nurse-client relationship?
A. The client gains insight and incorporates alternative behaviors.
B. The client and nurse establish rapport and mutually develop treatment goals.
C. The client explores feelings related to reentering the community.
D. The client explores personal strengths and weaknesses that impact behaviors.
Townsend, M. C. and Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in evidence-based practice (9th ed.). F.A. Davis.
