ESSENTIALSfOFfPSYCHIATRICfMENTALfHEALTHfNURSINGf8THfMORGANfTESTfBANK
Chapter 1: Mental Health and Mental Illness
f f f f f f
MultiplefChoice
Identifyfthefchoicefthatfbestfcompletesfthefstatementforfanswersfthefquestion.
f 1. Afnursefisfassessingfafclientfwhofexperiencesfoccasionalffeelingsfoffsadnessfbecausefoffthefrecentfdeat
hfoffafbelovedfpet.fThefclient’sfappetite,fsleepfpatterns,fandfdailyfroutinefhavefnotfchanged.
Howfwouldfthefnursefinterpretfthefclient’sfbehaviors?
1. Thefclient’sfbehaviorsfdemonstratefmentalfillnessfinfthefformfoffdepression.
2. Thefclient’sfbehaviorsfarefinappropriate,fwhichfindicatesfthefpresencefoffmentalfill
ness.
3. Thefclient’sfbehaviorsfarefnotfcongruentfwithfculturalfnorms.
4. Thefclient’sfbehaviorsfdemonstratefnoffunctionalfimpairment,findicatingfnofmentalfill
ness.
f 2. Atfwhichfpointfwouldfthefnursefdeterminefthatfafclientfisfatfriskfforfdevelopingfafmentalfillness?
1. Whenfthoughts,ffeelings,fandfbehaviorsfarefnotfreflectivefoffthefDSM-5fcriteria.
2. Whenfmaladaptivefresponsesftofstressfarefcoupledfwithfinterferencefinfdailyffu
nctioning.
3. Whenfafclientfcommunicatesfsignificantfdistress.
4. Whenfafclientfusesfdefensefmechanismsfasfegofprotection.
f 3. Afclientfhasfbeenfgivenfafdiagnosisfoffhumanfimmunodeficiencyfvirusf(HIV).fWhichfstatementfma
defbyfthefclientfdoesfthNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
sfM
thefbargainingfstagefoffgrief?
1. “IfhatefmyfpartnerfforfgivingfmefthisfdiseasefIfwillfdieffrom!”
2. “IffIfdon’tfdofintravenousf(IV)fdrugsfanymore,fGodfwon’tfletfmefdie.”
3. “Ifamfgoingftofsupportfgroupsfandflearnfmorefaboutfthefdisease.”
4. “Canfyoufpleasefre-drawftheftestfresults,fIfthinkftheyfmayfbefwrong?”
f 4. Afnursefnotesfthatfafclientfisfextremelyfwithdrawn,fdelusional,fandfemotionallyfexhausted.fThefnur
sefassessesfthefclient’sfanxietyfasfwhichflevel?
1. Mildfanxiety
2. Moderatefanxiety
3. Severefanxiety
4. Panicfanxiety
f 5. Afpsychiatricfnursefinternfstates,f“Thisfclient’sfusefoffdefensefmechanismsfshouldfbefeliminated.”fWhic
hfisfafcorrectfevaluationfoffthisfnurse’sfstatement?
1. Defensefmechanismsfcanfbefappropriatefresponsesftofstressfandfneedfnotfbefeli
minated.
2. Defensefmechanismsfarefafmaladaptivefattemptfoffthefegoftofmanagefanxietyfandfsh
ouldfalwaysfbefeliminated.
3. Defensefmechanisms,fusedfbyfindividualsfwithfweakfegofintegrity,fshouldfbefdi
scouragedfandfnotfcompletelyfeliminated.
4. Defensefmechanismsfcausefdisintegrationfoffthefegofandfshouldfbeffosteredfandfen
couraged.
Copyrightf©f2020fF.fA.fDavisfCompany
WWW.NURSINGTB.COM
, ESSENTIALSfOFfPSYCHIATRICfMENTALfHEALTHfNURSINGf8THfMORGANfTESTfBANK
f 6. Duringfanfintakefassessment,fafnursefasksfbothfphysiologicalfandfpsychosocialfquestions.fThe
clientfangrilyfresponds,f“I’mfherefforfmyfheart,fnotfmyfheadfproblems.”fWhichfisfthefnurse’sfbestfresp
onse?
1. “Itfisfjustfafroutinefpartfoffourfassessment.fAllfclientsfarefaskedfthesefsamefque
stions.”
2. “Whyfarefyoufconcernedfaboutftheseftypesfoffquestions?”
3. “Psychologicalffactors,flikefexcessivefstress,fhavefbeenffoundftofaffectfmedicalfco
nditions.”
4. “Wefcanfskipfthesefquestions,fiffyouflike.fItfisn’tfimperativefthatfwefcompletefthisfsect
ion.”
f 7. Afclientfwhofisfbeingftreatedfforfchronicfkidneyfdiseasefcomplainsftofthefhealth-
carefproviderfthatfhefdoesfnotflikeftheffoodfavailableftofhimfwhilefhospitalized.fThefhealth-
carefproviderfinsistsfthatfthefclientfstrictlyfadhereftofthefdietfplan.fWhatfactionfcanfbefexpectedfisfthefcli
entfusesfthefdefensefmechanismfoffdisplacement?
1. Thefclientfassertivelyfconfrontsfthefhealth-carefprovider.
2. Thefclientfinsistsfonfbeingfdischargedfandfgoesfforfaflong,fbriskfwalk.
3. Thefclientfsnapsfatfthefnursefandfcriticizesfthefnursingfcarefprovided.
4. Thefclientfhidesfhisfangerfbyfexplainingftheflogicalfreasoningfforfthefdietftofhisfspo
use.
f 8. Affourth-
gradefboyfteasesfandfmakesfjokesfaboutfafcutefgirlfinfhisfclass.fAfnursefwouldfrecognizefthisfbehaviorf
asfindicativefoffwhichfdefensefmechanism?
1. Displacement
2. Projection NURSINGTB.COM
3. Reactionfformation
4. Sublimation
f 9. Whichfnursingfstatementfregardingfthefconceptfoffpsychosisfisfmostfaccurate?
1. Individualsfexperiencingfpsychosesfarefawarefthatftheirfbehaviorsfarefmaladaptive.
2. Individualsfexperiencingfpsychosesfexperienceflittlefdistress.
3. Individualsfexperiencingfpsychosesfarefawarefoffexperiencingfpsychologicalfp
roblems.
4. Individualsfexperiencingfpsychosesfarefbasedfinfreality.
f
10.f Whenfunderfstress,fafclientfroutinelyfusesfalcoholftofexcess.fWhenfthefclient’sfhusbandffindsfhe
rfdrunk,fthefhusbandfyellsfatfthefclientfaboutfherfchronicfalcoholfabuse.fWhichfactionfalertsfthefnursef
tofthefclient’sfusefoffthefdefensefmechanismfoffdenial?
1. Thefclientfhidesfliquorfbottlesfinfafcloset.
2. Thefclientfyellsfatfherfsonfforfslouchingfinfhisfchair.
3. Thefclientfburnsfdinnerfonfpurpose.
4. Thefclientfsaysftofthefspouse,f“Ifdon’tfdrinkftoofmuch!”
f
11.fDevastatedfbyfafdivorceffromfanfabusivefhusband,fafwifefcompletesfgrieffcounseling.fWhichfsta
tementfbyfthefwifefwouldfindicateftofafnursefthatfthefclientfisfinfthefacceptancefstagefoffgrief?
1. “Iffonlyfwefcouldfhaveftriedfagain,fthingsfmightfhavefworkedfout.”
2. “IfamfsofmadfthatfthefchildrenfandfIfhadftofputfupfwithfhimfasflongfasfwefdid.”
Copyrightf©f2020fF.fA.fDavisfCompany
WWW.NURSINGTB.COM
, ESSENTIALSfOFfPSYCHIATRICfMENTALfHEALTHfNURSINGf8THfMORGANfTESTfBANK
3. “Yes,fitfwasfafdifficultfrelationship,fbutfIfthinkfIfhaveflearnedffromfthe
Copyrightf©f2020fF.fA.fDavisfCompany
WWW.NURSINGTB.COM
, ESSENTIALSfOFfPSYCHIATRICfMENTALfHEALTHfNURSINGf8THfMORGANfTESTfBANK
experience.”
4. “Ifhavefafdifficultftimefgettingfoutfoffbedfmostfdays.”
f
12.f AccordingftofMaslow’sfhierarchyfoffneeds,fwhichfclientfactionfwouldfdemonstratefthefhighe
stfachievementfinftermsfoffmentalfhealth?
1. Maintainingfaflong-term,ffaithful,fintimatefrelationship
2. Achievingfafsensefoffself-confidence
3. Possessingfaffeelingfoffself-fulfillmentfandfrealizingffullfpotential
4. Developingfafsensefoffpurposefandfthefabilityftofdirectfactivities
f
13.f AccordingftofMaslow’sfhierarchyfoffneeds,fwhichfsituationfonfanfinpatientfpsychiatricfunitfwoul
dfrequirefpriorityfinterventionfbyfafnurse?
1. Afclientfrudelyfcomplainingfaboutflimitedfvisitingfhours
2. Afclientfexhibitingfaggressivefbehaviorftowardfanotherfclient
3. Afclientfstatingfthatfnofonefcares
4. Afclientfverbalizingffeelingsfofffailure
MultiplefResponse
Identifyfoneforfmorefchoicesfthatfbestfcompletefthefstatementforfanswerfthefquestion.
f
14.f Whichfdescribesfafdefensefmechanismfanfindividualfmayfuseftofrelievefanxietyfinfafstressfu
lfsituation?f(Selectfallfthatfapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nailfbiting
5. Sleeping
f 15.f ThefnursefisfreviewingfthefDSM-
5fdefinitionfoffafmentalfhealthfdisorderfandfnotesfthefdefinitionfincludesfafdisturbancefinfwhichfareas
?f(Selectfallfthatfapply.)
1. Cognition
2. Physical
3. Emotionalfregulation
4. Behavior
5. Developmental
Completion
Completefeachfstatement.
16. f
isfafdiffusefapprehensionfthatfisfvaguefinfnaturefandfisfassociatedfwithffeelingsfoffuncertaintyfandfh
elplessness.
17. f
isfafsubjectivefstatefoffemotional,fphysical,fandfsocialfresponsesftoftheflossfoffafvaluedfentity.
Copyrightf©f2020fF.fA.fDavisfCompany
WWW.NURSINGTB.COM
Chapter 1: Mental Health and Mental Illness
f f f f f f
MultiplefChoice
Identifyfthefchoicefthatfbestfcompletesfthefstatementforfanswersfthefquestion.
f 1. Afnursefisfassessingfafclientfwhofexperiencesfoccasionalffeelingsfoffsadnessfbecausefoffthefrecentfdeat
hfoffafbelovedfpet.fThefclient’sfappetite,fsleepfpatterns,fandfdailyfroutinefhavefnotfchanged.
Howfwouldfthefnursefinterpretfthefclient’sfbehaviors?
1. Thefclient’sfbehaviorsfdemonstratefmentalfillnessfinfthefformfoffdepression.
2. Thefclient’sfbehaviorsfarefinappropriate,fwhichfindicatesfthefpresencefoffmentalfill
ness.
3. Thefclient’sfbehaviorsfarefnotfcongruentfwithfculturalfnorms.
4. Thefclient’sfbehaviorsfdemonstratefnoffunctionalfimpairment,findicatingfnofmentalfill
ness.
f 2. Atfwhichfpointfwouldfthefnursefdeterminefthatfafclientfisfatfriskfforfdevelopingfafmentalfillness?
1. Whenfthoughts,ffeelings,fandfbehaviorsfarefnotfreflectivefoffthefDSM-5fcriteria.
2. Whenfmaladaptivefresponsesftofstressfarefcoupledfwithfinterferencefinfdailyffu
nctioning.
3. Whenfafclientfcommunicatesfsignificantfdistress.
4. Whenfafclientfusesfdefensefmechanismsfasfegofprotection.
f 3. Afclientfhasfbeenfgivenfafdiagnosisfoffhumanfimmunodeficiencyfvirusf(HIV).fWhichfstatementfma
defbyfthefclientfdoesfthNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
sfM
thefbargainingfstagefoffgrief?
1. “IfhatefmyfpartnerfforfgivingfmefthisfdiseasefIfwillfdieffrom!”
2. “IffIfdon’tfdofintravenousf(IV)fdrugsfanymore,fGodfwon’tfletfmefdie.”
3. “Ifamfgoingftofsupportfgroupsfandflearnfmorefaboutfthefdisease.”
4. “Canfyoufpleasefre-drawftheftestfresults,fIfthinkftheyfmayfbefwrong?”
f 4. Afnursefnotesfthatfafclientfisfextremelyfwithdrawn,fdelusional,fandfemotionallyfexhausted.fThefnur
sefassessesfthefclient’sfanxietyfasfwhichflevel?
1. Mildfanxiety
2. Moderatefanxiety
3. Severefanxiety
4. Panicfanxiety
f 5. Afpsychiatricfnursefinternfstates,f“Thisfclient’sfusefoffdefensefmechanismsfshouldfbefeliminated.”fWhic
hfisfafcorrectfevaluationfoffthisfnurse’sfstatement?
1. Defensefmechanismsfcanfbefappropriatefresponsesftofstressfandfneedfnotfbefeli
minated.
2. Defensefmechanismsfarefafmaladaptivefattemptfoffthefegoftofmanagefanxietyfandfsh
ouldfalwaysfbefeliminated.
3. Defensefmechanisms,fusedfbyfindividualsfwithfweakfegofintegrity,fshouldfbefdi
scouragedfandfnotfcompletelyfeliminated.
4. Defensefmechanismsfcausefdisintegrationfoffthefegofandfshouldfbeffosteredfandfen
couraged.
Copyrightf©f2020fF.fA.fDavisfCompany
WWW.NURSINGTB.COM
, ESSENTIALSfOFfPSYCHIATRICfMENTALfHEALTHfNURSINGf8THfMORGANfTESTfBANK
f 6. Duringfanfintakefassessment,fafnursefasksfbothfphysiologicalfandfpsychosocialfquestions.fThe
clientfangrilyfresponds,f“I’mfherefforfmyfheart,fnotfmyfheadfproblems.”fWhichfisfthefnurse’sfbestfresp
onse?
1. “Itfisfjustfafroutinefpartfoffourfassessment.fAllfclientsfarefaskedfthesefsamefque
stions.”
2. “Whyfarefyoufconcernedfaboutftheseftypesfoffquestions?”
3. “Psychologicalffactors,flikefexcessivefstress,fhavefbeenffoundftofaffectfmedicalfco
nditions.”
4. “Wefcanfskipfthesefquestions,fiffyouflike.fItfisn’tfimperativefthatfwefcompletefthisfsect
ion.”
f 7. Afclientfwhofisfbeingftreatedfforfchronicfkidneyfdiseasefcomplainsftofthefhealth-
carefproviderfthatfhefdoesfnotflikeftheffoodfavailableftofhimfwhilefhospitalized.fThefhealth-
carefproviderfinsistsfthatfthefclientfstrictlyfadhereftofthefdietfplan.fWhatfactionfcanfbefexpectedfisfthefcli
entfusesfthefdefensefmechanismfoffdisplacement?
1. Thefclientfassertivelyfconfrontsfthefhealth-carefprovider.
2. Thefclientfinsistsfonfbeingfdischargedfandfgoesfforfaflong,fbriskfwalk.
3. Thefclientfsnapsfatfthefnursefandfcriticizesfthefnursingfcarefprovided.
4. Thefclientfhidesfhisfangerfbyfexplainingftheflogicalfreasoningfforfthefdietftofhisfspo
use.
f 8. Affourth-
gradefboyfteasesfandfmakesfjokesfaboutfafcutefgirlfinfhisfclass.fAfnursefwouldfrecognizefthisfbehaviorf
asfindicativefoffwhichfdefensefmechanism?
1. Displacement
2. Projection NURSINGTB.COM
3. Reactionfformation
4. Sublimation
f 9. Whichfnursingfstatementfregardingfthefconceptfoffpsychosisfisfmostfaccurate?
1. Individualsfexperiencingfpsychosesfarefawarefthatftheirfbehaviorsfarefmaladaptive.
2. Individualsfexperiencingfpsychosesfexperienceflittlefdistress.
3. Individualsfexperiencingfpsychosesfarefawarefoffexperiencingfpsychologicalfp
roblems.
4. Individualsfexperiencingfpsychosesfarefbasedfinfreality.
f
10.f Whenfunderfstress,fafclientfroutinelyfusesfalcoholftofexcess.fWhenfthefclient’sfhusbandffindsfhe
rfdrunk,fthefhusbandfyellsfatfthefclientfaboutfherfchronicfalcoholfabuse.fWhichfactionfalertsfthefnursef
tofthefclient’sfusefoffthefdefensefmechanismfoffdenial?
1. Thefclientfhidesfliquorfbottlesfinfafcloset.
2. Thefclientfyellsfatfherfsonfforfslouchingfinfhisfchair.
3. Thefclientfburnsfdinnerfonfpurpose.
4. Thefclientfsaysftofthefspouse,f“Ifdon’tfdrinkftoofmuch!”
f
11.fDevastatedfbyfafdivorceffromfanfabusivefhusband,fafwifefcompletesfgrieffcounseling.fWhichfsta
tementfbyfthefwifefwouldfindicateftofafnursefthatfthefclientfisfinfthefacceptancefstagefoffgrief?
1. “Iffonlyfwefcouldfhaveftriedfagain,fthingsfmightfhavefworkedfout.”
2. “IfamfsofmadfthatfthefchildrenfandfIfhadftofputfupfwithfhimfasflongfasfwefdid.”
Copyrightf©f2020fF.fA.fDavisfCompany
WWW.NURSINGTB.COM
, ESSENTIALSfOFfPSYCHIATRICfMENTALfHEALTHfNURSINGf8THfMORGANfTESTfBANK
3. “Yes,fitfwasfafdifficultfrelationship,fbutfIfthinkfIfhaveflearnedffromfthe
Copyrightf©f2020fF.fA.fDavisfCompany
WWW.NURSINGTB.COM
, ESSENTIALSfOFfPSYCHIATRICfMENTALfHEALTHfNURSINGf8THfMORGANfTESTfBANK
experience.”
4. “Ifhavefafdifficultftimefgettingfoutfoffbedfmostfdays.”
f
12.f AccordingftofMaslow’sfhierarchyfoffneeds,fwhichfclientfactionfwouldfdemonstratefthefhighe
stfachievementfinftermsfoffmentalfhealth?
1. Maintainingfaflong-term,ffaithful,fintimatefrelationship
2. Achievingfafsensefoffself-confidence
3. Possessingfaffeelingfoffself-fulfillmentfandfrealizingffullfpotential
4. Developingfafsensefoffpurposefandfthefabilityftofdirectfactivities
f
13.f AccordingftofMaslow’sfhierarchyfoffneeds,fwhichfsituationfonfanfinpatientfpsychiatricfunitfwoul
dfrequirefpriorityfinterventionfbyfafnurse?
1. Afclientfrudelyfcomplainingfaboutflimitedfvisitingfhours
2. Afclientfexhibitingfaggressivefbehaviorftowardfanotherfclient
3. Afclientfstatingfthatfnofonefcares
4. Afclientfverbalizingffeelingsfofffailure
MultiplefResponse
Identifyfoneforfmorefchoicesfthatfbestfcompletefthefstatementforfanswerfthefquestion.
f
14.f Whichfdescribesfafdefensefmechanismfanfindividualfmayfuseftofrelievefanxietyfinfafstressfu
lfsituation?f(Selectfallfthatfapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nailfbiting
5. Sleeping
f 15.f ThefnursefisfreviewingfthefDSM-
5fdefinitionfoffafmentalfhealthfdisorderfandfnotesfthefdefinitionfincludesfafdisturbancefinfwhichfareas
?f(Selectfallfthatfapply.)
1. Cognition
2. Physical
3. Emotionalfregulation
4. Behavior
5. Developmental
Completion
Completefeachfstatement.
16. f
isfafdiffusefapprehensionfthatfisfvaguefinfnaturefandfisfassociatedfwithffeelingsfoffuncertaintyfandfh
elplessness.
17. f
isfafsubjectivefstatefoffemotional,fphysical,fandfsocialfresponsesftoftheflossfoffafvaluedfentity.
Copyrightf©f2020fF.fA.fDavisfCompany
WWW.NURSINGTB.COM
