;. ;. ;. ;. ;. ;. ;.
entials of Psychiatric Mental Health Nursing 9th Editi
;. ;. ;. ;. ;. ;. ;.
on Karyn Morgan
;. ;.
TEST BANK ;.
,Chapter;.1:;.Mental;.Health;.and;.Mental;.Illness
Multiple;.Choice
Identify;.the;.choice;.that;.best;.completes;.the;.statement;.or;.answers;.the;.question.
1. A;.nurse;.is;.assessing;.a;.client;.who;.experiences;.occasional;.feelings;.of;.sadness;.because;.of;.the;.rec
ent;.death;.of;.a;.beloved;.pet.;.The;.client‘s;.appetite,;.sleep;.patterns,;.and;.daily;.routine;.have;.not;.ch
anged.;.How;.would;.the;.nurse;.interpret;.the;.client‘s;.behaviors?
1. The;.client‘s;.behaviors;.demonstrate;.mental;.illness;.in;.the;.form;.of;.depression.
2. The;.client‘s;.behaviors;.are;.inappropriate,;.which;.indicates;.the;.presence;.of;.ment
al;.illness.
3. The;.client‘s;.behaviors;.are;.not;.congruent;.with;.cultural;.norms.
4. The;.client‘s;.behaviors;.demonstrate;.no;.functional;.impairment,;.indicating;.no;.ment
al;.illness.
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.
2. When;.maladaptive;.responses;.to;.stress;.are;.coupled;.with;.interference;.in;.dai
ly;.functioning.
3. When;.a;.client;.communicates;.significant;.distress.
4. When;.a;.client;.uses;.defense;.mechanisms;.as;.ego;.protection.
3. A;.client;.has;.been;.given;.a;.diagnosis;.of;.human;.immunodeficiency;.virus;.(HIV).;.Which;.statem
ent;.made;.by;.the;.client;.does;.thNeUnuRrS
seIrN
ecGoT
gnBiz.eCaO
s;.Mt h e ;.bargaining;.stage;.of;.grief?
1. ―I;.hate;.my;.partner;.for;.giving;.me;.this;.disease;.I;.will;.die;.from!‖
2. ―If;.I;.don‘t;.do;.intravenous;.(IV);.drugs;.anymore,;.God;.won‘t;.let;.me;.die.‖
3. ―I;.am;.going;.to;.support;.groups;.and;.learn;.more;.about;.the;.disease.‖
4. ―Can;.you;.please;.re-draw;.the;.test;.results,;.I;.think;.they;.may;.be;.wrong?‖
4. A;.nurse;.notes;.that;.a;.client;.is;.extremely;.withdrawn,;.delusional,;.and;.emotionally;.exhausted.;.T
he;.nurse;.assesses;.the;.client‘s;.anxiety;.as;.which;.level?
1. Mild;.anxiety
2. Moderate;.anxiety
3. Severe;.anxiety
4. Panic;.anxiety
5. A;.psychiatric;.nurse;.intern;.states,;.―This;.client‘s;.use;.of;.defense;.mechanisms;.should;.be;.eliminate
d.‖;.Which;.is;.a;.correct;.evaluation;.of;.this;.nurse‘s;.statement?
1. Defense;.mechanisms;.can;.be;.appropriate;.responses;.to;.stress;.and;.need;.not;.
be;.eliminated.
2. Defense;.mechanisms;.are;.a;.maladaptive;.attempt;.of;.the;.ego;.to;.manage;.anxiety;.a
nd;.should;.always;.be;.eliminated.
, 6. During;.an;.intake;.assessment,;.a;.nurse;.asks;.both;.physiological;.and;.psychosocial;.questions.;.The;.
client;.angrily;.responds,;.―I‘m;.here;.for;.my;.heart,;.not;.my;.head;.problems.‖;.Which;.is;.the;.nurse‘s;.b
est;.response?
1. ―It;.is;.just;.a;.routine;.part;.of;.our;.assessment.;.All;.clients;.are;.asked;.these;.sa
me;.questions.‖
2. ―Why;.are;.you;.concerned;.about;.these;.types;.of;.questions?‖
3. ―Psychological;.factors,;.like;.excessive;.stress,;.have;.been;.found;.to;.affect;.medic
al;.conditions.‖
4. ―We;.can;.skip;.these;.questions,;.if;.you;.like.;.It;.isn‘t;.imperative;.that;.we;.complete;.t
his;.section.‖
7. A;.client;.who;.is;.being;.treated;.for;.chronic;.kidney;.disease;.complains;.to;.the;.health-
care;.provider;.that;.he;.does;.not;.like;.the;.food;.available;.to;.him;.while;.hospitalized.;.The;.health-
care;.provider;.insists;.that;.the;.client;.strictly;.adhere;.to;.the;.diet;.plan.;.What;.action;.can;.be;.expected
;.is;.the;.client;.uses;.the;.defense;.mechanism;.of;.displacement?
1. The;.client;.assertively;.confronts;.the;.health-care;.provider.
2. The;.client;.insists;.on;.being;.discharged;.and;.goes;.for;.a;.long,;.brisk;.walk.
3. The;.client;.snaps;.at;.the;.nurse;.and;.criticizes;.the;.nursing;.care;.provided.
4. The;.client;.hides;.his;.anger;.by;.explaining;.the;.logical;.reasoning;.for;.the;.diet;.to;.
his;.spouse.
8. A;.fourth-
grade;.boy;.teases;.and;.makes;.jokes;.about;.a;.cute;.girl;.in;.his;.class.;.A;.nurse;.would;.recognize;.this;.b
ehavior;.as;.indicative;.of;.which;.defense;.mechanism?
1. Displacement
2. Projection
3. Reaction;.formation
4. Sublimation
9.; . ; . Which;.nursing;.statement;.regarding;.the;.concept;.of;.psychosis;.is;.most;.accurate?
1. Individuals;.experiencing;.psychoses;.are;.aware;.that;.their;.behaviors;.are;.maladaptive.
2. Individuals;.experiencing;.psychoses;.experience;.little;.distress.
3. Individuals;.experiencing;.psychoses;.are;.aware;.of;.experiencing;.psychologic
al;.problems.
4. Individuals;.experiencing;.psychoses;.are;.based;.in;.reality.
; . 10.; . When;.under;.stress,;.a;.client;.routinely;.uses;.alcohol;.to;.excess.;.When;.the;.client‘s;.husband;.find
s;.her;.drunk,;.the;.husband;.yells;.at;.the;.client;.about;.her;.chronic;.alcohol;.abuse.;.Which;.action;.a
lerts;.the;.nurse;.to;.the;.client‘s;.use;.of;.the;.defense;.mechanism;.of;.denial?
1. The;.client;.hides;.liquor;.bottles;.in;.a;.closet.
2. The;.client;.yells;.at;.her;.son;.for;.slouching;.in;.his;.chair.
3. The;.client;.burns;.dinner;.on;.purpose.
4. The;.client;.says;.to;.the;.spouse,;.―I;.don‘t;.drink;.too;.much!‖
; . 11.;.Devastated;.by;.a;.divorce;.from;.an;.abusive;.husband,;.a;.wife;.completes;.grief;.counseling.;.Which;
.statement;.by;.the;.wife;.would;.indicate;.to;.a;.nurse;.that;.the;.client;.is;.in;.the;.acceptance;.stage;.of;.g
rief?
1. ―If;.only;.we;.could;.have;.tried;.again,;.things;.might;.have;.worked;.out.‖
2. ―I;.am;.so;.mad;.that;.the;.children;.and;.I;.had;.to;.put;.up;.with;.him;.as;.long;.as;.we;.did.‖
3. ―Yes,;.it;.was;.a;.difficult;.relationship,;.but;.I;.think;.I;.have;.learned;.from;.the
, experience.‖
4. ―I;.have;.a;.difficult;.time;.getting;.out;.of;.bed;.most;.days.‖
; . 12.; . According;.to;.Maslow‘s;.hierarchy;.of;.needs,;.which;.client;.action;.would;.demonstrate;.the;.hig
hest;.achievement;.in;.terms;.of;.mental;.health?
1. Maintaining;.a;.long-term,;.faithful,;.intimate;.relationship
2. Achieving;.a;.sense;.of;.self-confidence
3. Possessing;.a;.feeling;.of;.self-fulfillment;.and;.realizing;.full;.potential
4. Developing;.a;.sense;.of;.purpose;.and;.the;.ability;.to;.direct;.activities
; . 13.; . According;.to;.Maslow‘s;.hierarchy;.of;.needs,;.which;.situation;.on;.an;.inpatient;.psychiatric;.unit;.w
ould;.require;.priority;.intervention;.by;.a;.nurse?
1. A;.client;.rudely;.complaining;.about;.limited;.visiting;.hours
2. A;.client;.exhibiting;.aggressive;.behavior;.toward;.another;.client
3. A;.client;.stating;.that;.no;.one;.cares
4. A;.client;.verbalizing;.feelings;.of;.failure
Multiple;.Response
Identify;.one;.or;.more;.choices;.that;.best;.complete;.the;.statement;.or;.answer;.the;.question.
; . 14.; . Which;.describes;.a;.defense;.mechanism;.an;.individual;.may;.use;.to;.relieve;.anxiety;.in;.a;.stre
ssful;.situation?;.(Select;.all;.that;.apply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail;.biting
5. Sleeping
; . 15.; . The;.nurse;.is;.reviewing;.the;.DSM-
5;.definition;.of;.a;.mental;.health;.disorder;.and;.notes;.the;.definition;.includes;.a;.disturbance;.in;.wh
ich;.areas?;.(Select;.all;.that;.apply.)
1. Cognition
2. Physical
3. Emotional;.regulation
4. Behavior
5. Developmental
Completion
Complete;.each;.statement.
16. is;.a;.diffuse;.apprehension;.that;.is;.vague;.in;.nature;.and;.is;.associat
ed;.with;.feelings;.of;.uncertainty;.and;.helplessness.
17. is;.a;.subjective;.state;.of;.emotional,;.physical,;.and;.social;.responses;.
to;.the;.loss;.of;.a;.valued;.entity.
Other