EssentialsbofbPsychiatricbMentalbHealthbNursingb8thbEditionbConceptsbofbCarebinbEvidence-
BasedbPracticeb8thbEditionbMorganbTownsendbTestbBank
b
Essentials of Psychiatric Mental Health Nursing 8th Edition Concept
b b b b b b b b
s of Care in Evidence-
b b b b
Based Practice 8th Edition Morgan Townsend Test Ban
b b b b b b b
k
Chapterb1.bMentalbHealthbandbMentalbIllness
MultiplebChoice
1.bAbnursebisbassessingbabclientbwhobisbexperiencingboccasionalbfeelingsbofbsadnessbbecausebofbthebre
centbdeathbofbabbelovedbpet.bThebclientsbappetite,bsleepbpatterns,bandbdailybroutinebhavebnotbchange
d.bHowbshouldbthebnurseb interpretbthebclientsbbehaviors?
1. Thebclientsbbehaviorsbdemonstratebmentalbillnessbinbthebformbofbdepression.
2. Thebclientsbbehaviorsbarebextensive,bwhichbindicatesbthebpresencebofbmentalbillness.
3. Thebclientsbbehaviorsbarebnotbcongruentbwithbculturalbnorms.
4. Thebclientsbbehaviorsbdemonstratebnobfunctionalbimpairment,bindicatingbnobmentalbillness.
ANS:b4
Rationale:bThebnursebshouldbassessbthatbthebclientsbdailybfunctioningbisbnotbimpaired.bThebclientbwh
obexperiencesbfeelingsbofbsadnessbafterbtheblossbofbabpetbisbrespondingbwithinbnormalbexpectations.b
Withoutbsignificantbimpairment,bthebclientsbdistressbdoesbnotbindicatebabmentalbillness.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bAssessment
2.bAtbwhatbpointbshouldbthebnursebdeterminebthatbabclientbisbatbriskbforbdevelopingbabmentalbillness
?
1. Whenbthoughts,bfeelings,bandbbehaviorsbarebnotbreflectivebofbthebDSM-5bcriteria.
2. Whenbmaladaptivebresponsesbtobstressbarebcoupledbwithbinterferencebinbdailybfunctioning.
3. Whenbabclientbcommunicatesbsignificantbdistress.
4. Whenbabclientbusesbdefensebmechanismsbasbegobprotection.
ANS:b2
Rationale:bThebnursebshouldbdeterminebthatbthebclientbisbatbriskbforbmentalbillnessbwhenbresponsesbt
obstressbarebmaladaptivebandbinterferebwithbdailybfunctioning.bThebDSM-
5bindicatesbthatbinborderbtobbebdiagnosedbwithbabmentalbillness,bdailybfunctioningbmustbbebsignifican
tlybimpaired.bThebclientsbabilitybtob communicatebdistressbwouldbbebconsideredbabpositivebattribute.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
3.bAbnursebisbassessingbabsetbofb15-year-
oldbidenticalbtwinsbwhobrespondbverybdifferentlybtob stress.bOnebtwinbbecomesbanxiousbandbirritable,b
andbthebotherbwithdrawsbandbcries.bHowbshouldbthebnursebexplainbthesebdifferentbstressbresponsesbt
obthebparents?
1. Reactionsbtobstressbarebrelativebratherbthanbabsolute;bindividualbresponsesbtob stressbvary.
2. Itbisbabnormalbforbidenticalbtwinsbtobreactbdifferentlybtobsimilarbstressors.
,EssentialsbofbPsychiatricbMentalbHealthbNursingb8thbEditionbConceptsbofbCarebinbEvidence-
BasedbPracticeb8thbEditionbMorganbTownsendbTestbBank
b
3. Identicalbtwinsbshouldbsharebthebsamebtemperamentbandbrespondbsimilarlybtobstress.
4. Environmentalbinfluencesbtobstressbweighbmorebheavilybthanbgeneticbinfluences.
,EssentialsbofbPsychiatricbMentalbHealthbNursingb8thbEditionbConceptsbofbCarebinbEvidence-
BasedbPracticeb8thbEditionbMorganbTownsendbTestbBank
b
ANS:b1
Rationale:bThebnursebshouldbexplainbtobthebparentsbthat,balthoughbthebtwinsbhavebidenticalbDNA,bth
erebarebseveralbotherbfactorsbthatbaffectbreactionsbtobstress.bMentalbhealthbisbabstatebofbbeingbthatbisbrel
ativebtobthebindividualbclient.bEnvironmentalbinfluencesbandbtemperamentbcanbaffectbstressbreactio
ns.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
4.bWhichbclientbshouldbthebnursebanticipatebtobbebmostbreceptivebtobpsychiatricbtreatment?
1. AbJewish,bfemalebsocialbworker.
2. AbBaptist,bhomelessbmale.
3. AbCatholic,bblackbmale.
4. AbProtestant,bSwedishbbusinessbexecutive.
ANS:b1
Rationale:bThebnursebshouldbanticipatebthatbthebclientbofbJewishbculturebwouldbplacebabhighbimporta
ncebonbpreventativebhealthbcarebandbwouldbconsiderbmentalbhealthbasbequallybimportantbasbphysicalb
health.bWomenbarebalsobmoreblikelybtobseekbtreatmentbforbmentalbhealthbproblemsbthanbmen.
CognitivebLevel:bApplicationb
IntegratedbProcess:bPlanning
5. Abpsychiatricbnursebinternbstates,bThisbclientsbusebofbdefensebmechanismsbshouldbbebeliminated.b
Whichbisbabcorrectbevaluationbofbthisbnursesbstatement?
1. Defensebmechanismsbcanbbebappropriatebresponsesbtobstressbandbneedbnotbbebeliminated.
2. Defensebmechanismsbarebabmaladaptivebattemptbofbthebegobtobmanagebanxietybandbshouldba
lwaysbbebeliminated.
3. Defensebmechanisms,busedbbybindividualsbwithbweakbegobintegrity,bshouldbbebdiscouragedbandbn
otbeliminated.
4. Defensebmechanismsbcausebdisintegrationbofbthebegobandbshouldbbebfosteredbandbencouraged.
ANS:b1
Rationale:bThebnursebshouldbdeterminebthatbdefensebmechanismsbcanbbebappropriatebduringbtimesbo
fbstress.bThebclientbwithbnobdefensebmechanismsbmaybhavebablowerbtolerancebforbstress,bthusbleadin
gbtobanxietybdisorders.bDefensebmechanismsbshouldbbebconfrontedbwhenbtheybimpedebthebclientbfr
ombdevelopingbhealthybcopingbskills.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bEvaluation
6.bDuringbanbintakebassessment,babnursebasksbbothbphysiologicalbandbpsychosocialbquestions.bThebcli
entbangrilybresponds,bImbherebforbmybheart,bnotbmybheadbproblems.bWhichbisbthebnursesbbestbrespon
se?
1. Itsbjustbabroutinebpartbofbourbassessment.bAllbclientsbarebaskedbthesebsamebquestions.
2. Whybarebyoubconcernedbaboutbthesebtypesbofbquestions?
3. Psychologicalbfactors,blikebexcessivebstress,bhavebbeenbfoundbtobaffectbmedicalbconditions.
4. Webcanbskipbthesebquestions,b ifbyoublike.bItbisntbimperativebthatbwebcompletebthisbsection.
, EssentialsbofbPsychiatricbMentalbHealthbNursingb8thbEditionbConceptsbofbCarebinbEvidence-
BasedbPracticeb8thbEditionbMorganbTownsendbTestbBank
b
ANS:b3
Rationale:bThebnursebshouldbattemptbtobeducatebthebclientbonbthebnegativebeffectsbofbexcessivebstressb
onbmedicalbconditions.bItbisbnotbappropriatebtobskipbphysiologicalbandbpsychosocialbquestions,basbth
isbwouldb leadbtobanbinaccuratebassessment.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
7.bAnbemployeebusesbthebdefensebmechanismbofbdisplacementbwhenbthebbossbopenlybdisagreesbwithb
suggestions.bWhatbbehaviorbwouldbbebexpectedbfrombthisbemployee?
1. Thebemployeebassertivelybconfrontsbthebboss.
2. Thebemployeebleavesbthebstaffbmeetingbtobworkboutbinbthebgym.
3. Thebemployeebcriticizesbabcoworker.
4. Thebemployeebtakesbthebbossboutbtoblunch.
ANS:b3
Rationale:bThebnursebshouldbexpectbthatbthebclientbusingbthebdefensebmechanismbdisplacementbwoul
dbcriticizebabcoworkerbafterbbeingbconfrontedbbybthebboss.bDisplacementbrefersbtobtransferringb feeli
ngsbfrombonebtargetbtobabneutralborbless-threateningbtarget.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bAssessment
8.bAbfourth-
gradebboybteasesbandbmakesbjokesbaboutbabcutebgirlbinbhisbclass.bThisbbehaviorbshouldbbebidentifiedb
bybabnursebasbindicativebofbwhichbdefenseb mechanism?
1. Displacement
2. Projection
3. Reactionbformation
4. Sublimation
ANS:b3
Rationale:bThebnursebshouldbidentifybthatbthebboybisbusingbreactionbformationbasbabdefensebmechan
ism.bReactionbformationbisbthebattemptbtobpreventbundesirablebthoughtsbfrombbeingbexpressedbbybe
xpressingboppositebthoughtsborbbehaviors.bDisplacementbrefersbtobtransferringbfeelingsbfrombonebta
rgetbtobanother.bRationalizationbrefersbtobmakingbexcusesbtobjustifybbehavior.bProjectionbrefersbtobth
ebattributionbofbunacceptablebfeelingsborbbehaviorsbtobanotherbperson.
Sublimationbrefersbtobchannelingbunacceptablebdrivesborbimpulsesbintobmorebconstructive,bacceptab
lebactivities.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
9.bWhichbnursingbstatementbaboutbthebconceptbofbneurosisbisbmostbaccurate?
1. Anbindividualbexperiencingbneurosisbisbunawarebthatbheborbshebisbexperiencingbdistress.
2. Anbindividualbexperiencingbneurosisbfeelsbhelplessbtobchangebhisborbherbsituation.
3. Anbindividualbexperiencingbneurosisbisbawarebofbpsychologicalbcausesbofbhisborbherbbehavior.
4. Anbindividualbexperiencingbneurosisbhasbablossbofbcontactbwithbreality.b
ANS:b2
BasedbPracticeb8thbEditionbMorganbTownsendbTestbBank
b
Essentials of Psychiatric Mental Health Nursing 8th Edition Concept
b b b b b b b b
s of Care in Evidence-
b b b b
Based Practice 8th Edition Morgan Townsend Test Ban
b b b b b b b
k
Chapterb1.bMentalbHealthbandbMentalbIllness
MultiplebChoice
1.bAbnursebisbassessingbabclientbwhobisbexperiencingboccasionalbfeelingsbofbsadnessbbecausebofbthebre
centbdeathbofbabbelovedbpet.bThebclientsbappetite,bsleepbpatterns,bandbdailybroutinebhavebnotbchange
d.bHowbshouldbthebnurseb interpretbthebclientsbbehaviors?
1. Thebclientsbbehaviorsbdemonstratebmentalbillnessbinbthebformbofbdepression.
2. Thebclientsbbehaviorsbarebextensive,bwhichbindicatesbthebpresencebofbmentalbillness.
3. Thebclientsbbehaviorsbarebnotbcongruentbwithbculturalbnorms.
4. Thebclientsbbehaviorsbdemonstratebnobfunctionalbimpairment,bindicatingbnobmentalbillness.
ANS:b4
Rationale:bThebnursebshouldbassessbthatbthebclientsbdailybfunctioningbisbnotbimpaired.bThebclientbwh
obexperiencesbfeelingsbofbsadnessbafterbtheblossbofbabpetbisbrespondingbwithinbnormalbexpectations.b
Withoutbsignificantbimpairment,bthebclientsbdistressbdoesbnotbindicatebabmentalbillness.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bAssessment
2.bAtbwhatbpointbshouldbthebnursebdeterminebthatbabclientbisbatbriskbforbdevelopingbabmentalbillness
?
1. Whenbthoughts,bfeelings,bandbbehaviorsbarebnotbreflectivebofbthebDSM-5bcriteria.
2. Whenbmaladaptivebresponsesbtobstressbarebcoupledbwithbinterferencebinbdailybfunctioning.
3. Whenbabclientbcommunicatesbsignificantbdistress.
4. Whenbabclientbusesbdefensebmechanismsbasbegobprotection.
ANS:b2
Rationale:bThebnursebshouldbdeterminebthatbthebclientbisbatbriskbforbmentalbillnessbwhenbresponsesbt
obstressbarebmaladaptivebandbinterferebwithbdailybfunctioning.bThebDSM-
5bindicatesbthatbinborderbtobbebdiagnosedbwithbabmentalbillness,bdailybfunctioningbmustbbebsignifican
tlybimpaired.bThebclientsbabilitybtob communicatebdistressbwouldbbebconsideredbabpositivebattribute.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
3.bAbnursebisbassessingbabsetbofb15-year-
oldbidenticalbtwinsbwhobrespondbverybdifferentlybtob stress.bOnebtwinbbecomesbanxiousbandbirritable,b
andbthebotherbwithdrawsbandbcries.bHowbshouldbthebnursebexplainbthesebdifferentbstressbresponsesbt
obthebparents?
1. Reactionsbtobstressbarebrelativebratherbthanbabsolute;bindividualbresponsesbtob stressbvary.
2. Itbisbabnormalbforbidenticalbtwinsbtobreactbdifferentlybtobsimilarbstressors.
,EssentialsbofbPsychiatricbMentalbHealthbNursingb8thbEditionbConceptsbofbCarebinbEvidence-
BasedbPracticeb8thbEditionbMorganbTownsendbTestbBank
b
3. Identicalbtwinsbshouldbsharebthebsamebtemperamentbandbrespondbsimilarlybtobstress.
4. Environmentalbinfluencesbtobstressbweighbmorebheavilybthanbgeneticbinfluences.
,EssentialsbofbPsychiatricbMentalbHealthbNursingb8thbEditionbConceptsbofbCarebinbEvidence-
BasedbPracticeb8thbEditionbMorganbTownsendbTestbBank
b
ANS:b1
Rationale:bThebnursebshouldbexplainbtobthebparentsbthat,balthoughbthebtwinsbhavebidenticalbDNA,bth
erebarebseveralbotherbfactorsbthatbaffectbreactionsbtobstress.bMentalbhealthbisbabstatebofbbeingbthatbisbrel
ativebtobthebindividualbclient.bEnvironmentalbinfluencesbandbtemperamentbcanbaffectbstressbreactio
ns.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
4.bWhichbclientbshouldbthebnursebanticipatebtobbebmostbreceptivebtobpsychiatricbtreatment?
1. AbJewish,bfemalebsocialbworker.
2. AbBaptist,bhomelessbmale.
3. AbCatholic,bblackbmale.
4. AbProtestant,bSwedishbbusinessbexecutive.
ANS:b1
Rationale:bThebnursebshouldbanticipatebthatbthebclientbofbJewishbculturebwouldbplacebabhighbimporta
ncebonbpreventativebhealthbcarebandbwouldbconsiderbmentalbhealthbasbequallybimportantbasbphysicalb
health.bWomenbarebalsobmoreblikelybtobseekbtreatmentbforbmentalbhealthbproblemsbthanbmen.
CognitivebLevel:bApplicationb
IntegratedbProcess:bPlanning
5. Abpsychiatricbnursebinternbstates,bThisbclientsbusebofbdefensebmechanismsbshouldbbebeliminated.b
Whichbisbabcorrectbevaluationbofbthisbnursesbstatement?
1. Defensebmechanismsbcanbbebappropriatebresponsesbtobstressbandbneedbnotbbebeliminated.
2. Defensebmechanismsbarebabmaladaptivebattemptbofbthebegobtobmanagebanxietybandbshouldba
lwaysbbebeliminated.
3. Defensebmechanisms,busedbbybindividualsbwithbweakbegobintegrity,bshouldbbebdiscouragedbandbn
otbeliminated.
4. Defensebmechanismsbcausebdisintegrationbofbthebegobandbshouldbbebfosteredbandbencouraged.
ANS:b1
Rationale:bThebnursebshouldbdeterminebthatbdefensebmechanismsbcanbbebappropriatebduringbtimesbo
fbstress.bThebclientbwithbnobdefensebmechanismsbmaybhavebablowerbtolerancebforbstress,bthusbleadin
gbtobanxietybdisorders.bDefensebmechanismsbshouldbbebconfrontedbwhenbtheybimpedebthebclientbfr
ombdevelopingbhealthybcopingbskills.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bEvaluation
6.bDuringbanbintakebassessment,babnursebasksbbothbphysiologicalbandbpsychosocialbquestions.bThebcli
entbangrilybresponds,bImbherebforbmybheart,bnotbmybheadbproblems.bWhichbisbthebnursesbbestbrespon
se?
1. Itsbjustbabroutinebpartbofbourbassessment.bAllbclientsbarebaskedbthesebsamebquestions.
2. Whybarebyoubconcernedbaboutbthesebtypesbofbquestions?
3. Psychologicalbfactors,blikebexcessivebstress,bhavebbeenbfoundbtobaffectbmedicalbconditions.
4. Webcanbskipbthesebquestions,b ifbyoublike.bItbisntbimperativebthatbwebcompletebthisbsection.
, EssentialsbofbPsychiatricbMentalbHealthbNursingb8thbEditionbConceptsbofbCarebinbEvidence-
BasedbPracticeb8thbEditionbMorganbTownsendbTestbBank
b
ANS:b3
Rationale:bThebnursebshouldbattemptbtobeducatebthebclientbonbthebnegativebeffectsbofbexcessivebstressb
onbmedicalbconditions.bItbisbnotbappropriatebtobskipbphysiologicalbandbpsychosocialbquestions,basbth
isbwouldb leadbtobanbinaccuratebassessment.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
7.bAnbemployeebusesbthebdefensebmechanismbofbdisplacementbwhenbthebbossbopenlybdisagreesbwithb
suggestions.bWhatbbehaviorbwouldbbebexpectedbfrombthisbemployee?
1. Thebemployeebassertivelybconfrontsbthebboss.
2. Thebemployeebleavesbthebstaffbmeetingbtobworkboutbinbthebgym.
3. Thebemployeebcriticizesbabcoworker.
4. Thebemployeebtakesbthebbossboutbtoblunch.
ANS:b3
Rationale:bThebnursebshouldbexpectbthatbthebclientbusingbthebdefensebmechanismbdisplacementbwoul
dbcriticizebabcoworkerbafterbbeingbconfrontedbbybthebboss.bDisplacementbrefersbtobtransferringb feeli
ngsbfrombonebtargetbtobabneutralborbless-threateningbtarget.
CognitivebLevel:bAnalysisbInte
gratedbProcess:bAssessment
8.bAbfourth-
gradebboybteasesbandbmakesbjokesbaboutbabcutebgirlbinbhisbclass.bThisbbehaviorbshouldbbebidentifiedb
bybabnursebasbindicativebofbwhichbdefenseb mechanism?
1. Displacement
2. Projection
3. Reactionbformation
4. Sublimation
ANS:b3
Rationale:bThebnursebshouldbidentifybthatbthebboybisbusingbreactionbformationbasbabdefensebmechan
ism.bReactionbformationbisbthebattemptbtobpreventbundesirablebthoughtsbfrombbeingbexpressedbbybe
xpressingboppositebthoughtsborbbehaviors.bDisplacementbrefersbtobtransferringbfeelingsbfrombonebta
rgetbtobanother.bRationalizationbrefersbtobmakingbexcusesbtobjustifybbehavior.bProjectionbrefersbtobth
ebattributionbofbunacceptablebfeelingsborbbehaviorsbtobanotherbperson.
Sublimationbrefersbtobchannelingbunacceptablebdrivesborbimpulsesbintobmorebconstructive,bacceptab
lebactivities.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
9.bWhichbnursingbstatementbaboutbthebconceptbofbneurosisbisbmostbaccurate?
1. Anbindividualbexperiencingbneurosisbisbunawarebthatbheborbshebisbexperiencingbdistress.
2. Anbindividualbexperiencingbneurosisbfeelsbhelplessbtobchangebhisborbherbsituation.
3. Anbindividualbexperiencingbneurosisbisbawarebofbpsychologicalbcausesbofbhisborbherbbehavior.
4. Anbindividualbexperiencingbneurosisbhasbablossbofbcontactbwithbreality.b
ANS:b2
