Test Bank For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 9th Edition by Karyn Morgan, All Chapters 1 - 32, Verified Newest Version

Test Bank For Davis Advantage for Townsend’s
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Essentials of Psychiatric Mental Health Nursing 9th
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Edition Karyn Morgan
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K

,Chapter 1: Mental Health and Mental Illness
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. A nurse is assessing a client who experiences occasional feelings of sadness because of the recent
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death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed.
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How would the nurse interpret the client’s behaviors?
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1. The client’s behaviors demonstrate mental illness in the form of depression.
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2. The client’s behaviors are inappropriate, which indicates the presence of mental
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illness. g


3. The client’s behaviors are not congruent with cultural norms.
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4. The client’s behaviors demonstrate no functional impairment, indicating no mental
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illness. g




2. At which point would the nurse determine that a client is at risk for developing a mental illness?
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1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress are coupled with interference in daily
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functioning. g


3. When a client communicates significant distress. g g g g g


4. When a client uses defense mechanisms as ego protection.
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3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement
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made by the client does thNeUnR
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seIrN
ecGoT
gnBi.
zeCaO
g s Mt h e bargaining stage of grief?
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1. “I hate my partner for giving me this disease I will die from!”
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2. “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.”
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3. “I am going to support groups and learn more about the disease.”
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4. “Can you please re-draw the test results, I think they may be wrong?”
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4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The
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nurse assesses the client’s anxiety as which level?
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1. Mild anxiety g


2. Moderate anxiety g


3. Severe anxiety g


4. Panic anxiety g




5. A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.”
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Which is a correct evaluation of this nurse’s statement?
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1. Defense mechanisms can be appropriate responses to stress and need not be
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eliminated. g


2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
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should always be eliminated.
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, 6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
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client angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best
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response?
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1. “It is just a routine part of our assessment. All clients are asked these same
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questions.” g


2. “Why are you concerned about these types of questions?”
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3. “Psychological factors, like excessive stress, have been found to affect medical g g g g g g g g g g


conditions.” g


4. “We can skip these questions, if you like. It isn’t imperative that we complete this
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section.” g




7. A client who is being treated for chronic kidney disease complains to the health-care provider that
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he does not like the food available to him while hospitalized. The health-care provider insists that
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the client strictly adhere to the diet plan. What action can be expected is the client uses the defense
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mechanism of displacement?
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1. The client assertively confronts the health-care provider.
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2. The client insists on being discharged and goes for a long, brisk walk.
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3. The client snaps at the nurse and criticizes the nursing care provided.
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4. The client hides his anger by explaining the logical reasoning for the diet to his
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spouse. g




8. A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize
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this behavior as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation g


4. Sublimation
9. Which nursing statement regarding the concept of psychosis is most accurate?
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1. Individuals experiencing psychoses are aware that their behaviors are maladaptive. g g g g g g g g g


2. Individuals experiencing psychoses experience little distress. g g g g g


3. Individuals experiencing psychoses are aware of experiencing psychological g g g g g g g


problems. g


4. Individuals experiencing psychoses are based in reality. g g g g g g




g 10. When under stress, a client routinely uses alcohol to excess. When the client’s husband finds
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her drunk, the husband yells at the client about her chronic alcohol abuse. Which action alerts
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the nurse to the client’s use of the defense mechanism of denial?
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1. The client hides liquor bottles in a closet.
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2. The client yells at her son for slouching in his chair.
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3. The client burns dinner on purpose. g g g g g


4. The client says to the spouse, “I don’t drink too much!”
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g 11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which
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statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief?
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1. “If only we could have tried again, things might have worked out.”
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2. “I am so mad that the children and I had to put up with him as long as we did.”
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3. “Yes, it was a difficult relationship, but I think I have learned from the
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, experience.”
4. “I have a difficult time getting out of bed most days.”
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g 12. According to Maslow’s hierarchy of needs, which client action would demonstrate the
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highest achievement in terms of mental health?
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1. Maintaining a long-term, faithful, intimate relationship g g g g g


2. Achieving a sense of self-confidence g g g g


3. Possessing a feeling of self-fulfillment and realizing full potential g g g g g g g g


4. Developing a sense of purpose and the ability to direct activities g g g g g g g g g g




g 13. According to Maslow’s hierarchy of needs, which situation on an inpatient psychiatric unit
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would require priority intervention by a nurse?
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1. A client rudely complaining about limited visiting hours
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2. A client exhibiting aggressive behavior toward another client
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3. A client stating that no one cares
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4. A client verbalizing feelings of failure
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Multiple Response
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Identify one or more choices that best complete the statement or answer the question.
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g 14. Which describes a defense mechanism an individual may use to relieve anxiety in a stressful
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situation? (Select all that apply.)
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1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nail biting g


5. Sleeping
g 15. The nurse is reviewing the DSM-5 definition of a mental health disorder and notes the definition
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includes a disturbance in which areas? (Select all that apply.)
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1. Cognition
2. Physical
3. Emotional regulation g


4. Behavior
5. Developmental

Completion
Complete each statement.
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16. is a diffuse apprehension that is vague in nature and is associated g g g g g g g g g g g


with feelings of uncertainty and helplessness.
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17. is a subjective state of emotional, physical, and social responses to
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the loss of a valued entity.
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Other