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 A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted.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