Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
TEST BANK
,Chapter7n1:7nMental7nHealth7nand7nMental7nIllness
Multiple7nChoice
Identify7nthe7nchoice7nthat7nbest7ncompletes7nthe7nstatement7nor7nanswers7nthe7nquestion.
1. A7nnurse7nis7nassessing7na7nclient7nwho7nexperiences7noccasional7nfeelings7nof7nsadness7nbecause7nof7nth
e7nrecent7ndeath7nof7na7nbeloved7npet.7nThe7nclient’s7nappetite,7nsleep7npatterns,7nand7ndaily7nroutine7nh
ave7nnot7nchanged.7nHow7nwould7nthe7nnurse7ninterpret7nthe7nclient’s7nbehaviors?
1. The7nclient’s7nbehaviors7ndemonstrate7nmental7nillness7nin7nthe7nform7nof7ndepression.
2. The7nclient’s7nbehaviors7nare7ninappropriate,7nwhich7nindicates7nthe7npresence7nof7n
mental7nillness.
3. The7nclient’s7nbehaviors7nare7nnot7ncongruent7nwith7ncultural7nnorms.
4. The7nclient’s7nbehaviors7ndemonstrate7nno7nfunctional7nimpairment,7nindicating7nno7nm
ental7nillness.
2. At7nwhich7npoint7nwould7nthe7nnurse7ndetermine7nthat7na7nclient7nis7nat7nrisk7nfor7ndeveloping7na7nmental7nillness
1. When7nthoughts,7nfeelings,7nand7nbehaviors7nare7nnot7nreflective7nof7nthe7nDSM-57ncriteria.
2. When7nmaladaptive7nresponses7nto7nstress7nare7ncoupled7nwith7ninterference7nin7n
daily7nfunctioning.
3. When7na7nclient7ncommunicates7nsignificant7ndistress.
4. When7na7nclient7nuses7ndefense7nmechanisms7nas7nego7nprotection.
3. A7nclient7nhas7nbeen7ngiven7na7ndiagnosis7nof7nhuman7nimmunodeficiency7nvirus7n(HIV).7nWhich7nst
atement7nmade7nby7nthe7nclient7ndoes7nthNeUnuRrS
seIrN
ecGoT
gnBiz.eCaO
s7nMt h e 7nbargaining7nstage7nof7ngrief?
1. “I7nhate7nmy7npartner7nfor7ngiving7nme7nthis7ndisease7nI7nwill7ndie7nfrom!”
2. “If7nI7ndon’t7ndo7nintravenous7n(IV)7ndrugs7nanymore,7nGod7nwon’t7nlet7nme7ndie.”
3. “I7nam7ngoing7nto7nsupport7ngroups7nand7nlearn7nmore7nabout7nthe7ndisease.”
4. “Can7nyou7nplease7nre-draw7nthe7ntest7nresults,7nI7nthink7nthey7nmay7nbe7nwrong?”
4. A7nnurse7nnotes7nthat7na7nclient7nis7nextremely7nwithdrawn,7ndelusional,7nand7nemotionally7nexhauste
d.7nThe7nnurse7nassesses7nthe7nclient’s7nanxiety7nas7nwhich7nlevel?
1. Mild7nanxiety
2. Moderate7nanxiety
3. Severe7nanxiety
4. Panic7nanxiety
5. A7npsychiatric7nnurse7nintern7nstates,7n“This7nclient’s7nuse7nof7ndefense7nmechanisms7nshould7nbe7nelimi
nated.”7nWhich7nis7na7ncorrect7nevaluation7nof7nthis7nnurse’s7nstatement?
1. Defense7nmechanisms7ncan7nbe7nappropriate7nresponses7nto7nstress7nand7nneed7n
not7nbe7neliminated.
, 6. During7nan7nintake7nassessment,7na7nnurse7nasks7nboth7nphysiological7nand7npsychosocial7nquestions.7nT
he7nclient7nangrily7nresponds,7n“I’m7nhere7nfor7nmy7nheart,7nnot7nmy7nhead7nproblems.”7nWhich7nis7nthe7nn
urse’s7nbest7nresponse?
1. “It7nis7njust7na7nroutine7npart7nof7nour7nassessment.7nAll7nclients7nare7nasked7nthe
se7nsame7nquestions.”
2. “Why7nare7nyou7nconcerned7nabout7nthese7ntypes7nof7nquestions?”
3. “Psychological7nfactors,7nlike7nexcessive7nstress,7nhave7nbeen7nfound7nto7naffect7nm
edical7nconditions.”
4. “We7ncan7nskip7nthese7nquestions,7nif7nyou7nlike.7nIt7nisn’t7nimperative7nthat7nwe7ncompl
ete7nthis7nsection.”
7. A7nclient7nwho7nis7nbeing7ntreated7nfor7nchronic7nkidney7ndisease7ncomplains7nto7nthe7nhealth-
care7nprovider7nthat7nhe7ndoes7nnot7nlike7nthe7nfood7navailable7nto7nhim7nwhile7nhospitalized.7nThe7nheal
th-
care7nprovider7ninsists7nthat7nthe7nclient7nstrictly7nadhere7nto7nthe7ndiet7nplan.7nWhat7naction7ncan7nbe7nexp
ected7nis7nthe7nclient7nuses7nthe7ndefense7nmechanism7nof7ndisplacement?
1. The7nclient7nassertively7nconfronts7nthe7nhealth-care7nprovider.
2. The7nclient7ninsists7non7nbeing7ndischarged7nand7ngoes7nfor7na7nlong,7nbrisk7nwalk.
3. The7nclient7nsnaps7nat7nthe7nnurse7nand7ncriticizes7nthe7nnursing7ncare7nprovided.
4. The7nclient7nhides7nhis7nanger7nby7nexplaining7nthe7nlogical7nreasoning7nfor7nthe7ndie
t7nto7nhis7nspouse.
8.
A7nfourth-
grade7nboy7nteases7nand7nmakes7njokes7nabout7na7ncute7ngirl7nin7nhis7nclass.7nA7nnurse7nwould7nrecognize7nt
his7nbehavior7nas7nindicative7nof7nwhich7ndefense7nmechanism?
1. Displacement
2. Projection
3. Reaction7nformation
4. Sublimation
9.7 n Which7nnursing7nstatement7nregarding7nthe7nconcept7nof7npsychosis7nis7nmost7naccurate?
1. Individuals7nexperiencing7npsychoses7nare7naware7nthat7ntheir7nbehaviors7nare7nmaladaptive.
2. Individuals7nexperiencing7npsychoses7nexperience7nlittle7ndistress.
3. Individuals7nexperiencing7npsychoses7nare7naware7nof7nexperiencing7npsycholog
ical7nproblems.
4. Individuals7nexperiencing7npsychoses7nare7nbased7nin7nreality.
10.7 n When7nunder7nstress,7na7nclient7nroutinely7nuses7nalcohol7nto7nexcess.7nWhen7nthe7nclient’s7nhusband7
7n
nfinds7nher7ndrunk,7nthe7nhusband7nyells7nat7nthe7nclient7nabout7nher7nchronic7nalcohol7nabuse.7nWhic
h7naction7nalerts7nthe7nnurse7nto7nthe7nclient’s7nuse7nof7nthe7ndefense7nmechanism7nof7ndenial?
1. The7nclient7nhides7nliquor7nbottles7nin7na7ncloset.
2. The7nclient7nyells7nat7nher7nson7nfor7nslouching7nin7nhis7nchair.
3. The7nclient7nburns7ndinner7non7npurpose.
4. The7nclient7nsays7nto7nthe7nspouse,7n“I7ndon’t7ndrink7ntoo7nmuch!”
11.7nDevastated7nby7na7ndivorce7nfrom7nan7nabusive7nhusband,7na7nwife7ncompletes7ngrief7ncounseling.7nW
7n
hich7nstatement7nby7nthe7nwife7nwould7nindicate7nto7na7nnurse7nthat7nthe7nclient7nis7nin7nthe7nacceptance7