Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
TEST BANK
,Chapter8f1:8fMental8fHealth8fand8fMental8fIllness
Multiple8fChoice
Identify8fthe8fchoice8fthat8fbest8fcompletes8fthe8fstatement8for8fanswers8fthe8fquestion.
1. A8fnurse8fis8fassessing8fa8fclient8fwho8fexperiences8foccasional8ffeelings8fof8fsadness8fbecause8fof8fthe8fr
ecent8fdeath8fof8fa8fbeloved8fpet.8fThe8fclient’s8fappetite,8fsleep8fpatterns,8fand8fdaily8froutine8fhave8fn
ot8fchanged.8fHow8fwould8fthe8fnurse8finterpret8fthe8fclient’s8fbehaviors?
1. The8fclient’s8fbehaviors8fdemonstrate8fmental8fillness8fin8fthe8fform8fof8fdepression.
2. The8fclient’s8fbehaviors8fare8finappropriate,8fwhich8findicates8fthe8fpresence8fof8fme
ntal8fillness.
3. The8fclient’s8fbehaviors8fare8fnot8fcongruent8fwith8fcultural8fnorms.
4. The8fclient’s8fbehaviors8fdemonstrate8fno8ffunctional8fimpairment,8findicating8fno8fme
ntal8fillness.
2. At8fwhich8fpoint8fwould8fthe8fnurse8fdetermine8fthat8fa8fclient8fis8fat8frisk8ffor8fdeveloping8fa8fmental8fillness?
1. When8fthoughts,8ffeelings,8fand8fbehaviors8fare8fnot8freflective8fof8fthe8fDSM-58fcriteria.
2. When8fmaladaptive8fresponses8fto8fstress8fare8fcoupled8fwith8finterference8fin8fd
aily8ffunctioning.
3. When8fa8fclient8fcommunicates8fsignificant8fdistress.
4. When8fa8fclient8fuses8fdefense8fmechanisms8fas8fego8fprotection.
3. A8fclient8fhas8fbeen8fgiven8fa8fdiagnosis8fof8fhuman8fimmunodeficiency8fvirus8f(HIV).8fWhich8fstate
ment8fmade8fby8fthe8fclient8fdoes8fthNeUnuRrS
seIrN
ecGoT
gnBiz.eCaO
s8fMt h e 8fbargaining8fstage8fof8fgrief?
1. “I8fhate8fmy8fpartner8ffor8fgiving8fme8fthis8fdisease8fI8fwill8fdie8ffrom!”
2. “If8fI8fdon’t8fdo8fintravenous8f(IV)8fdrugs8fanymore,8fGod8fwon’t8flet8fme8fdie.”
3. “I8fam8fgoing8fto8fsupport8fgroups8fand8flearn8fmore8fabout8fthe8fdisease.”
4. “Can8fyou8fplease8fre-draw8fthe8ftest8fresults,8fI8fthink8fthey8fmay8fbe8fwrong?”
4. A8fnurse8fnotes8fthat8fa8fclient8fis8fextremely8fwithdrawn,8fdelusional,8fand8femotionally8fexhausted.8
fThe8fnurse8fassesses8fthe8fclient’s8fanxiety8fas8fwhich8flevel?
1. Mild8fanxiety
2. Moderate8fanxiety
3. Severe8fanxiety
4. Panic8fanxiety
5. A8fpsychiatric8fnurse8fintern8fstates,8f“This8fclient’s8fuse8fof8fdefense8fmechanisms8fshould8fbe8feliminat
ed.”8fWhich8fis8fa8fcorrect8fevaluation8fof8fthis8fnurse’s8fstatement?
1. Defense8fmechanisms8fcan8fbe8fappropriate8fresponses8fto8fstress8fand8fneed8fnot
8fbe8feliminated.
, 6. During8fan8fintake8fassessment,8fa8fnurse8fasks8fboth8fphysiological8fand8fpsychosocial8fquestions.8fThe
8fclient8fangrily8fresponds,8f“I’m8fhere8ffor8fmy8fheart,8fnot8fmy8fhead8fproblems.”8fWhich8fis8fthe8fnurse’s8
fbest8fresponse?
1. “It8fis8fjust8fa8froutine8fpart8fof8four8fassessment.8fAll8fclients8fare8fasked8fthese8f
same8fquestions.”
2. “Why8fare8fyou8fconcerned8fabout8fthese8ftypes8fof8fquestions?”
3. “Psychological8ffactors,8flike8fexcessive8fstress,8fhave8fbeen8ffound8fto8faffect8fmedi
cal8fconditions.”
4. “We8fcan8fskip8fthese8fquestions,8fif8fyou8flike.8fIt8fisn’t8fimperative8fthat8fwe8fcomplet
e8fthis8fsection.”
7. A8fclient8fwho8fis8fbeing8ftreated8ffor8fchronic8fkidney8fdisease8fcomplains8fto8fthe8fhealth-
care8fprovider8fthat8fhe8fdoes8fnot8flike8fthe8ffood8favailable8fto8fhim8fwhile8fhospitalized.8fThe8fhealth-
care8fprovider8finsists8fthat8fthe8fclient8fstrictly8fadhere8fto8fthe8fdiet8fplan.8fWhat8faction8fcan8fbe8fexpect
ed8fis8fthe8fclient8fuses8fthe8fdefense8fmechanism8fof8fdisplacement?
1. The8fclient8fassertively8fconfronts8fthe8fhealth-care8fprovider.
2. The8fclient8finsists8fon8fbeing8fdischarged8fand8fgoes8ffor8fa8flong,8fbrisk8fwalk.
3. The8fclient8fsnaps8fat8fthe8fnurse8fand8fcriticizes8fthe8fnursing8fcare8fprovided.
4. The8fclient8fhides8fhis8fanger8fby8fexplaining8fthe8flogical8freasoning8ffor8fthe8fdiet8ft
o8fhis8fspouse.
8. A8ffourth-
grade8fboy8fteases8fand8fmakes8fjokes8fabout8fa8fcute8fgirl8fin8fhis8fclass.8fA8fnurse8fwould8frecognize8fthis8f
behavior8fas8findicative8fof8fwhich8fdefense8fmechanism?
1. Displacement
2. Projection
3. Reaction8fformation
4. Sublimation
9.8 f Which8fnursing8fstatement8fregarding8fthe8fconcept8fof8fpsychosis8fis8fmost8faccurate?
1. Individuals8fexperiencing8fpsychoses8fare8faware8fthat8ftheir8fbehaviors8fare8fmaladaptive.
2. Individuals8fexperiencing8fpsychoses8fexperience8flittle8fdistress.
3. Individuals8fexperiencing8fpsychoses8fare8faware8fof8fexperiencing8fpsychologic
al8fproblems.
4. Individuals8fexperiencing8fpsychoses8fare8fbased8fin8freality.
10.8 f When8funder8fstress,8fa8fclient8froutinely8fuses8falcohol8fto8fexcess.8fWhen8fthe8fclient’s8fhusband8ffin
8f
ds8fher8fdrunk,8fthe8fhusband8fyells8fat8fthe8fclient8fabout8fher8fchronic8falcohol8fabuse.8fWhich8facti
on8falerts8fthe8fnurse8fto8fthe8fclient’s8fuse8fof8fthe8fdefense8fmechanism8fof8fdenial?
1. The8fclient8fhides8fliquor8fbottles8fin8fa8fcloset.
2. The8fclient8fyells8fat8fher8fson8ffor8fslouching8fin8fhis8fchair.
3. The8fclient8fburns8fdinner8fon8fpurpose.
4. The8fclient8fsays8fto8fthe8fspouse,8f“I8fdon’t8fdrink8ftoo8fmuch!”
11.8fDevastated8fby8fa8fdivorce8ffrom8fan8fabusive8fhusband,8fa8fwife8fcompletes8fgrief8fcounseling.8fWhic
8f
h8fstatement8fby8fthe8fwife8fwould8findicate8fto8fa8fnurse8fthat8fthe8fclient8fis8fin8fthe8facceptance8fstage8f
of8fgrief?