Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
TEST BANK
,Chapter9b1:9bMental9bHealth9band9bMental9bIllness
Multiple9bChoice
Identify9bthe9bchoice9bthat9bbest9bcompletes9bthe9bstatement9bor9banswers9bthe9bquestion.
1. A9bnurse9bis9bassessing9ba9bclient9bwho9bexperiences9boccasional9bfeelings9bof9bsadness9bbecause9bof9bth
e9brecent9bdeath9bof9ba9bbeloved9bpet.9bThe9bclient’s9bappetite,9bsleep9bpatterns,9band9bdaily9broutine9bh
ave9bnot9bchanged.9bHow9bwould9bthe9bnurse9binterpret9bthe9bclient’s9bbehaviors?
1. The9bclient’s9bbehaviors9bdemonstrate9bmental9billness9bin9bthe9bform9bof9bdepression.
2. The9bclient’s9bbehaviors9bare9binappropriate,9bwhich9bindicates9bthe9bpresence9bof9b
mental9billness.
3. The9bclient’s9bbehaviors9bare9bnot9bcongruent9bwith9bcultural9bnorms.
4. The9bclient’s9bbehaviors9bdemonstrate9bno9bfunctional9bimpairment,9bindicating9bno9bm
ental9billness.
2. At9bwhich9bpoint9bwould9bthe9bnurse9bdetermine9bthat9ba9bclient9bis9bat9brisk9bfor9bdeveloping9ba9bmental9billness
1. When9bthoughts,9bfeelings,9band9bbehaviors9bare9bnot9breflective9bof9bthe9bDSM-59bcriteria.
2. When9bmaladaptive9bresponses9bto9bstress9bare9bcoupled9bwith9binterference9bin9b
daily9bfunctioning.
3. When9ba9bclient9bcommunicates9bsignificant9bdistress.
4. When9ba9bclient9buses9bdefense9bmechanisms9bas9bego9bprotection.
3. A9bclient9bhas9bbeen9bgiven9ba9bdiagnosis9bof9bhuman9bimmunodeficiency9bvirus9b(HIV).9bWhich9bst
atement9bmade9bby9bthe9bclient9bdoes9bthNeUnuRrS
seIrN
ecGoT
gnBiz.eCaO
s9bMt h e 9bbargaining9bstage9bof9bgrief?
1. “I9bhate9bmy9bpartner9bfor9bgiving9bme9bthis9bdisease9bI9bwill9bdie9bfrom!”
2. “If9bI9bdon’t9bdo9bintravenous9b(IV)9bdrugs9banymore,9bGod9bwon’t9blet9bme9bdie.”
3. “I9bam9bgoing9bto9bsupport9bgroups9band9blearn9bmore9babout9bthe9bdisease.”
4. “Can9byou9bplease9bre-draw9bthe9btest9bresults,9bI9bthink9bthey9bmay9bbe9bwrong?”
4. A9bnurse9bnotes9bthat9ba9bclient9bis9bextremely9bwithdrawn,9bdelusional,9band9bemotionally9bexhauste
d.9bThe9bnurse9bassesses9bthe9bclient’s9banxiety9bas9bwhich9blevel?
1. Mild9banxiety
2. Moderate9banxiety
3. Severe9banxiety
4. Panic9banxiety
5. A9bpsychiatric9bnurse9bintern9bstates,9b“This9bclient’s9buse9bof9bdefense9bmechanisms9bshould9bbe9belimi
nated.”9bWhich9bis9ba9bcorrect9bevaluation9bof9bthis9bnurse’s9bstatement?
1. Defense9bmechanisms9bcan9bbe9bappropriate9bresponses9bto9bstress9band9bneed9b
not9bbe9beliminated.
, 6. During9ban9bintake9bassessment,9ba9bnurse9basks9bboth9bphysiological9band9bpsychosocial9bquestions.9bT
he9bclient9bangrily9bresponds,9b“I’m9bhere9bfor9bmy9bheart,9bnot9bmy9bhead9bproblems.”9bWhich9bis9bthe9bn
urse’s9bbest9bresponse?
1. “It9bis9bjust9ba9broutine9bpart9bof9bour9bassessment.9bAll9bclients9bare9basked9bthe
se9bsame9bquestions.”
2. “Why9bare9byou9bconcerned9babout9bthese9btypes9bof9bquestions?”
3. “Psychological9bfactors,9blike9bexcessive9bstress,9bhave9bbeen9bfound9bto9baffect9bm
edical9bconditions.”
4. “We9bcan9bskip9bthese9bquestions,9bif9byou9blike.9bIt9bisn’t9bimperative9bthat9bwe9bcompl
ete9bthis9bsection.”
7. A9bclient9bwho9bis9bbeing9btreated9bfor9bchronic9bkidney9bdisease9bcomplains9bto9bthe9bhealth-
care9bprovider9bthat9bhe9bdoes9bnot9blike9bthe9bfood9bavailable9bto9bhim9bwhile9bhospitalized.9bThe9bheal
th-
care9bprovider9binsists9bthat9bthe9bclient9bstrictly9badhere9bto9bthe9bdiet9bplan.9bWhat9baction9bcan9bbe9bexp
ected9bis9bthe9bclient9buses9bthe9bdefense9bmechanism9bof9bdisplacement?
1. The9bclient9bassertively9bconfronts9bthe9bhealth-care9bprovider.
2. The9bclient9binsists9bon9bbeing9bdischarged9band9bgoes9bfor9ba9blong,9bbrisk9bwalk.
3. The9bclient9bsnaps9bat9bthe9bnurse9band9bcriticizes9bthe9bnursing9bcare9bprovided.
4. The9bclient9bhides9bhis9banger9bby9bexplaining9bthe9blogical9breasoning9bfor9bthe9bdie
t9bto9bhis9bspouse.
8.
A9bfourth-
grade9bboy9bteases9band9bmakes9bjokes9babout9ba9bcute9bgirl9bin9bhis9bclass.9bA9bnurse9bwould9brecognize9bt
his9bbehavior9bas9bindicative9bof9bwhich9bdefense9bmechanism?
1. Displacement
2. Projection
3. Reaction9bformation
4. Sublimation
9.9 b Which9bnursing9bstatement9bregarding9bthe9bconcept9bof9bpsychosis9bis9bmost9baccurate?
1. Individuals9bexperiencing9bpsychoses9bare9baware9bthat9btheir9bbehaviors9bare9bmaladaptive.
2. Individuals9bexperiencing9bpsychoses9bexperience9blittle9bdistress.
3. Individuals9bexperiencing9bpsychoses9bare9baware9bof9bexperiencing9bpsycholog
ical9bproblems.
4. Individuals9bexperiencing9bpsychoses9bare9bbased9bin9breality.
10.9 b When9bunder9bstress,9ba9bclient9broutinely9buses9balcohol9bto9bexcess.9bWhen9bthe9bclient’s9bhusband9
9b
bfinds9bher9bdrunk,9bthe9bhusband9byells9bat9bthe9bclient9babout9bher9bchronic9balcohol9babuse.9bWhic
h9baction9balerts9bthe9bnurse9bto9bthe9bclient’s9buse9bof9bthe9bdefense9bmechanism9bof9bdenial?
1. The9bclient9bhides9bliquor9bbottles9bin9ba9bcloset.
2. The9bclient9byells9bat9bher9bson9bfor9bslouching9bin9bhis9bchair.
3. The9bclient9bburns9bdinner9bon9bpurpose.
4. The9bclient9bsays9bto9bthe9bspouse,9b“I9bdon’t9bdrink9btoo9bmuch!”
11.9bDevastated9bby9ba9bdivorce9bfrom9ban9babusive9bhusband,9ba9bwife9bcompletes9bgrief9bcounseling.9bW
9b
hich9bstatement9bby9bthe9bwife9bwould9bindicate9bto9ba9bnurse9bthat9bthe9bclient9bis9bin9bthe9bacceptance9