Identify the choice that best completes the statement or answers the question.

Essentials of Psychiatric Mental Health Nursing 8th Morgan

TEST BANK

Chapter 1: Mental Health and Mental Illness

Multiple Choice Identify the choice that best completes the statement or answers the question.

1.

2.

3.

4.

5.A nurse is assessing a client who experiences occasional feelings of sadness because of the recent death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed.How would the nurse interpret the client’s behaviors?

• The client’s behaviors demonstrate mental illness in the form of depression.
• The client’s behaviors are inappropriate, which indicates the presence of mental

illness.

• The client’s behaviors are not congruent with cultural norms.
• The client’s behaviors demonstrate no functional impairment, indicating no mental

illness.At which point would the nurse determine that a client is at risk for developing a mental illness?

• When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
• When maladaptive responses to stress are coupled with interference in daily

functioning.

• When a client communicates significant distress.
• When a client uses defense mechanisms as ego protection.

A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement made by the client does thNeUnRurSseIrNecGoTgnBi.zeCaOs Mthe bargaining stage of grief?

• “I hate my partner for giving me this disease I will die from!”
• “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.”
• “I am going to support groups and learn more about the disease.”
• “Can you please re-draw the test results, I think they may be wrong?”

A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the client’s anxiety as which level?

• Mild anxiety
• Moderate anxiety
• Severe anxiety
• Panic anxiety

A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s statement?

• Defense mechanisms can be appropriate responses to stress and need not be

eliminated.

• Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and

should always be eliminated.

• Defense mechanisms, used by individuals with weak ego integrity, should be

discouraged and not completely eliminated.

• Defense mechanisms cause disintegration of the ego and should be fostered and

encouraged. 1 / 4

6.

7.

8.During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best response?

• “It is just a routine part of our assessment. All clients are asked these same

questions.”

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

conditions.”

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

section.” A client who is being treated for chronic kidney disease complains to the health-care provider that he does not like the food available to him while hospitalized. The health-care provider insists that the client strictly adhere to the diet plan. What action can be expected is the client uses the defense mechanism of displacement?

• The client assertively confronts the health-care provider.
• The client insists on being discharged and goes for a long, brisk walk.
• The client snaps at the nurse and criticizes the nursing care provided.
• The client hides his anger by explaining the logical reasoning for the diet to his

spouse.A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize this behavior as indicative of which defense mechanism?

• Displacement
• Projection
• Reaction formation
• Sublimation
• Which nursing statement regarding the concept of psychosis is most accurate?
• Individuals experiencing psychoses are aware that their behaviors are maladaptive.
• Individuals experiencing psychoses experience little distress.
• Individuals experiencing psychoses are aware of experiencing psychological

problems.

• Individuals experiencing psychoses are based in reality.
• When under stress, a client routinely uses alcohol to excess. When the client’s husband finds her

drunk, the husband yells at the client about her chronic alcohol abuse. Which action alerts the nurse to the client’s use of the defense mechanism of denial?

• The client hides liquor bottles in a closet.
• The client yells at her son for slouching in his chair.
• The client burns dinner on purpose.
• The client says to the spouse, “I don’t drink too much!”
• Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which

statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief?

• “If only we could have tried again, things might have worked out.”
• “I am so mad that the children and I had to put up with him as long as we did.”
• “Yes, it was a difficult relationship, but I think I have learned from the 2 / 4

experience.”

• “I have a difficult time getting out of bed most days.”
• According to Maslow’s hierarchy of needs, which client action would demonstrate the highest

achievement in terms of mental health?

• Maintaining a long-term, faithful, intimate relationship
• Achieving a sense of self-confidence
• Possessing a feeling of self-fulfillment and realizing full potential
• Developing a sense of purpose and the ability to direct activities
• According to Maslow’s hierarchy of needs, which situation on an inpatient psychiatric unit would

require priority intervention by a nurse?

• A client rudely complaining about limited visiting hours
• A client exhibiting aggressive behavior toward another client
• A client stating that no one cares
• A client verbalizing feelings of failure

Multiple Response Identify one or more choices that best complete the statement or answer the question.

• Which describes a defense mechanism an individual may use to relieve anxiety in a stressful

situation? (Select all that apply.)

• Homework
• Smoking
• Itching
• Nail biting
• Sleeping
• The nurse is reviewing the DSM-5 definition of a mental health disorder and notes the definition

includes a disturbance in which areas? (Select all that apply.)

• Cognition
• Physical
• Emotional regulation
• Behavior
• Developmental

Completion Complete each statement.

• is a diffuse apprehension that is vague in nature and is associated

with feelings of uncertainty and helplessness.

• is a subjective state of emotional, physical, and social responses to

the loss of a valued entity.

Other 3 / 4

• Place in order the Kübler Ross stages of grief from 1-5. (Enter the number of each step in the

proper sequence, using comma and space format, such as: 1, 2, 3, 4.)

• Bargaining
• Denial
• Acceptance
• Depression
• Anger
• / 4