TEST BANK for Essentials of Psychiatric Mental Health Nursing 8e, Morgan Townsend
1. A nurse is assessing a client who is experiencing occasional
... [Show More] feelings of sadness because of the recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not changed. How should the nurse interpret the clients behaviors?
2. At what point should the nurse determine that a client is at risk for developing a mental illness?
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress. One twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse explain these different stress responses to the parents?
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated. Which is a correct evaluation of this nurses statement?
6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, Im here for my heart, not my head problems. Which is the nurses best response?
7. An employee uses the defense mechanism of displacement when the boss openly disagrees with suggestions. What behavior would be expected from this employee?
8. A fourth-grade boy teases and makes jokes about a cute girl in his class. This behavior should be identified by a nurse as indicative of which defense mechanism?
9. Which nursing statement about the concept of neurosis is most accurate?
10. Which nursing statement regarding the concept of psychosis is most accurate?
11. When under stress, a client routinely uses alcohol to excess. Finding her drunk, her husband yells at the client about her chronic alcohol abuse. Which action alerts the nurse to the clients use of the defense mechanism of denial?
12. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife should indicate to a nurse that the client is in the acceptance stage of grief?
13. A nurse is performing a mental health assessment on an adult client. According to Maslows hierarchy of needs, which client action would demonstrate the highest achievement in terms of mental health?
14. According to Maslows hierarchy of needs, which situation on an in-patient psychiatric unit would require priority intervention by a nurse?
15. How would a nurse best complete the new DSM-5 definition of a mental disorder?
16. A nurse is assessing a client who appears to be experiencing some anxiety during questioning. Which symptoms might the client demonstrate that would indicate anxiety?
17. _______________________ is a diffuse apprehension that is vague in nature and is associated with feelings of uncertainty and helplessness
18. _______________________ is a subjective state of emotional, physical, and social responses to the loss of a valued entity
Chapter 2. Biological Implications
Multiple Choice
1. A depressed client states, I have a chemical imbalance in my brain. I have no control over my behavior. Medications are my only hope to feel normal again. Which nursing response is appropriate?
2. A client diagnosed with major depressive disorder asks, What part of my brain controls my emotions? Which nursing response is appropriate?
3. Which part of the nervous system should a nurse identify as playing a major role during stressful situations?
4. Which client statement reflects an understanding of circadian rhythms in psychopathology?
5. Which types of adoption studies should a nurse recognize as providing useful information for the psychiatric community? [Show Less]