Psychiatric Mental Health Nursing 9th Edition Townsend - TEST BANK
digital downloadTest Bank

Psychiatric Mental Health Nursing 9th Edition Townsend - TEST BANK

Psychiatric Mental Health Nursing 9th Edition Townsend - TEST BANK   Instant Download - Complete Test Bank With Answers     Sample Questions Are Posted Below   The DSM-5 is an organized manual describing mental disorders and the criteria that determine whether a givendiagnosis is appropriate. It is published by the American Psychiatric Association (APA). …

$19.99

Psychiatric Mental Health Nursing 9th Edition Townsend – TEST BANK

 

Instant Download – Complete Test Bank With Answers

 

 

Sample Questions Are Posted Below

 

The DSM-5 is an organized manual describing mental disorders and the criteria that determine whether a given
diagnosis is appropriate. It is published by the American Psychiatric Association (APA). It intends to facilitate
accurate and reliable medical diagnosis and treatment. Item C describes nursing rather than medical diagnosis.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
10. The nurse is preparing to provide medication instruction for a patient. Which of the following
understandings about anxiety will be essential to effective instruction?
A. Learning is best when anxiety is moderate to severe.
B. Learning is enhanced when anxiety is mild.
C. Panic level anxiety helps the nurse teach better.
D. Severe anxiety is characterized by intense concentration and enhances the attention span.
ANS: B
Mild anxiety sharpens the senses, increases the perceptual field, and results in heightened awareness of the
environment. Learning is enhanced. As anxiety increases, attention span decreases and learning becomes more
difficult.
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Planning | Client Need:
Health Promotion and Maintenance
11. Which of the following are identified as psychoneurotic responses to severe anxiety as they appear in the
DSM-5?
A. Somatic symptom disorders
B. Grief responses
C. Psychosis
D. Bipolar disorder
ANS: A
Somatic symptom disorder is characterized by preoccupation with physical symptoms for which there is no
demonstrable organic pathology. One of the diagnostic criteria is a high level of anxiety about health concerns
or illness.
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
12. An employee uses the defense mechanism of displacement when the boss openly disagrees with
suggestions. What behavior would be expected from this employee?
A. The employee assertively confronts the boss
B. The employee leaves the staff meeting to work out in the gym
C. The employee criticizes a coworker
D. The employee takes the boss out to lunch
ANS: C
The client using the defense mechanism of displacement would criticize a coworker after being confronted by
Test Bank – Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 12
the boss. Displacement refers to transferring feelings from one target to a neutral or less-threatening target.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
13. A teenage boy is attracted to a female teacher. Without objective evidence, a school nurse overhears the
boy state, I know she wants me. This statement reflects which defense mechanism?
A. Displacement
B. Projection
C. Rationalization
D. Sublimation
ANS: B
The nurse should determine that the clients statement reflects the defense mechanism of projection. Projection
refers to the attribution of ones unacceptable feelings or impulses to another person. When the client passes the
blame of the undesirable feelings, anxiety is reduced. Displacement refers to transferring feelings from one
target to another. Rationalization refers to making excuses to justify behavior. Sublimation refers to channeling
unacceptable drives or impulses into more constructive, acceptable activities.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
14. 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?
A. Displacement
B. Projection
C. Reaction formation
D. Sublimation
ANS: C
The nurse should identify that the boy is using reaction formation as a defense mechanism. Reaction formation
is the attempt to prevent undesirable thoughts from being expressed by expressing opposite thoughts or
behaviors. Displacement refers to transferring feelings from one target to another. Rationalization refers to
making excuses to justify behavior. Projection refers to the attribution of unacceptable feelings or behaviors to
another person. Sublimation refers to channeling unacceptable drives or impulses into more constructive,
acceptable activities.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
15. Which nursing statement about the concept of neuroses is most accurate?
A. An individual experiencing neurosis is unaware that he or she is experiencing distress.
B. An individual experiencing neurosis feels helpless to change his or her situation.
C. An individual experiencing neurosis is aware of psychological causes of his or her behavior.
D. An individual experiencing neurosis has a loss of contact with reality.
ANS: B
Test Bank – Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 13
The nurse should understand that the concept of neuroses includes the following characteristics. The client
feels helpless to change his or her situation, the client is aware that he or she is experiencing distress, the client
is aware the behaviors are maladaptive, the client is unaware of the psychological causes of the distress, and
the client experiences no loss of contact with reality.
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
16. Which nursing statement about the concept of psychoses is most accurate?
A. Individuals experiencing psychoses are aware that their behaviors are maladaptive.
B. Individuals experiencing psychoses experience little distress.
C. Individuals experiencing psychoses are aware of experiencing psychological problems.
D. Individuals experiencing psychoses are based in reality.
ANS: B
The nurse should understand that the client with psychoses experiences little distress, because of his or her lack
of awareness of reality. The client with psychoses is unaware that his or her behavior is maladaptive or that he
or she has a psychological problem.
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
17. When under stress, a client routinely uses an excessive amount of alcohol. Finding her drunk, her husband
yells at her about the chronic alcohol abuse. Which reaction should the nurse recognize as the use of the
defense mechanism of denial?
A. Hiding liquor bottles in a closet
B. Yelling at their son for slouching in his chair
C. Burning dinner on purpose
D. Saying to the spouse, I dont drink too much!
ANS: D
The nurse should associate the client statement I dont drink too much! with the use of the defense mechanism
of denial. The client who refuses to acknowledge the existence of a real situation and the feelings associated
with it is using the defense mechanism of denial.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
18. 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?
A. If only we could have tried again, things might have worked out.
B. I am so mad that the children and I had to put up with him as long as we did.
C. Yes, it was a difficult relationship, but I think I have learned from the experience.
D. I still dont have any appetite and continue to lose weight.
ANS: C
Test Bank – Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 14
The nurse should recognize that the client is in the acceptance stage of grief. During this stage of the grief
process, the client would be able to focus on the reality of the loss and its meaning in relation to life.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
19. 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?
A. Maintaining a long-term, faithful, intimate relationship
B. Achieving a sense of self-confidence
C. Possessing a feeling of self-fulfillment and realizing full potential
D. Developing a sense of purpose and the ability to direct activities
ANS: C
The nurse should identify that the client who possesses a feeling of self-fulfillment and realizes his or her full
potential has achieved self-actualization, the highest level on Maslows hierarchy of needs.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment |Client Need:
Psychosocial Integrity
20. According to Maslows hierarchy of needs, which situation on an inpatient psychiatric unit would require
priority intervention by a nurse?
A. A client rudely complaining about limited visiting hours
B. A client exhibiting aggressive behavior toward another client
C. A client stating that no one cares
D. A client verbalizing feelings of failure
ANS: B
The nurse should immediately intervene when a client exhibits aggressive behavior toward another client.
Safety and security are considered lower-level needs according to Maslows hierarchy of needs and must be
fulfilled before other, higher-level needs can be met. Clients who complain, have feelings of failure, or state
that no one cares are struggling with higher-level needs such as the need for love and belonging or the need for
self-esteem.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process: Implementation | Client Need:
Psychosocial Integrity
21. Which is an example of the ego defense mechanism of regression?
A. A mother blames the teacher for her childs failure in school.
B. A teenager becomes hysterical after seeing a friend killed in a car accident.
C. A woman wants to marry a man exactly like her beloved father.
D. An adult throws a temper tantrum when he does not get his own way.
ANS: D
Regression is the retreating to an earlier level of development and the comfort measures associated with that
level of functioning.
Test Bank – Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 15
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
22. Which is the most significant consequence of the excessive use of defense mechanisms?
A. The superego will be suppressed.
B. Emotions will be experienced intensely.
C. Learning and the ability to grow will be enhanced.
D. Problem-solving will be limited.
ANS: D
Defense mechanisms become maladaptive when they are used by an individual to such a degree that there is
interference with the ability to deal with reality, effective interpersonal relations, or occupational performance.
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
23. A husband accuses his wife of infidelity. Which situation would indicate to the nurse the husbands use of
the ego defense mechanism of projection?
A. The husband cries and stamps his feet, demanding that his wife be true to her marriage vows.
B. The husband ignores the wifes continued absence from the home.
C. The husband has already admitted to having an affair with a coworker.
D. The husband takes out his marital frustrations through employee abuse.
ANS: C
Projection is the attribution of feelings or impulses unacceptable to ones self to another person. In this
situation, the husband attributes his infidelity to his wife.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
24. Which should the nurse recognize as a DSM-5 disorder?
A. Obesity
B. Generalized anxiety disorder
C. Hypertension
D. Grief
ANS: B
The DSM-5 identifies several disorders that are related to anxiety, including generalized anxiety disorder,
somatic symptom disorder, and dissociative disorders.
KEY: Cognitive Level: Knowledge | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
25. A nurse is educating a patient about the difference between mental health and mental illness. Which
statement by the patient reflects an accurate understanding of mental health?
Test Bank – Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 16
A. Mental health is the absence of any stressors.
B. Mental health is successful adaptation to stressors in the internal and external environment.
C. Mental health is incongruence between thoughts, feelings, and behavior
D. Mental health is a diagnostic category in the DSM-5.
ANS: B
Several definitions of mental health exist, but this definition highlights concepts of successful adaptation to
stressors, including thoughts, feelings, and behaviors that are age-appropriate and congruent with cultural and
societal norms.
KEY: Cognitive Level: Analysis | Integrated Processes: Teaching/Learning | Client Need: Health Promotion
and Maintenance
26. Most cultures label behavior as mental illness on the basis of which of the following criteria?
A. Incomprehensibility and cultural relativity
B. Strength of character and ethics
C. Goal directedness and high energy
D. Creativity and good coping skills
ANS: A
Incomprehensibility and cultural relativity are most often the criteria used to define whether something is
labeled mental illness. The other identified behaviors would be more associated with health than illness.
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
27. Which should the nurse recognize as an example of the defense mechanism of repression?
A. A student aware of the need to study for tomorrows test goes to a movie instead.
B. A woman whose son was killed in Iraq does not believe the military report.
C. A man who is unhappily married goes to school to become a marriage counselor.
D. A woman was raped when she was 12 and no longer remembers the incident.
ANS: D
Repression is the involuntary blocking of unpleasant feelings and experiences from ones awareness.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
Multiple Response
28. Which of the following statements should a nurse recognize as true about defense mechanisms? Select all
that apply.
A. They are employed when there is a threat to biological or psychological integrity.
B. They are controlled by the id and deal with primal urges.
C. They are used in an effort to relieve mild to moderate anxiety.
Test Bank – Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 17
D. They are protective devices for the superego.
E. They are mechanisms that are characteristically self-deceptive.
ANS: A, C, E
Defense mechanisms are employed by the ego in the face of threats to biological and psychological integrity, in
an effort to relieve mild to moderate anxiety. Because they redirect focus, they are characteristically self-
deceptive.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
29. A nurse is assessing a client who appears to be experiencing moderate anxiety during questioning. Which
symptoms might the client demonstrate? Select all that apply.
A. Fidgeting
B. Laughing inappropriately
C. Palpitations
D. Nail biting
E. Extremely limited attention span
ANS: A, B, D
The nurse should assess that fidgeting, laughing inappropriately, and nail biting are indicative of heightened
stress levels. The client would not be diagnosed with mental illness unless there is significant impairment in
other areas of daily functioning. Other indicators of more serious anxiety are restlessness, difficulty
concentrating, muscle tension, and sleep disturbance.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
30. Which of the following are cultural aspects of mental illness? Select all that apply.
A. Local or cultural norms define pathological behavior.
B. The higher the social class the greater the recognition of mental illness behaviors.
C. Psychiatrists typically see patients when the family can no longer deny the illness.
D. The greater the cultural distance from the mainstream of society, the greater the likelihood that the illness
will be treated with sensitivity and compassion.
ANS: A, B, C
The fewer ties that a group has with mainstream society, the greater the likelihood of a negative response by
society to mental illness. Coercive treatments and involuntary hospitalizations are more common in this
population.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
.
31. How is the DSM-5 useful in the practice of psychiatric nursing? Select all that apply.
A. It informs the nurse of accurate and reliable medical diagnosis.
Test Bank – Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 18
B. It represents progress toward a more holistic view of mindbody.
C. It provides a framework for interdisciplinary communication.
D. It provides a template for nursing care plans.
E. It provides a framework for communication with the client.
ANS: A, B, C
The DSM-5 is useful in the practice of psychiatric nursing because it facilitates comprehensive evaluation of
the client. In addition, it encourages a holistic view and provides a framework for interdisciplinary
communication.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process: Assessment | Client Need: Safe
and Effective Care Environment
Test Bank – Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 19

Additional information

Add Review

Your email address will not be published. Required fields are marked *

Related Products

Quick Links
Contact Information

511 SW 10th Ave 1206, Portland, OR, United States

Pinterest

Nurse Guide Hub

©2026 – All Rights Reserved