Chap. 2 review questions Flashcards

1
Q

DSM-IV is the most common classification system used to identify and diagnose mental illness. The one aspect of an illness not discussed in DSM-IV is:
A - Complications of the common disorders
B - Symptoms of the common disorders
C - Lab tests useful in diagnosing common disorders
D - Etiology of common disorders

A

D.
DSM, by design, is an atheoretical text and therefore makes no attempt to address the issue of etiology of psychological disorders

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2
Q

Mrs French has been in individual therapy for 3 months. She has shown much growth and improvement and is to discontinue services in the next few weeks. You discuss termination; she suddenly begins to demonstrate the original symptoms that brought her to treatment initially. She is now hesitant to discharge, wants to continue services, and is displaying increased regressive defense mechanisms. The best explanation is:
A - An exacerbation of her symptoms related to stress
B - The normal cyclic nature of chronic mental health symptoms
C - A sign of normal resistance to termination seen in the termination phase of the nurse-client relationship
D - A sign of pathological attachment to the therapist that must be addressed

A

C.
Clients frequently display resistance and regression at termination. The NP is responsible for planning an effective termination and monitoring clients during the termination period.

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3
Q
And example of a mature, healthy defense mechanism is:
A - Denial
B - Rationalization
C - Repression
D - Suppression
A

D.

Suppression channels conflicting energies into growth-promoting activities.

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4
Q
A man thinks to himself that his wife is really ugly when he sees her at the breakfast table one morning.  He doesn't tell her this, though, as he doesn't want to hurt her feelings.  Later in the day he gets an sudden, unexplainable urge to send his wife flowers.  The best explanation for this unconscious action is:
A - Undoing
B - Suppression
C - Denial
D - Repression
A

A.

Undoing is the act of negating or undoing intolerable thoughts or feelings.

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