Chapter 2 Flashcards
A nurse is assessing a client who is experiencing 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 should the nurse interpret the client’s behaviors?
A.
The client’s behaviors demonstrate mental illness in the form of depression.
B.
The client’s behaviors are extensive which indicates the presence of mental illness.
C.
The client’s behaviors are not congruent with cultural norms.
D.
The client’s behaviors demonstrate no functional impairment, indicating no mental illness.
D
At what point should the nurse determine that a client is at risk for developing a mental illness?
A.
When thoughts, feelings, and behaviors are not reflective of the DSM-IV-TR criteria
B.
When maladaptive responses to stress are coupled with interference in daily functioning
C.
When a client communicates significant distress
D.
When a client uses defense mechanisms as ego protection
B
A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress. One twin becomes anxious and irritable, while the other withdraws and cries. How should the nurse explain these different responses to stress to the parents?
A.
Reactions to stress are relative rather than absolute; individual responses to stress vary.
B.
It is abnormal for identical twins to react differently to similar stressors.
C.
Identical twins should share the same temperament and respond similarly to stress.
D.
Environmental influences to stress weigh more heavily than genetic influences.
A
A client has a history of excessive drinking which has led to multiple driving under the influence (DUI) arrests. The client states, “I work hard to provide for my family. I don’t see why I can’t drink to relax.” The nurse recognizes the use of which defense mechanism? A. Projection B. Rationalization C. Regression D. Sublimation
B
5. Which client should the nurse anticipate to be most receptive to psychiatric treatment? A. A Jewish, female journalist B. A Baptist, homeless male C. A Catholic, black male D. A Protestant, Swedish business executive
A
A new psychiatric nurse states, “This client’s use of defense mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s statement?
A.
Defense mechanisms can be appropriate responses to stress and need not be eliminated.
B.
Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and should always be eliminated.
C.
Defense mechanisms, used by individuals with weak ego integrity, should be discouraged and not eliminated.
D.
Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
A
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?
A.
“It’s just a routine part of our assessment. All clients are asked these same questions.”
B.
“Why are you concerned about these types of questions?”
C.
“Psychological factors, like excessive stress, have been found to affect medical conditions.”
D.
“We can skip these questions, if you like. It isn’t imperative that we complete this section.”
C
Which statement reflects a student nurse’s accurate understanding of the concepts of mental health and mental illness?
A.
“The concepts are rigid and religiously based.”
B.
“The concepts are multidimensional and culturally defined.”
C.
“The concepts are universal and unchanging.”
D.
“The concepts are unidimensional and fixed.”
B
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
C
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
B
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
C
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.”
B
When under stress, a client routinely uses an excessive amount of alcohol. Finding her drunk, her husband yells at the client 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 don’t drink too much!”
D
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 don’t have any appetite and continue to lose weight.”
C
A nurse is performing a mental health assessment on an adult client. According to Maslow’s 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
C
