FINAL Ch 34

Question 1

What is the mental health nurse referring to when using the term behavior?
a. An isolated incident
b. The manner in which a person performs
c. A product of a coping strategy
d. Failure to adapt

Answer 1

ANS: B

Question 2

What definition should the nurse use to clarify the concept of “mental health”?
a. A wellness of attitude
b. A person’s response to disease and dysfunction
c. The ability to cope and adjust to everyday stresses
d. How the person performs activities of daily living

Answer 2

ANS: C

Question 3

How should the nurse document the behavior of a patient with mental illness?
a. Very disruptive to a person in society
b. Differing from socially acceptable behavior
c. Causing the person to be involved in problems
d. Resulting from an inability to exercise control

Answer 3

ANS: B

Question 4

How many people in the United States will develop a mental disorder during their lifetime?
a. One in two
b. One in five
c. One in eight
d. One in ten

Answer 4

ANS: A

Question 5

During the 17th and 18th centuries, care of patients with mental illness often was cruel. What type of care was used by Dr. Philippe Pinel to bring about change?
a. Personal care
b. Individual care
c. Behavior care d. Humane care

Answer 5

ANS: D

Question 6

When was psychiatric training for nurses initially offered?
a. 1852
b. 1882
c. 1902
d. 1922

Answer 6

ANS: B

Question 7

Using the mental health continuum as a guide, the nurse observes behavior that usually places an individual on the illness end of the continuum. What is true of this behavior?
a. It causes extreme concern about health.
b. It results in inability to function in society.
c. It demonstrates that the person is out of touch with reality.
d. It results in inability to interact with people.

Answer 7

ANS: C

Question 8

The majority of people function in a relatively healthy manner. What can diminish their functional capacity?
a. Lack of a support system
b. Periods of crisis
c. Nutritional deficits
d. A physical disease process

Answer 8

ANS: B

Question 9

What is the basis for classifying a person as having a mental illness?
a. Behavior exhibited and the context
b. Response of society to the behavior
c. Ability of the patient to conform
d. Patient’s history and previous behavior

Answer 9

ANS: A

Question 10

Using Freud’s personality theory, what action by a patient identifies the influence of the superego?
a. Eating an entire chocolate pie
b. Becoming anxious about having no visitors
c. Monopolizing the attention of the health care provider
d. Returning a $5 bill that another patient left on the table

Answer 10

ANS: D

Question 11

Using Freud’s personality theory, what action by a patient indicates a strong ego?
a. Laughs at himself for being foolish.
b. Continually boasts of his accomplishments.
c. Apologizes continually.
d. Insists that the TV channel stay tuned to CNN.

Answer 11

ANS: A

Question 12

Which theorist believed that personality development was based on task mastery?
a. Sigmund Freud
b. Erik Erikson
c. Jean Piaget
d. Friedrich Nietzsche

Answer 12

ANS: B

Question 13

Which role is an example of an ascribed role?
a. Sex
b. Occupation
c. Manner of dealing with stress
d. Attitude toward homosexuality

Answer 13

ANS: A

Question 14

The nurse is assessing a young woman who is a teacher, happily married, raising two children, taking care of her disabled mother, and going to school to get a master’s degree. How should the behavior of the young woman be classified?
a. Ego-centered
b. Role integrated
c. High-level wellness
d. Unbounded energy

Answer 14

ANS: B

Question 15

What action consistently done by a patient should indicate to a nurse that the patient has a poor self-concept?
a. Wears bright-colored clothing.
b. Demands the attention of staff.
c. Apologizes to others repeatedly.
d. Becomes angry when frustrated.

Answer 15

ANS: C

Question 16

What does any event that requires change stimulate?
a. Anger
b. Depression
c. Stress
d. Anxiety

Answer 16

ANS: C

Question 17

A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism?
a. Writing down long lists of needed interventions before starting the day’s work
b. Delegating appropriate care assignments to unlicensed assistive personnel
c. Asking a coworker to take one of her patients
d. Asking for the day off

Answer 17

ANS: B

Question 18

A perceived threat to self causes what emotion? a. Fear
b. Anger
c. Depression d. Anxiety

Answer 18

ANS: D

Question 19

What action by a student before taking a test should indicate to a nursing instructor that the student is demonstrating signs of moderate anxiety?
a. Studies for 6 hours
b. Sleeps 6 hours because of fatigue
c. Vomits
d. Argues about the scheduling of the test

Answer 19

ANS: C

Question 20

What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?
a. Projection
b. Adaptation
c. Reaction formation
d. Compensation

Answer 20

ANS: B

Question 21

A 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism?
a. Compensation
b. Denial
c. Regression d. Repression

Answer 21

ANS: C

Question 22

When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the patient is using which defense mechanism?
a. Compensation
b. Rationalization
c. Sublimation
d. Regression

Answer 22

ANS: B

Question 23

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient’s response is: “It’s only a little bit, and it won’t do anything.” Which defense mechanism is the patient using?
a. Conversion
b. Denial
c. Repression d. Regression

Answer 23

ANS: B

Question 24

The patient complains to the nurse that the health care provider does not like him and wants him to fail at following the diet prescribed. The nurse recognizes that the patient is using which defense mechanism?
a. Conversion
b. Projection c. Introjection d. Repression

Answer 24

ANS: B

Question 25

The nurse is sensitive to the fact that patients lose control over their lives when admitted to the hospital. In what does this loss of control frequently result?
a. Anger
b. Depression
c. Fear
d. Anxiety

Answer 25

ANS: D

Question 26

The patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. What is this role called?
a. Patient role
b. Illness role
c. Sick role
d. Dependent role

Answer 26

ANS: C

Question 27

Why is it important for the nurse to be observant of patient behavior?
a. Behavior is preformed.
b. Behavior is important.
c. Behavior is learned.
d. Behavior is repeated.

Answer 27

ANS: C

Question 28

What is a nursing intervention that helps to build trust, encourages the patient to have faith in the care being receive d, and meets psychosocial needs?
a. Developing a care plan
b. Implementing nurse orders
c. Patient education
d. Meeting patient goals

Answer 28

ANS: C

Question 29

A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?
a. High anxiety
b. Denial
c. Reconciliation
d. Adaptation

Answer 29

ANS: B

Question 30

When developing a care plan for a mentally ill patient, what should the nurse assess first?
a. Coping strategies
b. Emotional status
c. Medications taken
d. Nutritional status

Answer 30

ANS: B

Question 31

When the patient is told that his insurance will no longer pay for his physical therapy, the nurse is aware that this obstruction to his goal may result in which concept?
a. Conflict
b. Adaptation
c. Frustration
d. Anxiety

Answer 31

ANS: C

Question 32

What is the most likely result when an attempt at adaptation fails? a. Depression
b. Anger
c. Frustration d. Anxiety

Answer 32

ANS: D

Question 33

The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient’s level of anxiety?
a. Mild
b. Moderate c. Severe
d. Panic

Answer 33

ANS: C

Question 34

When assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use?
a. Ask him if he has a drinking problem.
b. Explore the option of his moving in with someone.
c. Reminisce with the patient and review his life.
d. Assess for hopelessness and helplessness.

Answer 34

ANS: C

Question 35

A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?
a. Isolation
b. Suicidal ideation
c. Fear
d. Anger

Answer 35

ANS: B

Question 36

Which event in the mental health care movement occurred first?
a. Establishment of Pennsylvania Hospital
b. Deinstitutionalization movement
c. Formation of Committee for Mental Health
d. Passage of Omnibus Budget
e. Dorothea Dix awakens public awareness of plight of mentally ill

Answer 36

ANS: A