FINAL Ch 34 Flashcards
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
ANS: B
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
ANS: C
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
ANS: B
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
ANS: A
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
ANS: D
When was psychiatric training for nurses initially offered?
a. 1852
b. 1882
c. 1902
d. 1922
ANS: B
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.
ANS: C
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
ANS: B
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
ANS: A
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
ANS: D
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.
ANS: A
Which theorist believed that personality development was based on task mastery?
a. Sigmund Freud
b. Erik Erikson
c. Jean Piaget
d. Friedrich Nietzsche
ANS: B
Which role is an example of an ascribed role?
a. Sex
b. Occupation
c. Manner of dealing with stress
d. Attitude toward homosexuality
ANS: A
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
ANS: B
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.
ANS: C
What does any event that requires change stimulate?
a. Anger
b. Depression
c. Stress
d. Anxiety
ANS: C
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
ANS: B
A perceived threat to self causes what emotion? a. Fear
b. Anger
c. Depression d. Anxiety
ANS: D
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
ANS: C
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
ANS: B
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
ANS: C
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
ANS: B
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
ANS: B
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
ANS: B