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Mental Health-Exam 1 > Stress & Coping > Flashcards

Stress & Coping Flashcards

0
Q

What is a sudden event in one’s life that disturbs homeostasis, during which usual coping mechanisms cannot resolve the problem?

A

Crisis

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1
Q

What phase is it when the individual is exposed to a precipitating stressor?

A

Phase 1 in the development of a crisis

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2
Q

What are acute responses to external situational stressors?

A

Dispositional crisis

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3
Q

What occurs with normal life-cycle transitions that may be anticipated but over which the individual may feel a lack of control?

A

Crisis of anticipated life transitions

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4
Q

What is precipitated by an unexpected external stressor over which the individual has little or no control & from which he or she feels emotionally overwhelmed & defeated?

A

Crisis resulting from traumatic stress

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5
Q

What occurs in response to situations that trigger emotions r/t unresolved conflicts in one’s life?

A

Maturational or developmental crisis

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6
Q

What is the minimum goal of crisis intervention?

A

Psychological resolution of the persons crisis & restoration to at least the level of functioning that existed before the crisis

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7
Q

What is a preexisting psychopathology that has been instrumental in precipitating the crisis or in which psychopathology significantly impairs or complicates adaptive resolution?

A

Crisis reflecting psychopathology

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8
Q

What is the maximum goal of crisis intervention?

A

Improvement in functioning above the pre-crisis level

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9
Q

What phase is it when previous problem solving techniques do not relieve the stressor, & anxiety increases further?

A

Phase 2 in the development of a crisis

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10
Q

What describes a set of behaviors that are predictive of impending violence & include anxiety, tension, verbal abuse, profanity, & increasing hyperactivity?

A

Prodromal syndrome

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11
Q

What are crisis situations in which general functioning has been severely impaired & the individual rendered incompetent or unable to assume personal responsibility?

A

Psychiatric emergencies

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12
Q

What phase is it when all possible resources, both internal & external, are called upon to resolve the problem & relive discomfort?

A

Phase 3 in the development of a crisis

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13
Q

What term is used to describe a diffuse apprehension thats vague in nature & is associated w/ feelings of uncertainty & helplessness?

A

Anxiety

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14
Q

What level of anxiety prepares people for action & is seldom a problem?

A

Mild level

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15
Q

What phase is it when if resolution does not occur in previous phases its burden increases over time to a breaking point?

A

Phase 4 in the development of a crisis

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16
Q

What level of anxiety makes a person less alert to events occurring w/in the environment & where their perceptual field diminishes, so assistance may be required?

A

Moderate level

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17
Q

What level of anxiety is where the attention span is extremely limited & their perceptual field is so diminished they have difficulty completed even the simplest task & their concentration centers on one detail only or on many?

A

Severe level

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18
Q

What level of anxiety is the most intense state & the individual is unable to focus on even 1 detail w/in the environment?

A

Panic

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19
Q

What stage of Selye’s General Adaptation Syndrome is where responses are initiated?

A

Alarm Reaction stage

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20
Q

What defense mechanism for anxiety is used to demonstrate an inability to reconcile negative & positive attributes of self or others?

A

Splitting

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21
Q

What term is used to describe the subjective state of emotional, physical, & social responses to the loss of a values entity?

A

Grief

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22
Q

What stage of grief describes envy & resentment toward individuals not affected, & anger is expressed to loved ones & God?

A

Anger

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23
Q

What stage of Selye’s General Adaptation Syndrome is where they use responses of 1st stage as a defense in attempt to adapt to stressor?

A

Stage of Resistance

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25
Q

What stage of grief describe a stage of shock & disbelief?

A

Denial stage

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26
Q

What defense mechanism for anxiety is used to temporarily block memories & perceptions from consciousness?

A

Dissociation

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28
Q

What stage of grief describes full impact of the loss is experienced & represents advancement toward resolution?

A

Depression

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29
Q

What defense mechanism for anxiety is used to perform an act to make up for prior behavior?

A

Undoing

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31
Q

What term is used to describe the experiencing of the grief process before the actual loss?

A

Anticipatory grief

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31
Q

What defense mechanism for anxiety is used to demonstrate behavior from an earlier developmental level & is often exhibited as childlike or immature behavior?

A

Regression

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32
Q

What response of the maladaptive grief response describes intense preoccupation w/ memories of the lost for many years after the loss as occurred?

A

Prolonged response

33
Q

What term is used to describe an emergency type of assistance where focus is to provide guidance & support to help mobilize resources needed to resolve in previous level of function, lasts 6-8wks?

A

Crisis intervention

34
Q

What stage of grief describes a bargain made w/ God to reverse the loss or replace the entity lost?

A

Bargaining

34
Q

What defense mechanism for anxiety is used to create reasonable & acceptable explanations for unacceptable behavior?

A

Rationalization

35
Q

What defense mechanism for anxiety is used in an attempt to increase self-worth by acquiring certain attributes & characteristics of an individual one admires?

A

Identification

36
Q

What response of the maladaptive grief response describes a fixed denial stage of grieving response?

A

Delayed/inhibited response

36
Q

What defense mechanism is used to pretend the truth is not reality to manage the anxiety of acknowledging what is real?

A

Denial

38
Q

What term is used to describe a natural or man made occurrence that overwhelms resources of an individual or group w/ increase need of evacuation & medical services?

A

Disaster

38
Q

What defense mechanism for anxiety is used to deal w/ anxiety by reaching out to others?

A

Alturism

40
Q

What response of the maladaptive grief response describes fixed in the anger stage of grieving response?

A

Distorted response

40
Q

What defense mechanism for anxiety is used to overcompensate or demonstrate the opposite behavior of what is felt?

A

Reaction formation

42
Q

What stage of Selye’s General Adaptation Syndrome is where prolong exposure to stressor in which body has become adjusted to & can no longer draw from resources of adaptation & where energy is depleted?

A

Stage of exhaustion

44
Q

What defense mechanism for anxiety is used to put unacceptable ideas, thoughts, and emotions out of conscious awareness?

A

Repression

45
Q

What response describes the hypothalamus stimulating sympathetic nervous system in the fight or flight syndrome?

A

Immediate response

46
Q

What stage of grief describes peace regarding the loss & focus is back on reality?

A

Acceptance

48
Q

What defense mechanism for anxiety is used to shift feelings r/t an object, person, or situation to another less threatening object, person, or situation?

A

Displacement

49
Q

What defense mechanism for anxiety is used to cover up a real or perceived weakness by emphasizing a trait one considers more desirable?

A

Compensation

50
Q

What response describes the stress response not relieved immediately & the person remains under stress for long period of time in the fight or flight syndrome?

A

Sustained response

51
Q

What defense mechanism for anxiety is used to separate a thought or memory from the feeling tone or emotion associated with it?

A

Isolation

52
Q

A pt. hates her mother bc of childhood neglect. The nurse determines which client statement represents the use of the defense mechanism of reaction formation?
A. “I don’t like to talk about my relationship w/ my mother”
B. “My mother hates me”
C. “I have a very wonderful mother whom I love very much”
D. “My mom always loved my sister more than she loved me”

A

C. “I have a very wonderful mother whom I love very much

54
Q 
A widow of 23 years has not removed any of her husband's possessions, including the slippers beside their bedside. Which pathological grief response is being exhibited by this pt?
A. inhibited grief response
B. Prolonged grief response
C. Delayed grief response 
D. Distorted grief response
A

B. Prolonged grief response

55
Q

What defense mechanism for anxiety is used to blame others for unacceptable thoughts & feelings?

A

Projection

56
Q 
A nurse who has lost a family member in a fire is a volunteer firefighter, which defense mechanism does this express?
A. Altruism
B. Suppression
C. Projection
D. Undoing
A

A. Altruism

57
Q 
A person who has a fear pf the dentists drills continuously "forgets" his dental appointments, which defense mechanism does this express?
A. Denial
B. Dissociation
C. Repression
D. Regression
A

C. Repression

58
Q 
A person who has feelings of anger & hostility toward his work supervisor sublimates those feelings by working out vigorously at the gym during his lunch break, which defense mechanism does this express?
A. Displacement
B. Sublimation
C. Rationalization
D. Identification
A

B. Sublimation

59
Q

A pt. lost his job. The nurse determines which client statement represents the use of the defense mechanism of suppression?
A. “I need to pay my bills asap.”
B. “I need to pay my bills, or my electricity will be cut off.”
C. I’ll pay my bills when I get around to it.”
D. I’ll worry about paying my bills next week.”

A

D. “I’ll worry about paying my bills next week.”

60
Q 
After learning his parents are separating a school-age child begins wetting the bed & sucking his thumb, which defense mechanism does this express?
A. Isolation
B. Introjection
C. Regression 
D. Altruism
A

C. Regression

61
Q 
A pt. who is angry about losing his job destroys his child's favorite toy, which defense mechanism does this express?
A. Displacement
B. Reaction formation
C. Sublimation
D. Undoing
A

A. displacement

62
Q 
A parent who is informed that his son was killed in combat tells everyone he is coming home for the holidays, which defense mechanism does this express?
A. Splitting
B. Denial
C. Rationalization
D. Isolation
A

B. Denial

63
Q 
A person who dislikes her sister's daughter offers to babysit so that her sister can go out of town, which defense mechanism does this express?
A. Displacement
B. Reaction formation
C. Dissociation
D. Altruism
A

B. Reaction formation

64
Q 
A young adult blames his substance use disorder on his parents refusal to buy him a new car, which defense mechanism does this express?
A. Projection
B. Introjection
C. Compensation
D. Rationalization
A

A. Projection

65
Q 
An adolescent completes his chores w/o being prompted after having an argument w/ his parents, which defense mechanism does this express?
A. Dissociation
B. Projection
C. Reaction formation
D. Undoing
A

D. Undoing

66
Q 
A pt. tells a nurse that she is the only one who cares about her, yet the following day, the same pt. refuses to talk to the nurse, which defense mechanism does this express?
A. Sublimation
B. Introjection
C. Denial
D. Splitting
A

D. Splitting

67
Q 
A young adult explains he had to drive home from a party after drinking alcohol because he had to feed his dog, which defense mechanism does this express?
A. Compensation
B. Reaction formation
C. Rationalization
D. Dissociation
A

C. Rationalization

68
Q 
An adolescent witnesses a shooting & is unable to recall any details of the event, which defense mechanism does this express?
A. Isolation
B. Dissociation
C. Undoing
D. Suppression
A

B. Dissociation

69
Q 
Which level of anxiety include characteristics such as vague feeling of mild discomfort, restlessness, irritability, impatience, & apprehension & may exhibit behaviors like foot/finger tapping, or lip chewing?
A. Mild 
B. Severe
C. Moderate
D. Panic
A

A. Mild

70
Q 
Which level of anxiety include characteristics such as confusion, feelings of impending doom, hyperventilation, tachycardia, withdrawal, loud & rapid speech & aimless activity?
A. Panic
B. Mild
C. Moderate
D. Severe
A

D. Severe

71
Q 
Which level of anxiety include characteristics such as dysfunction in speech, dilated pupils, severe shakiness, severe withdrawal, inability to sleep, delusions, & hallucinations and sometimes immobility?
A. Severe
B. Panic
C. Mild
D. Moderate
A

B. Panic

72
Q 
Which level of anxiety include characteristics such as concentration difficulties, tiredness, pacing, change in voice pitch, voice tremors, shakiness, increased heart & respiratory rate, headaches, insomnia, backache, & urinary urgency/frequency?
A. Mild
B. Severe
C. Moderate
D. Panic
A

C. Moderate

73
Q 
A physically handicapped boy is unable to participate in football, so he becomes a great scholar instead, which defense mechanism is this?
A. Compensation
B. Displacement
C. Rationalization
D. Reaction formation
A

A. Compensation

74
Q 
A teenage boy who required lengthy rehab after an accident decides to become a physical therapist as a result of his experience, which defense mechanism is this?
A. Introjection
B. Projection
C. Identification
D. undoing
A

C. Identification

75
Q

A child integrates their parents value system into the process of conscience formation. Which statement by the child represents the use of the defense mechanism introjection?
A. Sticks & stones may break my bones but words will never hurt me
B. Don’t cheat, it’s wrong
C. Mama told me to never smoke

A

B. Don’t cheat its wrong

76
Q 
Without showing any emotion, a young woman describes being attacked & raped, which defense mechanism does this express?
A. Sublimation
B. Suppression
C. Undoing
D. Isolation
A

D. Isolation

77
Q

What defense mechanism for anxiety is used in an attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, & analysis?

A

Intellectualization

79
Q

What defense mechanism for anxiety is used to integrate the beliefs & values of another individual into ones own ego structure?

A

Introjection

81
Q

What defense mechanism for anxiety is used voluntarily to deny unpleasant thoughts & feelings?

A

Suppression

84
Q

What defense mechanism for anxiety is used to deal w/ unacceptable feelings or impulses by unconsciously substituting acceptable forms of expression?

A

Sublimation

Mental Health-Exam 1 (7 decks)

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