Study Questions with Correct
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1. Explain the resilience concept. - ANSWER "The process of coping with
adversity, change, or opportunity in a manner that results in the
identification, fortification, and enrichment of resilient qualities or protective
factors"
2. A person has a high level of resilience. Which another characteristic would
the nurse expect this person to have?
a. Optimism
Addiction.
Aggressiveness
Depressed affect - ANSWER a. Optimism
3. behavior MSE - ANSWER o Excessive (restless) or reduced body
movement.
Abnormal movement (tardive dyskinesia, tremors).
Eye contact (keep cultural differences in mind).
4. speech MSE - ANSWER o Rate (slow, rapid, normal).
Volume (loud, soft, normal).
Disturbances (articulation problems, stuttering).
,5. affect and mood MSE - ANSWER o Affect: Flat, angry, appropriate to
context,
Sad, euphoric.
6. thought MSE - ANSWER o Thought process (abstract versus concrete
thinking, coherent, flight of ideas, neologism, thought blocking,
circumstantiality).
Thought content (delusion, obsession, suicidal thought).
7. perceptual disturbances MSE - ANSWER o Hallucination (auditory, visual).
Illusions.
8. cognition MSE - ANSWER o Orientation (Time, place, person).
Level of consciousness (confused, alert, unconscious).
Memory, attention, abstraction, insight, judgment.
9. concrete thinking - ANSWER o Refers to the inability of the patient to use
abstract concepts. The patient uses the literal thinking without understanding
the implicit meaning behind the sentences
10.abstract thinking - ANSWER o Thoughts are characterized by adaptability,
flexibility, and the use of abstractions and generalizations. OR The ability to
understand the implicit meaning behind sentences
11.The nurse asked the patient about the meaning of "Actions speak louder than
words." The patient's answer is "Actions are a better reflection of one's
character because it's easy to say things, but difficult to act on them and
follow through." This indicates:
a. Concrete thinking.
b. Abstract thinking.
c. Flat affect.
, d. Delusions. - ANSWER b. Abstract thinking.
12.delusion - ANSWER o a false fixed belief, that is not consistent with
patient's educational and cultural background and can't be corrected by logic
or reason. Fighting for it.
13.obsession - ANSWER o An unwanted thought which the person may
recognize as irrational which repeatedly intrudes into consciousness.
Fighting against it.
14.The patient said: "My food is poisoned, and people are chasing me and
planning to kill me". This is an example of - ANSWER delusion
15.The patient said: "I have a silly thought that God is nonexistent, I know it is
meaningless, but I can't get it out of my mind. This is an example of -
ANSWER obsession
16.hallucination - ANSWER o Are false perceptions experienced in the
absence of external stimuli
Things are being imagined that are not there at all
17.illusion - ANSWER o false perceptions of external stimuli. Example, the
patient looks at a pen and perceives is as a snake.
18.The patient is listening and talking to an empty chair. This is an example of -
ANSWER hallucination
, 19.The patient who has been hospitalized in the ICU, pointed to the oxygen
cylinder and said "take this ghost out of here". This is an example of -
ANSWER illusion
20.What are elements of communication and which element carries the most
believability? - ANSWER - Verbal, vocal, visual.
21.The most believable would be visual (nonverbal), because words and the
way you say it are important, but they have no real weight if the actions and
nonverbal communication doesn't match.
22.During the first interview with a woman who had just lost her son in a car
accident, the nurse feels so sorry for the woman so she reaches out and
comforts her by physically patting her back. The nurse's response:
a. Is empathetic and will encourage the woman to continue to express
her feelings.
b. Will be perceived by the client as intrusive and overstepping
boundaries.
c. Is inappropriate because a "no touch" rule should be applied to all
psychiatric clients.
d. May be premature as the cultural and individual interpretation of
touch is unknown. - ANSWER d. May be premature as the cultural
and individual interpretation of touch is unknown.
23.Resilience, the capacity to rebound from stressors via adaptive coping, is
associated with positive mental health. Your friend has just been laid off
from his job. Which of the following responses on your part most likely
contribute to enhanced resilience?
a. Using your connection to set up an interview with your employer.