Mental Health Nursing II Exam 1: Unit 1-4
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?
1.
The client's behaviors demonstrate mental illness in the form of depression.
2.
The client's behaviors are extensive, which indicates the presence of mental illness.
3.
The client's behaviors are not congruent with cultural norms.
4.
The client's behaviors demonstrate no functional impairment, indicating no mental
illness. - ANS-4
The nurse should assess that the client's daily functioning is not impaired. The client
who experiences feelings of sadness after the loss of a pet is responding within normal
expectations.
At what point should the nurse determine that a client is at risk for developing a mental
illness?
1.
When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
2.
When maladaptive responses to stress are coupled with interference in daily
functioning.
3.
When a client communicates significant distress.
4.
When a client uses defense mechanisms as ego protection. - ANS-2
The nurse should determine that the client is at risk for mental illness when responses
to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that
in order to be diagnosed with a mental illness, daily functioning must be significantly
impaired.
A nurse is assessing a set of 15-year-old identical twins who respond very differently to
stress. One twin becomes anxious and irritable, and the other withdraws and cries. How
should the nurse explain these different stress responses to the parents?
,1.
Reactions to stress are relative rather than absolute; individual responses to stress vary.
2.
It is abnormal for identical twins to react differently to similar stressors.
3.
Identical twins should share the same temperament and respond similarly to stress.
4.
Environmental influences to stress weigh more heavily than genetic influences. - ANS-1
The nurse should explain to the parents that, although the twins have identical DNA,
there are several other factors that affect reactions to stress.
Which client should the nurse anticipate to be most receptive to psychiatric treatment?
1.
A Jewish, female social worker.
2.
A Baptist, homeless male.
3.
A Catholic, black male.
4.
A Protestant, Swedish business executive. - ANS-1
The nurse should anticipate that the client of Jewish culture would place a high
importance on preventative health care and would consider mental health as equally
important to physical health.
A psychiatric nurse intern states, "This client's use of defense mechanisms should be
eliminated." Which is a correct evaluation of this nurse's statement?
1.
Defense mechanisms can be appropriate responses to stress and need not be
eliminated.
2.
Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
should always be eliminated.
3.
Defense mechanisms, used by individuals with weak ego integrity, should be
discouraged and not eliminated.
4.
Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged. - ANS-1
, The nurse should determine that defense mechanisms can be appropriate during times
of stress.
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?
1.
"It is just a routine part of our assessment. All clients are asked these same questions."
2.
"Why are you concerned about these types of questions?"
3.
"Psychological factors, like excessive stress, have been found to affect medical
conditions."
4.
"We can skip these questions, if you like. It isn't imperative that we complete this
section." - ANS-3
The nurse should attempt to educate the client on the negative effects of excessive
stress on medical conditions.
An employee uses the defense mechanism of displacement when the boss openly
disagrees with suggestions. What behavior would be expected from this employee?
1.
The employee assertively confronts the boss.
2.
The employee leaves the staff meeting to work out in the gym.
3.
The employee criticizes a coworker.
4.
The employee takes the boss out to lunch. - ANS-3
The nurse should expect that the client using the defense mechanism displacement
would criticize a coworker after being confronted by the boss.
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?
1.
Displacement
2.
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?
1.
The client's behaviors demonstrate mental illness in the form of depression.
2.
The client's behaviors are extensive, which indicates the presence of mental illness.
3.
The client's behaviors are not congruent with cultural norms.
4.
The client's behaviors demonstrate no functional impairment, indicating no mental
illness. - ANS-4
The nurse should assess that the client's daily functioning is not impaired. The client
who experiences feelings of sadness after the loss of a pet is responding within normal
expectations.
At what point should the nurse determine that a client is at risk for developing a mental
illness?
1.
When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
2.
When maladaptive responses to stress are coupled with interference in daily
functioning.
3.
When a client communicates significant distress.
4.
When a client uses defense mechanisms as ego protection. - ANS-2
The nurse should determine that the client is at risk for mental illness when responses
to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that
in order to be diagnosed with a mental illness, daily functioning must be significantly
impaired.
A nurse is assessing a set of 15-year-old identical twins who respond very differently to
stress. One twin becomes anxious and irritable, and the other withdraws and cries. How
should the nurse explain these different stress responses to the parents?
,1.
Reactions to stress are relative rather than absolute; individual responses to stress vary.
2.
It is abnormal for identical twins to react differently to similar stressors.
3.
Identical twins should share the same temperament and respond similarly to stress.
4.
Environmental influences to stress weigh more heavily than genetic influences. - ANS-1
The nurse should explain to the parents that, although the twins have identical DNA,
there are several other factors that affect reactions to stress.
Which client should the nurse anticipate to be most receptive to psychiatric treatment?
1.
A Jewish, female social worker.
2.
A Baptist, homeless male.
3.
A Catholic, black male.
4.
A Protestant, Swedish business executive. - ANS-1
The nurse should anticipate that the client of Jewish culture would place a high
importance on preventative health care and would consider mental health as equally
important to physical health.
A psychiatric nurse intern states, "This client's use of defense mechanisms should be
eliminated." Which is a correct evaluation of this nurse's statement?
1.
Defense mechanisms can be appropriate responses to stress and need not be
eliminated.
2.
Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
should always be eliminated.
3.
Defense mechanisms, used by individuals with weak ego integrity, should be
discouraged and not eliminated.
4.
Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged. - ANS-1
, The nurse should determine that defense mechanisms can be appropriate during times
of stress.
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?
1.
"It is just a routine part of our assessment. All clients are asked these same questions."
2.
"Why are you concerned about these types of questions?"
3.
"Psychological factors, like excessive stress, have been found to affect medical
conditions."
4.
"We can skip these questions, if you like. It isn't imperative that we complete this
section." - ANS-3
The nurse should attempt to educate the client on the negative effects of excessive
stress on medical conditions.
An employee uses the defense mechanism of displacement when the boss openly
disagrees with suggestions. What behavior would be expected from this employee?
1.
The employee assertively confronts the boss.
2.
The employee leaves the staff meeting to work out in the gym.
3.
The employee criticizes a coworker.
4.
The employee takes the boss out to lunch. - ANS-3
The nurse should expect that the client using the defense mechanism displacement
would criticize a coworker after being confronted by the boss.
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?
1.
Displacement
2.
