mental health exam 1 - practice
A 40-year-old man is estranged from his children and states, "I'm
the only one I can count on to meet my needs. The kids just want
my money." Using Erikson's theory, with which developmental
conflict is this client struggling?
A. Industry versus inferiority
B. Intimacy versus isolation
✅✅
C. Ego integrity versus despair
D. Generativity versus stagnation - -D
A client expresses a desire to begin attending the self-help group
Alcoholics Anonymous (AA). Which nursing response gives the
client pertinent information about this type of group?
A. "In this type of group, membership is always within a fixed time
frame."
B. "Group members receive comfort and advice from others
undergoing similar experiences."
C. "The purpose of this type of group is to convey information to a
number of individuals."
✅✅
D. "The function of this type of group is to accomplish a specific
outcome." - -B
A client hates her mother because 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 with 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." -
-C
A client threatens to kill himself, his wife, and their children if the
wife follows through with divorce proceedings. During the
preinteraction phase of the nurse-patient relationship, which
interaction should the nurse employ?
, A. Acknowledging the client's actions and encouraging alternative
behaviors.
B. Establishing rapport and developing treatment goals.
C. Providing community resources on aggression management.
✅✅
D. Exploring personal thoughts and feelings that may adversely
impact the provision of care. - -D
A client, diagnosed with borderline personality disorder,
approaches the nursing station often with various requests. The
nurse intervenes by stating, "You may approach the nurse's station
only once an hour." Which nursing intervention has been
employed?
A. Providing reality orientation
B. Ensuring physical need fulfillment
✅✅
C. Setting limits on behavior
D. Providing client education - -C
A client, diagnosed with depression, tells the nurse that marriage
and children were chosen over law school. The client states, "My
mother was furious with my decision." The nurse recognizes this
as an example of which maladaptive family behavior?
A. Avoiding
B. Demanding proof of love
✅✅-D
C. Attacking
D. Ignoring individuality -
A client's husband died 1 year ago. She has recently started dating
a gentleman from her grief support group. This behavior is
indicative of which of the grief tasks described by Worden?
Task I: accepting the reality of the loss
Task II: processing the pain of grief
Task III: adjusting to a world without the lost entity
✅✅
Task IV: finding an enduring connection with the lost entity in the
midst of embarking on a new life - -D
A 40-year-old man is estranged from his children and states, "I'm
the only one I can count on to meet my needs. The kids just want
my money." Using Erikson's theory, with which developmental
conflict is this client struggling?
A. Industry versus inferiority
B. Intimacy versus isolation
✅✅
C. Ego integrity versus despair
D. Generativity versus stagnation - -D
A client expresses a desire to begin attending the self-help group
Alcoholics Anonymous (AA). Which nursing response gives the
client pertinent information about this type of group?
A. "In this type of group, membership is always within a fixed time
frame."
B. "Group members receive comfort and advice from others
undergoing similar experiences."
C. "The purpose of this type of group is to convey information to a
number of individuals."
✅✅
D. "The function of this type of group is to accomplish a specific
outcome." - -B
A client hates her mother because 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 with 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." -
-C
A client threatens to kill himself, his wife, and their children if the
wife follows through with divorce proceedings. During the
preinteraction phase of the nurse-patient relationship, which
interaction should the nurse employ?
, A. Acknowledging the client's actions and encouraging alternative
behaviors.
B. Establishing rapport and developing treatment goals.
C. Providing community resources on aggression management.
✅✅
D. Exploring personal thoughts and feelings that may adversely
impact the provision of care. - -D
A client, diagnosed with borderline personality disorder,
approaches the nursing station often with various requests. The
nurse intervenes by stating, "You may approach the nurse's station
only once an hour." Which nursing intervention has been
employed?
A. Providing reality orientation
B. Ensuring physical need fulfillment
✅✅
C. Setting limits on behavior
D. Providing client education - -C
A client, diagnosed with depression, tells the nurse that marriage
and children were chosen over law school. The client states, "My
mother was furious with my decision." The nurse recognizes this
as an example of which maladaptive family behavior?
A. Avoiding
B. Demanding proof of love
✅✅-D
C. Attacking
D. Ignoring individuality -
A client's husband died 1 year ago. She has recently started dating
a gentleman from her grief support group. This behavior is
indicative of which of the grief tasks described by Worden?
Task I: accepting the reality of the loss
Task II: processing the pain of grief
Task III: adjusting to a world without the lost entity
✅✅
Task IV: finding an enduring connection with the lost entity in the
midst of embarking on a new life - -D
