Linda M. Gorman; Robynn Anwar 9780803669130 Chapter 1-
22 Complete Guide .
Periods of mental illness or dysfunction marked by an increase in the signs, symptoms, and
seriousness are called:
1.chronicity
2.Acute episodes
3.Remissions
4.Exacerbations - ANSWER: 4.Exacerbations
The sexual practices of many people with chronic mental illness place them at increased risk for
contracting and transmitting:
1.Pregnancy
2.Tuberculosis
3.The common cold
4.Sexually transmitted diseases - ANSWER: 4.Sexually transmitted diseases
when anxiety is a maladaptive response in an individual, it has the characteristic of:
1.effective adaptation to stressors
2.ineffective coping
3.helping an individual learn and grow from experiences
4.eliminating uneasy feelings - ANSWER: 2.ineffective coping
A male client with an anxiety disorder sometimes experiences panic attacks following high levels of
anxiety. The nurse would expect his physiologic responses to include:
1.Normal vital signs and little to no muscle tension
2.increased vial signs, urinary urgency and frequency, diaphoresis, and rigid and tense muscles
3.increased vital signs, followed by a drop in vital signs, and poor muscle coordination
4.Slight elevation in vital signs and some tension - ANSWER: 2.increased vial signs, urinary urgency
and frequency, diaphoresis, and rigid and tense muscles
a married couple who has separated and is planning to divorce seeks counseling for their 9 year old
daughter. the daughter has been experiencing symptoms of severe anxiety during insignificant
situations and refuses to discuss the divorce with her parents. What type of childhood anxiety is the
child most likely experiencing?
1.Separation anxiety disorder
2.Overanxious disorder
3.Avoidance behaviors
4.phobia - ANSWER: 3.Avoidance behaviors
A female client tells her care provider that she is terrified to go to the grocery store. The care provider
is aware that this client most likely has:
1.Posttraumatic stress disorder
2.Behavioral addiction
3.Phobic disorder
4.Agoraphobia - ANSWER: 4.agoraphobia
,THe legal term that describes any behavior that presents an immediate threat to another person is:
1.anger
2.assault
3.acting out
4.aggression - ANSWER: 2.assault
in today's society, violence is:
1.a nuisance
2.not a problem
3.of minor concern
4.a serious problem - ANSWER: 4.a serious problem
the client had a terrible argument with his wife during which he hit her several times. Today, he
arrives from work with flowers and an expensive necklace "to make up." His behavior is characteristic
of the stage in the assault cycle known as the ____________stage.
1.Crisis
2.Trigger
3.Depression
4.Escalation - ANSWER: 3.Depression
To assess a client's potential for engaging in inappropriate behaviors, the caregiver should perform as
soon as possible after admission a:
1.physical examination
2.mental status assessment
3.review of laboratory tests and other results
4.psychosocial examination - ANSWER: 2.mental status assessment
the ability to express directly one's feelings or needs in a way that respects the rights of other people
and retains the individuals dignity is called
1.anger
2.adjustment
3.aggression
4.assertiveness - ANSWER: 4.assertiveness
Harm to another's health or welfare caused by failure to provide for basic needs or placing the
person's health or welfare at unreasonable risk is best described as:
1.abuse
2.neglect
3.violence
4.exploitation - ANSWER: 2.neglect
the leading cause of maternal injury and death during pregnancy is:
1.Trauma
2.Accidents
3.Hypertension
4.Drug and alcohol use - ANSWER: 1.Trauma
the child who is more likely to behave aggressively toward his or her peer is:
1.Anne, who reads in her spare time
, 2.Dale, who wrestles after school daily
3.Carl, who plays tackle on the football team
4.Brian, who watches 6 hours of television a day - ANSWER: 4.Brian, who watches 6 hours of
television a day
Whenever a suspected victim of violence is brought into the health care system, the first priority is to:
1.Ensure the client's safety
2.Assure the client's relatives
3.Ensure a thorough nursing assessment
4.Ensure an examination for possible evidence - ANSWER: 1.Ensure the client's safety
The nurse suspects a mother of abusing her child. which behavior is the most likely cause?
1.the mother is concerned about the child's health.
2.the child relates well to the nursing staff with appropriate interaction for age.
3.The child appears overly compliant, passive and undemanding with the mother and staff.
4.the child is at a normal level of physical, emotional, and intellectual development for his or her age.
- ANSWER: 3.The child appears overly compliant, passive and undemanding with the mother and staff.
Most depressive responses in children are tied to:
1.their moods
2.their environment
3.general events or situations
4.a specific event or situation - ANSWER: 4.a specific event or situation
Clients with bipolar 1, bipolar 2, or cyclothymic disorders exhibit different types of:
1.Mania
2.Anxiety
3.Dysthymia
4.Regression - ANSWER: 1.Mania
Feelings of worthlessness, guilt, and despair are expressed in a female client's every thought,
movement, and activity. Her physical appearance has declined, and she is commonly unable to eat.
What is the client experiencing?
1.Mild depression
2.Severe depression
3.Moderate depression
4.A normal emotional state - ANSWER: 2.Severe depression
The client has recently started antidepressant drug therapy. He approaches the nurse complaining of
a headache, palpitations, and stiffness in the neck. What is the nurse's priority action?
1.Notify the physician immediately
2.Notify the physician when convenient
3.Give the client two aspirin tablets and monitor his headache and heart rate
4.Reassure the client that these are common side effects of his medication - ANSWER: 1.Notify the
physician immediately
Clients who are taking lithium must monitor their water and salt intake because:
1.Lithium competes with water in the body
2.Large amounts of water concentrate lithium in the blood
3.Lithium is excreted by the kidneys more rapidly than sodium