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NR 326 EXAM 2 MENTAL HEALTH ACTUAL EXAM

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NR 326 EXAM 2 MENTAL HEALTH ACTUAL EXAM

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NR 326 EXAM 2 MENTAL HEALTH ACTUAL EXAM TEST BANK
250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|
ALREADY GRADED A+||CHAMBERLAINE UNIVERSITY
Anxiety that can positively motivate an individual and assist in performance
A. Mild anxiety
B. Panic anxiety
C. Moderate anxiety
D. Severe anxiety - ANSWER: A. Mild anxiety

Anxiety is heightened and as a result the perceptual field is narrowed.
A. Mild anxiety
B. Panic anxiety
C. Moderate anxiety
D. Severe anxiety - ANSWER: C. Moderate anxiety

This is anxiety that results in the inability to attend to the surroundings
A. Mild anxiety
B. Panic anxiety
C. Moderate anxiety
D. Severe anxiety - ANSWER: D. Severe anxiety

The level of anxiety has now reached a level of terror where the concern is to escape
A. Mild anxiety
B. Panic anxiety
C. Moderate anxiety
D. Severe anxiety - ANSWER: B. Panic anxiety

What type of anxiety assists the individuals in focusing on the current situation?
A. Mild anxiety
B. Panic anxiety
C. Moderate anxiety
D. Severe anxiety - ANSWER: A. Mild anxiety

An individual may have difficulty attending to the surroundings and difficulty
following instructions or commands
A. Mild anxiety
B. Panic anxiety
C. Moderate anxiety
D. Severe anxiety - ANSWER: C. Moderate anxiety

Anxiety where Physical symptoms may develop, such as perspiration, rapid heart
rate, and labored breathing
A. Mild anxiety
B. Panic anxiety

,C. Moderate anxiety
D. Severe anxiety - ANSWER: D. Severe anxiety

What is the primary objective for severe anxiety? - ANSWER: Anxiety relief

An example of when panic anxiety may occur would be.... - ANSWER: a fire in the
house in which you are residing

What type of anxiety brings a sudden feeling of feeling of doom?
A. Mild anxiety
B. Panic emotional anxiety
C. Moderate anxiety
D. Severe anxiety - ANSWER: B. Panic emotional anxiety

Someone who has panic attacks over and over can be diagosed with
A. Panic disorder
B. OCD
C. Moderate anxiety
D. Severe anxiety - ANSWER: A. Panic disorder

The act that serves to relieve the stress associated with the obsession - ANSWER:
Compulsion

How many symptoms must a person be having to be defined as a panic attack? -
ANSWER: At least 4

A mother is concerned about her ability to perform in her new role. She is quite
anxious and refuses to leave the postpartum unit. To offer effective client care, a
nurse should recognize which information about this type of crisis?
A. This type of crisis is precipitated by unexpected external stressors.
B. This type of crisis is precipitated by preexisting psychopathology.
C. This type of crisis is precipitated by an acute response to an external situational
stressor.
D. This type of crisis is precipitated by normal life-cycle transitions that overwhelm
the client. - ANSWER: D. This type of crisis is precipitated by normal life-cycle
transitions that overwhelm the client.

A wife brings her husband to an emergency department after an attempt to hang
himself. He is a full-time student and works 8 hours at night to support his family. He
states, "I can't function any longer under all this stress." Which type of crisis is the
client experiencing?
A. Maturational/developmental crisis
B. Psychiatric emergency crisis
C. Anticipated life transition crisis
D. Traumatic stress crisis - ANSWER: B. Psychiatric emergency crisis

,A client comes to a psychiatric clinic, experiencing sudden extreme fatigue and
decreased sleep and appetite. The client works 12 hours a day and rates anxiety as
8/10 on a numeric scale. What correctly written long-term outcome is realistic in
addressing this client's crisis?
A. The client will change his or her type A personality traits to more adaptive ones by
week 1.
B. The client will list five positive self-attributes.
C. The client will examine how childhood events led to an overachieving orientation.
D. The client will return to previous adaptive levels of functioning by week 6 -
ANSWER: D. The client will return to previous adaptive levels of functioning by week
6

Which of the following nursing statements and/or questions represent appropriate
communication to assess an individual in crisis? Select all that apply.
A. "Tell me what happened."
B. "What coping methods have you used, and did they work?"
C. "Describe to me what your life was like before this happened."
D. "Let's focus on the current problem."
E. "I'll assist you in selecting functional coping strategies." - ANSWER: A. "Tell me
what happened."
B. "What coping methods have you used, and did they work?"
C. "Describe to me what your life was like before this happened."

What emotion is at the heart of phobias? - ANSWER: Fear

What emotion is at the heart of OCD and anxiety? - ANSWER: Anxiety

1. Which of the following is a correct assumption regarding the concept of crisis?
A. Crises occur only in individuals with psychopathology
B. The stressful event that precipitates crisis is seldom identifiable
C. A crisis situation contains the potential for psychological growth or deterioration
D. Crises are chronic situations that recur many times during an individual's life -
ANSWER: C. A crisis situation contains the potential for psychological growth or
deterioration

2. Crises occur when an individual:
A. Is exposed to a precipitating stressor.
B. Perceives a stressor to be threatening.
C. Has no support systems.
D. Experiences a stressor and perceives coping strategies to be ineffective. -
ANSWER: D. Experiences a stressor and perceives coping strategies to be ineffective.

3. Amanda's mobile home was destroyed by a tornado. Amanda received only minor
injuries but is experiencing disabling anxiety in the aftermath of the event. What is
this type of crisis called?
A. Crisis resulting from traumatic stress
B. Maturational/developmental crisis

, C. Dispositional crisis
D. Crisis of anticipated life transitions - ANSWER: A. Crisis resulting from traumatic
stress

4. The most appropriate crisis intervention with Amanda (from question 3) would be
to: ( Amanda's mobile home was destroyed by a tornado. Amanda received only
minor injuries but is experiencing disabling anxiety in the aftermath of the event.)

A. Encourage her to recognize how lucky she is to be alive.
B. Discuss stages of grief and feelings associated with each.
C. Identify community resources that can help Amanda.
D. Suggest that she find a place to live that provides a storm shelter. - ANSWER: B.
Discuss stages of grief and feelings associated with each.

5. Jenny reported to the high school nurse that her mother drinks too much. She is
drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite
friends over because of her mother's behavior. What is this type of crisis called?

A. Crisis resulting from traumatic stress
B. Maturational/developmental crisis
C. Dispositional crisis
D. Crisis reflecting psychopathology - ANSWER: C. Dispositional crisis

6. The most appropriate nursing intervention with Jenny (from question 5) would be
to: (Jenny reported to the high school nurse that her mother drinks too much. She is
drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite
friends over because of her mother's behavior.)

A. Facilitate arrangements for her to start attending Alateen meetings.
B. Help her identify the positive things in her life and recognize that her situation
could be a lot worse than it is.
C. Teach her about the effects of alcohol on the body and that it can be hereditary.
D. Refer her to a psychiatrist for private therapy to learn to deal with her home
situation. - ANSWER: A. Facilitate arrangements for her to start attending Alateen
meetings.

7. Ginger, age 19 and an only child, left 3 months ago to attend a college of her
choice 500 miles away from her parents. It is Ginger's first time away from home.
She has difficulty making decisions and will not undertake anything new without first
consulting her mother. They talk on the phone almost every day. Ginger has recently
started having anxiety attacks. She consults the nurse practitioner in the student
health center. What is this type of crisis called?

A. Crisis resulting from traumatic stress
B. Dispositional crisis
C. Psychiatric emergency

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