Chapter 1: Mental Health and Mental Illness
M M M M M M
MultipleMChoice
IdentifyMtheMchoiceMthatMbestMcompletesMtheMstatementMorManswersMtheMquestion.
M 1. AMnurseMisMassessingMaMclientMwhoMexperiencesMoccasionalMfeelingsMofMsadnessMbecauseMofMtheMr
ecentMdeathMofMaMbelovedMpet.MTheMclient’sMappetite,MsleepMpatterns,MandMdailyMroutineMhaveMnotMc
hanged.
HowMwouldMtheMnurseMinterpretMtheMclient’sMbehaviors?
1. TheMclient’sMbehaviorsMdemonstrateMmentalMillnessMinMtheMformMofMdepression.
2. TheMclient’sMbehaviorsMareMinappropriate,MwhichMindicatesMtheMpresenceMofMme
ntalMillness.
3. TheMclient’sMbehaviorsMareMnotMcongruentMwithMculturalMnorms.
4. TheMclient’sMbehaviorsMdemonstrateMnoMfunctionalMimpairment,MindicatingMnoMme
ntalMillness.
M 2.
AtMwhichMpointMwouldMtheMnurseMdetermineMthatMaMclientMisMatMriskMforMdevelopingMaMmentalMillness
?
1. WhenMthoughts,Mfeelings,MandMbehaviorsMareMnotMreflectiveMofMtheMDSM-5Mcriteria.
2. WhenMmaladaptiveMresponsesMtoMstressMareMcoupledMwithMinterferenceMinMd
ailyMfunctioning.
3. WhenMaMclientMcommunicatesMsignificantMdistress.
M 3. 4. WhenMaMclientMusesMdefenseMmechanismsMasMegoMprotection.
AMclientMhasMbeenMgivenMaMdiagnosisMofMhumanMimmunodeficiencyMvirusM(HIV).MWhichMstate
mentMmadeMbyMtheMclientMdoesMthNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
sMM
theMbargainingMstageMofMgrief?
1. “IMhateMmyMpartnerMforMgivingMmeMthisMdiseaseMIMwillMdieMfrom!”
2. “IfMIMdon’tMdoMintravenousM(IV)MdrugsManymore,MGodMwon’tMletMmeMdie.”
3. “IMamMgoingMtoMsupportMgroupsMandMlearnMmoreMaboutMtheMdisease.”
M 4. 4. “CanMyouMpleaseMre-drawMtheMtestMresults,MIMthinkMtheyMmayMbeMwrong?”
AMnurseMnotesMthatMaMclientMisMextremelyMwithdrawn,Mdelusional,MandMemotionallyMexhausted.M
TheMnurseMassessesMtheMclient’sManxietyMasMwhichMlevel?
1. MildManxiety
2. ModerateManxiety
3. SevereManxiety
M 5. 4. PanicManxiety
AMpsychiatricMnurseMinternMstates,M“ThisMclient’sMuseMofMdefenseMmechanismsMshouldMbeMeliminated.
”MWhichMisMaMcorrectMevaluationMofMthisMnurse’sMstatement?
1. DefenseMmechanismsMcanMbeMappropriateMresponsesMtoMstressMandMneedMnot
MbeMeliminated.
2. DefenseMmechanismsMareMaMmaladaptiveMattemptMofMtheMegoMtoMmanageManxietyM
andMshouldMalwaysMbeMeliminated.
3. DefenseMmechanisms,MusedMbyMindividualsMwithMweakMegoMintegrity,Mshould
MbeMdiscouragedMandMnotMcompletelyMeliminated.
4. DefenseMmechanismsMcauseMdisintegrationMofMtheMegoMandMshouldMbeMfosteredM
andMencouraged.
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M 6. DuringManMintakeMassessment,MaMnurseMasksMbothMphysiologicalMandMpsychosocialMquestions.MThe
clientMangrilyMresponds,M“I’mMhereMforMmyMheart,MnotMmyMheadMproblems.”MWhichMisMtheMnurse’s
MbestMresponse?
1. “ItMisMjustMaMroutineMpartMofMourMassessment.MAllMclientsMareMaskedMtheseMs
ameMquestions.”
2. “WhyMareMyouMconcernedMaboutMtheseMtypesMofMquestions?”
3. “PsychologicalMfactors,MlikeMexcessiveMstress,MhaveMbeenMfoundMtoMaffectMmedi
calMconditions.”
4. “WeMcanMskipMtheseMquestions,MifMyouMlike.MItMisn’tMimperativeMthatMweMcomplete
MthisMsection.”
M 7. AMclientMwhoMisMbeingMtreatedMforMchronicMkidneyMdiseaseMcomplainsMtoMtheMhealth-
careMproviderMthatMheMdoesMnotMlikeMtheMfoodMavailableMtoMhimMwhileMhospitalized.MTheMhealth-
careMproviderMinsistsMthatMtheMclientMstrictlyMadhereMtoMtheMdietMplan.MWhatMactionMcanMbeMexpecte
dMisMtheMclientMusesMtheMdefenseMmechanismMofMdisplacement?
1. TheMclientMassertivelyMconfrontsMtheMhealth-careMprovider.
2. TheMclientMinsistsMonMbeingMdischargedMandMgoesMforMaMlong,MbriskMwalk.
3. TheMclientMsnapsMatMtheMnurseMandMcriticizesMtheMnursingMcareMprovided.
4. TheMclientMhidesMhisMangerMbyMexplainingMtheMlogicalMreasoningMforMtheMdietMt
oMhisMspouse.
M 8. AMfourth-
gradeMboyMteasesMandMmakesMjokesMaboutMaMcuteMgirlMinMhisMclass.MAMnurseMwouldMrecognizeMthis
MbehaviorMasMindicativeMofMwhichMdefenseMmechanism?
1. Displacement
2. Projection NURSINGTB.COM
3. ReactionMformatio
n
4. Sublimation
M 9. WhichMnursingMstatementMregardingMtheMconceptMofMpsychosisMisMmostMaccurate?
1. IndividualsMexperiencingMpsychosesMareMawareMthatMtheirMbehaviorsMareMmaladaptive.
2. IndividualsMexperiencingMpsychosesMexperienceMlittleMdistress.
3. IndividualsMexperiencingMpsychosesMareMawareMofMexperiencingMpsychologi
calMproblems.
4. IndividualsMexperiencingMpsychosesMareMbasedMinMreality.
M
10.M WhenMunderMstress,MaMclientMroutinelyMusesMalcoholMtoMexcess.MWhenMtheMclient’sMhusband
MfindsMherMdrunk,MtheMhusbandMyellsMatMtheMclientMaboutMherMchronicMalcoholMabuse.MWhichMacti
onMalertsMtheMnurseMtoMtheMclient’sMuseMofMtheMdefenseMmechanismMofMdenial?
1. TheMclientMhidesMliquorMbottlesMinMaMcloset.
2. TheMclientMyellsMatMherMsonMforMslouchingMinMhisMchair.
3. TheMclientMburnsMdinnerMonMpurpose.
4. TheMclientMsaysMtoMtheMspouse,M“IMdon’tMdrinkMtooMmuch!”
M
11.MDevastatedMbyMaMdivorceMfromManMabusiveMhusband,MaMwifeMcompletesMgriefMcounseling.M
WhichMstatementMbyMtheMwifeMwouldMindicateMtoMaMnurseMthatMtheMclientMisMinMtheMacceptanceMst
ageMofMgrief?
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1. “IfMonlyMweMcouldMhaveMtriedMagain,MthingsMmightMhaveMworkedMout.”
2. “IMamMsoMmadMthatMtheMchildrenMandMIMhadMtoMputMupMwithMhimMasMlongMasMweMdid.”
3. “Yes,MitMwasMaMdifficultMrelationship,MbutMIMthinkMIMhaveMlearnedMfromMthe
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experience.”
4. “IMhaveMaMdifficultMtimeMgettingMoutMofMbedMmostMdays.”
M
12.M AccordingMtoMMaslow’sMhierarchyMofMneeds,MwhichMclientMactionMwouldMdemonstrateMth
eMhighestMachievementMinMtermsMofMmentalMhealth?
1. MaintainingMaMlong-term,Mfaithful,MintimateMrelationship
2. AchievingMaMsenseMofMself-confidence
3. PossessingMaMfeelingMofMself-fulfillmentMandMrealizingMfullMpotential
4. DevelopingMaMsenseMofMpurposeMandMtheMabilityMtoMdirectMactivities
M
13.M AccordingMtoMMaslow’sMhierarchyMofMneeds,MwhichMsituationMonManMinpatientMpsychiatricMu
nitMwouldMrequireMpriorityMinterventionMbyMaMnurse?
1. AMclientMrudelyMcomplainingMaboutMlimitedMvisitingMhours
2. AMclientMexhibitingMaggressiveMbehaviorMtowardManotherMclient
3. AMclientMstatingMthatMnoMoneMcares
4. AMclientMverbalizingMfeelingsMofMfailure
MultipleMResponse
IdentifyMoneMorMmoreMchoicesMthatMbestMcompleteMtheMstatementMorManswerMtheMquestion.
M
14.M WhichMdescribesMaMdefenseMmechanismManMindividualMmayMuseMtoMrelieveManxietyMinMa
MstressfulMsituation?M(SelectMallMthatMapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. NailMbitin
g
5. Sleeping
M 15.M TheMnurseMisMreviewingMtheMDSM-
5MdefinitionMofMaMmentalMhealthMdisorderMandMnotesMtheMdefinitionMincludesMaMdisturbanceMinMwh
ichMareas?M(SelectMallMthatMapply.)
1. Cognition
2. Physical
3. EmotionalMregulation
4. Behavior
5. Developmental
Completion
CompleteMeachMstatement.
16. M
isMaMdiffuseMapprehensionMthatMisMvagueMinMnatureMandMisMassociatedMwithMfeelingsMofMuncertai
ntyMandMhelplessness.
17. M
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