and Mental Illness
Which of the following are manifestations of mild anxiety?
a. Less alertness to the environment and emotional numbness
b. Sharp senses and motivation for productivity
c. Ability to focus on only one detail
d. Feeling out of control and exhibiting wild behavior - CORRECT ANSWER-b. Sharp
senses and motivation for productivity
Extended periods of unmanaged or repressed severe anxiety may be associated with
which of the following psychiatric symptoms?
a. Panic disorder
b. Phobias
c. Somatic symptoms
d. All of the above - CORRECT ANSWER-d. All of the above
A client with a history of substance use disorder is sent to the mental health clinic by
their employer who expresses concern about their drinking alcohol on the job. The client
denies having a problem and reports only drinking a little when the boss is "acting like a
jerk". The nurse should document that the client is manifesting which defense
mechanisms?
a. Compensation and intellectualization
b. Regression and reaction formation
c. Denial and rationalization
d. Undoing and projection - CORRECT ANSWER-c. Denial and rationalization
A client with a history of schizophrenia is brought to the emergency department by
police who report that they were knocking down food displays at a grocery store and
yelling that the food was all poisoned. The client reports to the nurse that they have no
idea why they were brought to the emergency department because "there is nothing
wrong with me." Which of these actions by the nurse demonstrates good clinical
judgment?
a. Instruct the police officer that this client should be incarcerated because there is
nothing that can be done in an emergency department.
b. Document that the client is manifesting psychotic symptoms and anosognosia.
c. Ask the doctor to order gastric lavage because the client reports having been
poisoned.
d. Instruct the client that the food is not poisoned and there is something very wrong
with them. - CORRECT ANSWER-b. Document that the client is manifesting psychotic
symptoms and anosognosia.
Which of the following is a true statement regarding Maslow's hierarchy of needs?