Deck 33: Concepts of Mental Health

Question 1

What definition should the nurse use to clarify the concept of "mental health"?

A) A wellness of attitude
B) A person's response to disease and dysfunction
C) The ability to cope and adjust to everyday stresses
D) How the person performs activities of daily living

Answer 1

The ability to cope and adjust to everyday stresses

Question 2

How should the nurse document the behavior of a patient with mental illness?

A) Very disruptive to a person in society
B) Differing from socially acceptable behavior
C) Causing the person to be involved in problems
D) Resulting from an inability to exercise control

Answer 2

Differing from socially acceptable behavior

Question 3

What is the mental health nurse referring to when using the term behavior?

A) An isolated incident
B) The manner in which a person performs
C) A product of a coping strategy
D) Failure to adapt

Answer 3

The manner in which a person performs

Question 4

Using the mental health continuum as a guide, the nurse observes behavior that usually places an individual on the illness end of the continuum. What is true of this behavior?

A) It causes extreme concern about health.
B) It results in inability to function in society.
C) It demonstrates that the person is out of touch with reality.
D) It results in inability to interact with people.

Question 5

Which theorist believed that personality development was based on task mastery?

A) Sigmund Freud
B) Erik Erikson
C) Jean Piaget
D) Friedrich Nietzsche

Question 6

A perceived threat to self causes what emotion?

A) Fear
B) Anger
C) Depression
D) Anxiety

Question 7

What does any event that requires change stimulate?

A) Anger
B) Depression
C) Stress
D) Anxiety

Question 8

When was psychiatric training for nurses initially offered?

A) 1852
B) 1882
C) 1902
D) 1922

Question 9

The nurse is assessing a young woman who is a teacher, happily married, raising two children, taking care of her disabled mother, and going to school to get a master's degree. How should the behavior of the young woman be classified?

A) Ego-centered
B) Role integrated
C) High-level wellness
D) Unbounded energy

Question 10

The majority of people function in a relatively healthy manner. What can diminish their functional capacity?

A) Lack of a support system
B) Periods of crisis
C) Nutritional deficits
D) A physical disease process

Question 11

Using Freud's personality theory, what action by a patient indicates a strong ego?

A) Laughs at himself for being foolish
B) Continually boasts of his accomplishments
C) Apologizes continually
D) Insists that the TV channel stay tuned to CNN

Question 12

What action consistently done by a patient should indicate to a nurse that the patient has a poor self-concept?

A) Wears bright-colored clothing
B) Demands the attention of staff
C) Apologizes to others repeatedly
D) Becomes angry when frustrated

Question 13

Using Freud's personality theory, what action by a patient identifies the influence of the superego?

A) Eating an entire chocolate pie
B) Becoming anxious about having no visitors
C) Monopolizing the attention of the physician
D) Returning a $5 bill that another patient left on the table

Question 14

A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism?

A) Writing down long lists of needed interventions before starting the day's work
B) Delegating appropriate care assignments to nursing assistants
C) Asking a co-worker to take one of her patients
D) Asking for the day off

Question 15

What action by a student before taking a test should indicate to a nursing instructor that the student is demonstrating signs of moderate anxiety?

A) Studies for 6 hours
B) Sleeps 6 hours because of fatigue
C) Vomits
D) Argues about the scheduling of the test

Question 16

Which role is an example of an ascribed role?

A) Sex
B) Occupation
C) Manner of dealing with stress
D) Attitude toward homosexuality

Question 17

During the 17th and 18th centuries, care of patients with mental illness often was cruel. What type of care was used by Dr. Philippe Pinel to bring about change?

A) Personal care
B) Individual care
C) Behavior care
D) Humane care

Question 18

What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?

A) Projection
B) Adaptation
C) Reaction formation
D) Compensation

Question 19

What is the basis for classifying a person as having a mental illness?

A) Behavior exhibited and the context
B) Response of society to the behavior
C) Ability of the patient to conform
D) Patient's history and previous behavior

Question 20

How many people in the United States will develop a mental disorder during their lifetime?

A) One in two
B) One in five
C) One in eight
D) One in ten

Question 21

The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?

A) Mild
B) Moderate
C) Severe
D) Panic

Question 22

The situation in which a parent must choose between attending a daughter's ballet recital or a son's baseball game is an example of a __________.

Question 23

The patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. What is this role called?

A) Patient role
B) Illness role
C) Sick role
D) Dependent role

Question 24

Why is it important for the nurse to be observant of patient behavior?

A) Behavior is preformed
B) Behavior is important
C) Behavior is learned
D) Behavior is repeated

Question 25

The nurse uses a diagram to show how the four parts of "self" fit together. What are the four parts? (Select all that apply.)

A) Body image
B) Ego
C) Self-esteem
D) Role
E) Identity

Question 26

A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?

A) Isolation
B) Suicidal ideation
C) Fear
D) Anger

Question 27

Place the events in the mental health care movement in chronologic order. Put a comma and space between each answer choice (A, B, C, D, etc.).

A) Establishment of Pennsylvania Hospital
B) Deinstitutionalization movement
C) Formation of Committee for Mental Health
D) Passage of Omnibus Budget Reconciliation Act (OBRA)
E) Dorothea Dix awakens public awareness of plight of mentally ill

Question 28

When the patient is told that his insurance will no longer pay for his physical therapy, the nurse is aware that this obstruction to his goal may result in which concept?

A) Conflict
B) Adaptation
C) Frustration
D) Anxiety

Question 29

What is a nursing intervention that helps to build trust, encourages the patient to have faith in the care being received, and meets psychosocial needs?

A) Developing a care plan
B) Implementing nurse orders
C) Patient education
D) Meeting patient goals

Question 30

What is the most likely result when an attempt at adaptation fails?

A) Depression
B) Anger
C) Frustration
D) Anxiety

Question 31

In the movie Gone with the Wind, Scarlett O'Hara says, "I'll think about that tomorrow. Tomorrow is another day." The nurse recognizes the defense mechanism of __________.

Question 32

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: "It's only a little bit, and it won't do anything." Which defense mechanism is the patient using?

A) Conversion
B) Denial
C) Repression
D) Regression

Question 33

The nurse is sensitive to the fact that patients lose control over their lives when admitted to the hospital. In what does this loss of control frequently result?

A) Anger
B) Depression
C) Fear
D) Anxiety

Question 34

A variety of factors influence the level of anxiety experienced by the patient faced by a stressful situation. Which would the nurse outline? (Select all that apply.)

A) How others perceive the event
B) The number of stressors present at one time
C) Degree of change the stressors require
D) Present role assumption
E) Previous experience with a similar situation

Question 35

A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?

A) High anxiety
B) Denial
C) Reconciliation
D) Adaptation

Question 36

When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the patient is using which defense mechanism?

A) Compensation
B) Rationalization
C) Sublimation
D) Regression

Question 37

When developing a care plan for a mentally ill patient, what should the nurse assess first?

A) Coping strategies
B) Emotional status
C) Medications taken
D) Nutritional status

Question 38

When assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use?

A) Ask him if he has a drinking problem
B) Explore the option of his moving in with someone
C) Reminisce with the patient and review his life
D) Assess for hopelessness and helplessness

Question 39

A 40-year-old patient cries and has a tantrum when the physician refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism?

A) Compensation
B) Denial
C) Regression
D) Repression

Question 40

The patient complains to the nurse that the physician does not like him and wants him to fail at following the diet prescribed. The nurse recognizes that the patient is using which defense mechanism?

A) Conversion
B) Projection
C) Introjection
D) Repression