Deck 1: Mental Health and Mental Illness: Historical and Theoretical Concepts

Question 1

2-Which indicates a client is likely demonstrating a mental disorder?

A) The client expresses mild anxiety and is eating more than usual before an examination.
B) The client displays an inability to concentrate, including reduced job performance.
C) The client describes engaging in fidgeting behavior consistently over a few days.
D) The client states an increase in smoking over a few days from 0.5 to 1 pack per day.

Answer 1

The client displays an inability to concentrate, including reduced job performance.

Question 2

A mental health nurse is speaking with parents who are concerned about their teenage children's responses to stress. One child becomes anxious and irritable and the other withdraws and cries. Which is the nurse's best response?

A) "Individual responses to stress are affected by many factors and can vary."
B) "Children from the same family should not react so differently to stress."
C) "Children should have similar dispositions and responses to stress."
D) "Environmental factors influence stress responses more than genetic factors."

Answer 2

"Individual responses to stress are affected by many factors and can vary."

Question 3

Which best describes the impact that the National Mental Health Act of 1946 had on care for the mentally ill in the United States?

A) People were no longer perceived as demonized when displaying mental illness.
B) Mental health professionals were provided funding to increase their education.
C) A system of hospitals for the mentally ill was developed in communities.
D) The first hospital for just the mentally ill was opened and staffed by professionals.

Answer 3

Mental health professionals were provided funding to increase their education.

Question 4

The nurse recognizes that a client is mildly anxious when beginning a session that incudes client teaching. Which is the most appropriate interpretation of the situation?

A) The nurse should wait until the client is more anxious to enhance learning.
B) The mild anxiety the client displays will likely enhance learning for the client.
C) The nurse should wait until there is no anxiety to achieve the best learning.
D) The mild anxiety will have no impact on learning and does not need consideration.

Question 5

Which psychoneurotic responses to severe anxiety are identified in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5)?

A) Somatic symptom disorder
B) Grief reaction
C) Psychosis
D) Bipolar disorder

Question 6

A supervisor openly disagrees with an employee's suggestions during a staff meeting. Which response by the employee would demonstrate the defense mechanism of displacement?

A) Confronting the supervisor assertively
B) Leaving the staff meeting abruptly
C) Criticizing a coworker after the meeting
D) Working to become a supervisor

Question 7

A high school student is attracted to a female teacher. The student is uncomfortable with his feelings and says to his friend, "I know she wants me." Which defense mechanism is the student demonstrating?

A) Displacement
B) Projection
C) Rationalization
D) Sublimation

Question 8

An eighth-grade boy is uncomfortable with his feelings for an older girl and interest in her. He teases the girl whenever he gets a chance and makes jokes about her appearance. The school nurse identifies the boy as using which defense mechanism?

A) Displacement
B) Projection
C) Reaction formation
D) Sublimation

Question 9

Which disorder does the nurse recognize as a disorder in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5)?

A) Morbid obesity
B) Generalized anxiety disorder
C) Essential hypertension
D) Bereavement

Question 10

When the general population cannot understand the motivation behind one's behavior, which would be the appropriate term to use?

A) Anxiety
B) Defense mechanisms
C) Cultural relativity
D) Incomprehensibility

Question 11

Which behaviors indicate a client is experiencing moderate anxiety? Select all that apply.

A) Gastric discomfort
B) Urinary frequency
C) Palpitations
D) Focus on self
E) Feelings of dread

Question 12

For which reasons is the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) useful in the practice of psychiatric-mental health nursing? Select all that apply.

A) It informs the nurse of accurate and reliable psychiatric diagnoses.
B) It represents progress toward a more holistic view of mind and body.
C) It provides a framework for interdisciplinary communication.
D) It provides a template for psychiatric-mental health nursing care plans.
E) It provides a framework for communication with the client.

Question 13

Meditation has been shown to be an effective stress management technique. Which finding indicates meditation has been effective?

A) Achieving a state of relaxation
B) Attaining insight into one's feelings
C) Demonstrating appropriate role behaviors
D) Enhanced problem-solving skills

Question 14

The client is hospitalized with coronary artery disease and demonstrates other conditions often associated with diseases of adaptation, including headaches and depression. Currently, the client is demonstrating anxiety and states he is
"really worried" about his spouse. Which is the most appropriate nursing response to the situation?

A) Inform the client that he has to learn to cope with stressors.
B) Teach the client how to meditate when he is feeling anxious.
C) Encourage the client to talk through his concerns about his spouse.
D) Ask the client if he has a pet he would like to see while in the hospital.

Question 15

Place the selected steps of the problem-solving process in the correct order.
1. Determine risks and benefits of each option.
2. Formulate goals to resolve the stressful situation.
3. Implement a second alternative.
4. Study the alternatives for dealing with the situation.