Deck 34: Basic Concepts of Mental Health

Question 1

Using Freud's personality theory,the nurse identifies the influence of the superego after observing a patient:

A) eating an entire chocolate pie.
B) becoming anxious about having no visitors.
C) monopolizing the attention of the physician.
D) giving back a $5 bill that another patient left on the table.

Answer 1

giving back a $5 bill that another patient left on the table.

Question 2

The nurse explains that an individual who perceives a threat to self may experience a universal emotion of:

A) fear.
B) anger.
C) depression.
D) anxiety.

Answer 2

anxiety.

Question 3

The nurse 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 classifies this behavior as:

A) ego-centered.
B) role integrated.
C) high-level wellness.
D) unbounded energy.

Answer 3

role integrated.

Question 4

When assessing patients with mental illness,the nurse anticipates their behavior to be:

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.

Question 5

The nurse assesses a patient as having a poor self-concept because the patient consistently:

A) wears bright-colored clothing.
B) demands the attention of staff.
C) apologizes to others repeatedly.
D) becomes angry when frustrated.

Question 6

When explaining the role theory,the nurse gives the example of an ascribed role as the patient's:

A) sex.
B) occupation.
C) manner of dealing with stress.
D) attitude toward homosexuality.

Question 7

The nursing instructor recognizes signs of moderate anxiety when a student does what before taking a test?

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

Question 8

In 1882,the first psychiatric training school for nurses opened.The first psychiatric nurse was:

A) Dorothea Dix.
B) Linda Richards.
C) Clara Barton.
D) Lillian Wald.

Question 9

Classifying a person as having a mental illness is based on the:

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 10

The nurse documents a flat affect when the patient:

A) stomps on and flattens the envelope from the IRS announcing his audit.
B) goes to bed after his dog was run over.
C) laughs vigorously when his physician trips and falls.
D) receives the news of his mother's death without response.

Question 11

Any event that requires change stimulates an amount of:

A) anger.
B) depression.
C) stress.
D) anxiety.

Question 12

During the 17th and 18th centuries,care of patients with mental illness often was cruel.Dr.Phillippe Pinel brought about change by advocating:

A) personal care.
B) individual care.
C) behavior care.
D) humane care.

Question 13

When using the term behavior,the mental health nurse is referring to:

A) an isolated incident.
B) the manner in which a person performs.
C) a product of a coping strategy.
D) failure to adapt.

Question 14

The nurse clarifies the concept of "mental health" by defining it as:

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.

Question 15

While assessing a patient with mental illness,the nurse realizes that the number of people in need of mental health services is:

A) one in three.
B) one in five.
C) one in eight.
D) one in ten.

Question 16

The majority of people function in a relatively healthy manner,but their functioning capacity can be diminished by:

A) lack of a support system.
B) periods of crisis.
C) nutritional deficits.
D) a physical disease process.

Question 17

Using the mental health continuum as a guide,the nurse observes behavior that usually places an individual on the illness end of the continuum.This behavior:

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

Question 18

A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming.The head nurse assesses the use of a healthy coping mechanism observing the nurse:

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 19

The nurse is assessing a 26-year-old man who is unmarried,dates many different women,and spends his income on himself.Using Erikson's developmental theory,the classifies this behavior as:

A) unconscious.
B) self-absorbed.
C) mentally ill.
D) acting out.

Question 20

Using Freud's personality theory,the nurse recognizes a strong ego when a patient:

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 21

The nurse is very observant of patient behavior because all behavior has meaning and is:

A) preformed.
B) important.
C) learned.
D) repeated.

Question 22

The nurse recognizes that a patient is seeking ways to deal with and resolve stress after observing the patient use:

A) projection.
B) adaptation.
C) reaction formation.
D) compensation.

Question 23

When developing a care plan for a mentally ill patient,the nurse's first priority would be to assess:

A) coping strategies.
B) emotional status.
C) medications taken.
D) nutritional status.

Question 24

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." The nurse recognizes the use of a defense mechanism called:

A) conversion.
B) denial.
C) repression.
D) regression.

Question 25

When the patient doing physical therapy four times a day to regain control of his lower extremities is told that his insurance will no longer pay for the therapy,the nurse is aware that this obstruction to his goal may result in:

A) conflict.
B) adaptation.
C) frustration.
D) anxiety.

Question 26

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

A) developing a care plan.
B) implementing nurse orders.
C) patient education.
D) meeting patient goals.

Question 27

The nurse is sensitive to the fact that patients lose control over their lives when admitted to the hospital.This loss of control frequently results in:

A) anger.
B) depression.
C) fear.
D) anxiety.

Question 28

When a 40-year-old patient cries and has a tantrum when the physician refuses to give her a prescription for diet pills,the nurse observes the use of the defense mechanism of:

A) compensation.
B) denial.
C) regression.
D) repression.

Question 29

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

A) patient role.
B) illness role.
C) sick role.
D) dependent role.

Question 30

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 the defense mechanism of:

A) conversion.
B) projection.
C) introjection.
D) repression.

Question 31

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 32

When the patient who overeats insists that weight gain is related to retained fluids,the nurse recognizes the defense mechanism of:

A) compensation.
B) rationalization.
C) sublimation.
D) regression.

Question 33

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

Question 34

When the nurse informs a family that the brain damage to their daughter is irreversible,the father curses at the nurse and storms out of the room.The nurse recognizes the father is in the crisis stage of:

A) high anxiety.
B) denial.
C) reconciliation.
D) adaptation.

Question 35

The nurse is supportive when an attempt at adaptation fails and knows that the most likely result will be:

A) depression.
B) anger.
C) frustration.
D) anxiety.

Question 36

The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120,R 30,and BP 160/90.Based on this data alone,the nurse identifies the level of anxiety as:

A) mild.
B) moderate.
C) severe.
D) panic.

Question 37

The nurse outlines which factor(s)that influence the level of anxiety experienced when faced by a stressful situation? (Select all that apply.)

A) How the event is perceived
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 38

When assisting the older adult who is despondent about the need to leave his home,the nurse uses which technique?

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

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 40

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.The nurse recognizes that the patient may also have feelings of:

A) isolation.
B) suicidal ideation.
C) frustration.
D) diminished self-concept.

Question 41

Place the events in the mental health care movement in chronological order.
1.Establishment of Pennsylvania House
2.Deinstitutionalization movement
3.Formation of Committee for Mental Health
4.Passage of Omnibus Budget Reconciliation Act ( OBRA )
5.Dorothea Dix awakens public awareness of plight of mentally ill
Put a comma between each solve choice ( 1,2,3,4,etc. ).