Question 1

Which is an example of the ego defense mechanism of regression?

Accepted Answer

A) A mother blames the teacher for her child's failure in school. 
B) A teenager becomes hysterical after seeing a friend killed in a car accident. 
C) A woman wants to marry a man exactly like her beloved father. 
D)  An adult throws a temper tantrum when he does not get his own way. 
A) A mother blames the teacher for her child's failure in school. 
B) A teenager becomes hysterical after seeing a friend killed in a car accident. 
C) A woman wants to marry a man exactly like her beloved father. 
D)  An adult throws a temper tantrum when he does not get his own way.

Question 2

A nurse is performing a mental health assessment on an adult client.According to Maslow's hierarchy of needs,which client action would demonstrate the highest achievement in terms of mental health?

Accepted Answer

A) Maintaining a long-term,faithful,intimate relationship 
B)  Achieving a sense of self-confidence 
C)  Possessing a feeling of self-fulfillment and realizing full potential 
D)  Developing a sense of purpose and the ability to direct activities 
A) Maintaining a long-term,faithful,intimate relationship 
B)  Achieving a sense of self-confidence 
C)  Possessing a feeling of self-fulfillment and realizing full potential 
D)  Developing a sense of purpose and the ability to direct activities

Question 3

A mental health technician asks the nurse,"How do psychiatrists determine which diagnosis to give a patient?" Which of these responses by the nurse would be most accurate?

Accepted Answer

A)  Psychiatrists use pre-established criteria from the APA's Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 
B)  Hospital policy dictates how psychiatrists diagnose mental disorders. 
C)  Psychiatrists assess the patient and identify diagnoses based on the patient's unhealthy responses and contributing factors. 
D)  The American Medical Association identifies 10 diagnostic labels that psychiatrists can choose from. 
A)  Psychiatrists use pre-established criteria from the APA's Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 
B)  Hospital policy dictates how psychiatrists diagnose mental disorders. 
C)  Psychiatrists assess the patient and identify diagnoses based on the patient's unhealthy responses and contributing factors. 
D)  The American Medical Association identifies 10 diagnostic labels that psychiatrists can choose from.

Question 4

A husband accuses his wife of infidelity.Which situation would indicate to the nurse the husband's use of the ego defense mechanism of projection?

Accepted Answer

A) The husband cries and stamps his feet,demanding that his wife be true to her marriage vows. 
B)  The husband ignores the wife's continued absence from the home. 
C)  The husband has already admitted to having an affair with a coworker. 
D)  The husband takes out his marital frustrations through employee abuse. 
A) The husband cries and stamps his feet,demanding that his wife be true to her marriage vows. 
B)  The husband ignores the wife's continued absence from the home. 
C)  The husband has already admitted to having an affair with a coworker. 
D)  The husband takes out his marital frustrations through employee abuse.

Question 5

A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet.The client's appetite,sleep patterns,and daily routine have not changed.How should the nurse interpret the client's behaviors?

Accepted Answer

A)  The client's behaviors demonstrate mental illness in the form of depression. 
B)  The client's behaviors are extensive, which indicates the presence of mental illness. 
C)  The client's behaviors are not congruent with cultural norms. 
D)  The client's behaviors demonstrate no functional impairment, indicating no mental illness. 
A)  The client's behaviors demonstrate mental illness in the form of depression. 
B)  The client's behaviors are extensive, which indicates the presence of mental illness. 
C)  The client's behaviors are not congruent with cultural norms. 
D)  The client's behaviors demonstrate no functional impairment, indicating no mental illness.

Question 6

Which of the following are cultural aspects of mental illness? Select all that apply.

Accepted Answer

A)  Local or cultural norms define pathological behavior. 
B)  The higher the social class the greater the recognition of mental illness behaviors. 
C)  Psychiatrists typically see patients when the family can no longer deny the illness. 
D)  The greater the cultural distance from the mainstream of society, the greater the likelihood that the illness will be treated with sensitivity and compassion. 
A)  Local or cultural norms define pathological behavior. 
B)  The higher the social class the greater the recognition of mental illness behaviors. 
C)  Psychiatrists typically see patients when the family can no longer deny the illness. 
D)  The greater the cultural distance from the mainstream of society, the greater the likelihood that the illness will be treated with sensitivity and compassion.

Question 7

A nurse is educating a patient about the difference between mental health and mental illness.Which statement by the patient reflects an accurate understanding of mental health?

Accepted Answer

A)  Mental health is the absence of any stressors. 
B)  Mental health is successful adaptation to stressors in the internal and external environment. 
C)  Mental health is incongruence between thoughts, feelings, and behavior 
D)  Mental health is a diagnostic category in the DSM-5. 
A)  Mental health is the absence of any stressors. 
B)  Mental health is successful adaptation to stressors in the internal and external environment. 
C)  Mental health is incongruence between thoughts, feelings, and behavior 
D)  Mental health is a diagnostic category in the DSM-5.

Question 8

Most cultures label behavior as mental illness on the basis of which of the following criteria?

Accepted Answer

A)  Incomprehensibility and cultural relativity 
B)  Strength of character and ethics 
C)  Goal directedness and high energy 
D)  Creativity and good coping skills 
A)  Incomprehensibility and cultural relativity 
B)  Strength of character and ethics 
C)  Goal directedness and high energy 
D)  Creativity and good coping skills

Question 9

When under stress,a client routinely uses an excessive amount of alcohol.Finding her drunk,her husband yells at her about the chronic alcohol abuse.Which reaction should the nurse recognize as the use of the defense mechanism of denial?

Accepted Answer

A)  Hiding liquor bottles in a closet 
B)  Yelling at their son for slouching in his chair 
C)  Burning dinner on purpose 
D)  Saying to the spouse, "I don't drink too much!" 
A)  Hiding liquor bottles in a closet 
B)  Yelling at their son for slouching in his chair 
C)  Burning dinner on purpose 
D)  Saying to the spouse, "I don't drink too much!"

Question 10

A fourth-grade boy teases and makes jokes about a cute girl in his class.This behavior should be identified by a nurse as indicative of which defense mechanism?

Accepted Answer

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

Question 11

Which statement reflects a student nurse's accurate understanding of the concepts of mental health and mental illness?

Accepted Answer

A)  "The concepts are rigid and religiously based." 
B)  "The concepts are multidimensional and culturally defined." 
C)  "The concepts are universal and unchanging." 
D)  "The concepts are unidimensional and fixed." 
A)  "The concepts are rigid and religiously based." 
B)  "The concepts are multidimensional and culturally defined." 
C)  "The concepts are universal and unchanging." 
D)  "The concepts are unidimensional and fixed."

Exam 2: Mental Health/Mental Illness: Historical and Theoretical Concepts

Which is an example of the ego defense mechanism of regression?

A nurse is performing a mental health assessment on an adult client.According to Maslow's hierarchy of needs,which client action would demonstrate the highest achievement in terms of mental health?

A mental health technician asks the nurse,"How do psychiatrists determine which diagnosis to give a patient?" Which of these responses by the nurse would be most accurate?

A husband accuses his wife of infidelity.Which situation would indicate to the nurse the husband's use of the ego defense mechanism of projection?

A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet.The client's appetite,sleep patterns,and daily routine have not changed.How should the nurse interpret the client's behaviors?

Which of the following are cultural aspects of mental illness? Select all that apply.

A nurse is educating a patient about the difference between mental health and mental illness.Which statement by the patient reflects an accurate understanding of mental health?

Most cultures label behavior as mental illness on the basis of which of the following criteria?

When under stress,a client routinely uses an excessive amount of alcohol.Finding her drunk,her husband yells at her about the chronic alcohol abuse.Which reaction should the nurse recognize as the use of the defense mechanism of denial?

A fourth-grade boy teases and makes jokes about a cute girl in his class.This behavior should be identified by a nurse as indicative of which defense mechanism?

Which statement reflects a student nurse's accurate understanding of the concepts of mental health and mental illness?

The Concept of Stress Adaptation

Theoretical Models of Personality Development

Concepts of Psychobiology

Ethical and Legal Issues

Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Relationship Development

Therapeutic Communication

The Nursing Process in Psychiatric/Mental Health Nursing

Therapeutic Groups

Intervention With Families

Milieu Therapy The Therapeutic Community

Crisis Intervention

Assertiveness Training

Promoting Self Esteem

Anger/Aggression Management

The Suicidal Client

Behavior Therapy

Cognitive Therapy

Electroconvulsive Therapy

The Recovery Model

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar and Related Disorders

Anxiety, Obsessive-Compulsive, and Related Disorders

Trauma and Stressor Related Disorders

Somatic Symptom and Dissociative Disorders

Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

Military Families

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