Exam 2: Mental Healthmental Illness: Historical and Theoretical Concepts

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

During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, "I'm here for my heart, not my head problems." Which is the nurse's best response?

A client has a history of excessive drinking which has led to multiple driving under the influence (DUI) arrests. The client states, "I work hard to provide for my family. I don't see why I can't drink to relax." The nurse recognizes the use of which defense mechanism?

A nurse is caring for a client who is status post-coronary artery bypass surgery and has recently been diagnosed with major depressive disorder. A nurse should recognize that the DSM-IV-TR places these diagnoses on which two axes?

A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress. One twin becomes anxious and irritable, while the other withdraws and cries. How should the nurse explain these different responses to stress to the parents?

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 nursing statement about the concept of psychoses is most accurate?

A nurse should recognize that the diagnostic and statistical manual of mental disorders (DSM-IV-TR) is based on which model of health-care delivery?

Which information should a nurse expect to be coded on a DSM-IV-TR axis? (Select all that apply.)

At what point should the nurse determine that a client is at risk for developing a mental illness?

Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife should indicate to a nurse that the client is in the acceptance stage of grief?