Question 1

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?

Accepted Answer

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

Question 2

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?

Accepted Answer

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

Question 3

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

Accepted Answer

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 4

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?

Accepted Answer

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

Question 5

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

Accepted Answer

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

Question 6

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?

Accepted Answer

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

Question 7

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

Accepted Answer

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

Question 8

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

Accepted Answer

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

Question 9

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

Accepted Answer

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

Question 10

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

Accepted Answer

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

Question 11

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

Accepted Answer

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

Question 12

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?

Accepted Answer

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

Question 13

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?

Accepted Answer

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

Question 14

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?

Accepted Answer

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

Question 15

A perceived threat to self causes what emotion?

Accepted Answer

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

Question 16

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

Accepted Answer

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 17

Which role is an example of an ascribed role?

Accepted Answer

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

Question 18

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?

Accepted Answer

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

Question 19

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?

Accepted Answer

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 20

What does any event that requires change stimulate?

Accepted Answer

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

Exam 33: Concepts of Mental Health