Week 7 - Mental Health
1. : CHAPTER 1: MENTAL HEALTH AND MENTAL ILLNESS
2. C.: 1. Resilience, the capacity to rebound from stressors via adaptive coping, is
associated with positive mental health. Your friend has just been laid off from his job.
Which of the following responses on your part would most likely contribute to his
enhanced resilience?
a. Using your connections to set up an interview with your employer
b. Connecting him with a friend of the family who owns his own business
c. Supporting him in arranging, preparing for, and completing multiple interviews
d. Helping him to understand that the layoff resulted from troubles in the economy
and is not his fault
3. D.: 2. Which of the following situations best supports the diathesis- stress model
of mental illness development?
a. The rate of suicide increases during times of national disaster and despair.
b. A woman feels mildly anxious when asked to speak to a large group of people.
c. A man with no prior mental health problems experiences sadness after his divorce.
d. A man develops schizophrenia, but his identical twin remains free of mental illness.
4. A, D.: 3. Of the following statements about mental illness, identify all correct ones:
a. About 20% of Canadians experience a mental disorder during their lifetime.
b. Mental disorders and diagnoses occur very consistently across cultures.
c. Most serious mental illnesses are psychological rather than biological in nature.
d. The Mental Health Commission of Canada's report Changing Directions, Chang-
ing Lives outlines the mental health strategy for
Canada.
5. A.: 4. Jane is a 32-year-old mother of four. She is active with her family and in
her community despite having a diagnosis of severe anxiety. Refer to the mental
health-mental illness continuum shown in Figure 1-2 and consider where you would
place Jane.
a. Optimal mental health with mental illness
b. Optimal mental health without mental illness
c. Poor mental health with mental illness
d. Poor mental health without mental illness
6. C, D E, F.: 5. Which of the following actions represent the primary focus of
psychiatric nursing for a basic-level registered nurse? Select all that apply.
a. Determining a patient's diagnosis according to the DSM-5
, Week 7 - Mental Health
b. Ordering diagnostic tests such as EEGs or MRI scans
c. Identifying how a patient is coping with a symptom such as hallucinations
d. Guiding a patient to learn and use a variety of stress-management techniques
e. Helping a patient without personal transportation find a way to his or her treatment
appointments
f. Collecting petition signatures seeking the removal of stigmatizing images on
television
7. : Anxiety Disorders: Chapter 12
8. C.: 1. Since learning that he will have a trial pass to a new group home tomorrow,
Bill's behaviour has changed. He has started to pace rapidly, has become very
distracted, and is breathing rapidly. He has trouble focusing on anything other than
the group home issue and complains that he suddenly feels very nauseated. Which
initial nursing response is most appropriate for Bill's level of anxiety?
a. "You seem anxious. Would you like to talk about how you are feeling?"
b. "If you do not calm down, I will have to give you medicine to calm you."
c. "Bill, slow down. Listen to me. You are safe. Take a nice, deep breath."
d. "We can delay the visit to the group home if that would help you calm down."
9. A.: 2. A patient who seems to be angry when his family again fails to visit as
promised tells the nurse that he is fine and that the visit was not important to him
anyway. When the nurse suggests that perhaps he might be disappointed or even a
lile angry that the family has again let him down, the patient responds that it is his
family who is angry, not him, or else they would have visited. Which of the following
defence mechanisms is this patient using to deal with his feelings?
a. Rationalization
b. Introjection
c. Regression
d. Dissociation
10. C.: 3. John, a construction worker, is on duty when a wall under construction
suddenly falls, crushing a number of co-workers. Shaken initially, he seems to be
coping well with the tragedy but later begins to experience tremors, nightmares, and
periods during which he feels numb or detached from his environment. He finds
himself frequently thinking about the tragedy and feeling guilty that he was spared
while many others died. Which statement about this situation is most accurate?
a. John is experiencing post-traumatic stress disorder (PTSD) and requires therapy.
b. John has acute stress disorder and should be treated with antianxiety medica-
tions.
1. : CHAPTER 1: MENTAL HEALTH AND MENTAL ILLNESS
2. C.: 1. Resilience, the capacity to rebound from stressors via adaptive coping, is
associated with positive mental health. Your friend has just been laid off from his job.
Which of the following responses on your part would most likely contribute to his
enhanced resilience?
a. Using your connections to set up an interview with your employer
b. Connecting him with a friend of the family who owns his own business
c. Supporting him in arranging, preparing for, and completing multiple interviews
d. Helping him to understand that the layoff resulted from troubles in the economy
and is not his fault
3. D.: 2. Which of the following situations best supports the diathesis- stress model
of mental illness development?
a. The rate of suicide increases during times of national disaster and despair.
b. A woman feels mildly anxious when asked to speak to a large group of people.
c. A man with no prior mental health problems experiences sadness after his divorce.
d. A man develops schizophrenia, but his identical twin remains free of mental illness.
4. A, D.: 3. Of the following statements about mental illness, identify all correct ones:
a. About 20% of Canadians experience a mental disorder during their lifetime.
b. Mental disorders and diagnoses occur very consistently across cultures.
c. Most serious mental illnesses are psychological rather than biological in nature.
d. The Mental Health Commission of Canada's report Changing Directions, Chang-
ing Lives outlines the mental health strategy for
Canada.
5. A.: 4. Jane is a 32-year-old mother of four. She is active with her family and in
her community despite having a diagnosis of severe anxiety. Refer to the mental
health-mental illness continuum shown in Figure 1-2 and consider where you would
place Jane.
a. Optimal mental health with mental illness
b. Optimal mental health without mental illness
c. Poor mental health with mental illness
d. Poor mental health without mental illness
6. C, D E, F.: 5. Which of the following actions represent the primary focus of
psychiatric nursing for a basic-level registered nurse? Select all that apply.
a. Determining a patient's diagnosis according to the DSM-5
, Week 7 - Mental Health
b. Ordering diagnostic tests such as EEGs or MRI scans
c. Identifying how a patient is coping with a symptom such as hallucinations
d. Guiding a patient to learn and use a variety of stress-management techniques
e. Helping a patient without personal transportation find a way to his or her treatment
appointments
f. Collecting petition signatures seeking the removal of stigmatizing images on
television
7. : Anxiety Disorders: Chapter 12
8. C.: 1. Since learning that he will have a trial pass to a new group home tomorrow,
Bill's behaviour has changed. He has started to pace rapidly, has become very
distracted, and is breathing rapidly. He has trouble focusing on anything other than
the group home issue and complains that he suddenly feels very nauseated. Which
initial nursing response is most appropriate for Bill's level of anxiety?
a. "You seem anxious. Would you like to talk about how you are feeling?"
b. "If you do not calm down, I will have to give you medicine to calm you."
c. "Bill, slow down. Listen to me. You are safe. Take a nice, deep breath."
d. "We can delay the visit to the group home if that would help you calm down."
9. A.: 2. A patient who seems to be angry when his family again fails to visit as
promised tells the nurse that he is fine and that the visit was not important to him
anyway. When the nurse suggests that perhaps he might be disappointed or even a
lile angry that the family has again let him down, the patient responds that it is his
family who is angry, not him, or else they would have visited. Which of the following
defence mechanisms is this patient using to deal with his feelings?
a. Rationalization
b. Introjection
c. Regression
d. Dissociation
10. C.: 3. John, a construction worker, is on duty when a wall under construction
suddenly falls, crushing a number of co-workers. Shaken initially, he seems to be
coping well with the tragedy but later begins to experience tremors, nightmares, and
periods during which he feels numb or detached from his environment. He finds
himself frequently thinking about the tragedy and feeling guilty that he was spared
while many others died. Which statement about this situation is most accurate?
a. John is experiencing post-traumatic stress disorder (PTSD) and requires therapy.
b. John has acute stress disorder and should be treated with antianxiety medica-
tions.
