,Chapter 2. Mental Health and Mental Illness: Historical and Theoretical Concepts
MULTIPLE CHOICE
1. 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. The nurse determines the client’s behaviors:
1. Demonstrate typical variations in daily mood, not mental illness
2. Are clinically significant and indicate serious mental illness
3. Are incongruent with cultural norms and indicate mental illness
4. Show common symptoms of grief and do not indicate mental illness
ANS: 4
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
Concepts
Objective: Describe psychological adaptation responses to stress.
Page: 20
Heading: Grief
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Grief and Loss
Difficulty: Moderate
2. Which indicates a client is likely demonstrating a mental disorder?
, 1. The client expresses mild anxiety and is eating more than usual before an
examination.
2. The client displays an inability to concentrate, including reduced job performance.
3. The client describes engaging in fidgeting behavior consistently over a few days.
4. The client states an increase in smoking over a few days from 0.5 to 1 pack per day.
ANS: 2
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
Concepts
Objective: Define mental health and mental illness.
Page: 14
Heading: Mental Illness
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
3. A mental health nurse is speaking with parents who are concerned about their teenage
children’s responses to stress. One child becomes anxious and irritable and the other
withdraws and cries. Which is the nurse’s best response?
1. “Individual responses to stress are affected by many factors and can vary.”
2. “Children from the same family should not react so differently to stress.”
3. “Children should have similar dispositions and responses to stress.”
4. “Environmental factors influence stress responses more than genetic factors.”
ANS: 1
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
Concepts
MULTIPLE CHOICE
1. 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. The nurse determines the client’s behaviors:
1. Demonstrate typical variations in daily mood, not mental illness
2. Are clinically significant and indicate serious mental illness
3. Are incongruent with cultural norms and indicate mental illness
4. Show common symptoms of grief and do not indicate mental illness
ANS: 4
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
Concepts
Objective: Describe psychological adaptation responses to stress.
Page: 20
Heading: Grief
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Grief and Loss
Difficulty: Moderate
2. Which indicates a client is likely demonstrating a mental disorder?
, 1. The client expresses mild anxiety and is eating more than usual before an
examination.
2. The client displays an inability to concentrate, including reduced job performance.
3. The client describes engaging in fidgeting behavior consistently over a few days.
4. The client states an increase in smoking over a few days from 0.5 to 1 pack per day.
ANS: 2
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
Concepts
Objective: Define mental health and mental illness.
Page: 14
Heading: Mental Illness
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
3. A mental health nurse is speaking with parents who are concerned about their teenage
children’s responses to stress. One child becomes anxious and irritable and the other
withdraws and cries. Which is the nurse’s best response?
1. “Individual responses to stress are affected by many factors and can vary.”
2. “Children from the same family should not react so differently to stress.”
3. “Children should have similar dispositions and responses to stress.”
4. “Environmental factors influence stress responses more than genetic factors.”
ANS: 1
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
Concepts
