NUR 356
Who is at risk to develop mental illness? – answer A hx of mental illness in a blood
relative, stressful life situations, ongoing chronic medical conditions, brain damage,
trauma, alcohol use or recreational drugs, childhood Hx of abuse or neglect
Rationalization (defense mechanism) - answer defense mechanism that offers self-
justifying explanations in place of the real, more threatening, unconscious reasons for
one's actions
Maslow's Hierarchy of Needs - answer Regulates nurses in mental health facilities
moderate anxiety s/s - answer Increased restlessness, increased heart rate and
respiration, increased perspiration, gastric discomfort, muscular tension, decrease
attention span, decrease to concentrate, reduction to perceptual field
severe anxiety signs & symptoms - answer Attention span is greatly reduced. Difficulty
completing simple task
Headache, palpitations, insomnia, confusion, dread/horror, dizziness,N/V/D, trembling,
tachycardia, urinary frequency
Panic Disorder Symptoms - answermost intense state, unable to focus on even one
detail, loss of contact with reality may occur( hallucinations and delusions)
Motivation for survival (mild anxiety) - answerEgo defense
projection (defense mechanism) - answerpsychoanalytic defense mechanism by which
people disguise their own threatening impulses by attributing them to others
displacement (defense mechanism) - answer- The transfer of feelings from one target to
another that is considered less threatening or that is neutral.
EX: A client is angry at his doctor, does not express it, but becomes verbally abusive
with the nurse.
reaction formation (defense mechanism) - answer- Preventing unacceptable thoughts or
behaviors from being expressed by exaggerating opposite thoughts or types of
behaviors.
EX: Jane hates nursing. She attended nursing school to please her parents. During
career day, she speaks to prospective students about the excellence of nursing as a
career.
, Compensation : Defense Mechanism - answer- Covering up a real or perceived
weakness by emphasizing a trait one considers more desirable.
EX: A handicapped boy is unable to participate in football, so he compensates by
becoming a great scholar.
Rationalization (defense mechanism) - answer- Attempting to make excuses or
formulate logical reasons to justifying unacceptable feelings or behaviors.
EX: John tells the rehab nurse, "I drink because its the only way I can deal with my bad
marriage and awful job."
Denial (defense mechanism) - answer- Refusing to acknowledge the existence of a real
situation or the feelings associated with it.
EX: A women drinks alcohol every day and cannot stop, failing to acknowledge that she
has a problem.
displacement (defense mechanism) - answer- The transfer of feelings from one target to
another that is considered less threatening or that is neutral.
EX: A client is angry at his doctor, does not express it, but becomes verbally abusive
with the nurse.
Regression (defense mechanism) - answer- Responding to stress by retreating to an
earlier level of development and the comfort measures associated with that level of
functioning.
EX: When 2 year old Jay is hospitalized for tonsillitis he will drink only from a bottle,
although his mother states he has been drinking from a cup for over 6 months.
Identification (defense mechanism) - answeran attempt to increase self-worth by
acquiring certain attributes and characteristics of an individual one admires
Repression (defense mechanism) - answer- Involuntary blocking of unpleasant feelings
and experiences from ones awareness.
EX: An accident victim can remember nothing about the accident
intelluctualization (defense mechanism) - answerAn attempt to avoid expressing actual
emotions associated with a stressful situation by using
signs and symptoms of panic attacks - answerpalpitations, tachycardia, sweating,
trembling, SOB, sensation of choking, chest discomfort, nausea, fear of losing control,
fear of dying, numbness or tingling, chills, hot flashes
Who is at risk to develop mental illness? – answer A hx of mental illness in a blood
relative, stressful life situations, ongoing chronic medical conditions, brain damage,
trauma, alcohol use or recreational drugs, childhood Hx of abuse or neglect
Rationalization (defense mechanism) - answer defense mechanism that offers self-
justifying explanations in place of the real, more threatening, unconscious reasons for
one's actions
Maslow's Hierarchy of Needs - answer Regulates nurses in mental health facilities
moderate anxiety s/s - answer Increased restlessness, increased heart rate and
respiration, increased perspiration, gastric discomfort, muscular tension, decrease
attention span, decrease to concentrate, reduction to perceptual field
severe anxiety signs & symptoms - answer Attention span is greatly reduced. Difficulty
completing simple task
Headache, palpitations, insomnia, confusion, dread/horror, dizziness,N/V/D, trembling,
tachycardia, urinary frequency
Panic Disorder Symptoms - answermost intense state, unable to focus on even one
detail, loss of contact with reality may occur( hallucinations and delusions)
Motivation for survival (mild anxiety) - answerEgo defense
projection (defense mechanism) - answerpsychoanalytic defense mechanism by which
people disguise their own threatening impulses by attributing them to others
displacement (defense mechanism) - answer- The transfer of feelings from one target to
another that is considered less threatening or that is neutral.
EX: A client is angry at his doctor, does not express it, but becomes verbally abusive
with the nurse.
reaction formation (defense mechanism) - answer- Preventing unacceptable thoughts or
behaviors from being expressed by exaggerating opposite thoughts or types of
behaviors.
EX: Jane hates nursing. She attended nursing school to please her parents. During
career day, she speaks to prospective students about the excellence of nursing as a
career.
, Compensation : Defense Mechanism - answer- Covering up a real or perceived
weakness by emphasizing a trait one considers more desirable.
EX: A handicapped boy is unable to participate in football, so he compensates by
becoming a great scholar.
Rationalization (defense mechanism) - answer- Attempting to make excuses or
formulate logical reasons to justifying unacceptable feelings or behaviors.
EX: John tells the rehab nurse, "I drink because its the only way I can deal with my bad
marriage and awful job."
Denial (defense mechanism) - answer- Refusing to acknowledge the existence of a real
situation or the feelings associated with it.
EX: A women drinks alcohol every day and cannot stop, failing to acknowledge that she
has a problem.
displacement (defense mechanism) - answer- The transfer of feelings from one target to
another that is considered less threatening or that is neutral.
EX: A client is angry at his doctor, does not express it, but becomes verbally abusive
with the nurse.
Regression (defense mechanism) - answer- Responding to stress by retreating to an
earlier level of development and the comfort measures associated with that level of
functioning.
EX: When 2 year old Jay is hospitalized for tonsillitis he will drink only from a bottle,
although his mother states he has been drinking from a cup for over 6 months.
Identification (defense mechanism) - answeran attempt to increase self-worth by
acquiring certain attributes and characteristics of an individual one admires
Repression (defense mechanism) - answer- Involuntary blocking of unpleasant feelings
and experiences from ones awareness.
EX: An accident victim can remember nothing about the accident
intelluctualization (defense mechanism) - answerAn attempt to avoid expressing actual
emotions associated with a stressful situation by using
signs and symptoms of panic attacks - answerpalpitations, tachycardia, sweating,
trembling, SOB, sensation of choking, chest discomfort, nausea, fear of losing control,
fear of dying, numbness or tingling, chills, hot flashes
