NUR 405 Exam 1 – Questions With In Depth
Solutions
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Terms in this set (95)
1. A nurse is assessing a client who is ANS: D
experiencing occasional feelings of The nurse should assess that the client's daily
sadness because of the recent death functioning is not impaired. The client who
of a beloved pet. The client's appetite, experiences feelings of sadness after the loss of a
sleep patterns, and daily routine have pet is responding within normal expectations.
not changed. How should the nurse Without significant impairment, the client's distress
interpret the client's behaviors? does not indicate a mental illness.
A. The client's behaviors demonstrate
mental illness in the form of
depression.
B. The client's behaviors are extensive,
which indicates the presence of
mental illness.
C. The client's behaviors are not
congruent with cultural norms.
D. The client's behaviors demonstrate
no functional impairment, indicating
no mental illness.
,2. At what point should the nurse ANS: B
determine that a client is at risk for The nurse should determine that the client is at risk
developing a mental disorder? for mental disorder when responses to stress are
A. When thoughts, feelings, and maladaptive and interfere with daily functioning. The
behaviors are not reflective of the DSM-5 indicates that in order to be diagnosed with a
DSM-5 criteria mental disorder, there must be significant
B. When maladaptive responses to disturbance in cognition, emotion, regulation, or
stress are coupled with interference in behavior that reflects a dysfunction in the
daily functioning psychological, biological or developmental
C. When the client communicates processes underlying mental functioning. These
significant distress disorders are usually associated with significant
D. When the client uses defense distress or disability in social, occupational, or other
mechanisms as ego protection important activities. The client's ability to
communicate distress would be considered a
positive attribute
3. A nurse is assessing 15-year-old ANS: A
identical twins who respond very Responses to stress are variable among individuals
differently to stress. One twin and may be influenced by perception, past
becomes anxious and irritable, while experience, and environmental factors in addition to
the other withdraws and cries. How genetic factors.
should the nurse explain these
different responses to stress to the
parents?
A. Reactions to stress are relative
rather than absolute; individual
responses to stress vary.
B. It is abnormal for identical twins to
react differently to similar stressors.
C. Identical twins should share the
same temperament and respond
similarly to stress.
D. Environmental influences weigh
more heavily than genetic influences
on reactions to stress.
,4. A client has a history of excessive ANS: B
drinking, which has led to multiple The nurse should recognize that the client is using
arrests for driving under the influence rationalization, a common defense mechanism. The
(DUI). The client states, "I work hard to client is attempting to make excuses and create
provide for my family. I don't see why I logical reasons to justify unacceptable feelings or
can't drink to relax." The nurse behaviors.
recognizes the use of which defense
mechanism?
A. Projection
B. Rationalization
C. Regression
D. Sublimation
5. Which client should the nurse ANS: A
anticipate to be most receptive to The nurse should anticipate that the client of Jewish
psychiatric treatment? culture would place a high importance on
A. A Jewish, female journalist preventative health care and would consider mental
B. A Baptist, homeless male health as equally important as physical health.
C. A Catholic, black male Women are also more likely than men to seek
D. A Protestant, Swedish business treatment for mental health problems.
executive
6. A new psychiatric nurse states, "This ANS: A
client's use of defense mechanisms The nurse should know that defense mechanisms
should be eliminated." Which is a serve the purpose of reducing anxiety during times
correct evaluation of this nurse's of stress. A client with no defense mechanisms may
statement? have a lower tolerance for stress, predisposing him or
A. Defense mechanisms can be self- her to anxiety disorders. Defense mechanisms should
protective responses to stress and be confronted when they impede the client from
need not be eliminated. developing healthy coping skills.
B. Defense mechanisms are a
maladaptive attempt of the ego to
manage anxiety and should always be
eliminated.
C. Defense mechanisms, used by
individuals with weak ego integrity,
should be discouraged and not
eliminated.
D. Defense mechanisms cause
disintegration of the ego and should
be fostered and encouraged.
, 7. During an intake assessment, a ANS: C
nurse asks both physiological and The nurse should attempt to educate the client on
psychosocial questions. The client the negative effects of excessive stress on medical
angrily responds, "I'm here for my conditions. It is not appropriate to skip either
heart, not my head problems." Which physiological or psychosocial questions, as this
is the nurse's best response? would lead to an inaccurate assessment.
A. "It's just a routine part of our
assessment. All clients are asked these
same questions."
B. "Why are you concerned about
these types of questions?"
C. "Psychological factors, like
excessive stress, have been found to
affect medical conditions."
D. "We can skip these questions, if you
like. It isn't imperative that we
complete this section."
8. Which statement reflects a student ANS: B
nurse's accurate understanding of the The student nurse should understand that mental
concepts of mental health and mental health and mental illness are multidimensional and
illness? culturally defined. It is important for nurses to be
A. "The concepts are rigid and aware of cultural norms when evaluating a client's
religiously based." mental state.
B. "The concepts are multidimensional
and culturally defined."
C. "The concepts are universal and
unchanging."
D. "The concepts are unidimensional
and fixed."
Solutions
Save
Terms in this set (95)
1. A nurse is assessing a client who is ANS: D
experiencing occasional feelings of The nurse should assess that the client's daily
sadness because of the recent death functioning is not impaired. The client who
of a beloved pet. The client's appetite, experiences feelings of sadness after the loss of a
sleep patterns, and daily routine have pet is responding within normal expectations.
not changed. How should the nurse Without significant impairment, the client's distress
interpret the client's behaviors? does not indicate a mental illness.
A. The client's behaviors demonstrate
mental illness in the form of
depression.
B. The client's behaviors are extensive,
which indicates the presence of
mental illness.
C. The client's behaviors are not
congruent with cultural norms.
D. The client's behaviors demonstrate
no functional impairment, indicating
no mental illness.
,2. At what point should the nurse ANS: B
determine that a client is at risk for The nurse should determine that the client is at risk
developing a mental disorder? for mental disorder when responses to stress are
A. When thoughts, feelings, and maladaptive and interfere with daily functioning. The
behaviors are not reflective of the DSM-5 indicates that in order to be diagnosed with a
DSM-5 criteria mental disorder, there must be significant
B. When maladaptive responses to disturbance in cognition, emotion, regulation, or
stress are coupled with interference in behavior that reflects a dysfunction in the
daily functioning psychological, biological or developmental
C. When the client communicates processes underlying mental functioning. These
significant distress disorders are usually associated with significant
D. When the client uses defense distress or disability in social, occupational, or other
mechanisms as ego protection important activities. The client's ability to
communicate distress would be considered a
positive attribute
3. A nurse is assessing 15-year-old ANS: A
identical twins who respond very Responses to stress are variable among individuals
differently to stress. One twin and may be influenced by perception, past
becomes anxious and irritable, while experience, and environmental factors in addition to
the other withdraws and cries. How genetic factors.
should the nurse explain these
different responses to stress to the
parents?
A. Reactions to stress are relative
rather than absolute; individual
responses to stress vary.
B. It is abnormal for identical twins to
react differently to similar stressors.
C. Identical twins should share the
same temperament and respond
similarly to stress.
D. Environmental influences weigh
more heavily than genetic influences
on reactions to stress.
,4. A client has a history of excessive ANS: B
drinking, which has led to multiple The nurse should recognize that the client is using
arrests for driving under the influence rationalization, a common defense mechanism. The
(DUI). The client states, "I work hard to client is attempting to make excuses and create
provide for my family. I don't see why I logical reasons to justify unacceptable feelings or
can't drink to relax." The nurse behaviors.
recognizes the use of which defense
mechanism?
A. Projection
B. Rationalization
C. Regression
D. Sublimation
5. Which client should the nurse ANS: A
anticipate to be most receptive to The nurse should anticipate that the client of Jewish
psychiatric treatment? culture would place a high importance on
A. A Jewish, female journalist preventative health care and would consider mental
B. A Baptist, homeless male health as equally important as physical health.
C. A Catholic, black male Women are also more likely than men to seek
D. A Protestant, Swedish business treatment for mental health problems.
executive
6. A new psychiatric nurse states, "This ANS: A
client's use of defense mechanisms The nurse should know that defense mechanisms
should be eliminated." Which is a serve the purpose of reducing anxiety during times
correct evaluation of this nurse's of stress. A client with no defense mechanisms may
statement? have a lower tolerance for stress, predisposing him or
A. Defense mechanisms can be self- her to anxiety disorders. Defense mechanisms should
protective responses to stress and be confronted when they impede the client from
need not be eliminated. developing healthy coping skills.
B. Defense mechanisms are a
maladaptive attempt of the ego to
manage anxiety and should always be
eliminated.
C. Defense mechanisms, used by
individuals with weak ego integrity,
should be discouraged and not
eliminated.
D. Defense mechanisms cause
disintegration of the ego and should
be fostered and encouraged.
, 7. During an intake assessment, a ANS: C
nurse asks both physiological and The nurse should attempt to educate the client on
psychosocial questions. The client the negative effects of excessive stress on medical
angrily responds, "I'm here for my conditions. It is not appropriate to skip either
heart, not my head problems." Which physiological or psychosocial questions, as this
is the nurse's best response? would lead to an inaccurate assessment.
A. "It's just a routine part of our
assessment. All clients are asked these
same questions."
B. "Why are you concerned about
these types of questions?"
C. "Psychological factors, like
excessive stress, have been found to
affect medical conditions."
D. "We can skip these questions, if you
like. It isn't imperative that we
complete this section."
8. Which statement reflects a student ANS: B
nurse's accurate understanding of the The student nurse should understand that mental
concepts of mental health and mental health and mental illness are multidimensional and
illness? culturally defined. It is important for nurses to be
A. "The concepts are rigid and aware of cultural norms when evaluating a client's
religiously based." mental state.
B. "The concepts are multidimensional
and culturally defined."
C. "The concepts are universal and
unchanging."
D. "The concepts are unidimensional
and fixed."
