Introductory Mental Health Nursing
CYNTHIA KINCHELOE
Fifth, North American Edition
, Chapter 1 Mental Health and Mental Illness
1. When studying mental health and mental illness, the student nurse learns that which of the
following is evidence of our mental health?
A) Our ability to function well with others
B) Our ability to defend what we believe
C) Our ability to perform demanding tasks on the job
D) Our ability to defend those weaker than we are
2. A mental health nurse is teaching a class in anger management. She teaches the
patients that recognizing what triggers their anger response allows them to do which of the
following?
A) Manipulate the situation to get what you want
B) Stand up for ones beliefs against the cultural beliefs of a community
C) Gives them the opportunity to gain control of their anger
D) Control the things that trigger their anger
3. Which of the following are factors that could be part of a persons cultural identity? (Select all
that apply.)
A) Common family customs
B) Common language
C) Common stressors
D) Gender
E) Adaptive resources
4. What would a culturally competent nurse know that some cultural and ethnic groups feel that
mental illness is caused by?
A) Demon possession
B) Pretense
C) The stars
D) Hypnosis
Page 1 of 153
,5. A staff educator is discussing stress and its impact on a disease process, whether it is
physical or mental. What would be the best statement about stress that the educator could
give?
A) Stress can be prostress or distress.
B) Stress can never enhance the feeling of well-being.
C) Stress can be either physically or emotionally exhausting, but not both.
D) Distress is actually harmful to ones health.
6. A patient comes to the clinic to see the Mental Health Nurse Practitioner. The patient states, I seem
to be miserable and upset all the time. My marriage is crumbling because my wife refuses to
understand how I feel. What does the nurse practitioner understand about the factors contributing to
the patients stress?
A) Internal situations often make us miserable and upset
B) External situations often make us miserable and upset
C) We choose to make ourselves miserable and upset
D) We choose to live with chronic stress
7. As a mental health nurse, you know that when a person feels insulted, mental images of resentment
and animosity may be formed. These images generate what?
A) The need to fight back
B) The need to change their behavior
C) The need to project blame onto the other person
D) The need to manipulate the situation
8. Mental health nurses know that stress management is an important part of patient care. What is
one way a mental health nurse could help the patient cope with stress?
A) Teach mentalization
B) Teach hypnosis
C) Teach imagination
D) Teach visualization
9. To help patients deal with their stress, nurses must also learn to cope with their own. Which of
the following is an adaptive coping strategy that might be used by the nurse?
Page 2 of 153
, A) Reframing
B) Mediation
C) Asset training
D) Mental blocking
10. An 18-year-old college student is very anxious about auditioning for the schools famous
chorale. Which of the following ways of dealing with this anxiety would the nurse recognize as
being maladaptive?
A) Arranging for voice lessons
B) Practicing the songs used in the audition
C) Going to a concert
D) Singing with a group of friends
11. Several steps occur in the crisis sequence. What is one of these steps?
A) Organization recurs
B) Violence
C) Autonomic response
D) Peripheral nervous system response
12. A 70-year-old man is admitted to the hospital in a severe state of malnutrition. The nurse learns
that he lost his wife 3 months ago and is living alone in a rural area. His family lives at a great
distance and rarely visits him. He is not eating for several days at a time and is not paying his bills. He
is now without electricity and phone service at his home. When his son asks the nurse what is wrong
with his father, what would be the nurses best response?
A) He is grieving for his wife.
B) He has colon cancer and is dying.
C) He has a malabsorption disorder.
D) He feels alone and useless.
13. A 28-year-old woman, whose husband and two children were killed in a hurricane 3 years ago,
has dated several men in the past 18 months. She has never allowed a serious relationship to
develop, always finding a reason to end the relationship after a couple of months. What is a reason
that this woman may not be able to form a serious, lasting relationship with a man?
Page 3 of 153