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NUR 253/ NUR253 Exam 2 – Concepts of Mental Health Nursing Review| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NUR 253/ NUR253 Exam 2 – Concepts of Mental Health Nursing Review| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION Types of crisis 1. Maturational 2. Situational 3. Adventitious QUESTION Maturational crisis Answer: - Crisis that happens over the course of life - marriage, the birth of child retirement, death of parent QUESTION Situational crisis Answer: - Unanticipated stressful events - Death, Divorce, job loss QUESTION Adventitious crisis Answer: - Traumatic, external event. Not part of everyday life, caused by nature, human-made, accidental - Results from a natural disaster (flood, hurricane), national disaster (terrorism, war) or a crime of violence (rape, school shooting) QUESTION Phase 1 of crisis Answer: - Person exposed to a serious stressor or problem resulting in increased anxiety - Increased anxiety results in use of usual coping methods and defense mechanisms to address problem and decrease anxiety QUESTION Phase 2 of crisis Answer: - Anxiety continues to rise because of coping methods and defense mechanisms failing - Individual functioning becomes disorganized - trial and error to restore balance QUESTION Phase 3 of crisis Answer: - Trial-and-error attempts fail - Anxiety can escalate to severe level or panic - Person mobilized automatic relief behaviors like flight-or-fight and withdrawl - Resolution may be achieved by compromising needs QUESTION Phase 4 of crisis Answer: - If problem still not solved and new coping skills are ineffective anxiety can become overwhelming - May lead to Personality disorganization: depression, confusion, violence, SI QUESTION Primary prevention of crisis Answer: - Promote mental health, identify potential problems - Teach coping skills, problem-solving QUESTION Secondary prevention of crisis Answer: - Establish interventions during an acute crisis - Identify the crisis, get help, utilize support and coping mechanisms QUESTION Tertiary prevention Answer: — Support for those who have experienced crisis and are recovering - Goal = promote optimal level of functioning and prevent further emotional disruptions -Critical incident stress debriefing - example of tertiary intervention QUESTION Adaptive use of defense mechanisms Answer: helps people to achieve their goals in acceptable ways and reduce anxiety QUESTION Maladaptive use of defense mechanisms Answer: Occurs when one or several are used in excess or immaturely disallowing goals to be achieved QUESTION Altruism Answer: - a unconscious motivation to feel caring and concern for others and act for the well-being of others - Adaptive use: a woman anonymously donating to coworkers' GoFundMe - Maladaptive: someone compulsively rescuing cats with no regard to their own personal safety QUESTION Sublimation Answer: - an unconscious process of transforming negative impulses into less damaging and even productive impulses - Adaptive: a woman angry with her boss channeling her anger into cleaning her house spotless QUESTION Mild anxiety - Occurs in everyday living - Sharp focus - More effective problem solving - May have slight physical symptoms: fidgeting, nail-biting, foot tapping

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NURl 253/l NUR253l Examl 2l –l Conceptsl
ofl Mentall Healthl Nursingl Review|l Galenl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A


Q:l Typesl ofl crisis
Answer:
1.l Maturational
2.l Situational
3.l Adventitious



Q:l Maturationall crisis
Answer:
-l Crisisl thatl happensl overl thel coursel ofl life
-l marriage,l thel birthl ofl childl retirement,l deathl ofl parent



Q:l Situationall crisis
Answer:
-l Unanticipatedl stressfull events
-l Death,l Divorce,l jobl loss



Q:l Adventitiousl crisis
Answer:
-l Traumatic,l externall event.l Notl partl ofl everydayl life,l causedl byl nature,l human-made,l
accidental

,-l Resultsl froml al naturall disasterl (flood,l hurricane),l nationall disasterl (terrorism,l war)l orl
al crimel ofl violencel (rape,l schooll shooting)



Q:l Phasel 1l ofl crisis
Answer:
-l Personl exposedl tol al seriousl stressorl orl probleml resultingl inl increasedl anxiety
-l Increasedl anxietyl resultsl inl usel ofl usuall copingl methodsl andl defensel mechanismsl tol
addressl probleml andl decreasel anxiety



Q:l Phasel 2l ofl crisis
Answer:
-l Anxietyl continuesl tol risel becausel ofl copingl methodsl andl defensel mechanismsl failing
-l Individuall functioningl becomesl disorganized
-l triall andl errorl tol restorel balance



Q:l Phasel 3l ofl crisis
Answer:
-l Trial-and-errorl attemptsl fail
-l Anxietyl canl escalatel tol severel levell orl panic
-l Personl mobilizedl automaticl reliefl behaviorsl likel flight-or-fightl andl withdrawl
-l Resolutionl mayl bel achievedl byl compromisingl needs



Q:l Phasel 4l ofl crisis
Answer:
-l Ifl probleml stilll notl solvedl andl newl copingl skillsl arel ineffectivel anxietyl canl becomel
overwhelming
-l Mayl leadl tol Personalityl disorganization:l depression,l confusion,l violence,l SI



Q:l Primaryl preventionl ofl crisis

,Answer:
-l Promotel mentall health,l identifyl potentiall problems
-l Teachl copingl skills,l problem-solving



Q:l Secondaryl preventionl ofl crisis
Answer:
-l Establishl interventionsl duringl anl acutel crisis
-l Identifyl thel crisis,l getl help,l utilizel supportl andl copingl mechanisms



Q:l Tertiaryl prevention
Answer:
—l Supportl forl thosel whol havel experiencedl crisisl andl arel recovering
-l Goall =l promotel optimall levell ofl functioningl andl preventl furtherl emotionall disruptions
-Criticall incidentl stressl debriefingl -l examplel ofl tertiaryl intervention



Q:l Adaptivel usel ofl defensel mechanisms
Answer:
helpsl peoplel tol achievel theirl goalsl inl acceptablel waysl andl reducel anxiety



Q:l Maladaptivel usel ofl defensel mechanisms
Answer:
Occursl whenl onel orl severall arel usedl inl excessl orl immaturelyl disallowingl goalsl tol bel
achieved



Q:l Altruism
Answer:

, -l al unconsciousl motivationl tol feell caringl andl concernl forl othersl andl actl forl thel well-
beingl ofl others
-l Adaptivel use:l al womanl anonymouslyl donatingl tol coworkers'l GoFundMe
-l Maladaptive:l someonel compulsivelyl rescuingl catsl withl nol regardl tol theirl ownl
personall safety



Q:l Sublimation
Answer:
-l anl unconsciousl processl ofl transformingl negativel impulsesl intol lessl damagingl andl
evenl productivel impulses
-l Adaptive:l al womanl angryl withl herl bossl channelingl herl angerl intol cleaningl herl housel
spotless



Q:l Mildl anxiety
Answer:
-l Occursl inl everydayl living
-l Sharpl focus
-l Morel effectivel probleml solving
-l Mayl havel slightl physicall symptoms:l fidgeting,l nail-biting,l footl tapping



Q:l Moderatel anxiety
Answer:
-l Sees,l hears,l andl graspsl lessl information
-l Selectivel inattention
-l Abilityl tol thinkl isl hindered
-l Canl stilll problem-solvel andl learn,l butl notl optimal
-l SNSl activated:l Tension,l increasedl HR,l BP,l respirations,l GIl upset,l voicel tremorsl
(musclel tension)



Q:l Mild-Moderatel anxietyl treatment

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