MENTAL HEALTH & WELLNESS IN NURSING EXAM 2
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QUESTIONS
CHOOSE ONE ANSWER
TIME : 2 HOUR
, Page 2 of 46
Mental health nursing Exam 2
A client has a history of demonstrating aggression physically. An appropriate
short-term goal to help the client manage this anger is to
A. strike objects rather than people.
B. limit aggression to verbal outbursts.
C. isolate in lieu of striking people.
D.identify situations that precipitate hostility.
D, identify situations that precipitate hostility
The identification of situations that create hostile feelings must occur if the client is to
develop new coping strategies PG 527
When a client diagnosed with a cognitive deficit experiences a catastrophic
reaction, the priority intervention is to
A. decrease sensory stimuli.
B. smile and call the client by name.
C. take the client to the bathroom.
D. calmly ask the client what's wrong
B. smile and call the client by name
Getting the client's attention by calling his or her name is necessary. Smiling is
necessary to convey the lack of a threat.PG 527
Which assessment finding is the best predictor of violence in a newly admitted
client?
A. A recent assault on a drinking companion.
B. A family history of bipolar disorder
C.The nurse's subjective feeling that the client is uncooperative.
C. A childhood history of being bullied at school
A. A recent assault on a drinking companion.
Which nursing diagnosis is the priority when planning care for a client who
displays considerable anger and occasional aggression?
A, Social isolation
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B. Risk for other-directed violence
C. Ineffective coping: overwhelmed
D. Ineffective coping: maladaptive
B. Risk for other-directed violence
Nurses coping with angry clients may find it helpful to remember that anger
and aggression begin as feelings of
A. isolation.
B. confidence.
C. competence.
D. vulnerability.
D. vulnerability.
Peter, a 21-year-old patient, asks you, "What's wrong with my brain that I have
such a problem with aggression?" Your response is based on the knowledge
that:
A.the prevailing theory is that diminishment of stress hormones causes anger
and aggression.
B. no abnormalities of the brain have been identified that correlate with anger
and aggression.
C. the limbic system, the prefrontal cortex, and neurotransmitters have been
implicated in playing a part in aggression.
D.personality type plays a much greater part in anger and aggression than
physical factors.
C. the limbic system, the prefrontal cortex, and neurotransmitters have been
implicated in playing a part in aggression.
One older concept that is being used currently that may help in violence
reduction in patients is:
A. aired grievances.
B. trauma-informed care.
C. shared governance.
D. learned helplessness.
B. trauma-informed care
One effect of stress can be attributed to the stimulation of the hypothalamus-
pituitary-adrenal cortex, causing a short-term increase in
A.the heart rate.
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B. triglycerides
C. gluconeogenesis.
D. brain norepinephrine.
C. gluconeogenesis
An increase in gluconeogenesis, stimulated by the release of cortisol, ensures that
increased amounts of glucose are available to the individual. Increased glucose
levels heighten and maintain energy levels to meet the demands of a crisis or
stressor.
PG 169-170
Stress can be attributed to stimulation of the hypothalamus-pituitary-adrenal
cortex, and over the long term it can result in
A.insulin resistance.
Ba high resting heart rate.
C. digestive problems.
D.chronic muscle tension.
A. insulin resistance
Insulin resistance and obesity are considered long-term sequelae of the high blood
glucose levels incurred when the body responds to stress.
169-170
An Asian client would be most likely to respond to stress by the subjective
experience of
A. anxiety.
B. somatic complaints.
C. memory deficiencies.
D. sensory perceptual alterations.
b. somatic complaints
The overwhelming majority of Asians, Africans, and Central Americans not only
express subjective distress in somatic terms, but actually experience this distress
somatically, such that psychological interpretations of suffering may not be much use
cross-culturally.
pg170-171