,Townsend
/PMHN,
/10e
Chapter /2 /-
/ETB
Chapter /2. /Mental /Health /and /Mental /Illness: /Historical /and /Theoretical /Concepts
MULTIPLE /CHOICE
1. /A /nurse /is /assessing /a /client /who /is /experiencing /occasional /feelings /of
/sadness /because /of /the /recent /death /of /a /beloved /pet. /The /client’s /appetite, /sleep
/patterns, /and/daily /routine /have /not /changed. /The /nurse /determines /the /client’s
/behaviors:
1. Demonstrate /typical /variations /in /daily /mood, /not /mental /illness
2. Are /clinically /significant /and /indicate /serious /mental /illness
3. Are /incongruent /with /cultural /norms /and /indicate /mental /illness
4. Show /common /symptoms /of /grief /and /do /not /indicate /mental /illness
ANS: /4
Chapter: /Chapter /2, /Mental /Health /and /Mental /Illness: /Historical /and
/Theoretical/Concepts
Objective: /Describe /psychological /adaptation /responses /to
/stress./Page: /20
Heading: /Grief
Integrated /Processes: /Nursing /Process:
/Assessment/Client /Need: /Psychosocial /Integrity
Cognitive /Level: /Analysis
/[Analyzing]/Concept: /Grief /and /Loss
Difficulty: /Moderate
Feedback
1. This /is /incorrect. /Feelings /of /sadness /are /not /a /typical /aspect /of /daily
/mood/variations.
2. This /is /incorrect. /These /symptoms /are /not /clinically /significant /from /the
/perspective/of /mental /illness. /The /client /demonstrates /a /common /grief /response.
3. This /is /incorrect. /Feelings /of /sadness /are /expected /and /normal /following /the /loss
/of /a/pet. /The /client /does /not /exhibit /signs /of /mental /illness, /as /daily /functioning /is
/not /impaired.
4. This /is /correct. /Feelings /of /sadness /are /expected /and /normal /following /the /loss /of
/a /pet. /This /client /does /not /demonstrate /changes /in /daily /function /but /does
/demonstrate/common /symptoms /of /grief.
CON: /Grief /and /Loss
2. /Which /indicates /a /client /is /likely /demonstrating /a /mental /disorder?
,Townsend
/PMHN,
/10e
Chapter /2 /-
/ETB
1. The /client /expresses /mild /anxiety /and /is /eating /more /than /usual /before
/an/examination.
2. The /client /displays /an /inability /to /concentrate, /including /reduced /job /performance.
3. The /client /describes /engaging /in /fidgeting /behavior /consistently /over /a /few /days.
4. The /client /states /an /increase /in /smoking /over /a /few /days /from /0.5 /to /1 /pack /per /day.
ANS: /2
Chapter: /Chapter /2, /Mental /Health /and /Mental /Illness: /Historical /and
/Theoretical/Concepts
Objective: /Define /mental /health /and /mental /illness.
Page: /14
Heading: /Mental /Illness
Integrated /Processes: /Nursing /Process:
/Assessment/Client /Need: /Psychosocial /Integrity
Cognitive /Level: /Application
/[Applying]/Concept: /Stress
Difficulty: /Moderate
Feedback
1. This /is /incorrect. /The /client /is /expressing /normal /behaviors /related /to /mild
/anxiety /appropriate /to /a /situation, /in /this /case /an /examination. /Mild /anxiety /can
/be /beneficial/to /improve /performance.
2. This /is /correct. /The /client /is /unable /to /concentrate, /and /job /performance /has
/been/negatively /impacted. /This /demonstrates /a /possible /mental /disorder.
3. This /is /incorrect. /Fidgeting /behavior /over /a /short-term /period /is /a /common
/psychological /adaptive /response /to /mild /anxiety. /This /does /not /suggest /a
/mental/disorder.
4. This /is /incorrect. /Smoking /or /increasing /smoking /over /a /few /days /is /a
/common/response /to /stress /and /suggests /mild /anxiety, /which /does /not
/suggest /a /mental /disorder.
CON: /Stress
3. /A /mental /health /nurse /is /speaking /with /parents /who /are /concerned /about /their
/teenage/children’s /responses /to /stress. /One /child /becomes /anxious /and /irritable /and
/the /other /withdraws /and /cries. /Which /is /the /nurse’s /best /response?
1. “Individual /responses /to /stress /are /affected /by /many /factors /and /can /vary.”
2. “Children /from /the /same /family /should /not /react /so /differently /to /stress.”
3. “Children /should /have /similar /dispositions /and /responses /to /stress.”
4. “Environmental /factors /influence /stress /responses /more /than /genetic /factors.”
ANS: /1
Chapter: /Chapter /2, /Mental /Health /and /Mental /Illness: /Historical /and
/Theoretical/Concepts
, Townsend
/PMHN,
/10e
Chapter /2 /-
/ETB
Objective: /Describe /psychological /adaptation /responses /to
/stress./Page: /16
Heading: / Psychological / Adaptation / to / Stress
/Integrated /Processes: /Nursing /Process:
/Implementation/Client /Need: /Teaching /and /Learning
Cognitive /Level: /Application
/[Applying]/Concept: /Stress
Difficulty: /Moderate
Feedback
1. This /is /correct. /Responses /to /stress /are /variable /among /individuals /and /may
/be/influenced /by /perception, /past /experiences, /environmental /factors, /and
/genetic
factors.
2. This /is /incorrect. /Responses /to /stress /vary /among /individuals; /even /those /within
/the/same /family /will /have /different /stress /responses.
3. This /is /incorrect. /Children, /like /adults, /will /demonstrate /various /responses /to
/stress,/depending /on /factors /such /as /environment, /past /experiences, /and
/perceptions.
4. This /is /incorrect. /Responses /to /stress /depend /on /genetic /factors, /perception,
/past/experiences, /and /environmental /factors.
CON: /Stress
4. /The /nurse /is /interviewing /a /client /with /a /history /of /excessive /drinking /and
/multiple /arrests /for /impaired /driving. /The /client /states, /“I /work /hard /to /provide /for
/my /family. /I/don’t /see /why /I /can’t /drink /to /relax.” /Which /defense /mechanism /is
/the /client /demonstrating?
1. Projection
2. Rationalization
3. Regression
4. Sublimation
ANS: /2
Chapter: /Chapter /2, /Mental /Health /and /Mental /Illness: /Historical /and
/Theoretical/Concepts
Objective: /Correlate /adaptive /and /maladaptive /responses /to /the /mental /health /and
/mental/illness /continuum.
Page: /16
Heading: /Anxiety /> /Behavioral /Adaptation /Responses /to /Anxiety /> /Table /2–2,
/Ego/Defense /Mechanisms
Integrated /Processes: /Nursing /Process:
/Assessment/Client /Need: /Psychosocial /Integrity
Cognitive /Level: /Comprehension
/[Understanding]/Concept: /Addiction /and
/Behaviors
Difficulty: /Easy
/PMHN,
/10e
Chapter /2 /-
/ETB
Chapter /2. /Mental /Health /and /Mental /Illness: /Historical /and /Theoretical /Concepts
MULTIPLE /CHOICE
1. /A /nurse /is /assessing /a /client /who /is /experiencing /occasional /feelings /of
/sadness /because /of /the /recent /death /of /a /beloved /pet. /The /client’s /appetite, /sleep
/patterns, /and/daily /routine /have /not /changed. /The /nurse /determines /the /client’s
/behaviors:
1. Demonstrate /typical /variations /in /daily /mood, /not /mental /illness
2. Are /clinically /significant /and /indicate /serious /mental /illness
3. Are /incongruent /with /cultural /norms /and /indicate /mental /illness
4. Show /common /symptoms /of /grief /and /do /not /indicate /mental /illness
ANS: /4
Chapter: /Chapter /2, /Mental /Health /and /Mental /Illness: /Historical /and
/Theoretical/Concepts
Objective: /Describe /psychological /adaptation /responses /to
/stress./Page: /20
Heading: /Grief
Integrated /Processes: /Nursing /Process:
/Assessment/Client /Need: /Psychosocial /Integrity
Cognitive /Level: /Analysis
/[Analyzing]/Concept: /Grief /and /Loss
Difficulty: /Moderate
Feedback
1. This /is /incorrect. /Feelings /of /sadness /are /not /a /typical /aspect /of /daily
/mood/variations.
2. This /is /incorrect. /These /symptoms /are /not /clinically /significant /from /the
/perspective/of /mental /illness. /The /client /demonstrates /a /common /grief /response.
3. This /is /incorrect. /Feelings /of /sadness /are /expected /and /normal /following /the /loss
/of /a/pet. /The /client /does /not /exhibit /signs /of /mental /illness, /as /daily /functioning /is
/not /impaired.
4. This /is /correct. /Feelings /of /sadness /are /expected /and /normal /following /the /loss /of
/a /pet. /This /client /does /not /demonstrate /changes /in /daily /function /but /does
/demonstrate/common /symptoms /of /grief.
CON: /Grief /and /Loss
2. /Which /indicates /a /client /is /likely /demonstrating /a /mental /disorder?
,Townsend
/PMHN,
/10e
Chapter /2 /-
/ETB
1. The /client /expresses /mild /anxiety /and /is /eating /more /than /usual /before
/an/examination.
2. The /client /displays /an /inability /to /concentrate, /including /reduced /job /performance.
3. The /client /describes /engaging /in /fidgeting /behavior /consistently /over /a /few /days.
4. The /client /states /an /increase /in /smoking /over /a /few /days /from /0.5 /to /1 /pack /per /day.
ANS: /2
Chapter: /Chapter /2, /Mental /Health /and /Mental /Illness: /Historical /and
/Theoretical/Concepts
Objective: /Define /mental /health /and /mental /illness.
Page: /14
Heading: /Mental /Illness
Integrated /Processes: /Nursing /Process:
/Assessment/Client /Need: /Psychosocial /Integrity
Cognitive /Level: /Application
/[Applying]/Concept: /Stress
Difficulty: /Moderate
Feedback
1. This /is /incorrect. /The /client /is /expressing /normal /behaviors /related /to /mild
/anxiety /appropriate /to /a /situation, /in /this /case /an /examination. /Mild /anxiety /can
/be /beneficial/to /improve /performance.
2. This /is /correct. /The /client /is /unable /to /concentrate, /and /job /performance /has
/been/negatively /impacted. /This /demonstrates /a /possible /mental /disorder.
3. This /is /incorrect. /Fidgeting /behavior /over /a /short-term /period /is /a /common
/psychological /adaptive /response /to /mild /anxiety. /This /does /not /suggest /a
/mental/disorder.
4. This /is /incorrect. /Smoking /or /increasing /smoking /over /a /few /days /is /a
/common/response /to /stress /and /suggests /mild /anxiety, /which /does /not
/suggest /a /mental /disorder.
CON: /Stress
3. /A /mental /health /nurse /is /speaking /with /parents /who /are /concerned /about /their
/teenage/children’s /responses /to /stress. /One /child /becomes /anxious /and /irritable /and
/the /other /withdraws /and /cries. /Which /is /the /nurse’s /best /response?
1. “Individual /responses /to /stress /are /affected /by /many /factors /and /can /vary.”
2. “Children /from /the /same /family /should /not /react /so /differently /to /stress.”
3. “Children /should /have /similar /dispositions /and /responses /to /stress.”
4. “Environmental /factors /influence /stress /responses /more /than /genetic /factors.”
ANS: /1
Chapter: /Chapter /2, /Mental /Health /and /Mental /Illness: /Historical /and
/Theoretical/Concepts
, Townsend
/PMHN,
/10e
Chapter /2 /-
/ETB
Objective: /Describe /psychological /adaptation /responses /to
/stress./Page: /16
Heading: / Psychological / Adaptation / to / Stress
/Integrated /Processes: /Nursing /Process:
/Implementation/Client /Need: /Teaching /and /Learning
Cognitive /Level: /Application
/[Applying]/Concept: /Stress
Difficulty: /Moderate
Feedback
1. This /is /correct. /Responses /to /stress /are /variable /among /individuals /and /may
/be/influenced /by /perception, /past /experiences, /environmental /factors, /and
/genetic
factors.
2. This /is /incorrect. /Responses /to /stress /vary /among /individuals; /even /those /within
/the/same /family /will /have /different /stress /responses.
3. This /is /incorrect. /Children, /like /adults, /will /demonstrate /various /responses /to
/stress,/depending /on /factors /such /as /environment, /past /experiences, /and
/perceptions.
4. This /is /incorrect. /Responses /to /stress /depend /on /genetic /factors, /perception,
/past/experiences, /and /environmental /factors.
CON: /Stress
4. /The /nurse /is /interviewing /a /client /with /a /history /of /excessive /drinking /and
/multiple /arrests /for /impaired /driving. /The /client /states, /“I /work /hard /to /provide /for
/my /family. /I/don’t /see /why /I /can’t /drink /to /relax.” /Which /defense /mechanism /is
/the /client /demonstrating?
1. Projection
2. Rationalization
3. Regression
4. Sublimation
ANS: /2
Chapter: /Chapter /2, /Mental /Health /and /Mental /Illness: /Historical /and
/Theoretical/Concepts
Objective: /Correlate /adaptive /and /maladaptive /responses /to /the /mental /health /and
/mental/illness /continuum.
Page: /16
Heading: /Anxiety /> /Behavioral /Adaptation /Responses /to /Anxiety /> /Table /2–2,
/Ego/Defense /Mechanisms
Integrated /Processes: /Nursing /Process:
/Assessment/Client /Need: /Psychosocial /Integrity
Cognitive /Level: /Comprehension
/[Understanding]/Concept: /Addiction /and
/Behaviors
Difficulty: /Easy
