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Exam (elaborations)

NURSING 4530 - MENTAL HEALTH - EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS!!

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NURSING 4530 - MENTAL HEALTH - EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS!!

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NURSING 4530 - MENTAL HEALTH - EXAM 1
QUESTIONS WITH COMPLETE SOLUTIONS!!

A nurse is assessing the factors contributing to the well-being of a newly
admitted client. Which would the nurse identify as having a positive impact on
the individual's mental health?
A. striving for total self-reliance
B. The ability to affectively manage stress
C. a family history of mental illness
D. Not needing others for companionship Answer - B. the ability to effectively
manage stress


Which is true regarding mental health and mental illness?
A. persons who engage in fantasies are mentally ill
B. behavior that may be viewed as acceptable in one culture is always
unacceptable to other cultures
C. in most cases, mental health is a state of emotional, psychological, and social
wellness evidenced by satisfying interpersonal relationships, effective behavior
and coping, positive self concept, and emotional stability
D. it is easy to determine if a person is mentally healthy or mentally ill Answer -
C. in most cases, mental health is a state of emotional, psychological, and social
wellness evidenced by satisfying interpersonal relationships, effective behavior
and coping, positive self concept, and emotional stability


At what point should the nurse determine that a client is at risk for developing
a mental disorder?
A. when the client uses defense mechanisms as ego protection
B. when maladaptive responses to stress are coupled with interference in daily
functioning

,C. when thoughts, feelings, and behaviors are not reflective of DSM-5 criteria
D. when the client communicates significant distress Answer - B. When
maladaptive responses to stress are coupled with interference in daily
functioning


A client suffers from frequent panic attacks and often described feeling
disconnected from the self during these attacks. Which condition should the
nurse note in the chart?
A. depersonalization
B. denial
C. derealization
D. hallucinations Answer - A. depersonalization


A client is currently experiencing a panic attack. Which is the most appropriate
response by the nurse?
A. "you are safe, take a deep breath"
B. "what are you feeling right now?"
C. "there is nothing here to harm you"
D. "just try to relax" Answer - A. "You are safe. Take a deep breath"


According to Erikson's developmental theory, when planning care for a 47 yr
old client, which developmental task should a nurse identify as appropriate for
this client?
A. to achieve a sense of self-confidence and recognition from others
B. to develop basic trust in others
C. to achieve established life goals and consider the welfare of future
generations
D. to reflect back on life events to derive pleasure and meaning Answer - C. To
achieve life goals and consider the welfare of future generations

, A college student recently experienced a relationship break-up. The college
student is admitted to a hospital following a suicide attempt and states "No
one will ever love a loser like me." According to Erikson's theory of personality
development, a nurse should recognize a deficit in which developmental stage?
A. initiative versus guilt
B. intimacy versus isolation
C. trust versus mistrust
D. ego integrity versus despair Answer - B. intimacy versus isolation


A nurse and client are engaged in a discussion. The client says, "I feel really
close to you. You are the only true friend I have." Which response by the nurse
would be most therapeutic?
A. "since ours is a professional relationship, let's explore other opportunities in
your life for friendship"
B. "i am sure there are other people in your life who are your friends; besides,
we just met"
C. "it makes me feel good that you trust me so much ; it is important for the
work we are doing together"
D. "we are definitely not friends, this is strictly professional" Answer - A. "Since
ours is a professional relationship, let's explore other opportunities in your life
for friendship"


Which is the overall priority goal of in-patient psychiatric treatment?
A. medication adherence
B. maintenance of stability in the community
C. better communication skills
D. stabilization and return to the community Answer - stabilization and return
to the community

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