,e
, e
Chapter 1: Mental Health and Mental Illness
e e e e e e e
e
MultipleeChoicee
Identifyetheechoiceethatebestecompletesetheestatementeoreanswersetheequestion.e
e
__ 1. Aenurseeiseassessingeaeclientewhoeexperienceseoccasionalefeelingseofesadnessebecauseeofetheerecentedeatheofea
__e ebelovedepet.eTheeclient’seappetite,esleepepatterns,eandedailyeroutineehaveenotechanged. e
Howewouldetheenurseeinterpretetheeclient’sebehaviors?e
1. Theeclient’sebehaviorsedemonstrateementaleillnesseinetheeformeofedepression.e
2. Theeclient’sebehaviorseareeinappropriate,ewhicheindicatesetheepresenceeofementaleillness.e
3. Theeclient’sebehaviorseareenotecongruentewitheculturalenorms.e
4. Theeclient’sebehaviorsedemonstrateenoefunctionaleimpairment,eindicatingenoementaleillness.e
ee
2. Atewhichepointewouldetheenurseedetermineethateaeclienteiseateriskeforedevelopingeaementaleillness?e
1. Whenethoughts,efeelings,eandebehaviorseareenotereflectiveeofetheeDSM-5ecriteria.e
__ 2. Whenemaladaptiveeresponsesetoestresseareecoupledewitheinterferenceeinedailyefunctioning.e
__e 3. Wheneaeclientecommunicatesesignificantedistress.e
4. Wheneaeclienteusesedefenseemechanismseaseegoeprotection.e
ee
3. Aeclientehasebeenegiveneaediagnosiseofehumaneimmunodeficiencyeviruse(HIV).eWhichestatemente
madeebyetheeclientedoesetheenurseerecognizeeasetheebargainingestageeofegrief?NeeeeeeeeeeeeMeeeeeeeURSINGTB.CO
e e
1. “IehateemyepartnereforegivingemeethisediseaseeIewilledieefrom!”e
__ 2. “IfeIedon’tedoeintravenouse(IV)edrugseanymore,eGodewon’teletemeedie.”e
__e 3. “Ieamegoingetoesupportegroupseandelearnemoreeaboutetheedisease.”e
4. “Caneyouepleaseere-drawetheetesteresults,eIethinketheyemayebeewrong?”e
e
e
__ 4.eAenurseenotesethateaeclienteiseextremelyewithdrawn,edelusional,eandeemotionallyeexhausted.eThee
__e nurseeassessesetheeclient’seanxietyeasewhichelevel?e
1. Mildeanxietye
2. Moderateeanxietye
3. Severeeanxietye
4. Paniceanxietye
e
e
__ 5.eAepsychiatricenurseeinternestates,e“Thiseclient’seuseeofedefenseemechanismseshouldebeeeliminated.”eWhicheisea
__e ecorrect eevaluationeofethisenurse’sestatement? e
1. Defenseemechanismsecanebeeappropriateeresponsesetoestresseandeneedenotebeeeliminated.e
2. Defenseemechanismseareeaemaladaptiveeattempteofetheeegoetoemanageeanxietyeandeshouldealwayseb
eeeliminated.e
3. Defenseemechanisms,eusedebyeindividualsewitheweakeegoeintegrity,eshouldebeediscouragedeandenote
completelyeeliminated.e
4. Defenseemechanismsecauseedisintegrationeofetheeegoeandeshouldebeefosteredeandeencouraged.e
e
e
, e
_ 6. Duringeaneintakeeassessment,eaenurseeasksebothephysiologicaleandepsychosocialequestions.eThee
_ clienteangrilyeresponds,e“I’mehereeforemyeheart,enotemyeheadeproblems.”eWhicheisetheenurse’sebesteresponse
_ ?e
_e 1. “Iteisejusteaeroutineeparteofeoureassessment.eAlleclientseareeaskedetheseesameequestions.”e
2. “Whyeareeyoueconcernedeaboutetheseetypeseofequestions?”e
3. “Psychologicalefactors,elikeeexcessiveestress,ehaveebeenefoundetoeaffectemedicaleconditions.”e
4. “Weecaneskipetheseequestions,eifeyouelike.eIteisn’teimperativeethateweecompleteethisesection.”e
ee
7. Aeclientewhoeisebeingetreatedeforechronicekidneyediseaseecomplainsetoetheehealth-
careeproviderethateheedoesenotelikeetheefoodeavailableetoehimewhileehospitalized.eTheehealth-
careeprovidereinsistsethatetheeclientestrictlyeadhereetoetheedieteplan.eWhateactionecanebeeexpectedeisetheecliente
usesetheedefenseemechanismeofedisplacement?e
1. Theeclienteassertivelyeconfrontsetheehealth-careeprovider.e
_ 2. Theeclienteinsistseonebeingedischargedeandegoeseforeaelong,ebriskewalk.e
_ 3. Theeclientesnapseatetheenurseeandecriticizesetheenursingecareeprovided.e
_ 4. Theeclientehidesehiseangerebyeexplainingetheelogicalereasoningeforetheedietetoehisespouse.e
ee
_e 8. Aefourth-
gradeeboyeteaseseandemakesejokeseabouteaecuteegirleinehiseclass.eAenurseewoulderecognizeethisebehavioreasein
dicativeeofewhichedefenseemechanism?e
1. Displacemente
2. Projection NeeeeeeeeeeeeMeeeeeeeURSINGTB.COe
e
3. Reactioneformatione
4. Sublimatione
e
e
_
_
_
_e
_ 9.eWhichenursingestatementeregardingetheeconcepteofepsychosiseisemosteaccurate?e
_ 1. Individualseexperiencingepsychoseseareeawareethatetheirebehaviorseareemaladaptive.e
_ 2. Individualseexperiencingepsychoseseexperienceelittleedistress.e
_e 3. Individualseexperiencingepsychoseseareeawareeofeexperiencingepsychologicaleproblems.e
4. Individualseexperiencingepsychoseseareebasedeinereality.e
e
e
_ 10.eWheneunderestress,eaeclienteroutinelyeusesealcoholetoeexcess.eWhenetheeclient’sehusbandefindseheredrunk,etheeh
_ usbandeyellseatetheeclienteabouteherechronicealcoholeabuse.eWhicheactionealertsetheenurseetoetheeclient’seuseeo
_ fetheedefenseemechanismeofedenial?e
_e 1. Theeclientehideseliquorebottleseineaecloset.e
2. Theeclienteyellseateheresoneforeslouchingeinehisechair.e
3. Theeclienteburnsedinnereonepurpose.e
4. Theeclientesaysetoetheespouse,e“Iedon’tedrinketooemuch!”e