,Chapter 1: Mental Health and Mental Illness
Multiple Choice
Identifylthelchoicelthatlbestlcompleteslthelstatementlorlanswerslthelquestion.
1. Alnurselislassessinglalclientlwholexperiencesloccasionallfeelingsloflsadnesslbecauseloflthelrecentldeat
hloflalbelovedlpet.lThelclient’slappetite,lsleeplpatterns,landldailylroutinelhavelnotlchanged.lHowlwoul
dlthelnurselinterpretlthelclient’slbehaviors?
1. Thelclient’slbehaviorsldemonstratelmentallillnesslinlthelformlofldepression.
2. Thelclient’slbehaviorslarelinappropriate,lwhichlindicateslthelpresenceloflmentallilln
ess.
3. Thelclient’slbehaviorslarelnotlcongruentlwithlculturallnorms.
4. Thelclient’slbehaviorsldemonstratelnolfunctionallimpairment,lindicatinglnolmentallill
ness.
2. Atlwhichlpointlwouldlthelnurseldeterminelthatlalclientlislatlrisklforldevelopinglalmentallillness?
1. Whenlthoughts,lfeelings,landlbehaviorslarelnotlreflectiveloflthelDSM-5lcriteria.
2. Whenlmaladaptivelresponsesltolstresslarelcoupledlwithlinterferencelinldailylfun
ctioning.
3. Whenlalclientlcommunicateslsignificantldistress.
4. Whenlalclientlusesldefenselmechanismslaslegolprotection.
3. Alclientlhaslbeenlgivenlaldiagnosisloflhumanlimmunodeficiencylvirusl(HIV).lWhichlstatementlmad
elbylthelclientldoeslthNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
slMt h e lbargaininglstageloflgrief?
1. “IlhatelmylpartnerlforlgivinglmelthisldiseaselIlwillldielfrom!”
2. “IflIldon’tldolintravenousl(IV)ldrugslanymore,lGodlwon’tlletlmeldie.”
3. “Ilamlgoingltolsupportlgroupslandllearnlmorelaboutltheldisease.”
4. “Canlyoulpleaselre-drawltheltestlresults,lIlthinkltheylmaylbelwrong?”
4. Alnurselnoteslthatlalclientlislextremelylwithdrawn,ldelusional,landlemotionallylexhausted.lThelnurs
elassesseslthelclient’slanxietylaslwhichllevel?
1. Mildlanxiety
2. Moderatelanxiety
3. Severelanxiety
4. Paniclanxiety
5. Alpsychiatriclnurselinternlstates,l“Thislclient’sluselofldefenselmechanismslshouldlbeleliminated.”lWhi
chlislalcorrectlevaluationloflthislnurse’slstatement?
1. Defenselmechanismslcanlbelappropriatelresponsesltolstresslandlneedlnotlbeleli
minated.
2. Defenselmechanismslarelalmaladaptivelattemptloflthelegoltolmanagelanxietylandlsho
uldlalwayslbeleliminated.
, 6. Duringlanlintakelassessment,lalnurselaskslbothlphysiologicallandlpsychosociallquestions.lThelclientla
ngrilylresponds,l“I’mlherelforlmylheart,lnotlmylheadlproblems.”lWhichlislthelnurse’slbestlresponse?
1. “Itlisljustlalroutinelpartloflourlassessment.lAlllclientslarelaskedltheselsamelques
tions.”
2. “Whylarelyoulconcernedlaboutltheseltypesloflquestions?”
3. “Psychologicallfactors,llikelexcessivelstress,lhavelbeenlfoundltolaffectlmedicallcon
ditions.”
4. “Welcanlskipltheselquestions,liflyoullike.lItlisn’tlimperativelthatlwelcompletelthislsecti
on.”
Alclientlwholislbeingltreatedlforlchroniclkidneyldiseaselcomplainsltolthelhealth-
7. carelproviderlthatlheldoeslnotllikelthelfoodlavailableltolhimlwhilelhospitalized.lThelhealth-
carelproviderlinsistslthatlthelclientlstrictlyladhereltoltheldietlplan.lWhatlactionlcanlbelexpectedlislthelclie
ntlusesltheldefenselmechanismlofldisplacement?
1. Thelclientlassertivelylconfrontslthelhealth-carelprovider.
2. Thelclientlinsistslonlbeingldischargedlandlgoeslforlallong,lbrisklwalk.
3. Thelclientlsnapslatlthelnurselandlcriticizeslthelnursinglcarelprovided.
4. Thelclientlhideslhislangerlbylexplaininglthellogicallreasoninglforltheldietltolhislspou
se.
Alfourth-
8. gradelboylteaseslandlmakesljokeslaboutlalcutelgirllinlhislclass.lAlnurselwouldlrecognizelthislbehaviorlasl
indicativeloflwhichldefenselmechanism?
1. Displacement
2. Projection
3. Reactionlformation
4. Sublimation
9.l l Whichlnursinglstatementlregardinglthelconceptloflpsychosislislmostlaccurate?
1. Individualslexperiencinglpsychoseslarelawarelthatltheirlbehaviorslarelmaladaptive.
2. Individualslexperiencinglpsychoseslexperiencellittleldistress.
3. Individualslexperiencinglpsychoseslarelawareloflexperiencinglpsychologicallpr
oblems.
4. Individualslexperiencinglpsychoseslarelbasedlinlreality.
l 10.l Whenlunderlstress,lalclientlroutinelyluseslalcoholltolexcess.lWhenlthelclient’slhusbandlfindslherldrunk
,lthelhusbandlyellslatlthelclientlaboutlherlchroniclalcohollabuse.lWhichlactionlalertslthelnurseltolthelc
lient’sluselofltheldefenselmechanismlofldenial?
1. Thelclientlhideslliquorlbottleslinlalcloset.
2. Thelclientlyellslatlherlsonlforlslouchinglinlhislchair.
3. Thelclientlburnsldinnerlonlpurpose.
4. Thelclientlsaysltolthelspouse,l“Ildon’tldrinkltoolmuch!”
l 11.lDevastatedlbylaldivorcelfromlanlabusivelhusband,lalwifelcompleteslgrieflcounseling.lWhichlstatementl
bylthelwifelwouldlindicateltolalnurselthatlthelclientlislinlthelacceptancelstageloflgrief?
1. “Iflonlylwelcouldlhaveltriedlagain,lthingslmightlhavelworkedlout.”
2. “IlamlsolmadlthatlthelchildrenlandlIlhadltolputluplwithlhimlasllonglaslweldid.”
3. “Yes,litlwaslaldifficultlrelationship,lbutlIlthinklIlhavellearnedlfromlthe
, experience.”
4. “Ilhavelaldifficultltimelgettingloutloflbedlmostldays.”
l 12.l AccordingltolMaslow’slhierarchyloflneeds,lwhichlclientlactionlwouldldemonstratelthelhighestlachi
evementlinltermsloflmentallhealth?
1. Maintaininglallong-term,lfaithful,lintimatelrelationship
2. Achievinglalsenseloflself-confidence
3. Possessinglalfeelingloflself-fulfillmentlandlrealizinglfulllpotential
4. Developinglalsenseloflpurposelandlthelabilityltoldirectlactivities
l 13.l AccordingltolMaslow’slhierarchyloflneeds,lwhichlsituationlonlanlinpatientlpsychiatriclunitlwouldlrequi
relprioritylinterventionlbylalnurse?
1. Alclientlrudelylcomplaininglaboutllimitedlvisitinglhours
2. Alclientlexhibitinglaggressivelbehaviorltowardlanotherlclient
3. Alclientlstatinglthatlnolonelcares
4. Alclientlverbalizinglfeelingsloflfailure
MultiplelResponse
Identifylonelorlmorelchoiceslthatlbestlcompletelthelstatementlorlanswerlthelquestion.
l 14.l Whichldescribeslaldefenselmechanismlanlindividuallmayluseltolrelievelanxietylinlalstressfullsituat
ion?l(Selectlalllthatlapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Naillbiting
5. Sleeping
l 15.l ThelnurselislreviewinglthelDSM-
5ldefinitionloflalmentallhealthldisorderlandlnotesltheldefinitionlincludeslaldisturbancelinlwhichlareas
?l(Selectlalllthatlapply.)
1. Cognition
2. Physical
3. Emotionallregulation
4. Behavior
5. Developmental
Completion
Completeleachlstatement.
16. islaldiffuselapprehensionlthatlislvaguelinlnaturelandlislassociatedlwit
hlfeelingslofluncertaintylandlhelplessness.
17. islalsubjectivelstateloflemotional,lphysical,landlsociallresponsesltolthel
lossloflalvaluedlentity.
Other
Multiple Choice
Identifylthelchoicelthatlbestlcompleteslthelstatementlorlanswerslthelquestion.
1. Alnurselislassessinglalclientlwholexperiencesloccasionallfeelingsloflsadnesslbecauseloflthelrecentldeat
hloflalbelovedlpet.lThelclient’slappetite,lsleeplpatterns,landldailylroutinelhavelnotlchanged.lHowlwoul
dlthelnurselinterpretlthelclient’slbehaviors?
1. Thelclient’slbehaviorsldemonstratelmentallillnesslinlthelformlofldepression.
2. Thelclient’slbehaviorslarelinappropriate,lwhichlindicateslthelpresenceloflmentallilln
ess.
3. Thelclient’slbehaviorslarelnotlcongruentlwithlculturallnorms.
4. Thelclient’slbehaviorsldemonstratelnolfunctionallimpairment,lindicatinglnolmentallill
ness.
2. Atlwhichlpointlwouldlthelnurseldeterminelthatlalclientlislatlrisklforldevelopinglalmentallillness?
1. Whenlthoughts,lfeelings,landlbehaviorslarelnotlreflectiveloflthelDSM-5lcriteria.
2. Whenlmaladaptivelresponsesltolstresslarelcoupledlwithlinterferencelinldailylfun
ctioning.
3. Whenlalclientlcommunicateslsignificantldistress.
4. Whenlalclientlusesldefenselmechanismslaslegolprotection.
3. Alclientlhaslbeenlgivenlaldiagnosisloflhumanlimmunodeficiencylvirusl(HIV).lWhichlstatementlmad
elbylthelclientldoeslthNeUnR
urS
seIrN
ecGoT
gnBi.
zeCaO
slMt h e lbargaininglstageloflgrief?
1. “IlhatelmylpartnerlforlgivinglmelthisldiseaselIlwillldielfrom!”
2. “IflIldon’tldolintravenousl(IV)ldrugslanymore,lGodlwon’tlletlmeldie.”
3. “Ilamlgoingltolsupportlgroupslandllearnlmorelaboutltheldisease.”
4. “Canlyoulpleaselre-drawltheltestlresults,lIlthinkltheylmaylbelwrong?”
4. Alnurselnoteslthatlalclientlislextremelylwithdrawn,ldelusional,landlemotionallylexhausted.lThelnurs
elassesseslthelclient’slanxietylaslwhichllevel?
1. Mildlanxiety
2. Moderatelanxiety
3. Severelanxiety
4. Paniclanxiety
5. Alpsychiatriclnurselinternlstates,l“Thislclient’sluselofldefenselmechanismslshouldlbeleliminated.”lWhi
chlislalcorrectlevaluationloflthislnurse’slstatement?
1. Defenselmechanismslcanlbelappropriatelresponsesltolstresslandlneedlnotlbeleli
minated.
2. Defenselmechanismslarelalmaladaptivelattemptloflthelegoltolmanagelanxietylandlsho
uldlalwayslbeleliminated.
, 6. Duringlanlintakelassessment,lalnurselaskslbothlphysiologicallandlpsychosociallquestions.lThelclientla
ngrilylresponds,l“I’mlherelforlmylheart,lnotlmylheadlproblems.”lWhichlislthelnurse’slbestlresponse?
1. “Itlisljustlalroutinelpartloflourlassessment.lAlllclientslarelaskedltheselsamelques
tions.”
2. “Whylarelyoulconcernedlaboutltheseltypesloflquestions?”
3. “Psychologicallfactors,llikelexcessivelstress,lhavelbeenlfoundltolaffectlmedicallcon
ditions.”
4. “Welcanlskipltheselquestions,liflyoullike.lItlisn’tlimperativelthatlwelcompletelthislsecti
on.”
Alclientlwholislbeingltreatedlforlchroniclkidneyldiseaselcomplainsltolthelhealth-
7. carelproviderlthatlheldoeslnotllikelthelfoodlavailableltolhimlwhilelhospitalized.lThelhealth-
carelproviderlinsistslthatlthelclientlstrictlyladhereltoltheldietlplan.lWhatlactionlcanlbelexpectedlislthelclie
ntlusesltheldefenselmechanismlofldisplacement?
1. Thelclientlassertivelylconfrontslthelhealth-carelprovider.
2. Thelclientlinsistslonlbeingldischargedlandlgoeslforlallong,lbrisklwalk.
3. Thelclientlsnapslatlthelnurselandlcriticizeslthelnursinglcarelprovided.
4. Thelclientlhideslhislangerlbylexplaininglthellogicallreasoninglforltheldietltolhislspou
se.
Alfourth-
8. gradelboylteaseslandlmakesljokeslaboutlalcutelgirllinlhislclass.lAlnurselwouldlrecognizelthislbehaviorlasl
indicativeloflwhichldefenselmechanism?
1. Displacement
2. Projection
3. Reactionlformation
4. Sublimation
9.l l Whichlnursinglstatementlregardinglthelconceptloflpsychosislislmostlaccurate?
1. Individualslexperiencinglpsychoseslarelawarelthatltheirlbehaviorslarelmaladaptive.
2. Individualslexperiencinglpsychoseslexperiencellittleldistress.
3. Individualslexperiencinglpsychoseslarelawareloflexperiencinglpsychologicallpr
oblems.
4. Individualslexperiencinglpsychoseslarelbasedlinlreality.
l 10.l Whenlunderlstress,lalclientlroutinelyluseslalcoholltolexcess.lWhenlthelclient’slhusbandlfindslherldrunk
,lthelhusbandlyellslatlthelclientlaboutlherlchroniclalcohollabuse.lWhichlactionlalertslthelnurseltolthelc
lient’sluselofltheldefenselmechanismlofldenial?
1. Thelclientlhideslliquorlbottleslinlalcloset.
2. Thelclientlyellslatlherlsonlforlslouchinglinlhislchair.
3. Thelclientlburnsldinnerlonlpurpose.
4. Thelclientlsaysltolthelspouse,l“Ildon’tldrinkltoolmuch!”
l 11.lDevastatedlbylaldivorcelfromlanlabusivelhusband,lalwifelcompleteslgrieflcounseling.lWhichlstatementl
bylthelwifelwouldlindicateltolalnurselthatlthelclientlislinlthelacceptancelstageloflgrief?
1. “Iflonlylwelcouldlhaveltriedlagain,lthingslmightlhavelworkedlout.”
2. “IlamlsolmadlthatlthelchildrenlandlIlhadltolputluplwithlhimlasllonglaslweldid.”
3. “Yes,litlwaslaldifficultlrelationship,lbutlIlthinklIlhavellearnedlfromlthe
, experience.”
4. “Ilhavelaldifficultltimelgettingloutloflbedlmostldays.”
l 12.l AccordingltolMaslow’slhierarchyloflneeds,lwhichlclientlactionlwouldldemonstratelthelhighestlachi
evementlinltermsloflmentallhealth?
1. Maintaininglallong-term,lfaithful,lintimatelrelationship
2. Achievinglalsenseloflself-confidence
3. Possessinglalfeelingloflself-fulfillmentlandlrealizinglfulllpotential
4. Developinglalsenseloflpurposelandlthelabilityltoldirectlactivities
l 13.l AccordingltolMaslow’slhierarchyloflneeds,lwhichlsituationlonlanlinpatientlpsychiatriclunitlwouldlrequi
relprioritylinterventionlbylalnurse?
1. Alclientlrudelylcomplaininglaboutllimitedlvisitinglhours
2. Alclientlexhibitinglaggressivelbehaviorltowardlanotherlclient
3. Alclientlstatinglthatlnolonelcares
4. Alclientlverbalizinglfeelingsloflfailure
MultiplelResponse
Identifylonelorlmorelchoiceslthatlbestlcompletelthelstatementlorlanswerlthelquestion.
l 14.l Whichldescribeslaldefenselmechanismlanlindividuallmayluseltolrelievelanxietylinlalstressfullsituat
ion?l(Selectlalllthatlapply.)
1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Naillbiting
5. Sleeping
l 15.l ThelnurselislreviewinglthelDSM-
5ldefinitionloflalmentallhealthldisorderlandlnotesltheldefinitionlincludeslaldisturbancelinlwhichlareas
?l(Selectlalllthatlapply.)
1. Cognition
2. Physical
3. Emotionallregulation
4. Behavior
5. Developmental
Completion
Completeleachlstatement.
16. islaldiffuselapprehensionlthatlislvaguelinlnaturelandlislassociatedlwit
hlfeelingslofluncertaintylandlhelplessness.
17. islalsubjectivelstateloflemotional,lphysical,landlsociallresponsesltolthel
lossloflalvaluedlentity.
Other
