ADVANCED MENTAL HEALTH DAVIS EDGE EXAM 1 WITH VERIFIED QUESTIONS AND ANSWERS GRADED A+

ADVANCED MENTAL HEALTH DAVIS EDGE EXAM 1 WITH VERIFIED QUESTIONS AND ANSWERS GRADED A+ Which biological response occurs at the initial stage of stress during "fight or flight" syndrome? 1. lipogenesis 2. constriction of pupils 3. increase in intestinal motility 4. increase in lacrimal secretions - answer: 4 The hypothalamus stimulates the sympathetic nervous system, which innervates the lacrimal glands. Therefore, lacrimal secretions increase during stress. Which physical characteristics may be noticed in a client with severe anxiety? Select all that apply. 1. Palpitations 2. Headaches 3. Diaphoresis 4. Insomnia 5. Inability to verbalize - answer: 1, 2, 4 Palpitations are a common symptom of patients with severe anxiety not commonly seen in patients with mild or moderate anxiety. Headaches are a physical symptom that is commonly seen in the client with severe anxiety. Insomnia is a common physical symptom of patients with severe anxiety. Which statement by the client may indicate a sublimation type of defense mechanism to overcome anxiety? 1. "I used my aggressive and competitive drive to become a star kickboxer." 2. "I don't want to think about that situation now. I'll think about that tomorrow." 3. "I yelled at my spouse because I had a bad day at the office. I should buy my spouse roses." 4. "I curl up in a fetal position in the bed and sleep for long periods when I am depressed." - answer: 1 The client who uses a sublimation defense mechanism rechannels personally or socially unacceptable impulses into activities that are constructive. The client uses aggressive behavior in kickboxing to become a star. To find relief from anxiety, a client tells the nurse, "Sorry, I did not take my medication today; my mother did not remind me to take it." Which defense mechanism does the nurse suspect from the client's statement? 1. denial 2. projection