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NUR 256 Mental Health Exam 4 Galen College Actual Exam Newest 2025/2026 Complete Questions And Correct Detailed Answers (Verified Answers) |Brand New Version!!

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NUR 256 Mental Health Exam 4 Galen College Actual

Exam Newest 2025/2026 Complete Questions And

Correct Detailed Answers (Verified Answers) |Brand

New Version!!



Risk factors for anorexia nervosa - SOLUTION=Genetic predisposition; female gender;

cognitive behavioral theorist; cultural influence

A nurse wants to teach alternative coping strategies to a client experiencing severe anxiety.

Which action should the nurse perform first?

a. Verify the client's learning style.

b. Lower the client's current anxiety.

c. Create outcomes and a teaching plan.

d. Assess how the client uses defense mechani



b.

A client checks and rechecks electrical cords related to an obsessive thought that the house

may burn down. The nurse and client explore the likelihood of an actual fire. The client

states this event is not likely. This counseling demonstrates what appropriate principle of

therapy?

a. flooding. b. desensitization. c. relaxation technique. d. cognitive restructuring

,2|Page

a. flooding. b. desensitization. c. relaxation technique. d. cognitive restructuring



d.

A client undergoing diagnostic tests says, "Nothing is wrong with me except a stubborn

chest cold." The spouse reports the client smokes, coughs daily, lost 15 pounds, and is easily

fatigued. Which defense mechanism is the client using? a. Displacement b. Regression c.

Projection d. Denial

a. Displacement b. Regression c. Projection d. Denial



d.

A client with an abdominal mass is scheduled for a biopsy. The client has difficulty

understanding the nurse's comments and asks, "What do you mean? What are they going

to do?" Assessment findings include tremulous voice, respirations 28, and pulse 110. What

is the client's level of anxiety?

a. Mild b. Moderate c. Severe d. Panic

b.

Moderate anxiety causes the individual to grasp less information and reduces problem solving

ability to a less-than-optimal level.

Mild anxiety heightens attention and enhances problem solving.

Severe anxiety causes great reduction in the perceptual field. Panic-level anxiety results in

disorganized behavior.

,3|Page

A person has minor physical injuries after an auto accident. The person is unable to focus

and says, "I feel like something awful is going to happen." This person has nausea,

dizziness, tachycardia, and hyperventilation. What is the person's level of anxiety? a. Mild

b. Moderate c. Severe d. Panic

c.

Two staff nurses applied for a charge nurse position. After the promotion was announced,

the nurse who was not promoted said, "The nurse manager had a headache the day I was

interviewed." Which defense mechanism is evident? a. Introjection b. Conversion c.

Projection d. Splitting

c.

Projection is the hallmark of blaming, scapegoating, prejudicial thinking, and stigmatizing

others.

Conversion involves the unconscious transformation of anxiety into a physical symptom.

Introjection involves intense, unconscious identification with another person.

Splitting is the inability to integrate the positive and negative qualities of oneself or others into a

cohesive image.

Two staff nurses applied for promotion to nurse manager. The nurse not promoted initially

had feelings of loss but then became supportive of the new manager by helping make the

transition smooth and encouraging others. Which term best describes the nurse's response?

a. Altruism b. Suppression c. Intellectualization d. Universality

, 4|Page

a. Altruism

Altruism is the mechanism by which an individual deals with emotional conflict by meeting the

needs of others and receiving gratification vicariously or from the responses of others.

A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart."

This is an example of what defense mechanism? a. repression. b. devaluation. c.

identification. d. compensation.

d. Compensation is an unconscious process that allows us to make up for deficits in one area by

excelling in another area to raise self-esteem

The nurse assesses a client who reports loneliness and episodes of anxiety. Which statement

by the client is mostly likely if this client also has agoraphobia?

a. "I'm sure I will get over not wanting to leave home soon. It takes time."

b. "Being afraid to go out seems ridiculous, but I can't go out the door."

c. "My family says they like it now that I stay home most of the time."

d. "When I have a good incentive to go out, I can do it."

b. Individuals who are agoraphobic generally acknowledge that the behavior is not constructive

and that they do not really like it.

What are our physical responses to stress?

Increase Heart Rate and BLOOD SUGAR

*Think about student before exam whose blood sugar was 500

How do you teach patient to decrease stress?

Exercise, deep breathing, relaxation, imagery
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