NUR 256 Mental Health Exam 4 Galen College Actual
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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
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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.
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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
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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