,Chapter 1 Understanding Mental Health and Mental Illness
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
1)
How would the nurse anticipate that a mentally healthy person, who is capable of abstract thinking, would interpret the
proverb "Don't put the cart before the horse"?
A)
"The cart should not lead the horse."
B)
"A horse is more important than a cart."
C)
"Do not plan for the consequences of a situation until the situation has actually
oc rred." D)
cu
"Do not set a cart in front of the horse, as the horse will be frightened and run."
C
2)
The nurse would expect which of the following behaviors most likely to be demonstrated by mentally healthy people?
A)
Avoidance of conflict
B)
Rarely be absent or tardy for work.
C)
Call in to work as sick in order to take care of personal business.
D)
Refusal to compromise when they are sure they are right.
B
3)
Which of the following risk factors for the development of mental illness are modifiable, so that an observant nurse could
have an impact on them? Select all that apply.
A)
Hopelessness
B)
Lack of information about treatment options
C)
Inadequate coping skills
D)
Genetic predisposition to mental illness
A, B, C
4)
An adolescent client is diagnosed with depression. When the client asks the nurse "Am I crazy?" what is the best response
by the nurse?
A)
"Yes, but with a relatively minor mental condition."
B)
"No, you have a treatable mental disorder."
C)
,"You will have to ask the psychiatrist."
D)
"Well, you have a mental illness."
B
5)
When a nursing student tells a fellow student "I had a crazy client in clinical," what is the fellow nursing student’s best
response?
A)
"What made the client crazy?"
B)
"You are so rude and insensitive. Never talk about a client like that again!"
C)
"Let's not call people 'crazy.' Tell me about your client.”
D)
"Let's change the subject."
C
6)
A teenaged female high school student has begun hearing voices that other people do not hear. Her personality seems to
be changing. She is suspicious, and not as friendly as she was. Her parents are aware of this, but have not taken her to a
psychiatrist for evaluation. When she recently sprained her ankle at a track meet, her parents took her to a physician
immediately. As a nurse, how would you assess these different
res nses by the parents? A)
po
They do not realize that hearing voices is a symptom of mental illness.
B)
They fear the stigma of mental illness.
C)
They might have a religious objection to taking her to a physician.
D)
There is no reason to take her to a psychiatrist for these symptoms.
B
7)
Which of the following does the nurse recognize is a significant cause of homelessness of the mentally ill?
A)
Deinstitutionalization
B)
The fact that mentally ill people often enjoy the freedom of living outside
C)
The movement to treat people with psychotropic medications
D)
The view of mentally ill people as criminals
A
, 8)
The mother of a client with schizophrenia asks the nurse, "Is there anywhere I can go to talk to other parents of people
with schizophrenia?" To which organization should the nurse refer this mother?
A)
Parents of People with Schizophrenia
B)
National Alliance for the Mentally Ill
C)
The United Way
D)
Alanon
B
9)
Using the Global Assessment of Functioning Scale, how would a nurse describe the 24-year-old mother who is unable to
work, does not provide care for her children, and avoids contacts with friends or parents?
A)
Major impairment in the areas of work, family relations, judgment, thinking
B)
Moderate difficulty in social and occupational functioning
C)
Some danger of hurting self or others
D)
Inability to function in almost all areas of living
A
10)
Which of the following is an example of secondary prevention of mental illness in which the nurse may participate?
A)
Depression screening
B)
Drug abuse education
C)
Community mental health clinics
D)
Medication management programs
A
1)
C
2)
B
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