Chapter 2. Mental Health and Mental Illness: Historical and Theoretical Concepts
MULTIPLE CHOICE
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The client’s
daily routine have not changed. The nurse determines the client’s behaviors:
1. Demonstrate typical variations in daily mood, not mental illness
2. Are clinically significant and indicate serious mental illness
3. Are incongruent with cultural norms and indicate mental illnesasbirb.com/test
4. Show common symptoms of grief and do not indicate mental illness
ANS: 4 Chapter:
Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
Concepts
Objective: Describe psychological adaptation responses to stress.
Page: 20
Heading: Grief
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Grief and Loss
Difficulty: Moderate
Feedback
1. This is incorrect. Feelings of sadness are not a typical aspect of daily mood
variations.
2. This is incorrect. These symptoms are not clinically significant from the perspective
of mental illness. The client demonstrates a common grief response.
3. This is incorrect. Feelings of sadness are expected and normabiarbl.cfomll/toewst ing the
loss of a pet. The client does not exhibit signs of mental illness, as daily functioning
is not impaired.
4. This is correct. Feelings of sadness are expected and normal following the loss of a
pet. This client does not demonstrate changes in daily funcatbioirbn.cbomu/ttedsot es
demonstrate common symptoms of grief.
CON: Grief and Loss
2. Which indicates a client is likely demonstrating a mental disoradbeirrb?.com/test
,1. The client expresses mild anxiety and is eating more than usual before an
examination.
2. The client displays an inability to concentrate, including reduced job performance.
3. The client describes engaging in fidgeting behavior consistentlaybirob.vcoemr /atesftew days.
4. The client states an increase in smoking over a few days from 0.5 to 1 pack per day.
ANS: 2 Chapter:
Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
Concepts
Objective: Define mental health and mental illness.
Page: 14
Heading: Mental Illness
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. The client is expressing normal behaviors related to mild anxiety
appropriate to a situation, in this case an examination. Mildabairnb.xcoimet/tesct an be
beneficial to improve performance.
2. This is correct. The client is unable to concentrate, and job performance has been
negatively impacted. This demonstrates a possible mental dabiisrbo.rcdomer/t.est
3. This is incorrect. Fidgeting behavior over a short-term period is a common
psychological adaptive response to mild anxiety. This does not suggest a mental
disorder.
4. This is incorrect. Smoking or increasing smoking over a feawbirbd.acoyms/tiessta
common
response to stress and suggests mild anxiety, which does not suggest a mental
disorder.
CON: Stress
3. A mental health nurse is speaking with parents who are concerned about their teenage
children’s responses to stress. One child becomes anxious and irritable and the other
withdraws and cries. Which is the nurse’s best response?
1. “Individual responses to stress are affected by many factors and can vary.”
2. “Children from the same family should not react so differently to stress.”
3. “Children should have similar dispositions and responses to stress.”
4. “Environmental factors influence stress responses more than gaebnireb.tciocmf/taecstors.”
ANS: 1
Chapter: Chapter 2, Mental Health and Mental Illness: Historicalabainrbd.coTmh/teeostretical
Concepts
Feedback
1. This is correct. Responses to stress are variable among indaivbiirdb.ucoamls/teasnt d may
be
influenced by perception, past experiences, environmental factors, and genetic
2. factors.
This is incorrect. Responses to stress vary among individu ablsir;b.ecovme/ntestthose
within the
3. same
This isfamily will have
incorrect. different
Children, stress responses.
like adults, will demonstrate various responses to stress,
depending on factors such as environment, past experienceasb,irab.ncdomp/tesrtceptions.
4. This is incorrect. Responses to stress depend on genetic factors, perception, past
experiences, and environmental factors.
CON: Stress
4. The nurse is interviewing a client with a history of excessive drinking and multiple
arrests for impaired driving. The client states, “I work hard to provide for my family. I
don’t see why I can’t drink to relax.” Which defense mechanism is the client
demonstrating?
1. Projection
2. Rationalization
3. Regression
4. Sublimation
ANS: 2
Chapter: Chapter 2, Mental Health and Mental Illness: Historicalabainrbd.coTmh/teeostretical
Concepts
Objective: Correlate adaptive and maladaptive responses to the mental health and mental
illness continuum.
Page: 16
Heading: Anxiety > Behavioral Adaptation Responses to Anxiety > Table 2–2, Ego
Defense Mechanisms
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Addiction and Behaviors
Difficulty: Easy
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