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Uploadeda s by:a s mug14a s ona s Docmerit.a s Distributiona s ofa s thisa s documenta s isa s illegal

,Chapter 1: Mental Health and Mental Illness
as as as as as as




MultipleasChoice
Identifyastheaschoiceasthatasbestascompletesastheasstatementasorasanswersastheasquestion.

as 1. Aasnurseasisasassessingasaasclientaswhoasexperiencesasoccasionalasfeelingsasofassadnessasbecauseasofastheasre
centsda eathasofasaasbelovedaspet.asTheasclient’sasappetite,assleepaspatterns,asandasdailyasroutineashaveasnotascha
nged.
Howaswouldastheasnurseasinterpretastheasclient’sasbehaviors?
1. Theasclient’sasbehaviorsasdemonstrateasmentalasillnessasinastheasformasofasdepression.
2. Theasclient’sasbehaviorsasareasinappropriate,aswhichasindicatesastheaspresenceasofasmen
talsaillness.
3. Theasclient’sasbehaviorsasareasnotascongruentaswithasculturalasnorms.
4. Theasclient’sasbehaviorsasdemonstrateasnoasfunctionalasimpairment,asindicatingasnoasmen
talsaillness.
as 2.
Ataswhichaspointaswouldastheasnurseasdetermineasthatasaasclientasisasatasriskasforasdevelopingasaasmentalasillness?
1. Whenasthoughts,asfeelings,asandasbehaviorsasareasnotasreflectiveasofastheasDSM-5ascriteria.
2. Whenasmaladaptiveasresponsesastoasstressasareascoupledaswithasinterferenceasinasda
ilysafunctioning.
3. Whenasaasclientascommunicatesassignificantasdistress.
4. Whenasaasclientasusesasdefenseasmechanismsasasasegoasprotection.
as 3.
Aasclientashasasbeenasgivenasaasdiagnosisasofashumanasimmunodeficiencyasvirusas(HIV).asWhichasstatem
entsamadeasbyastheasclientasdoesasthNeUnRurS
seIrN
eGoTgnBi.
zeCaO
sasM
theasbargainingasstageasofasgrief?
1. “IashateasmyaspartnerasforasgivingasmeasthisasdiseaseasIaswillasdieasfrom!”
2. “IfasIasdon’tasdoasintravenousas(IV)asdrugsasanymore,asGodaswon’tasletasmeasdie.”
3. “Iasamasgoingastoassupportasgroupsasandaslearnasmoreasaboutastheasdisease.”
4. “Canasyouaspleaseasre-drawastheastestasresults,asIasthinkastheyasmayasbeaswrong?”
as 4.
Aasnurseasnotesasthatasaasclientasisasextremelyaswithdrawn,asdelusional,asandasemotionallyasexhausted.as
Thesanurseasassessesastheasclient’sasanxietyasasaswhichaslevel?
1. Mildasanxiety
2. Moderateasanxiety
3. Severeasanxiety
4. Panicasanxiety
as 5.
Aaspsychiatricasnurseasinternasstates,as“Thisasclient’sasuseasofasdefenseasmechanismsasshouldasbeaseliminated.
”saWhichasisasaascorrectasevaluationasofasthisasnurse’sasstatement?
1. Defenseasmechanismsascanasbeasappropriateasresponsesastoasstressasandasneedasnota
sbesaeliminated.

2. Defenseasmechanismsasareasaasmaladaptiveasattemptasofastheasegoastoasmanageasanxietyas
andsashouldasalwaysasbeaseliminated.
3. Defenseasmechanisms,asusedasbyasindividualsaswithasweakasegoasintegrity,asshoulda
sbesadiscouragedasandasnotascompletelyaseliminated.

4. Defenseasmechanismsascauseasdisintegrationasofastheasegoasandasshouldasbeasfosteredasa
ndsaencouraged.

,as 6. Duringasanasintakeasassessment,asaasnurseasasksasbothasphysiologicalasandaspsychosocialasquestions.asThe
clientasangrilyasresponds,as“I’mashereasforasmyasheart,asnotasmyasheadasproblems.”asWhichasisastheasnurse’sas
bestsaresponse?
1. “Itasisasjustasaasroutineaspartasofasourasassessment.asAllasclientsasareasaskedastheseassa
mesaquestions.”
2. “Whyasareasyouasconcernedasaboutastheseastypesasofasquestions?”
3. “Psychologicalasfactors,aslikeasexcessiveasstress,ashaveasbeenasfoundastoasaffectasmedi
calsaconditions.”
4. “Weascanasskipastheseasquestions,asifasyouaslike.asItasisn’tasimperativeasthatasweascompleteast
hissasection.”
as 7. Aasclientaswhoasisasbeingastreatedasforaschronicaskidneyasdiseaseascomplainsastoastheashealth-
careasproviderasthatsha easdoesasnotaslikeastheasfoodasavailableastoashimaswhileashospitalized.asTheashealth-
careasproviderasinsistsasthatastheasclientasstrictlyasadhereastoastheasdietasplan.asWhatasactionascanasbeasexpected
asisastheasclientasusesastheasdefensesamechanismasofasdisplacement?

1. Theasclientasassertivelyasconfrontsastheashealth-careasprovider.
2. Theasclientasinsistsasonasbeingasdischargedasandasgoesasforasaaslong,asbriskaswalk.
3. Theasclientassnapsasatastheasnurseasandascriticizesastheasnursingascareasprovided.
4. Theasclientashidesashisasangerasbyasexplainingastheaslogicalasreasoningasforastheasdietastoa
shissaspouse.



as 8. Aasfourth-
gradeasboyasteasesasandasmakesasjokesasaboutasaascuteasgirlasinashisasclass.asAasnurseaswouldasrecognizesta hisas
behaviorasasasindicativeasofaswhichasdefenseasmechanism?
1. Displacement 3. Reactionasformation
2. Projection 4. Sublimation
as 9. Whichasnursingasstatementasregardingastheasconceptasofaspsychosisasisasmostasaccurate?
1. Individualsasexperiencingaspsychosesasareasawareasthatastheirasbehaviorsasareasmaladaptive.
2. Individualsasexperiencingaspsychosesasexperienceaslittleasdistress.
3. Individualsasexperiencingaspsychosesasareasawareasofasexperiencingaspsychologic
alsaproblems.
4. Individualsasexperiencingaspsychosesasareasbasedasinasreality.
as

10.a s Whenasunderasstress,asaasclientasroutinelyasusesasalcoholastoasexcess.asWhenastheasclient’sashusbandas
findsashersda runk,astheashusbandasyellsasatastheasclientasaboutasheraschronicasalcoholasabuse.asWhichasactiona
salertsastheasnurseastoastheasclient’sasuseasofastheasdefenseasmechanismasofasdenial?

1. Theasclientashidesasliquorasbottlesasinasaascloset.
2. Theasclientasyellsasatasherassonasforasslouchingasinashisaschair.
3. Theasclientasburnsasdinnerasonaspurpose.
4. Theasclientassaysastoastheasspouse,as“Iasdon’tasdrinkastooasmuch!”
as

11.asDevastatedasbyasaasdivorceasfromasanasabusiveashusband,asaaswifeascompletesasgriefascounseling.asW
hichasstatementasbyastheaswifeaswouldasindicateastoasaasnurseasthatastheasclientasisasinastheasacceptanceasstage
asofasgrief?

1. “Ifasonlyasweascouldashaveastriedasagain,asthingsasmightashaveasworkedasout.”
2. “IasamassoasmadasthatastheaschildrenasandasIashadastoasputasupaswithashimasasaslongasasasweasdid.”
3. “Yes,asitaswasasaasdifficultasrelationship,asbutasIasthinkasIashaveaslearnedasfromasthe

, experience.”
4. “Iashaveasaasdifficultastimeasgettingasoutasofasbedasmostasdays.”
as

12.a s AccordingastoasMaslow’sashierarchyasofasneeds,aswhichasclientasactionaswouldasdemonstrateasthe
highestsaa chievementasinastermsasofasmentalashealth?
as

1. Maintainingasaaslong-term,asfaithful,asintimateasrelationship
2. Achievingasaassenseasofasself-confidence
3. Possessingasaasfeelingasofasself-fulfillmentasandasrealizingasfullaspotential
4. Developingasaassenseasofaspurposeasandastheasabilityastoasdirectasactivities
as

13.a s AccordingastoasMaslow’sashierarchyasofasneeds,aswhichassituationasonasanasinpatientaspsychiatricasun
itaswouldsarequireaspriorityasinterventionasbyasaasnurse?
1. Aasclientasrudelyascomplainingasaboutaslimitedasvisitingashours
2. Aasclientasexhibitingasaggressiveasbehaviorastowardasanotherasclient
3. Aasclientasstatingasthatasnoasoneascares
4. Aasclientasverbalizingasfeelingsasofasfailure

MultipleasResponse
Identifyasoneasorasmoreaschoicesasthatasbestascompleteastheasstatementasorasanswerastheasquestion.
as

14.a s Whichasdescribesasaasdefenseasmechanismasanasindividualasmayasuseastoasrelieveasanxietyasinasaa
sstressfulss
a ituation?as(Selectasallasthatasapply.)

1. Homework
2. Smoking NURSINGTB.COM
3. Itching
4. Nailasbiting
5. Sleeping
as 15.a s TheasnurseasisasreviewingastheasDSM-
5asdefinitionasofasaasmentalashealthasdisorderasandasnotesastheasdefinitionsia ncludesasaasdisturbanceasinaswhi
chasareas?as(Selectasallasthatasapply.)
1. Cognition
2. Physical
3. Emotionalasregulation
4. Behavior
5. Developmental

Completion
Completeaseachasstatement.

16. as

isasaasdiffuseasapprehensionasthatasisasvagueasinasnatureasandasisasassociatedsw
a ithasfeelingsasofasuncertain

tyasandashelplessness.

17. as

isasaassubjectiveasstateasofasemotional,asphysical,asandassocialasresponsesastosta heaslossasofasaasvaluedasentity

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