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NUR 2488/ NUR2488 Mental
Health Exam 1
While caring for a client with anxiety, the nurse finds that the client is unable to comprehend even simple directions. On further evaluation, the nurse finds hyperactive nature and bizarre behavior in the client. Which type of anxiety does the nurse suspect in this client? Mild Anxiety Panic Anxiety Severe Anxiety Moderate Anxiety Panic Anxiety: Inability to learn and comprehend are the characteristics that features panic anxiety. IN addition, this client shows extreme purposeless hyperactivity and bizarre behavior. The registered nurse is teaching student nurses the various stages of general adaptation syndrome. Which statement by the registered nurse can be categorized under the alarm reaction stage? "The physiological responses of the 'fight or flight' syndrome are initiated." "The individual attempts to adapt to the stressor."
"The body adjusts to the stressor due to prolonged exposure." "Disease may occur due to adaptation to the stressor." "The physiological responses of the 'fight or flight' syndrome are initiated." Which response by the student indicates effective learning regarding the physiological response occurring during the initial stage of stress during "fight or flight syndrome?" "I can expect the patient's heart rate to decrease to be 53 during fight or flight syndrome." "During fight or flight syndrome, my patient may have a blood pressure of 92/54." "When my patient is under stress, they will experience an increase in glycogenesis during fight or flight syndrome." "My patient will have a decrease in gastric acid secretions during the stress experienced in fight or flight syndrome." "My patient will have a decrease in gastric acid secretions during the stress experienced in fight or flight syndrome." Which physiological activity occurs at the initial stage of stress during the "fight or flight" syndrome? Bronchioles constrict Decreased glycogenolysis Decreased respiration rate Bladder muscle constriction
caregiver supports the nurse's conclusion? "My partner is blaming God for his condition." "My partner wants to transfer to another hospital for a second opinion, even though it is obvious from his symptoms and diagnostic reports." "My partner is not showing any interest in his favorite games and movies." "My partner says he wants to spend as much time as possible with his family." "My partner wants to transfer to another hospital for a second opinion, even though it is obvious from his symptoms and diagnostic reports." Which statement by the student nurse indicates effective learning about the distorted maladaptive grief response? "The client experiencing distorted response is fixed in the anger stage of grieving." "The client experiencing distorted response is fixed in the denial stage of grieving." "The client experiencing distorted response is preoccupied with memories of the loss." "The client experiencing distorted response suffers from eating disorders." "The client experiencing distorted response is fixed in the anger stage of grieving." The client's parents confront the nurse saying, "If you had been here, you could have given him more help to prevent him from dying so quickly." Which symptom of grief are the parents displaying? Anger
Denial Depression Acceptance Anger Which psychotic response may the nurse observe in a client during the panic anxiety stage? Obsessions Compulsions Schizophrenia Hypochondriasis Schizophrenia While evaluating a female client with moderate anxiety, the nurse finds a reaction formation type of ego defense mechanism in the client. Which behavior in the client supports the nurse's findings? Kicking her dog when teased by college friends Remembering nothing about her accident Speaking to her relatives very politely even though she does not like them Displaying apathetic expression while describing her rape Speaking to her relatives very politely even though she does not like them A client attempts to increase her self-worth by acquiring certain characteristics of an individual whom she admires. Which type of ego defense mechanism does the
A client who is depressed about a pending divorce proceeding tells the nurse, "I just don't want to talk about the divorce. There's nothing I can do about it anyway." Which ego defense mechanism does the nurse suspect in this client? Undoing Repression Sublimation Suppression Suppression A client tells the nurse, "My family members hate me." On further communication with the client, the nurse finds that the client shows no emotion while conversing; instead the client tries to provide a rationale for her family members' feelings. Which ego defense mechanism does the nurse suspect in this client? Denial Rationalization Intellectualization Reaction formation Intellectualization Which ego defense mechanism includes the transfer of feelings from one target to another less threatening or neutral person or object? Isolation Projection
Introjection Displacement Displacement Which statement made by a client indicates that the client is in the denial stage of grief? "No, my parents did not die. This can't be true!" "Why do problems always come to me only?" "I won't ever drive fast. I am not ready to lose other family members in my life." "If God helps me through this, I promise that I will go to church every Sunday." "No, my parents did not die. This can't be true!" What are the coping mechanisms adopted by a client to relieve mild anxiety? Select all that apply. Sleeping Isolation Laughing Projection Suppression Sleeping and Laughing What does the nurse find in the laboratory reports of a client whose stress response is sustained over a long period? Select all that apply.
Alarm Resistance Exhaustion Which characteristic behaviors does the nurse notice in a client with panic anxiety? Select all that apply. Hallucinations Misperceptions Bizarre behavior Feelings of discontent Heightened alertness Hallucinations Misperceptions Bizarre behavior A client is retreating to an earlier level of development in response to stress. Which ego defense mechanism does the nurse suspect in this client? Isolation Projection Regression Displacement Regression
A nurse is caring for a group of patients. Which patient would demonstrate a psychoneurotic response to severe anxiety? A patient with delusional disorder A patient with conversion disorder A patient with schizophrenic disorder A patient with schizoaffective disorder A patient with conversion disorder Which condition accounts for up to 50 percent of cases of depression? Schizophrenia Bipolar disorder Panic disorder Anorexia Bipolar disorder Which consequence results from stigmatization of individuals with mental illness by health-care professionals? Early intervention Avoidance of seeking health care Referral for health services Decrease in hospitalizations Avoidance of seeking health care
A client with an opioid addiction is likely to seek care in which facility first? Psychiatric facility Substance abuse treatment facility General medical facility Narcotics Anonymous (NA) meeting General medical facility Which client is at highest risk for violence? A 20-year-old male A 30-year-old female A 40-year-old male A 60-year-old male A 30-year-old female The nurse is conducting mental health screenings at a busy community health fair in a large open building. Where would the nurse conduct the screenings? Behind a table in a whispered tone In a separate room with the door closed Behind a privacy screen In the open area of the health fair In a separate room with the door closed
An individual who was recently deployed to Afghanistan in a combat zone may report which specific symptom? Vomiting Constipation Cough Nightmares Nightmares Which specific population may present with reports of physical complaints, reports of nightmares, and substance abuse? A police officer in a large city A retired emergency room nurse A new high school teacher A solider who just returned from Iraq A solider who just returned from Iraq The nurse is implementing the SBIRT approach for screening in the emergency department. Which term does the "B" represent? Basic Boundaries Brief Barrier
Training Traumatic Treatment Which client in the primary care setting would be screened carefully for suicide risk? A client who uses cocaine A client who drinks an occasional beer A client with acute pancreatitis A client with pneumonia A client who uses cocaine The nurse is assessing a client with borderline personality disorder in an emergency department and notes the client has a labile mood. Which action would the nurse take? Apply soft restraints Admit the client to a medical surgical unit for observation Refer the client to specialized mental health care services Schedule the client for group therapy Refer the client to specialized mental health care services The nurse strongly suspects a client is using methamphetamines. However, when the nurse asks the client about substance abuse during a screening, the clients says, "No." Which would most likely be the reason for the client's response?
The client is afraid of disappointing the nurse. The client is truly not using drugs. The client is fearful of legal consequences. The client does not understand the question. The client is fearful of legal consequences. The nurse is assessing a group of clients in the primary care setting. Which client would be referred for specialized mental health care services? The client with amenorrhea The client with diplopia The client with dysphagia The client with anhedonia The client with anhedonia The nurse educator is teaching a group of students about the stigma attached to mental health clients. Which statement made by the student nurse is an example of stigmatization? "Clients with mental illness may avoid seeking health care." "A client with schizophrenia may have a difficult time finding a job." "People with mental health issues are dangerous and are poor." "Symptoms are often missed in clients with mental illness, causing a delay in intervention."
Substance abuse and addiction treatment center State psychiatric hospital State psychiatric hospital Which factors are influences in the etiology of mental illness differentiating clinical illness from the range of emotions and behavior? Select all that apply. Genetic Neurological Neurochemical Environmental Physical Genetic Neurological Neurochemical Environmental Clients with mental illness who present in the general health-care setting are at risk for lack of treatment for a variety of reasons. Which reasons contribute to negative outcomes? Select all that apply. Fear of legal action Early intervention Lack of knowledge about symptom detection Stigmatization Lack of awareness about referral services
Lack of knowledge about symptom detection Stigmatization Lack of awareness about referral services Clients with depression are at risk for which medical conditions? Select all that apply. Cancer Diabetes Cardiovascular disease Asthma Psoriasis Diabetes Cardiovascular disease Asthma Which medication can the nurse expect for the treatment of a client with a gambling disorder? Select all that apply. Estazolam Flurazepam Alprazolam Clomipramine Carbamazepine Clomipramine Carbamazepine
