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The nurse recognizes which statements regarding cultural aspects of mental illness are accurate? Select all that apply.


A) Local or cultural norms define pathological behavior.
B) The higher the socioeconomic class,the greater the recognition of mental illness behaviors.
C) Psychiatrists typically see patients when the family can no longer deny the illness.
D) The greater the cultural distance from mainstream society,the greater the likelihood the illness will be treated with sensitivity and compassion.

Correct Answer

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Which statement demonstrates the nurse understands an individual's experience of neurosis?


A) "The individual is unaware he or she is experiencing distress."
B) "The individual feels helpless to change his or her situation."
C) "The individual is aware of psychological causes of his or her behavior."
D) "The individual has lost contact with reality."

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The nurse recognizes which statements regarding defense mechanisms are true? Select all that apply.


A) They are employed when there is a threat to biological or psychological integrity.
B) They are controlled by the id and deal with primal urges.
C) They are used to relieve mild to moderate anxiety.
D) They are protective devices for the superego.
E) They are mechanisms that are characteristically self-deceptive.

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The mental health nurse is conducting an intake interview with a couple seeking marital counseling.The nurse recognizes the husband is using the ego defense mechanism of projection when he exhibits which of the following?


A) Stamps his feet and demands his wife honor her vows
B) Ignores his wife's continued absence from the home
C) Accuses his wife of infidelity and betrayal
D) Takes out his frustration by verbally abusing his coworkers

Correct Answer

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Which indicates to the nurse a client is at risk for developing a mental disorder?


A) Expresses thoughts,feelings,and behaviors included among Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition (DSM-5) criteria
B) Demonstrates impaired daily functioning and maladaptive responses to stress
C) Communicates significant distress that has not interfered with important activities
D) Employs various defense mechanisms to protect the ego from anxiety

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A woman devastated by the divorce from her abusive husband has been receiving grief counseling.The nurse determines the client is in the acceptance stage of grief when the client states which of the following?


A) "If only we could have tried again,things might have worked out."
B) "I am so angry that my children and I put up with him as long as we did."
C) "It was a difficult marriage,but I think I learned from the experience."
D) "I still am not sleeping,don't have any appetite,and am losing weight."

Correct Answer

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C

A fourth-grade boy teases a girl in his class and makes jokes about her.The school nurse identifies the boy is using which defense mechanism?


A) Displacement
B) Projection
C) Reaction formation
D) Sublimation

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For which would the nurse be required to employ Maslow's Hierarchy of Needs to determine if immediate intervention due to an unfulfilled lower level is needed?


A) A client rudely complaining about limited visiting hours
B) A client exhibiting aggressive behavior toward another client
C) A client stating expressing feelings of sadness and loneliness
D) A client verbalizing feelings of failure and hopelessness

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The nurse recognizes which principle underlies effective patient teaching?


A) Moderate to severe anxiety increases patient learning.
B) Mild anxiety enhances patient learning.
C) Panic-level anxiety improves nurses' teaching.
D) Severe anxiety intensifies concentration and enhances attention.

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A client routinely uses an excessive amount of alcohol when under stress.When her husband arrived home one day and found her intoxicated,he began yelling at her about her chronic alcohol abuse.Which of the wife's actions does the nurse recognize as the defense mechanism of denial?


A) Hiding liquor bottles in a closet
B) Yelling at her son for slouching
C) Intentionally burning dinner
D) Stating "I don't drink too much!"

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Which of the following were attributed to mental illness prior to the influence of Middle Eastern countries? Select all that apply.


A) Supernatural forces
B) Medical conditions
C) Disequilibrium of humors
D) Personality
E) Demons

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Which is the most significant consequence of excessive use of regression?


A) The superego is suppressed.
B) Emotions are experienced intensely.
C) Learning and personal growth are enhanced.
D) Problem-solving is limited.

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For which reasons is the DSM-5 useful in the practice of psychiatric nursing? Select all that apply.


A) It informs the nurse of accurate and reliable psychiatric diagnoses.
B) It represents progress toward a more holistic view of mind and body.
C) It provides a framework for interdisciplinary communication.
D) It provides a template for psychiatric nursing care plans.
E) It provides a framework for communication with the client.

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A male high school student is attracted to a female teacher.The school nurse overhears the student say,"I know she wants me." The nurse recognizes the student is using which defense mechanism?


A) Displacement
B) Projection
C) Rationalization
D) Sublimation

Correct Answer

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A mental health nurse is speaking with parents who are concerned about their 15-year-old identical twins' responses to stress.One twin becomes anxious and irritable,while the other withdraws and cries.Which is the nurse's best response?


A) "Individual responses to stress are affected by many factors and can vary."
B) "Identical twins should not react differently when experiencing stress."
C) "Identical twins should have similar dispositions and responses to stress."
D) "Environmental factors influence reactions to stress more than genetic factors."

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A

Which of the following are included in Jaboda's indicators of mental health? Select all that apply.


A) Acceptance
B) Creativity
C) Environmental mastery
D) Fulfillment
E) Integration

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A mental health nurse is assessing a client.Which behaviors indicate the client is experiencing moderate anxiety? Select all that apply.


A) Fidgeting
B) Laughing inappropriately
C) Palpitations
D) Nail biting
E) Extremely limited attention span

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A,B,D

Teaching regarding the concepts of mental health and mental illness is effective when the student nurse states which of the following?


A) "The concepts are rigid and based in religious beliefs."
B) "The concepts are multidimensional and culturally defined."
C) "The concepts are universal and unchanging."
D) "The concepts are fixed and unidimensional."

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Which of the following does the nurse recognize as an example of the defense mechanism of repression?


A) A student who goes to a movie instead of studying for tomorrow's math test
B) A woman who does not believe the military report that her son was killed in Iraq
C) A man who is unhappily married goes to school to become a marriage counselor
D) A woman who was raped when she was 12 years old does not remember it

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A nurse is performing a mental health assessment on an adult client.The nurse recognizes which action demonstrates the client has achieved the highest level of functioning according to Maslow's Hierarchy of Needs?


A) Maintenance of a long-term,faithful,intimate relationship
B) A high level of self-confidence and autonomy
C) A feeling of self-fulfillment and realization of full potential
D) Development of a sense of purpose and the ability to direct activities

Correct Answer

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