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Quiz Week 2 Terms in this set (20)Question 1. Which statement made by the client indicates that his or her coping strategy in a time of grief is maladaptive? 1 A client claiming that he or she will never be happy again is an exaggeration or overreaction. When grief is prolonged or distorted and exaggerated, coping is considered to be maladaptive. Question 2. The parent of a client who is HIV positive tells the nurse, "My son is not interested in seeing his
friends or going out. Honestly, I am still not convinced that he is HIV positive." Which diagnosis made by the nurse will help to create an effective care plan for the parent and client? 1 The client is not involved in any daily activities and is choosing to remain alone, which indicates that the client is depressed. The parent of the client is unable to accept that the client is ill, which indicates that the parent is experiencing denial. Question 3. The parents of a 10-year-old child are informed that the child is in the terminal stage of acute lymphocytic leukemia. Which characteristics of the parents indicate that they are in the
acceptance stage of grief? 1 The parents being sad is natural but the fact that they are focusing on using the time left to love their child indicates that they are in the acceptance stage of grief. Question 4. Which biological response occurs at the initial stage of stress during "fight or flight" syndrome? 4 The hypothalamus stimulates the sympathetic nervous system, which innervates the lacrimal glands. Therefore, lacrimal secretions increase during stress. Question 5. A psychiatric client claims to be the messenger of God, drapes himself in a blanket, "performs miracles" on other clients, and refuses to respond unless addressed as Jesus Christ. Which type of ego defense mechanism does the nurse suspect in this client? 1 The client believes and values Jesus Christ. So, the client behaves as Jesus and does the same activities associated with Jesus Christ. Therefore, the client is showing the introjection defense mechanism. Question 6. The nurse is providing emergency care to a client who is a victim of a fire accident. While assessing vital signs, the nurse finds the respiratory rate of 32 breaths/min and a heart rate of 120 beats per minute. Which stage of anxiety does the nurse suspect in the client? 3 Since the client is a victim of a fire accident, the central nervous system is overstimulated, resulting in severe anxiety. Tachycardia and hyperventilation are symptoms of severe anxiety. Question 7. A client who was assaulted explains the situation in detail to the nurse without any emotion. Which defense mechanism does the nurse suspect in this client? 1 Isolation is separating a thought or memory from the feeling, tone, or emotion associated with it. Question 8. Which hormone plays an important role in maintaining the basic metabolic rate? 3 The hypothalamus stimulates the pituitary gland, which releases thyrotropic hormone. This hormone stimulates the thyroid gland. The thyroid gland plays an important role in maintaining the basic metabolic rate. Question 9. A client with mild anxiety tells the nurse, "I am disabled and unable to participate in sports. However, I am a great scholar." Which ego defense mechanism does the nurse suspect in this client? 1 Physical disability is the perceived weakness of the client. This weakness of the client is compensated by becoming a great scholar. This indicates that the client is utilizing the compensation type of ego defense mechanism. Question 10. Which biological responses occur at the sustained response stage of stress during the "fight or flight" response? Select all that apply. 2, 4 Glucocorticoids are released by the adrenal cortex during stress. These glucocorticoids decrease immune responses. Question
11. Which symptoms are commonly observed in a client with psychosis? Select all that apply. 1, 3, 5 Delusions are a common characteristic seen in a client with psychosis. Question
12. A client tells the nurse, "I drink because it's the only way I can deal with my bad marriage and my worse job." What does the nurse understand from the client's statement? 4 The client is trying to justify the unacceptable behavior, which is drinking. According to the client, the reasons for drinking are bad marriage and worse job. This justification indicates the rationalization type of defense mechanism. Question 13. The nurse is caring for a child who has a terminal illness. The nurse informs the child's parents about the impending death of the child. Which type of grief does the nurse initially find in the
parents? 4 Anticipatory grief is the initial stage of grief where the parents of the child experience knowing the child's condition and show increased concern for the child. Question 14. Which statement by the client may indicate a sublimation type of defense mechanism to overcome anxiety? 1 The client who uses a sublimation defense mechanism rechannels personally or socially unacceptable impulses into activities that are constructive. The client uses aggressive behavior in kickboxing to become a star. Question 15. Which stage of anxiety is associated with incoherent speech and ineffective communication? 2 The panic stage of anxiety is characterized by a severe state of psychological stress. The client will have incoherent speech and ineffective communication during this stage of anxiety. Question 16. To find relief from anxiety, a client tells the nurse, "Sorry, I did not take my medication today; my mother did not remind me to take it." Which defense mechanism does the nurse suspect from the client's statement? 2 The client who uses projection passes the blame of undesirable feelings to another person. Question 17. The nurse is teaching a group of student nurses about disorders in which the characteristic symptoms are manifested as physical symptoms. Which disorders does the nurse include in the teaching plan? Select all that apply. 2, 3 Somatic symptom
disorders are the disorders in which the characteristic symptoms are physical symptoms. Factitious disorder is a somatic symptom disorder. Therefore, the nurse includes this disorder in the teaching plan. Question 18. Which characteristic does the healthy or self-actualized individual exhibit, according to Maslow? 1 According to Maslow, a healthy or self-actualized individual possesses creativeness. Question 19. Which physical characteristics may be noticed in a client with severe anxiety? Select all that apply. 1, 2, 4 Palpitations are a common symptom of patients with severe anxiety not commonly seen in patients with mild or moderate anxiety Question 20. Which characteristics would the nurse expect to find in a patient with neurosis? Select all that apply. 1, 3, 4 Neuroses are psychiatric disturbances, characterized by excessive anxiety that is expressed directly or altered through defense mechanisms. Clients with neuroses
feel helpless to change their situations. Students also viewedRelationship development and therapeutic comunicat…64 terms E_Botten NURS 311 Quiz 215 terms bagleadr mental health and mental illness40 terms E_Botten Communication Quiz8 terms hstewart21 Sets found in the same folderExam 2135 terms tansleegreen RN Mental Health Online Practice 2019 A60 terms kateg529 Crisis Intervention54 terms greer4455 Mental health test 174 terms dmuriuki94 Other sets by this creatorPsych Pharm86 terms heather2130 More Psych Pharm70 terms heather2130 Psych Jeopardy25 terms heather2130 Davis Edge20 terms heather2130 Other Quizlet setsNCDQ(FX) Questions197 terms averyas6 The Enlightenment An Age of Reason12 terms Allison_Hopper6 Econ 201 MicroEcon midterm 1 practice59 terms CovidHours community lea case studies24 terms Lily_A31 Which is a barrier to seeking mental health treatment feeling anxious to get better?Lack of awareness, social stigma, cost, and limited access are some of the most prominent factors standing in the way of people pursuing mental health treatment.
Which action is characteristic of mental illness?Excessive fears or worries, or extreme feelings of guilt. Extreme mood changes of highs and lows. Withdrawal from friends and activities. Significant tiredness, low energy or problems sleeping.
Which statement identifies a potential effect of accessing an unreliable mental health?Which statement identifies a potential effect of accessing an unreliable mental health resource? Health insurance might be fraudulently billed.
Which factor is a component of mental health?Mental health includes our emotional, psychological, and social well-being.
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Which symptom indicates that someone may need mental health treatment Quizlet
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