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When anxiety is a maladaptive response in an individual, it has the characteristic of
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When a client has a mild level of anxiety, his or her emotional response is
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Mental Health-Test 2
Chapters 18, 21, 27, and 24
| Question | Answer |
|---|---|
| When anxiety is a maladaptive response in an individual, it has the characteristic of | Ineffective attempts to cope. Doint otehr activities to avoid delaing with stress |
| When a client has a mild level of anxiety, his or her emotional response is | Feelings of relative comfort and safety. Relaxed, calm appearance and voice. Performance is automatic, habitual behaviors occur |
| A female college student is seeking help from the counseling for test anxiety. She reports that during an exam, she freezes & says It feels like the time I have to take the exam is racing by, and I can’t answer any of the questions.This is what level | Severe |
| A male client with an anxiety disorder sometimes experiences panic attacks following high levels of anxiety. The nurse would expect his physiological responses to include: | Become pale, B/P decreases-hypotension, muscle coordination poor. Pain, hearing sensations minimal |
| A learned response to an anticipated event, such as when the person who does not like to fly experiences nausea and sweaty palms before boarding the airplane, is best described as: | Signal anxiety |
| A client tells the nurse that exercising in the gym helps him keep his stress level reduced. Which type of coping mechanism best describes this situation? | Physical |
| A nurse who talks to teens about the dangers of tanning beds in causing skin cancer but loves to tan herself and does so before she goes on vacation is using which defense mechanism? | Subsitution |
| The nurse is aware that several theories have been proposed to explain anxiety. Which theory explains anxiety as a result of interactions with others? | Interpersonal model |
| A married couple who has separated and is planning to divorce seeks counseling for their 9-year-old daughter. The daughter has been experiencing symptoms of severe anxiety during insignificant situations and refuses to discuss the divorce with her parents | Avoidance behavior, situational anxiety |
| Adolescents who ineffectively cope with anxiety often express their anxiety through: | Expressing themselves inappropriately (running away, theft, angry/defiant, agressive, manipulative, drugs, high-risk behaviors) |
| What is the term for physical expression of anxiety by an individual in ways such as nausea or headaches? | Somatize |
| Which term best describes an individual’s feelings of anxiety that are broad, long-lasting, and excessive? | Generalized anxiety disorder |
| A female client tells the nurse that she is terrified to go to the grocery store. The nurse is aware that this client most likely has: | Agoraphobia |
| A client has constant thoughts about locking his front door every time he leaves his house. This client is experiencing a/an: | OCD |
| Which is a typical symptom of posttraumatic stress disorder? | Flashbacks |
| The treatment team and a male client in whom obsessive-compulsive disorder associated with hand washing has been diagnosed decide on a treatment plan for the disorder. The nurse implement the plan by having the pt gradually extend the time b/w hand washes | Systematic desentization (step by step) |
| A female client is taking a benzodiazepine for her anxiety disorder. She complains of anorexia and nausea since she started taking the medication a few days ago. What is the nurse’s best response? | This is a GI side effect |
| A male client has had agoraphobia for several years. In the past 2 years, he has not left his home and only speaks to people on the phone occasionally. Which nursing diagnosis has the highest priority in this situation? | Social isolation |
| Of individuals who suffer from panic attacks, __________% are women. | 70 |
| Symptoms of obsessive-compulsive disorder can occur in children as young as: | 3 years |
| Which statements best describe an anxiety disorder? | Anxiety is expressed in effective or maladaptive ways and one's coping mechanisms do not successfully relieve the distress |
| Which symptoms may be seen in a person who is having a panic attack? Select all that apply. | Palpitations, sweating, trembling/, feeling shortness of breath,feeling of choking, chest pain, nausea/abd distress, dizzy/lightheadedness, feelings of unreality or being detached from onself, fear of dying,losing control, paresthesias,chills/hot flashes |
| __________ refers to a vague, uneasy feeling of uncertainty and helplessness | Anxiety |
| When an individual uses psychological strategies to cope with stressors in an attempt to decrease anxiety, this person is using a __________. | defense mechanisms |
| __________ is a defense mechanism that is characterized by redirecting one’s energy to another person or object. | Displacement |
| A prolonged emotional state that influences one’s whole personality and life functioning is called: | Mood |
| Most depressive responses in children are tied to: | A specific event or situation |
| The moods of adolescents: | Commonly swing from feeling vulnerable and dependent to knowing that they are the smartest one in the family |
| Depression in the elderly is: | Very common. (40%) but is not a normal consequence of aging. Most likely linked to a physical cause |
| Theories that view depression as a group of learned responses are called ____ theories. | Behavioral |
| Clients with bipolar I, bipolar II, or cyclothymic disorders exhibit different types of: | Depression? Mania? Cycles? Intensity? Behavior? |
| Feelings of worthlessness, guilt, and despair are expressed in a female client’s every thought, movement, and activity. Her physical appearance has declined, and she is commonly unable to eat. What is the client experiencing? | Severe depression |
| Severe, prolonged depression affects a person’s risk for physical illness by ____ the risk. | increasing |
| A disorder defined as daily moderate depression that lasts longer than 2 years is called a(n) ____ disorder | dysthymic |
| The client lives his life by rapidly bouncing from feelings of deep sadness to great joy. The client’s diagnosis is most likely: | cyclothymia |
| Recent studies have demonstrated that daily exposure to full-spectrum light (phototherapy) is most effective in improving symptoms in people who are experiencing: | Symptoms of sadness and social withdrawal in people with seasonal affective D/O or late luteal phase D/O |
| The goal of treatment during the first phase of depression is to: | Reduce symptoms and inappropriate behaviors |
| The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. What is the nurse’s priority action? | Report signs to physician. These are serious side effects. |
| Clients who are taking lithium must monitor their water and salt intake because: | Lithium competes with sodium, so increase in salt decreases lithium. decrease salt increases lithium |
| The nurse must be alert to signs of suicidal thoughts with clients in whom major depressive disorders have been diagnosed because approximately __________ die from suicide. | 15% |
| During the continuation phase of therapy, a client with a diagnosis of depression asks, “What is the goal of therapy during this 4- to 9-month period?” What is the nurse’s best response? | Prevent relapse into distressing emotional stress |
| A client with major depressive disorder is scheduled for electroconvulsive therapy (ECT). Which point will the nurse teach the client? | Increased levels of neurotransmitter norepinephrine. Last 15 min. but shocks just a few seconds. 6-12 treatments are administered over a course of several weeks |
| A client asks the nurse which types of antidepressants have the fewest side effects. What is the nurse’s most accurate response? | SSRIs |
| Which group of medications for depression will the nurse tell the client to take at bedtime? | Tricyclic Antidepressants |
| A male client with bipolar disorder who takes lithium tells the nurse that he has been “nauseous a lot lately,” feels tired, and has had “some blurry vision.” The client most likely is suffering from what level of lithium toxicity? | Moderate |
| In which groups does postpartum depression occur more frequently? Select all that apply. | Complicated pregnancy, difficult delivery, not prepared for motherhood |
| A client is experiencing an episode at the level of mania. Which behaviors are characteristic of this level? Select all that apply. | Elevated, expansive irritable mood accopanied by loss of identity, increased activity, grandiose thoughts and actions |
| __________ is the electrolyte that the nurse must teach the client to monitor in his or her diet when taking lithium. | Salt |
| Self-protective responses are manifested by behaviors that meet basic | Safety and security |
| The person who is at greatest risk for committing suicide is a(n): | 15-24 years has 3rd leading cause diagnosis of depression |
| Bob drives fast everywhere he goes, especially when he is drinking. Last night, he was arrested for gambling and loud behavior. Bob is engaging in ____ behavior. | Indirect self destructive behaviors |
| Suicide in the United States is: | 11th leading cause of death in the US |
| The theory that suicide rates are affected by group support, social changes, regulations, religion, legal sanctions or limitations, and philosophical beliefs is known as the ____ theory. | Sociological |
| Because of the emotions attached to a suicidal act, the loss of a loved one through suicide compares with the grief reaction of a natural death in that it is ____ stressful. | more |
| Children are at greater risk for committing suicide if they have ____ problems. | mental health |
| Suicide is attempted three times more frequently by ____ but is more often successfully completed by ____. | women, men |
| Thoughts or fantasies about suicide that are expressed but have no definite intent are called: | suicidal ideations |
| During the nursing history interview, the client tells the nurse that he would be better off dead. The care provider’s best response is: | "Do you have any plans", "Do you think that you can control your behavior and refrain from acting your thoughts or impulses?" |
| The first priority for the care of clients who may be suicidal is: | Protect from harm |
| The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to: | Develop more effective strategies for living satisfying lives |
| Suicide attempts by ____ are more successful because one out of every two attempts results in death | Firearms? |
| When the environment lacks security or presents dangers, the perception that life will be short or will end in violence is most compelling for: | Cry for help |
| Persons who commit suicide are depressed or psychotic. This statement is a(n): | False/myth |
| The nurse is caring for a male pt w/a major depressive disorder who has not responded well to various treatments. The latest treatment method resulted in slight improvement. Now, the pt has a very positive affect and feels “amazingly better.” The nurse sh | Question patient, as a sudden good mood usually indicates that the decision to commit suicide has been made |
| A female's fiance called off the wedding and she tried commiting suicide by pills. Then calls everyone and tells them. She is exhibiting: | Refusal to accept diminished quality, style or pace of life |
| A terminally ill female client chooses the time and place of her own death. This is an example of: | Relieve distress related to situations that threaten the intactness of a person. Rational suicide. |
| An elderly male client’s wife of 50 years recently died from cancer. He suffers from a chronic debilitating illness and has been refusing to eat, drink, or take his medications. This client is displaying behavior characteristic of: | Passive suicide |
| In the __________ dimension, an individual who is considering suicide experiences distorted thinking and self-defeating thoughts | Intellectual |
| Which of the following are included in the continuum of self-protective responses? Select all that apply. | Suicide, self injury, indirect self-destructive behavior, growth-promting risk taking, self enhancement |
| Which are facts about suicide? Select all that apply | Most people communicate their intent, every threat is serious, many people communicate warnings (tidying up room, giving away possessions), mental health is risk factor, occurs in all socioeconomic classes |
| Standard interventions implemented in a mental health facility to prevent a client from attempting suicide are called __________. | Suicide precautions |
| __________ is a term that is used to describe a form of active suicidal behavior, such as gestures, threats, or attempts to end one’s own life. | Parasuicidal |
| __________ is when a client thinks or fantasizes about death with no definite intent to commit suicide. | Suicidal ideations |
| The father of a 6-month-old and a 3-year-old discovers that his wife has abandoned the family and moved to another state. During this developmental stage, this abandonment will have the strongest negative effect on the children’s | Self concept |
| Dissociative disorders most often result when an individual is attempting to cope with: | Overwhelming abuse or trauma |
| During assessment before admission to a mental health facility, the client states that he was found to have driven his car to another state but had no recollection of traveling there. The nurse is aware that this pt is describing the condition known as: | Dissociative Fugue |
| The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the: | Host |
| When developing the nursing care plan for a client with dissociative identity disorder (DID), the nurse knows that one of the major goals of therapy is to assist the client in: | Help the client integrate or combine the personalities into one functional individual, capable of coping with life's stresses in a healthy manner |
| The pt tells the nurse that she feels that her meds is not helping her dissociative dx of depersonalization disorder b/c she is not thinking clearly, having memory problems and judgment, and disoriented to the time. This client most likely will be: | hospitalized |
| The nurse is aware that in addition to assessment, one of the first goals of therapy for the client with a dissociative disorder is: | Stabilization |
| The nurse must be aware that individuals with dissociative disorders often will try to __________ the staff members who are caring for them. | Manipulate/Divide |
| Which of the following is considered a primary nursing diagnosis for a client with a dissociative disorder? | Disturbed personal identity, social isolation, risk-prone health behavior, impaired memory,low self esteem, disturbed body image |
| The nurse knows that one of the best interventions to determine whether a client with a dissociative disorder is having self-destructive thoughts is to: | Ask the client. Journals |
| During assessment of a pt with a dissociative disorder, the nurse notices that the client has been cutting herself on both arms. To prevent further self-destructive behavior the intervention to use: | One on one support, protect from harm |
| A client with the diagnosis of depersonalization disorder notices that he experiences periods of depersonalization when confronted with certain stressors. one of the most helpful activities in self-control for this pt is for the client to: | Journaling |
| The 15-year-old son of a single, full-time working mother frequently is left at home alone to care for himself. According to Erikson’s theory, the nurse is aware that this adolescent most likely would have difficulty in developing a comfortable | Self concept |
| A male client with a diagnosis of depersonalization disorder tells the nurse that when confronted with stressful times, he often feels insecure and doesn’t know what he really wants to do with his life. Most appropriate nursing diagnosis for this pt? | Disturbed personal identity |
| What is the first nursing priority in a client with the nursing diagnosis of “Personal identity, disturbed”? | Establish therapeutic relationship, confirm identity, support adaptive behaviors, identity strengths, (Assess/Assist/Promote) |
| A “spell” is a culturally defined mental health disorder or a dissociative “state” seen in African Americans, Europeans, and Americans from southern U.S. cultures. This “state” is characterized by: | Cultural influences |
| Individuals with the diagnosis of dissociative disorder often experience chronic low self-esteem. Which nursing intervention most likely would promote the client’s sense of self-esteem? | Emotionally support. Help to clarify faulty beliefs about self |
| A person’s self-concept, or how a person sees himself or herself, comprises which of the following? Select all that apply. | Attitude, notions, beliefs, convictions. Influenced by culture, society, significant people, experiences, body image, role performances |
| A client with a dissociative disorder has the nursing diagnosis of disturbed body image. Which nursing interventions would address the nursing priority of determining the coping abilities and skills of this client? Select all that apply. | Reinforce strengths, assets, anmd problem solving abilities. Encourage to focus on positives |
| Of the four types of dissociative disorders identified by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), the disorder that formerly was called “multiple personality disorder” now is called __________. | Dissociative identity disorder (DID) |
| When a person is unable to bring his various childhood identifications into one effective adult personality, the individual is said to have identity _______________. | Disorder |
Created by:
Tarian1023