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Flashcards in Basic Concepts of Mental Health Deck (41)
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1

When using the term behavior, the mental health nurse is referring to:

defined as the manner in which a person performs any or all of the activities of daily living.

2

The nurse clarifies the concept of “mental health” by defining it as:

defined as a person’s ability to cope and adjust to everyday stresses.

3

When assessing patients with mental illness, the nurse anticipates their behavior to be:

behavior that deviates from socially acceptable behavior.

4

While assessing a patient with mental illness, the nurse realizes that the number of people in need of mental health services is:

It is estimated that one in eight people in the United States is in need of mental health services.

5

During the 17th and 18th centuries, care of patients with mental illness often was cruel. Dr. Phillippe Pinel brought about change by advocating:

Dr. Phillippe Pinel advocated humane care.

6

In 1882, the first psychiatric training school for nurses opened. The first psychiatric nurse was:

Linda Richards, who practiced in the 1880s, is credited as being the first psychiatric nurse.

7

Using the mental health continuum as a guide, the nurse observes behavior that usually places an individual on the illness end of the continuum. This behavior:

the person is rarely in touch with reality.

8

The majority of people function in a relatively healthy manner, but their functioning capacity can be diminished by:

Periods of crisis can decrease functional capacity, moving a person toward the illness end of the continuum.

9

Classifying a person as having a mental illness is based on the:

is deemed to be mentally ill by the behavior exhibited and the context.

10

Using Freud’s personality theory, the nurse recognizes a strong ego when a patient:

Ego is the reality tester. -Laughing at oneself shows that the patient can compare his own foolish behavior to the norm

11

Using Freud’s personality theory, the nurse identifies the influence of the superego after observing a patient:

The superego is the mediator between right and wrong (the conscience).

12

The nurse is assessing a 26-year-old man who is unmarried, dates many different women, and spends his income on himself. Using Erikson’s developmental theory, the classifies this behavior as:

inability to find intimacy results in self-absorption.

13

When explaining the role theory, the nurse gives the example of an ascribed role as the patient’s:

Ascribed roles are those that a person takes on, but had no personal choice in the matter. Ethnicity, sex, and nationality are examples of ascribed roles.

14

The nurse assessing a young woman who is a teacher, happily married, raising two children, taking care of her disabled mother, and going to school to get a master’s degree classifies this behavior as:

Role integration
- is performing several ascribed roles at the same time.

15

The nurse assesses a patient as having a poor self-concept because the patient consistently:

Apologizing repeatedly
- is indicative of self-effacement.

16

Any event that requires change stimulates an amount of:

leads to stress
-,which is the nonspecific response of the body to any demand.

17

A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. The head nurse assesses the use of a healthy coping mechanism observing the nurse:

The use of delegation is an effective coping mechanism

18

The nurse explains that an individual who perceives a threat to self may experience a universal emotion of:

Anxiety
-can be defined as a vague feeling of apprehension resulting from a perceived threat to self.

19

The nursing instructor recognizes signs of moderate anxiety when a student does what before taking a test?

Vomiting
-and other physical expressions of anxiety are characteristic of moderate anxiety.

20

The nurse documents a flat affect when the patient:

receives the news of his mother’s death without response.

21

The nurse recognizes that a patient is seeking ways to deal with and resolve stress after observing the patient use:

An individual who develops ways to deal with stress and resolve it has adapted.

22

When a 40-year-old patient cries and has a tantrum when the physician refuses to give her a prescription for diet pills, the nurse observes the use of the defense mechanism of:

Regression
- is a behavior that reflects the return to an earlier form of coping.

23

When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the defense mechanism of

Defense mechanisms
- are unconscious reactions that offer protection to the self from stressful situations.

24

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient’s response is: “It’s only a little bit, and it won’t do anything.” The nurse recognizes the use of a defense mechanism called:

denial

25

The patient complains to the nurse that the physician does not like him and wants him to fail at following the diet prescribed. The nurse recognizes that the patient is using the defense mechanism of:

Projection
- is attributing to others characteristics that the person does not want to acknowledge.

26

The nurse is sensitive to the fact that patients lose control over their lives when admitted to the hospital. This loss of control frequently results in:

feelings of apprehension and uncertainty.

27

The patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. This is called the:

The sick role
- allows the patient to be excused from everyday responsibilities.

28

The nurse is very observant of patient behavior because all behavior has meaning and is:

is learned and has meaning.

29

A nursing intervention that helps build trust, encourages the patient to have faith in the care being received, and meets psychosocial needs is

is patient education.

30

When the nurse informs a family that the brain damage to their daughter is irreversible, the father curses at the nurse and storms out of the room. The nurse recognizes the father is in the crisis stage of:

Once the reality of the situation becomes evident, initially anger and confusion follow.