ch 7

Question 1

which states the naturalistic view of what causes illness?

Answer 1

-illness is caused by cold, heat, wind, and dampness

Question 2

which is the most influential in determining health beliefs and practices?

Answer 2

-cultural factors

Question 3

which assessment indicates positive growth

Answer 3

-enjoys social activities with three or four close friends

Question 4

which statement would cause concern for achievement of developmental tasks for a 55 year old woman?

Answer 4

-my children need me now just as much as they were young

Question 5

which client statement would indicate self efficacy?

Answer 5

-I know if i can learn to relax, I will feel better

Question 6

Identify interpersonal factors of a client’s response. select all that apply.

Answer 6

-family support
-sense of belonging
-social networks

Question 7

identify components of a cultural assessment. select all that apply.

Answer 7

-communication
-control of environment
-family structure
-language
-socioeconomic status

Question 8

the nurse is assessing the anxiety level of a young school age child. the nurse encourages the child to express feelings through the use of toys in a play situation. the purpose for this approach to assessment is largely related to which of the following?

Answer 8

children may not have developed the language to fully describe their feelings

Question 9

a nurse is teaching decision making skills to a client with dependent personality disorder. according to erickson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage?

Answer 9

industry

Question 10

which of the following statements is most accurate regarding the age at onset of a mental illness such as schizophrenia?

Answer 10

persons who are diagnosed at a younger age will more likely have a poorer outcome

Question 11

genetics have been shown to play which of the following roles in a persons metal and emotional health

Answer 11

several mental disorders appear to run in families

Question 12

which one of the following statements about the roles that biological makeup plays in a clients emotional responses is most accurate?

Answer 12

biological differences can affect a clients response to treatment with psychotropic drugs

Question 13

which individual factors a can a person modify to improve mental and emotional health? select all

Answer 13

-lack of exercise

-poor nutrition

-sleeplessness

Question 14

the nurse is preparing to administer PRN medication to a client of japanese decent who is anxious. the best dose for the nurse to give initially is

Answer 14

0.25

Question 15

a client’s prognosis is said to be good due to a high degree of self efficacy. which of the following is evidence of a high degree of self efficacy?

Answer 15

the client is self motivated and asks for help when needed

Question 16

a client is actively involved in community service activities. the benefit of involvement in meaningful daily activities will most directly contribute to which of the following attributes

Answer 16

hardiness

Question 17

if a family is resilient, what can you conclude about their family life? select all

Answer 17

-family members spend time together

-family members engage in recreational activities together

Question 18

spirituality is especially important in helping people cope primarily for which of the following reasons?

Answer 18

guides beliefs about the meaning of life events

Question 19

which of the following statements about hope and symptoms of mental illness are true? select all

Answer 19

-persons having more hope experienced fewer actual symptoms

-a possible way to help clients manage and decrease symptoms would be to support the development of hope

Question 20

which of the following personal characteristics influence a client’s response to stressors? select all that apply

Answer 20

-self efficacy

-spirituality

-hardiness

-resilience

-resourcefulness

Question 21

which of the following statements about spirituality are true? select all that apply

Answer 21

-many clients with mental disorders have disturbing religious delusions

-religious activities have been shown to be linked with a better health and sense of well-being

-hope and faith are two critical factors in psychiatric and physical rehabilitation

-spirituality may include a relationship with the environment

Question 22

individuals who grow up in high risk environments but are able to become productive, successful citizens are believed to possess which of the following characteristics?

Answer 22

resilience

Question 23

which of the following factors would be most influential in determining a client’s response to a particular stressor?

Answer 23

the client’s perception of the stressor

Question 24

the client says to the nurse, i know i can learn to cope with my family situation. by getting help here at the clinic, ill be able to deal eight them more effectively. this client is showing a high level of

Answer 24

self efficacy

Question 25

a client reports feeling like he belongs among his peers with whom he shares a group home. the nurse incorporates this sense of belonging when formulating discharge plans because the nurse understands which of the following?

Answer 25

the client will likely feel needed by his peers

Question 26

which of the following situations would most likely provide social support to a client

Answer 26

a friend who will share his or her perspective on an issue

Question 27

a holistic plan of recovery would be especially important to a client from which of the following cultural groups?

Answer 27

american indian

Question 28

a nurse and client of chinese heritage are collaborating on treatment goals. the nurse would document which of the following as the client’s priority goal?

Answer 28

the client will express a feeling of balance and harmony

Question 29

the nurse is preparing to conduct an assessment with a mexican american client. during the interview, the nurse should respect the client’s culture through which behavior?

Answer 29

introduce self with a handshake

Question 30

the client expresses feelings of guilt for not being able to snap out of depression. a therapeutic response would be

Answer 30

clinical depression is not something you have brought on yourself