Chapter 1: Mental Health and Mental Illness

Chapter 1: Mental Health and Mental Illness

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed. How should the nurse interpret the client’s behaviors?

1.	The client’s behaviors demonstrate mental illness in the form of depression.
2.	The client’s behaviors are extensive, which indicates the presence of mental illness.
3.	The client’s behaviors are not congruent with cultural norms.
4.	The client’s behaviors demonstrate no functional impairment, indicating no mental illness.

 

 

____     2.   At what point should the nurse determine that a client is at risk for developing a mental illness?

1.	When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
2.	When maladaptive responses to stress are coupled with interference in daily functioning.
3.	When a client communicates significant distress.
4.	When a client uses defense mechanisms as ego protection.

 

 

____     3.   A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress. One twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse explain these different stress responses to the parents?

1.	Reactions to stress are relative rather than absolute; individual responses to stress vary.
2.	It is abnormal for identical twins to react differently to similar stressors.
3.	Identical twins should share the same temperament and respond similarly to stress.
4.	Environmental influences to stress weigh more heavily than genetic influences.

 

 

____     4.   Which client should the nurse anticipate to be most receptive to psychiatric treatment?

1.	A Jewish, female social worker.
2.	A Baptist, homeless male.
3.	A Catholic, black male.
4.	A Protestant, Swedish business executive.

 

 

____     5.   A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s statement?

1.	Defense mechanisms can be appropriate responses to stress and need not be eliminated.
2.	Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and should always be eliminated.
3.	Defense mechanisms, used by individuals with weak ego integrity, should be discouraged and not eliminated.
4.	Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.

 

Chapter 1: Mental Health and Mental Illness

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  4

Chapter: Chapter 1, Mental Health and Mental Illness

Objective: Discuss cultural elements that influence attitudes toward mental health and mental illness.

Page: 9

Heading: Grief

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Analysis [Analyzing]

Concept: Grief and Loss

Difficulty: Easy

	Feedback
1	The client’s behaviors are to be expected in a time of grief.
2	The client’s behaviors are not presented as being extensive.
3	The client’s behaviors are to be expected after a loss.
4	The nurse should assess that the client’s daily functioning is not impaired. The client who experiences feelings of sadness after the loss of a pet is responding within normal expectations.

 

 

PTS:   1                    CON:  Grief and Loss

 

2. ANS:  2

Chapter: Chapter 1, Mental Health and Mental Illness

Objective: Define mental health and mental illness.

Page: 3

Heading: Mental Illness

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Stress

Difficulty: Easy

 

	Feedback
1	The client with a mental illness would have symptoms that reflect the DSM-5.
2	The nurse should determine that the client is at risk for mental illness when responses to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in order to be diagnosed with a mental illness, daily functioning must be significantly impaired.
3	The client’s ability to communicate distress would be considered a positive attribute.
4	The use of defense mechanisms does not indicate that the client is at risk for mental illness.

 

 

PTS:   1                    CON:  Stress

 

3. ANS:  1

Chapter: Chapter 1, Mental Health and Mental Illness

Objective: Identify physiological responses to stress.

Page: 7

Heading: Physical and Psychological Responses to Stress > Mild Anxiety

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Growth and Development

Difficulty: Easy

 

	Feedback
1	The nurse should explain to the parents that, although the twins have identical DNA, there are several other factors that affect reactions to stress.
2	It is considered normal for twins to react differently to stress.
3	Identical twins do not necessarily respond similarly to stress, due to differences in temperament and personality.
4	Environmental influences and temperament can affect stress reactions.

 

 

PTS:   1                    CON:  Growth and Development

 

4. ANS:  1

Chapter: Chapter 1, Mental Health and Mental Illness

Objective: Discuss cultural elements that influence attitudes toward mental health and mental illness.

Page: 4

Heading: Box 1-1 Cultural Aspects of Mental Illness

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Culture

Difficulty: Easy

	Feedback
1	The nurse should anticipate that the client of Jewish culture would place a high importance on preventative health care and would consider mental health as equally important to physical health.
2	The homeless client may have difficulty accessing health care and may not place a high emphasis on mental health treatment.
3	Women are more likely to seek treatment for mental health problems than men.
4	This client is not typically as receptive to psychiatric treatment as the client of Jewish culture.

 

 

PTS:   1                    CON:  Culture

 

5. ANS:  1

Chapter: Chapter 1, Mental Health and Mental Illness

Objective: Identify physiological responses to stress.

Page: 7

Heading: Physical and Psychological Responses to Stress > Mild Anxiety

Cognitive Level: Application [Applying]

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Concept: Stress

Difficulty: Moderate

	Feedback
1	The nurse should determine that defense mechanisms can be appropriate during times of stress.
2	Defense mechanisms are not maladaptive attempts of the ego to manage anxiety.
3	Defense mechanisms are a normal part of coping with stress. They are not used by individuals with weak ego integrity. They should not be discouraged and eliminated.
4	Defense mechanisms are normal and are used by all individuals in some way during times of stress; they do not cause disintegration of the ego.

 

 

PTS:   1                    CON:  Stress