Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 18: Emotional Responses and Mood Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | A patient whose child died of sudden infant death syndrome (SIDS) 2 weeks ago, who states, “I can’t believe I’ll never hold my baby in my arms again.” |
| b. | A patient whose spouse died 2 years ago, who states, “Strong people don’t mourn. I’ve kept busy and focused on supporting the kids.” |
| c. | A patient whose spouse died 6 months ago, who states, “I hate the fact that my spouse died and left me alone after all the years we shared.” |
| d. | A patient whose fiancée died 6 weeks ago, who tells the nurse, “My life will never be the same. I find myself crying every day when I think of my fiancée.” |
ANS: B
Suppression of emotions for a prolonged period is less adaptive than showing emotional responsiveness to loss.
DIF: Cognitive Level: Analysis REF: Text Page: 290
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | disbelief. |
| b. | depression. |
| c. | normal grief reaction. |
| d. | delayed grief reaction. |
ANS: C
Loss of one’s job can precipitate a grief reaction. The steelworker is showing emotional responsiveness to the loss as evidenced by initial disbelief, anger, and pain.
DIF: Cognitive Level: Application REF: Text Pages: 290-291
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Denial |
| b. | Introjection |
| c. | Suppression |
| d. | Dissociation |
ANS: B
Mourning begins with introjection of the lost object. Denial, suppression, and dissociation are seen in delayed grief reactions.
DIF: Cognitive Level: Comprehension REF: Text Pages: 304-305
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | denial. |
| b. | projection. |
| c. | introjection. |
| d. | sublimation. |
ANS: A
Inability to cry or express emotions and speaking of the deceased in the present tense suggest the use of denial.
DIF: Cognitive Level: Comprehension REF: Text Page: 302
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | “I wonder why it is that you are so bothered by her crying.” |
| b. | “I’m more concerned that you don’t seem to be grieving.” |
| c. | “I’ll spend some time with her to help her see that crying is counterproductive.” |
| d. | “It’s hard to see her so upset, but crying is one way of expressing her feelings.” |
ANS: D
This reply is empathetic and allows the nurse to begin teaching the spouse the value of expressing feelings related to loss.
DIF: Cognitive Level: Application REF: Text Page: 308
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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