Question 1

The patient with low back pain confesses that he drinks heavily each night to help him sleep and control pain.This behavior would be an example of:

Accepted Answer

This behavior is an example of maladaptive coping.Drinking is not an appropriate means of coping with chronic pain.

Question 2

The wife of a critically injured husband has been at his bedside constantly for 2 days.As the nurse speaks to the wife,the wife sobs,"This is awful.I can't take it anymore." The nurse realizes that the wife is experiencing:

Accepted Answer

Long-term stress causes fatigue and an inability to solve problems.

Question 3

The stage in which introspection is a major characteristic is:

Accepted Answer

Introspection is properly identified as an activity of older age.

Question 4

The behavior that best exemplifies developmental activities in a 13-year-old teenager is:

Accepted Answer

Teenagers interacting in peer relationships is a major developmental task of this age group.

Question 5

The nurse recognizes that mild stress can be a positive force that stimulates the patient to _______________ a problem.

Accepted Answer

Mild stress can cause a person to focus and be able to solve a problem.

Question 6

The older Italian woman has an egg yolk in a bowl under her bed that she believes is absorbing the evil of her illness and making her feel better.The nurse should:

Accepted Answer

A nursing approach should help with coping,not increase the stress.

Question 7

When the 25-year-old woman who had a hysterectomy 1 day earlier tearfully tells the nurse that she is grieving for the children she will never have,the nurse assesses the grief as positive because it allows the patient to:

Accepted Answer

Grief and mourning signify an end to something.After the mourning,the patient is free to reappraise values for the future.

Question 8

The nurse identifies the patient who will experience the greatest cultural impact on his coping with a chronic debilitating illness as the:

Accepted Answer

The Hispanic man will have to deal with the loss of his culturally expected role as head of household.

Question 9

The nurse would describe a patient who has a functional interaction of his cognitive,affective,behavioral,and social dimensions of his personality as:

Accepted Answer

Mental health depends on the functional integration of the four dimensions of the personality.

Question 10

In planning care for a native-American patient who is taking herbal remedies and nutritional supplements,the nurse should inform the patient that:

Accepted Answer

Care planning for individuals with different cultural beliefs requires respect and individualization.

Question 11

A 5-year-old patient who was in an accident in which his cousin was killed starts to wet the bed at night.When the mother confirms that it has been several years since the patient had any difficulty with bed wetting,the nurse asks:

Accepted Answer

Anxiety is the root of such defense mechanisms as regression.This behavior is an example of regression,in which the 5-year-old has gone back to behavior more suited to a younger developmental age.

Question 12

The mother of a 5-year-old patient says that she is just mortified by his rude vocabulary since he has started school.The nurse reminds her that the best response to this behavior is to:

Accepted Answer

Learned behaviors can be unlearned with rewards for the desired behavior.

Question 13

The star quarterback on the high school football team is injured in a motorcycle accident.He will be unable to play football again.In planning his care,an appropriate nursing diagnosis for coping is:

Accepted Answer

Athletes who suffer injury can have low self-esteem related to their altered body image.

Question 14

The 24-year-old man scheduled for brain surgery in the morning constantly listens to music with his headphones on.The nurse recognizes this as a:

Accepted Answer

The use of a conscious coping strategy can help decrease stress.

Question 15

The example of a positive stressor is:

Accepted Answer

Test anxiety can be beneficial to promote study and sharpen focus.

Question 16

The nurse is aware that a preschooler's experiences in a kindergarten can help with adapting to:

Accepted Answer

Preschoolers adapt to interpersonal conflicts as they experience the broader world.

Question 17

The nurse gives an example of a person who is attempting to maintain homeostasis as the newcomer who:

Accepted Answer

The newcomer who attempts to balance the newcomer status with belonging is an example of homeostasis.

Question 18

The nurse explains that the difference between fear and anxiety is that fear is a(n):

Accepted Answer

Fear is a response to a specific threat (e.g.,rattlesnake in the garden); anxiety is a response to a nonspecific threat (e.g.,first day on a new job).

Question 19

When the patient is given a diagnosis of cancer,his first statement is,"What did I ever do to deserve God punishing me?" This is an example of:

Accepted Answer

This is a response to spiritual distress.The patient is questioning the meaning of illness and suffering.

Question 20

The nurse assesses that the 42-year-old patient who still lives with her parents and is dependent on them for decisions about her life is lacking in the mental health characteristic of:

Accepted Answer

Autonomy is a mark of mental health.

Quiz 54: Psychologic Responses to Illness