Question 1

What is the basis for classifying a person as having a mental illness?

Accepted Answer

A person is deemed to be mentally ill by the behavior exhibited and the context in which that behavior occurs.

Question 2

What does any event that requires change stimulate?

Accepted Answer

Any event that requires change leads to stress,which is the nonspecific response of the body to any demand.

Question 3

A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming.What demonstrates the use of a healthy coping mechanism?

Accepted Answer

The use of delegation is an effective coping mechanism.The other options are not healthy as they either delay or avoid dealing with the stress.

Question 4

How many people in the United States will develop a mental disorder during their lifetime?

Accepted Answer

It is estimated that 50% of people in the United States will develop a mental disorder during their lifetime.

Question 5

How should the nurse document the behavior of a patient with mental illness?

Accepted Answer

Mental illness can cause behavior that deviates from socially and culturally acceptable behavior.

Question 6

A perceived threat to self causes what emotion?

Accepted Answer

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

Question 7

What definition should the nurse use to clarify the concept of "mental health"?

Accepted Answer

Mental health can be defined as a person's ability to cope and adjust to everyday stresses.

Question 8

When was psychiatric training for nurses initially offered?

Accepted Answer

In 1882,McLean Hospital in Waverly,Massachusetts,provided the first psychiatric training school for nurses.

Question 9

Using the mental health continuum as a guide,the nurse observes behavior that usually places an individual on the illness end of the continuum.What is true of this behavior?

Accepted Answer

On the illness end of the mental health continuum,the person is rarely in touch with reality.

Question 10

What action consistently done by a patient should indicate to a nurse that the patient has a poor self-concept?

Accepted Answer

Apologizing repeatedly is indicative of self-effacement.Anger,demanding attention,and wearing attention-getting clothing are not characteristics of a poor self-concept.

Question 11

What is the mental health nurse referring to when using the term behavior?

Accepted Answer

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

Question 12

The majority of people function in a relatively healthy manner.What can diminish their functional capacity?

Accepted Answer

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

Question 13

Using Freud's personality theory,what action by a patient indicates a strong ego?

Accepted Answer

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

Question 14

During the 17th and 18th centuries,care of patients with mental illness often was cruel.What type of care was used by Dr.Philippe Pinel to bring about change?

Accepted Answer

Dr.Philippe Pinel advocated humane care.

Question 15

Using Freud's personality theory,what action by a patient identifies the influence of the superego?

Accepted Answer

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

Question 16

What action by a student before taking a test should indicate to a nursing instructor that the student is demonstrating signs of moderate anxiety?

Accepted Answer

Symptoms of anxiety include the following: vocal changes,rapid speech,increased pulse,respirations,and blood pressure,tremors,restlessness,increased perspiration,nausea,decreased appetite,diarrhea,frequent urination,and vomiting.

Question 17

Which theorist believed that personality development was based on task mastery?

Accepted Answer

Erik Erikson provided a framework for understanding personality development in terms of task mastery.Sigmund Freud described personality development as having three parts: id,ego,and superego.Jean Piaget theorized that development was based on how humans acquire and utilize knowledge.Friedrich Nietzsche's theories had more to do with morality than personality development.

Question 18

What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?

Accepted Answer

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

Question 19

The nurse is 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.How should the behavior of the young woman be classified?

Accepted Answer

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

Question 20

Which role is an example of an ascribed role?

Accepted Answer

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.

Quiz 34: Concepts of Mental Health