Lagniappe I
What is the most likely result when an attempt at adaptation fails?
Anxiety
What is the mental health nurse referring to when using the term behavior?
The manner in which a person performs
A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?
Suicidal ideation
After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient’s response is: “It’s only a little bit, and it won’t do anything.” Which defense mechanism is the patient using?
Denial
Which event in the mental health care movement occurred first?
Establishment of Pennsylvania Hospital
The patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. What is this role called?
Sick role
The nurse is sensitive to the fact that patients lose control over their lives when admitted to the hospital. In what does this loss of control frequently result?
Anxiety
When assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use?
Reminisce with the patient and review his life
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?
Role performance
When was psychiatric training for nurses initially offered?
1882
The patient complains to the nurse that the health care provider does not like him and wants him to fail at following the diet prescribed. The nurse recognizes that the patient is using which defense mechanism?
Projection
A perceived threat to self causes what emotion?
Anxiety
When developing a care plan for a mentally ill patient, what should the nurse assess first?
Emotional status
What definition should the nurse use to clarify the concept of “mental health”?
The ability to cope and adjust to everyday stresses
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?
Humane care
What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?
Adaptation
What emotion does any event that requires change stimulate?
Stress
A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?
Denial
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?
It demonstrates that the person is out of touch with reality
Which theorist believed that personality development was based on task mastery?
Erik Erikson
When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the patient is using which defense mechanism?
Rationalization
What is a nursing intervention that helps to build trust, encourages the patient to have faith in the care being received, and meets psychosocial needs?
Patient education
The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient’s level of anxiety?
Severe
A 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism?
Regression
Changes in the delivery of mental health care that resulted from the development of electroconvulsive therapy and psychotherapeutic drugs brought about which phenomenon in the 20th century?
Deinstitutionalization