Coping Mechanisms
Most psychosomatic problems and somatoform disorders begin in:
Childhood
Trends that have contributed to the recent increase in eating disorders in the United States include a(n):
Focus on being thin as a measure of attractiveness
Which disorder is associated with persons with a body weight that is normal or even slightly above average?
Bulimia
A prolonged emotional state that influences one’s whole personality and life functioning is called:
Mood
A mother brings her 9-month-old son to the emergency department because he stopped breathing at home. She demands that he receive a full diagnostic work-up. When asked for the name of her pediatrician, she states she has not found one she is satisfied with. The nurse suspects:
Munchausen’s syndrome by proxy
A client tells the nurse that exercising in the gym helps him keep his stress level reduced. Which type of coping mechanism best describes this situation?
Physical
The client lives his life by rapidly bouncing from feelings of deep sadness to great joy. The client’s diagnosis is most likely:
Bipolar disorder
The main feature of a factitious disorder is that symptoms are purposefully produced to allow the individual to:
Assume the sick role
A client has constant thoughts about locking his front door every time he leaves his house. This client is experiencing a(n):
Obsession
The client can acknowledge the possibility that she exaggerates her symptoms, but she continues to hold on to the belief that something is physically wrong, in the face of evidence to the contrary. What is the client’s diagnosis most likely to be?
Hypochondriasis
An adolescent caught stealing a classmate’s laptop says that he needed it to write his paper and the classmate “has enough money to buy another one anyway” is demonstrating which of the following defense mechanisms?
Rationalization
Theories that view depression as a group of learned responses are called ____ theories.
Behavioral
A male client has had agoraphobia for several years. In the past 2 years, he has not left his home and only speaks to people on the phone occasionally. Which nursing diagnosis has the highest priority in this situation?
Social isolation
Recent studies have demonstrated that daily exposure to full-spectrum light (phototherapy) is most effective in improving symptoms in people who are experiencing:
Seasonal affective disorder
A 6-year-old is preparing to have a dental procedure. His anxious mother is in the room with him. When the child asks if everything will be okay, she assures him it will, but continues to pace and wring her hands. What is the most appropriate action for the dentist to take?
Request that the mother wait in the waiting room
The client thinks her nose is so ugly that most people cannot bear to look at her. She often describes herself as ugly. Which condition is the client experiencing?
Body dysmorphic disorder
The nurse must be alert to signs of suicidal thoughts with clients in whom major depressive disorders have been diagnosed because approximately _____ die from suicide.
15%
The treatment team and a male client in whom obsessive-compulsive disorder associated with hand washing has been diagnosed decide on a treatment plan for the disorder. The nurse begins to implement the plan by having the client gradually extend the time between hand washes. This intervention is an example of which type of therapy?
Desensitization
Which one of the following are biological causes of mood disorders?
Imbalance of neurotransmitters
On the morning of a final exam, the student is feeling tense and excited, with her heart rate and breathing slightly increased. She is feeling energized, ready and alert with her attention focused on the exam. Based on these findings, what advice can the student be given?
The level of anxiety described should allow for a positive outcome
The client had recently witnessed a horrific auto accident. Now she is complaining of double vision, loss of balance, and a constant “lump in her throat.” She is exhibiting the signs and symptoms of:
Conversion disorder
A client seen in the community mental health clinic appears for one appointment in multiple layers of brightly colored clothing. Her speech is very pressured, and she is telling everyone in the waiting room about a date she had the previous evening. The next visit she is dressed in old, drab clothes and has no makeup on. She has a flat affect and is not making eye contact. The most probable cause of her behaviors is which of the following conditions?
Bipolar I disorder
The nurse is aware that several theories have been proposed to explain anxiety. Which theory explains anxiety as a result of early childhood interactions with others?
Interpersonal model
La belle indifference is a characteristic that most often is associated with:
Conversion disorder
The nurse is meeting with a client suffering from agoraphobia who recently moved to the United States from a country where acts of violence and civil unrest are common. The theoretical model that links anxiety to the uncontrollable events the client experienced in his previous country is the ________ model.
Environmental