Nokea
A variety of factors influence the level of anxiety experienced by the patient faced by a stressful situation. Which would the nurse outline?
- A. How others perceive the event
- B. The number of stressors present at one time
- C. Degree of change the stressors require
- D. Present role assumption
- E. Previous experience with a similar situation
Correct Answer: B,C,D,E
Rationale: The number of stressors present at one time, the degree of change the stressors require, present role assumption, and previous experience with a similar situation are all factors that can influence the level of anxiety experienced when faced with a stressful situation. The level of anxiety experienced is also influenced by how the event is perceived by the individual, not how the event is perceived by others.
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Which event in the mental health care movement occurred first?
- A. Establishment of Pennsylvania Hospital
- B. Deinstitutionalization movement
- C. Formation of Committee for Mental Health
- D. Passage of Omnibus Budget Reconciliation Act (OBRA)
- E. Dorothea Dix awakens public awareness of plight of mentally ill
Correct Answer: A
Rationale: Pennsylvania Hospital-1731, Dorothea Dix-1882, Committee for Mental Health-1909, deinstitutionalization movement-1960, OBRA-1981.
What definition should the nurse use to clarify the concept of 'mental health'?
- A. A wellness of attitude
- B. A person's response to disease and dysfunction
- C. The ability to cope and adjust to everyday stresses
- D. How the person performs activities of daily living
Correct Answer: C
Rationale: Mental health can be defined as a person's ability to cope and adjust to everyday stresses.
In the movie Gone With the Wind, Scarlett O'Hara says, 'I'll think about that tomorrow. Tomorrow is another day.' The nurse recognizes the defense mechanism of
Correct Answer: repression
Rationale: Repression is an unconscious barring of anxiety-producing thoughts.
What action by a student before taking a test should indicate to a nursing instructor that the student is demonstrating signs of moderate anxiety?
- A. Studies for 6 hours
- B. Sleeps 6 hours because of fatigue
- C. Vomits
- D. Argues about the scheduling of the test
Correct Answer: C
Rationale: 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.
Using Freud's personality theory, what action by a patient indicates a strong ego?
- A. Laughs at himself for being foolish.
- B. Continually boasts of his accomplishments.
- C. Apologizes continually.
- D. Insists that the TV channel stay tuned to CNN.
Correct Answer: A
Rationale: Ego is the reality tester. Laughing at oneself shows that the patient can compare his own foolish behavior to the norm.