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How should the nurse document the behavior of a patient with mental illness?
- A. Very disruptive to a person in society
- B. Differing from socially acceptable behavior
- C. Causing the person to be involved in problems
- D. Resulting from an inability to exercise control
Correct Answer: B
Rationale: Mental illness can cause behavior that deviates from socially and culturally acceptable behavior.
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What is the basis for classifying a person as having a mental illness?
- A. Behavior exhibited and the context
- B. Response of society to the behavior
- C. Ability of the patient to conform
- D. Patient's history and previous behavior
Correct Answer: A
Rationale: A person is deemed to be mentally ill by the behavior exhibited and the context in which that behavior occurs.
When assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use?
- A. Ask him if he has a drinking problem.
- B. Explore the option of his moving in with someone.
- C. Reminisce with the patient and review his life.
- D. Assess for hopelessness and helplessness.
Correct Answer: C
Rationale: Reminiscence and life review are effective techniques to help older adults deal with changing life circumstances.
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.
When the patient is told that his insurance will no longer pay for his physical therapy, the nurse is aware that this obstruction to his goal may result in which concept?
- A. Conflict
- B. Adaptation
- C. Frustration
- D. Anxiety
Correct Answer: C
Rationale: Frustration refers to anything that interferes with goal-directed activity.
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.