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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?
- A. Patient role
- B. Illness role
- C. Sick role
- D. Dependent role
Correct Answer: C
Rationale: The sick role allows the patient to be excused from everyday responsibilities.
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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?
- A. Mild
- B. Moderate
- C. Severe
- D. Panic
Correct Answer: C
Rationale: Severe anxiety may be manifested by elevated blood pressure, pulse, and respiratory rate, a feeling of impending danger, and feelings of fatigue.
What does any event that requires change stimulate?
- A. Anger
- B. Depression
- C. Stress
- D. Anxiety
Correct Answer: C
Rationale: Any event that requires change leads to stress, which is the nonspecific response of the body to any demand.
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.
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 coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?
- A. Projection
- B. Adaptation
- C. Reaction formation
- D. Compensation
Correct Answer: B
Rationale: An individual who develops ways to deal with stress and resolve it has adapted.