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.
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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.
A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism?
- A. Writing down long lists of needed interventions before starting the day's work
- B. Delegating appropriate care assignments to unlicensed assistive personnel
- C. Asking a coworker to take one of her patients
- D. Asking for the day off
Correct Answer: B
Rationale: The use of delegation is an effective coping mechanism. The other options are not healthy as they either delay or avoid dealing with the stress.
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?
- A. It causes extreme concern about health.
- B. It results in inability to function in society.
- C. It demonstrates that the person is out of touch with reality.
- D. It results in inability to interact with people.
Correct Answer: C
Rationale: On the illness end of the mental health continuum, the person is rarely in touch with reality.
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.
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?
- A. Personal care
- B. Individual care
- C. Behavior care
- D. Humane care
Correct Answer: D
Rationale: Dr. Philippe Pinel advocated humane care.
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