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.
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When developing a care plan for a mentally ill patient, what should the nurse assess first?
- A. Coping strategies
- B. Emotional status
- C. Medications taken
- D. Nutritional status
Correct Answer: B
Rationale: The nurse's first priority would be to assess the emotional status of the mentally ill patient.
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.
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.
A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?
- A. Isolation
- B. Suicidal ideation
- C. Fear
- D. Anger
Correct Answer: B
Rationale: Hopelessness and helplessness can lead to possible thoughts of suicide.
How many people in the United States will develop a mental disorder during their lifetime?
- A. One in two
- B. One in five
- C. One in eight
- D. One in ten
Correct Answer: A
Rationale: It is estimated that 50% of people in the United States will develop a mental disorder during their lifetime.
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