Nokea
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.
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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.
Using Freud's personality theory, what action by a patient identifies the influence of the superego?
- A. Eating an entire chocolate pie
- B. Becoming anxious about having no visitors
- C. Monopolizing the attention of the health care provider
- D. Returning a $5 bill that another patient left on the table
Correct Answer: D
Rationale: The superego is the mediator between right and wrong (the conscience).
The patient complains to the nurse that the health care provider does not like him and wants him to fail at following the diet prescribed. The nurse recognizes that the patient is using which defense mechanism?
- A. Conversion
- B. Projection
- C. Introjection
- D. Repression
Correct Answer: B
Rationale: Projection is attributing to other's characteristics that the person does not want to acknowledge.
A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?
- A. High anxiety
- B. Denial
- C. Reconciliation
- D. Adaptation
Correct Answer: B
Rationale: The father is exhibiting signs of denial. Once the reality of the situation becomes evident, anger and confusion follow.
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.