Mental Health Quiz Three

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MENTAL HEALTH EXAM THREE- ANXIETY AND MOOD DISORDERS


Questions and Answers
  • 1. 
    Is anxiety about or avoidance of places or situations from which escape might be difficult or in which help might be unavailable?
    • A. 

      Generalized anxiety disorder

    • B. 

      Specific phobia

    • C. 

      Specific panic disorder

    • D. 

      Agoraphobia

  • 2. 
    Is characterized by recurrent, unexpected panic attacks that causes constant concern.
    • A. 

      Acute stress disorder

    • B. 

      Panic disorder

    • C. 

      Post traumatic stress disorder

    • D. 

      Generalized anxiety disorder

  • 3. 
    IS CHARACTERIZED BY SIGNIFICANT ANXIETY PROVOKED BY A SPECIFIC FEARED OBJECT OR SITUATION, WHICH OFTEN LEADS TO AVOIDANCE BEHAVIOR
    • A. 

      SPECIFIC PHOBIA

    • B. 

      GENERALIZED ANXIETY

    • C. 

      SOCIAL PHOBIA

    • D. 

      PANIC ANXIETY

  • 4. 
    PANIC ATTACK IS THE SUDDEN ONSET OF INTENSE APPREHENSION, FEARFULNESS, OR TERROR ASSOCIATED WITH FEELINGS OF IMPENDING DOOM.
    • A. 

      TRUE

    • B. 

      FALSE

  • 5. 
    IS CHARACTERIZED BY ANXIETY PROVOKED BY CERTAIN TYPES OF SOCIAL OR PERFORMANCE SITUATIONS, WHICH OFTEN LEADS TO AVOIDANCE BEHAVIOR
    • A. 

      PANIC PHOBIA

    • B. 

      SPECIFIC PHOBIA

    • C. 

      SOCIAL PHOBIA

    • D. 

      GENERALIZED PHOBIA

  • 6. 
    INVOLVES OBSESSIONS (THOUGHTS, IMPULSES, OR IMAGES) THAT CAUSE MARKED ANXIETY AND OR COMPULSIONS THAT ATTEMPT TO NEUTRALIZE ANXIETY
    • A. 

      COMPULSION DISORDER

    • B. 

      OBSESSIVE DISORDER

    • C. 

      OBSESSIVE-COMPULSIVE DISORDER

    • D. 

      COMPULSIVE- OBSESSIVE DISORDER

  • 7. 
    HAVING AT LEAST SIX MONTHS OF PERSISTENT EXCESSIVE WORRY AND ANXIETY
    • A. 

      ACUTE STRESS DISORDER

    • B. 

      GENERALIZED ANXIETY DISORDER

    • C. 

      ACUTE ANXIETY DISORDER

    • D. 

      GENERALIZED STRESS DISORDER

  • 8. 
    IS THE DEVELOPMENT OF ANXIETY, DISSOCIATON, AND OTHER SYMPTOMS WITHIN 1 MONTH OF EXPOSURE TO AN EXTREMELY TRAUMATIC STRESSOR (IT LASTS TWO DAYS TO FOUR WEEKS)
    • A. 

      GENERALIZED STRESS DISORDER

    • B. 

      ACUTE ANXIETY DISORDER

    • C. 

      GENERALIZED ANXIETY DISORDER

    • D. 

      ACUTE STRESS DISORDER

  • 9. 
    IS CHARACTERIZED BY THE REEXPERIENCING OF AN EXTTREMELY TRAUMATIC EVENT, AVOIDANCE OF STIMULI ASSOCIATED WITH THE EVENT, NUMBING OF RESPONSIVENESS, AND PERSISTENT INCREASED AROUSAL; IT BEGINS WITHIN THREE MONTHS TO YEARS AFTER THE EVENT AND MAY LAST A FEW MONTHS OR YEARS
    • A. 

      TPSD

    • B. 

      PTSD

    • C. 

      GAD

    • D. 

      AGD

  • 10. 
    STRESS IS DEFINED AS
    • A. 

      A nonspecific result of any demand upon the body

    • B. 

      Occasions of sympathetic nervous system arousal, as well as the noxious nature of the stress stimulus and the attempts to remove it.

    • C. 

      Chronic; transitory, or highly individual

    • D. 

      ALL THE ABOVE

  • 11. 
    Hans Selye indentified the General adaption syndrome which is the physiologic aspects of stress.  Which of the following is not considered a stage? 
    • A. 

      Exhaustion stage

    • B. 

      Physiologic response stage

    • C. 

      Alarm reaction stage

    • D. 

      Resistance stage

  • 12. 
    Stress is a purely negative psychological reaction
    • A. 

      True

    • B. 

      False

  • 13. 
    Selye’s general adaptation theory can be used to understand the relationship between stressful events and the body’s response to stress.  Which of the following statements best describes this relationship?
    • A. 

      The body goes through predictable responses regardless of the type of stressor

    • B. 

      The body’s defenses become depleted from stressful events

    • C. 

      The body reacts differently when the stress is psychological rather than physical

    • D. 

      The body eventually adapts to any stress in a positive manner

  • 14. 
    • A. 

      Mild

    • B. 

      Moderate

    • C. 

      Severe

    • D. 

      Panic

  • 15. 
      Stress stimulates the parasympathetic nervous system
    • A. 

      True

    • B. 

      False

  • 16. 
    Stress causes dilated pupils, decreased salivation, increased heartrate, causes constipation, and inhibits bladder contraction by the
    • A. 

      Sympathetic nervous system

    • B. 

      Parasympathetic nervous system

  • 17. 
    Heritablility refers to the proportion of a disorder that can be attributed to genetic factors.
    • A. 

      True

    • B. 

      False

  • 18. 
    • A. 

      The conscious putting off of awareness of disturbing situations or feelings.

    • B. 

      Deals with emotional conflicts or stressors by emphasizing the amusing or ironic aspects of the conflict or stressor.

    • C. 

      Unconscious process of substituting constructive & socially acceptable activities for strong impulses that are not acceptable in their original form

    • D. 

      Emotional conflicts or stressors are dealt with by meeting needs of others

  • 19. 
    • A. 

      Emotional conflicts or stressors are dealt with by meeting needs of others

    • B. 

      Unconscious process of substituting constructive & socially acceptable activities for strong impulses that are not acceptable in their original form

    • C. 

      Deals with emotional conflicts or stressors by emphasizing the amusing or ironic aspects of the conflict or stressor.

    • D. 

      The conscious putting off of awareness of disturbing situations or feelings.

  • 20. 
    Adaptive/Healthy:  Humor
    • A. 

      The conscious putting off of awareness of disturbing situations or feelings.

    • B. 

      Deals with emotional conflicts or stressors by emphasizing the amusing or ironic aspects of the conflict or stressor.

    • C. 

      Unconscious process of substituting constructive & socially acceptable activities for strong impulses that are not acceptable in their original form

    • D. 

      Emotional conflicts or stressors are dealt with by meeting needs of others

  • 21. 
    Adaptive / Healthy : Suppression
    • A. 

      Emotional conflicts or stressors are dealt with by meeting needs of others

    • B. 

      Unconscious process of substituting constructive & socially acceptable activities for strong impulses that are not acceptable in their original form

    • C. 

      Deals with emotional conflicts or stressors by emphasizing the amusing or ironic aspects of the conflict or stressor.

    • D. 

      The conscious putting off of awareness of disturbing situations or feelings.

  • 22. 
      Maladaptive/neurotic•: is the exclusion of unpleasant or unwanted experiences, emotions, or ideas from conscious awareness.  
    • A. 

      Repression

    • B. 

      Displacement

    • C. 

      Reaction formation

  • 23. 
    The expression of psychological stress through physical symptoms
    • A. 

      Undoing

    • B. 

      Somatization

    • C. 

      Rationalization

  • 24. 
    Behavior unconsciously motivated to make up for a previous act
    • A. 

      Undoing

    • B. 

      Somatization

    • C. 

      Rationalization

  • 25. 
    Justifying illogical or unreasonable ideas, actions, or feelings by developing acceptable explanations
    • A. 

      Undoing

    • B. 

      Somatization

    • C. 

      Rationalization

  • 26. 
    Is the amino acid neurotransmitter believed to be dysfunctional in anxiety disorders.  The more you have it, the less anxiety you will have
    • A. 

      Serotonin

    • B. 

      Dopamine

    • C. 

      Gaba

  • 27. 
    Which neurotransmitter is usually implicated in psychosis and mood disorders? OCD, panic disorder, GAD
    • A. 

      Serotonin

    • B. 

      Dopamine

    • C. 

      GABA

  • 28. 
    Norepinephrine is suspected in panic disorders, GAD, and PTSD
    • A. 

      True

    • B. 

      False

  • 29. 
    Defense mechanisms are cognitive distrtions that a personuses unconsciously to maintain a sense of being in control of a situation, to lessen discomfort, and to deal with stress.
    • A. 

      True

    • B. 

      False

  • 30. 
      Passive Aggression:  Indirect expression of anger Acting out behaviors: deals with emotional conflicts or stressors by actions  rather than reflection Dissociation: Putting threatening thoughts or feelings out of conscious awareness. Devaluation: deals with conflict by attributing exaggerated negative qualities to self or others Idealization: deal with conflicts by attributing exaggerated positive qualities to others Splitting: Inability to integrate the positive & negative qualities of oneself or others into a cohesive image Projection: Unconscious attributing of one’s own intolerable wishes, emotional feelings, or motivation to another person.
    • A. 

      Are immature defenses

    • B. 

      Are mature defenses

  • 31. 
    #3.  A nurse is teaching a group of clients about antianxiety medication.  She would explain that benzodiazapines affect a brain chemical called:
    • A. 

      Acetylcholine

    • B. 

      GABA

    • C. 

      Norepinephrine

    • D. 

      Serotonin

  • 32. 
    #7.  A client has been prescribed clomipramine (Anafranil) for treatment of obsessive-compulsive behavior.  The nurse understands the rationale for this treatment is that the clomipramine:
    • A. 

      Decreased norepinephrine levels

    • B. 

      Decreased levels of gaba

    • C. 

      Increased dopamine levels

    • D. 

      Increaed serotonin levels

  • 33. 
    #8. When the psychiatrist prescribes alprazolam, a benzodiazepine, for the acute anxiety experienced by a client with agoraphobia, health teaching should include instructions:
    • A. 

      About a tyramine free diet

    • B. 

      To adjust dose and frequency of ingestion based on level of anxiety

    • C. 

      To avoid alcoholic beverages

    • D. 

      To report drowsiness

  • 34. 
    #9. Which statement made by a client who washes his or her hands compulsively demonstrates the presence of ego-dystonic behavior?
    • A. 

      “I know I’ll get my hands clean eventually; it just takes time.”

    • B. 

      “I need a milder soap that won’t damage my hands so much.”

    • C. 

      “I feel so much better when my hands are clean. I can get on to do other things.”

    • D. 

      “I feel driven to wash my hands, although I don’t like doing it.”

  • 35. 
    • A. 

      Impramine (Tofranil)

    • B. 

      Alprazolam (Xanex)

    • C. 

      Chlorpromazine (Thorazine)

    • D. 

      Propranolol (Inderal)

  • 36. 
    # 11. Which of the following is a criterion for evaluation of the anxiety level in clients with an anxiety disorder?
    • A. 

      Ability to be assertive

    • B. 

      Ability to determine appropriateness of own behavior

    • C. 

      Attention span and concentration

    • D. 

      Sleep pattern

  • 37. 
    The nurse caring for a client with obsessive-compulsive disorder should know that an effective treatment for obsessive-compulsive disorder is:
    • A. 

      Analysis

    • B. 

      Group therapy

    • C. 

      Flooding

    • D. 

      Clomipramine

  • 38. 
    Jesse reveals that she becomes panic-stricken when she gets within visual range of a dog.  The nurse can assess this behavior as being consistent with:
    • A. 

      Social phobia

    • B. 

      Simple phobia

    • C. 

      Agoraphobia

    • D. 

      Generalized anxiety disorder

  • 39. 
    A psychotic defense: when you are unwilling or unable to accept an unpleasant reality
    • A. 

      Distortion

    • B. 

      Denial

  • 40. 
    A gross impairment of reality testing
    • A. 

      Distortion

    • B. 

      Denial

  • 41. 
    Hildegard Peplau: Conceptualized an Anxiety Modelwhich of the following is not one of four major patterns to decrease anxiety
    • A. 

      Acting out behaviors

    • B. 

      Somatizing

    • C. 

      Counting it out

    • D. 

      Freezing to the spot

    • E. 

      Learning and Problem Solving

  • 42. 
    Levels of Anxiety:  Selective in attention is considered
    • A. 

      Mild

    • B. 

      Moderate

    • C. 

      Severe

    • D. 

      Panic

  • 43. 
    Phobia can be treated with antianxiety meds, antidepressants, and beta blockers
    • A. 

      True

    • B. 

      False