Mental Health Exam 2
- 1.Which of the following is a correct assumption regarding the concept of crisis?
- A.
A. Crises occur only in individuals with psychopathology.
- B.
B. The stressful event that precipitates crisis is seldom identifiable.
- C.
C. A crisis situation contains the potential for psychological growth or deterioration.
- D.
d. Crises are chronic situations that recur many times during an individual's life.
- 2.Crises occur when an individual:
- A.
A. Is exposed to a precipitating stressor
- B.
B. Perceives a stressor to be threatening
- C.
C. Has no support systems
- D.
D. Experiences a stressor and perceives coping strategies to be ineffective
- 3.. Amanda's mobile home was destroyed by a tornado. Amanda received only minor injuries, but is experiencing disabling anxiety in the aftermath of the event. This type of crisis is called:
- A.
A. Crisis resulting from traumatic stress
- B.
B. Maturational/developmental crisis
- C.
C. Dispositional crisis
- D.
D. Crisis of anticipated life transitions
- 4.The most appropriate crisis intervention with Amanda (from question 3) would be to:
- A.
A. Encourage her to recognize how lucky she is to be alive.
- B.
B. Discuss stages of grief and feelings associated with each.
- C.
C. Identify community resources that can help Amanda.
- D.
D. Suggest that she find a place to live that provides a storm shelter.
- 5.. Jenny reported to the high school nurse that her mother drinks too much. She is drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of her mother's behavior. This type of crisis is called:
- A.
A. Crisis resulting from traumatic stress
- B.
B. Maturational/developmental crisis
- C.
C. Dispositional crisis
- D.
D. Crisis reflecting psychopathology
- 6.The most appropriate nursing intervention with Jenny (from question 5) would be to:
- A.
A. Make arrangements for her to start attending Alateen meetings.
- B.
B. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is.
- C.
C. Teach her about the effects of alcohol on the body and that it can be hereditary.
- D.
D. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.
- 7.Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles away from her parents. It is Ginger's first time away from home. She has difficulty making decisions and will not undertake anything new without first consulting her mother. They talk on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. This type of crisis is called:
- A.
A. Crisis resulting from traumatic stress
- B.
B. Dispositional crisis
- C.
C. Psychiatric emergency
- D.
D. Maturational/developmental crisis
- 8.The most appropriate nursing intervention with Ginger (from question 7) would be to:
- A.
A. Suggest she move to a college closer to home.
- B.
B. Work with Ginger on unresolved dependency issues.
- C.
C. Help her find someone in the college town from whom she could seek assistance rather than calling her mother regularly.
- D.
D. Recommend that the college physician prescribe an antianxiety medication for Ginger.
- 9.. Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become more and more despondent. Her husband has become very concerned, and takes her to the local mental health center. This type of crisis is called:
- A.
A. Dispositional crisis
- B.
B. Crisis of anticipated life transitions
- C.
C. Psychiatric emergency
- D.
D. Crisis resulting from traumatic stress
- 10.The most appropriate nursing intervention with Marie (from question 9) would be to:
- A.
A. Refer her to her family physician for a complete physical examination.
- B.
B. Suggest she seek outside employment now that her children have left home.
- C.
C. Identify convenient support systems for times when she is feeling particularly despondent.
- D.
D. Begin grief work and assist her to recognize areas of self-worth separate and apart from her children.
- 11.The desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety is:
- A.
A. The individual will experience no anxiety.
- B.
B. The individual will demonstrate hope for the future.
- C.
C. The individual will maintain anxiety at manageable level.
- D.
D. The individual will verbalize acceptance of self as worthy.
- 12.Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured, but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, “I don't know why Carlo had to die and I didn't!” This statement by Andrew suggests that he is experiencing:
- A.
A. Spiritual distress
- B.
B. Night terrors
- C.
C. Survivor's guilt
- D.
D. Suicidal ideation
- 13.Intervention with Andrew (from question 12) would include:
- A.
A. Encouraging expression of feelings
- B.
B. Antianxiety medications
- C.
C. Participation in a support group
- D.
D. a and c
- E.
E. All of the above
- 14.Karen, age 23, graduated from nursing school with a 3.2/4.0 grade point average. She recently took the NCLEX exam and did not pass. Because of this, she had to give up her graduate nursing job until she can pass the exam. She has become very depressed and has sought counseling at the mental health clinic. Karen says to the psychiatric nurse, “I am a complete failure. I'm so dumb, I can't do anything right.” What is the most appropriate nursing diagnosis for Karen?
- A.
A. Chronic low self-esteem
- B.
B. Situational low self-esteem
- C.
C. Defensive coping
- D.
D. Risk for situational low self-esteem
- 15.Which of the following outcome criteria would be most appropriate for the client described in question 1?
- A.
A. Karen is able to express positive aspects about herself and her life situation.
- B.
B. Karen is able to accept constructive criticism without becoming defensive.
- C.
C. Karen is able to develop positive interpersonal relationships.
- D.
D. Karen is able to accept positive feedback from others.
- 16.. Nancy tried out for the cheerleading squad in junior high, but was rejected. At age 15, she had looked forward to trying out for the cheerleading squad in high school. She took cheerleading classes and practiced for many hours every day. However, when tryouts were held, she was not selected. She has become despondent, and her mother takes her to the mental health clinic for counseling. Nancy tells the nurse, “What's the use of trying? I'm not good at anything!” Which of the following nursing interventions is best for Nancy's specific problem?
- A.
A. Encourage Nancy to talk about her feeling of shame over the second failure.
- B.
B. Assist Nancy to problem-solve her reasons for not making the team.
- C.
C. Help Nancy understand the importance of good self-care and personal hygiene in the maintenance of self-esteem.
- D.
D. Explore with Nancy her past successes and accomplishments.
- 17.The psychiatric nurse encourages Nancy (the client in question 3) to express her anger. Why is this an appropriate nursing intervention?
- A.
A. Anger is the basis for self-esteem problems.
- B.
B. The nurse suspects that Karen was abused as a child.
- C.
C. The nurse is attempting to guide Karen through the grief process.
- D.
D. The nurse recognizes that Karen has long-standing repressed anger.
- 18.A nursing school graduate failing the NCLEX exam and a 15-year-old high school girl not being selected for the cheerleading squad are examples of which of the following?
- A.
A. Focal stimuli
- B.
B. Contextual stimuli
- C.
C. Residual stimuli
- D.
D. Spatial stimuli
- 19.The husband says to the wife, “What do you want to do tonight?” and the wife responds, “Whatever you want to do.” This is an example of which of the following?
- A.
A. Rigid boundary
- B.
B. A boundary violation
- C.
C. Too flexible boundary
- D.
D. Showing respect for the boundary of another
- 20.Twins Jan and Jean still dress alike even though they are grown and married. This is an example of which of the following?
- A.
A. Rigid boundary
- B.
B. Enmeshed boundary
- C.
C. A boundary violation
- D.
D. Boundary pliancy
- 21.Karen's counselor asked her if she would like a hug. This is an example of which of the following?
- A.
A. Rigid boundary
- B.
B. A boundary violation
- C.
C. Enmeshed boundary
- D.
D. Showing respect for the boundary of another
- 22.Velma told Betty a secret that Mary had told her. This is an example of which of the following?
- A.
A. Too flexible boundary
- B.
B. A boundary violation
- C.
C. Rigid boundary
- D.
D. Enmeshed boundary
- 23.Tommy says to his friend, “I can't ever talk to my Daddy until after he has read his newspaper.” This is an example of which of the following?
- A.
A. Rigid boundary
- B.
B. A boundary violation
- C.
C. Enmeshed boundary
- D.
D. Too flexible boundary
- 24.Which of the following individuals is at highest risk for suicide?
- A.
A. Nancy, age 33, Asian American, Catholic, middle socioeconomic group, alcoholic
- B.
B. John, age 72, white, Methodist, low socioeconomic group, diagnosis of metastatic cancer of the pancreas
- C.
C. Carol, age 15, African American, Baptist, high socioeconomic group, no physical or mental health problems
- D.
D. Mike, age 55, Jewish, middle socioeconomic group, suffered myocardial infarction a year ago
- 25.Some biological factors may be associated with the predisposition to suicide. Which of the following biological factors have been implicated?
- A.
A. Genetics and decreased levels of serotonin
- B.
B. Heredity and increased levels of norepinephrine
- C.
C. Temporal lobe atrophy and decreased levels of acetylcholine
- D.
D. Structural alterations of the brain and increased levels of dopamine
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