nurs 554
Chapter 2. Mental Health and Mental Illness: Historical and Theoretical Concepts
MULTIPLE CHOICE
1. A nurse is assessing a
... [Show More] client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed. The nurse determines the client’s behaviors:
1. Demonstrate typical variations in daily mood, not mental illness
2. Are clinically significant and indicate serious mental illness
3. Are incongruent with cultural norms and indicate mental illness
4. Show common symptoms of grief and do not indicate mental illness
ANS: 4
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical Concepts
Objective: Describe psychological adaptation responses to stress. Page: 20
Heading: Grief
Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing] Concept: Grief and Loss
Difficulty: Moderate
Feedback
1. This is incorrect. Feelings of sadness are not a typical aspect of daily mood variations.
2. This is incorrect. These symptoms are not clinically significant from the perspective of mental illness. The client demonstrates a common grief response.
3. This is incorrect. Feelings of sadness are expected and normal following the loss of a pet. The client does not exhibit signs of mental illness, as daily functioning is not impaired.
4. This is correct. Feelings of sadness are expected and normal following the loss of a pet. This client does not demonstrate changes in daily function but does demonstrate common symptoms of grief.
CON: Grief and Loss
2. Which indicates a client is likely demonstrating a mental disorder?
1. The client expresses mild anxiety and is eating more than usual before an examination.
2. The client displays an inability to concentrate, including reduced job performance.
3. The client describes engaging in fidgeting behavior consistently over a few days.
4. The client states an increase in smoking over a few days from 0.5 to 1 pack per day.
ANS: 2
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical Concepts
Objective: Define mental health and mental illness.
Page: 14
Heading: Mental Illness
Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying] Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. The client is expressing normal behaviors related to mild anxiety appropriate to a situation, in this case an examination. Mild anxiety can be beneficial to improve performance.
2. This is correct. The client is unable to concentrate, and job performance has been negatively impacted. This demonstrates a possible mental disorder.
3. This is incorrect. Fidgeting behavior over a short-term period is a common psychological adaptive response to mild anxiety. This does not suggest a mental disorder.
4. This is incorrect. Smoking or increasing smoking over a few days is a common response to stress and suggests mild anxiety, which does not suggest a mental disorder.
CON: Stress
3. A mental health nurse is speaking with parents who are concerned about their teenage children’s responses to stress. One child becomes anxious and irritable and the other withdraws and cries. Which is the nurse’s best response?
1. [Show Less]