Mental Health Exam 1 review
What is adaptation?
A 25-year-old man barely avoids a motor vehicle accident. His heart is pounding, his palms are
... [Show More] sweaty, and his respirations are increased. This is an example of which stage of the general adaptation syndrome?
A.Alarm reaction stage
B.Stage of resistance
C.Stage of exhaustion
D.Stage of biological stress
What is maladaptation?
How is stress measured?
What is a weakness in the Miller and Rahe tool ?
How is Stress a Transaction Between the Individual and the Environment
What is a Precipitating Event?
What is a primary appraisal? –
What is a secondary appraisal?
How do primary and secondary appraisal interact?
A student, with an A average is to take an exam. The student is relaxed and says the exam is not of concern because a failing grade would not affect successful completion of the course. What has contributed to this student's adaptation response to stress?
A. The student judges the event as irrelevant.
B. The actual precipitating event
C. The student's cognitive appraisal of the situation
D. The event is appraised as challenging.
Sondra, who lives in Maine, hears on the evening news that 25 people were killed in a tornado in south Texas. Sondra experiences no anxiety upon hearing of this stressful situation. What is the most likely reason that Sondra experiences no anxiety?
A.She is selfish and does not care what happens to other people.
B.She appraises the event as irrelevant to her own situation.
C.She assesses that she has the skills to cope with the stressful situation.
D.She uses suppression as her primary defense mechanism.
Cindy regularly develops nausea and vomiting when she is faced with a stressful situation. Which of the following is most likely a predisposing factor to this maladaptive response by Cindy?
A.Cindy inherited her mother's "nervous" stomach.
B.Cindy is fixed in a lower level of development.
C.Cindy has never been motivated to achieve success.
D.When Cindy was a child, her mother pampered her and kept her home from school when she was ill. - D. When Cindy was a child, her mother pampered her and kept her home from school when she was ill.
When an individual's stress response is sustained over a long period, the endocrine system involvement results in which of the following?
a. Decreased resistance to disease
b. Increased libido
c. Decreased blood pressure
d. Increased inflammatory response - A
Why is stress management extremely important in today's society?
a. Evolution has diminished the human capability for fight-or-flight responses.
b. The stressors of today tend to be ongoing, resulting in a sustained response.
c. We have stress disorders that did not exist in the days of our ancestors.
d. One never knows when one will have to face a grizzly bear or saber-toothed tiger in today's society. - B
Elena has just received a promotion on her job. She is very happy and excited about moving up in her company, but she has been experiencing anxiety since receiving the news. Her primary appraisal is that she most likely views the situation as which of the following?
a. Benign-positive
b. Irrelevant
c. Challenging
d. Threatening - C
John comes to the mental health clinic with reports of anxiety and depression. According to the transactional model of stress and adaptation, which of the following are important to consider when assessing John's complaints? (Select all that apply.)
a. John's perception of precipitating events
b. Past stressors and degree of positive coping abilities
c. Existing social supports
d. Physical strength
e. Pupillary adaptation to light
What was the ship of fools?
How were the mentally ill viewed in the past?
How did Hippocrates associate mental illness?
What was Dorothea Dix a major contributor of?
Incomprehensibility
. A client hates her mother because of childhood neglect. The nurse determines which client statement represents the use of the defense mechanism of reaction formation?
A. "I don't like to talk about my relationship with my mother."
B. "My mother hates me."
C. "I have a very wonderful mother whom I love very much."
D. "My mom always loved my sister more than she loved me."
•Elisabeth Kübler-Ross's five stages of grief: -
Anticipatory grief
Resolution is hindered or delayed by:
Resolution is facilitated by:
2.A widow of 23 years has not removed any of her husband's possessions including his slippers beside their bed. Which pathological grief response is being exhibited by this client?
A. Inhibited grief response
B. Prolonged grief response
C. Delayed grief response
D. Distorted grief response
Anna's dog, Lucky, her pet for 16 years, was killed by a car 3 years ago. Since that time, Anna has lost weight, rarely leaves her home, and talks excessively about Lucky. Why would Anna's behavior be considered maladaptive?
A.It has been more than 3 years since Lucky died.
B.Her grief is too intense over the loss of a dog.
C.Her grief is interfering with her functioning.
D.Cultural norms typically do not comprehend grief over the loss of a pet.
3. When an individual's stress response is sustained over a long period, the endocrine system involvement results in which of the following?
a. Decreased resistance to disease
b. Increased libido
c. Decreased blood pressure
d. Increased inflammatory response -
4. Why is stress management extremely important in today's society?
a. Evolution has diminished the human capability for fight-or-flight responses.
b. The stressors of today tend to be ongoing, resulting in a sustained response.
c. We have stress disorders that did not exist in the days of our ancestors.
d. One never knows when one will have to face a grizzly bear or saber-toothed tiger in today's society. -
Anna states that Lucky was her closest friend, and since his death, there is no one who could ever replace the relationship they had. According to Maslow's hierarchy of needs, which level of need is not being met?
A.Physiological needs
B.Self-esteem needs
C.Safety and security needs
D.Love and belonging needs
3. Anna's daughter notices that Anna appears to be listening to another voice when just the two of them are in a room together. When questioned, Anna admits that she hears someone telling her that she was a horrible caretaker for Lucky and did not deserve to ever have a pet. Which of the following best describes what Anna is experiencing?
a. Neurosis
b. Psychosis
c. Depression
d. Bereavement -
4. Anna, who is 72 years old, is of the age when she may have experienced several losses in a short time.
What is this called?
a. Bereavement overload
b. Normal mourning
c. Isolation
d. Cultural relativity -
5. Anna has been grieving the death of Lucky for 3 years. She is unable to take care of her normal activities because she insists on visiting Lucky's grave daily. What is the most likely reason that Anna's daughter has put off seeking help for Anna?
a. Women are less likely than men to seek help for emotional problems.
b. Relatives often try to normalize behavior rather than label it mental illness.
c. She knows that all older people are expected to be a little depressed.
d. She is afraid that the neighbors will think her mother is "crazy." -
6. Lucky's accident occurred when he got away from Anna while they were taking a walk. He ran into the street and was hit by a car. Anna cannot remember the circumstances of his death. This is an example of what defense mechanism?
a. Rationalization
b. Suppression
c. Denial
d. Repression -
7. Lucky sometimes refused to obey Anna's commands to come back to her, including when he ran into the street on the day of the accident. But Anna continues to insist, "He was the very best dog. He always minded me. He always did everything I told him to do." Which defense mechanism is Anna exhibiting?
a. Sublimation
b. Compensation
c. Reaction formation
d. Undoing -
8. Anna has been a widow for 20 years. Her maladaptive grief response to the loss of her dog may be attributed to which of the following? (Select all that apply.)
a. Unresolved grief over loss of her husband
b. Loss of several relatives and friends over the last few years
c. Repressed feelings of guilt over the way Lucky died
d. Inability to prepare in advance for the loss - [Show Less]