A 25-year-old man barely avoids a motor vehicle accident. His heart is pounding, his
palms are sweaty, and his respirations are increased. This is an
... [Show More] example of which stage
of the general adaptation syndrome?
Alarm reaction stage
Stage of resistance
Stage of exhaustion
Stage of biological stress -ANSWER-A - The physiological responses of the "fight or
flight syndrome" are initiated in the alarm reaction stage of the general adaptation
syndrome. These physiological responses generally include an increase in heart rate
and respirations and may include other symptoms such as headache, sweaty palms,
and a sensation of dizziness.
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. -ANSWER-C - The cognitive appraisal is the
individual's evaluation of the personal significance of an event or occurrence. The test,
the precipitating event, does not generate increased stress because of the student's
perception or cognitive appraisal of the event.
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." -ANSWER-C - The client
hides her negative unacceptable feelings by the exaggerated expression of positive
feelings. This is an example of the defense mechanism of reaction formation.
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 -ANSWER-B - The prolonged grief response is
characterized by intense preoccupation with memories of the lost person years after the
loss has occurred. This is how this client has responded to her husband's death
An operating room nurse asks a psychiatric nurse, "How can you work with the mentally
ill day in and day out?" The psychiatric nurse replies, "It's just the right thing to do." The
psychiatric nurse is operating from which ethical framework?
A. Kantianism
B. Christian ethics
C. Ethical egoism
D. Utilitarianism -ANSWER-A - Kantianism focuses on the morality of actions. Actions
are judged as right or wrong based on ethical principles. The nurse's response indicates
a Kantian perspective.
As a last resort, an agitated, physically aggressive client is placed in four-point
restraints. The client yells, "I'll sue you for assault and battery." The unit manager
determines that the nurses are protected under which condition?
A. The client is voluntarily committed and poses a danger to others on the unit.
B. The client is voluntarily committed and has a history of being a danger to others.
C. The client is involuntarily committed because of a history of violent behavior.
D. The client is involuntarily committed and is refusing treatment. -ANSWER-A - As a
threat to others, the client can be restrained despite objections and voluntary
commitment
A nurse gave a client 5 mg of haloperidol (Haldol) for agitation. The client's chart was
clearly stamped "Allergic HALDOL." The client suffered anaphylactic shock and died.
How would the nurse's actions be labeled?
A. Intentional tort
B. Negligence
C. Battery
D. Assault -ANSWER-B - The nursing action was an unreasonable and careless act.
The nurse was negligent and could be held liable for the client's death.
Which psychiatric diagnosis is common within the Native American culture?
Schizophrenia
Alcohol use disorder
Posttraumatic stress disorder
Impulse control disorder -ANSWER-B - A variety of physical, sociocultural, and
environmental causes have been linked to the high rate of alcoholism among Native
Americans.
A college student is hospitalized after suicide attempt. During an interview, the father
reveals that his ex-wife was punitive and scolded his daughter during toilet training.
Freud would describe this student as fixated in which stage of psychosexual
development?... [Show Less]