Mental Health Chapter 34 Flashcards

Questions and Answers

When using the term behavior, the mental health nurse is referring to:

The manner in which a person performs (correct)

Failure to adapt

A product of a coping strategy

An isolated incident

The nurse clarifies the concept of 'mental health' by defining it as:

How the person performs activities of daily living

A wellness of attitude

The ability to cope and adjust to everyday stresses (correct)

A person's response to disease and dysfunction

When assessing patients with mental illness, the nurse anticipates their behavior to be:

Very disruptive to a person in society

Causing the person to be involved in problems

Resulting from an inability to exercise control

Differing from socially acceptable behavior (correct)

While assessing a patient with mental illness, the nurse realizes that the number of people in need of mental health services is:

One in eight Signup and view all the answers

During the 17th and 18th centuries, care of patients with mental illness often was cruel. Dr. Phillippe Pinel brought about change by advocating:

Humane care Signup and view all the answers

In 1882, the first psychiatric training school for nurses opened. The first psychiatric nurse was:

Linda Richards Signup and view all the answers

Using the mental health continuum as a guide, the nurse observes behavior that usually places an individual on the illness end of the continuum. This behavior:

Demonstrates that the person is out of touch with reality Signup and view all the answers

The majority of people function in a relatively healthy manner, but their functioning capacity can be diminished by:

Periods of crisis Signup and view all the answers

Classifying a person as having a mental illness is based on the:

Behavior exhibited and the context Signup and view all the answers

Using Freud's personality theory, the nurse identifies the influence of the superego after observing a patient:

Giving back a $5 bill that another patient left on the table Signup and view all the answers

Using Freud's personality theory, the nurse recognizes a strong ego when a patient:

Laughs at himself for being foolish Signup and view all the answers

The nurse is assessing a 26-year-old man who is unmarried, dates many different women, and spends his income on himself. Using Erikson's developmental theory, the classifies this behavior as:

Self-absorbed Signup and view all the answers

When explaining the role theory, the nurse gives the example of an ascribed role as the patient's:

Sex Signup and view all the answers

The nurse assessing a young woman who is a teacher, happily married, raising two children, taking care of her disabled mother, and going to school to get a master's degree classifies this behavior as:

Role integrated Signup and view all the answers

The nurse assesses a patient as having a poor self-concept because the patient consistently:

Apologizes to others repeatedly Signup and view all the answers

Any event that requires change stimulates an amount of:

Stress Signup and view all the answers

A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. The head nurse assesses the use of a healthy coping mechanism observing the nurse:

Delegating appropriate care assignments to nursing assistants Signup and view all the answers

The nurse explains that an individual who perceives a threat to self may experience a universal emotion of:

Anxiety Signup and view all the answers

The nursing instructor recognizes signs of moderate anxiety when a student does what before taking a test?

Vomits Signup and view all the answers

The nurse documents a flat affect when the patient:

Receives the news of his mother's death without response Signup and view all the answers

The nurse recognizes that a patient is seeking ways to deal with and resolve stress after observing the patient use:

Adaptation Signup and view all the answers

When a 40-year-old patient cries and has a tantrum when the physician refuses to give her a prescription for diet pills, the nurse observes the use of the defense mechanism of:

Regression Signup and view all the answers

When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the defense mechanism of:

Rationalization Signup and view all the answers

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: 'It's only a little bit, and it won't do anything.' The nurse recognizes the use of a defense mechanism called:

Denial Signup and view all the answers

The patient complains to the nurse that the physician does not like him and wants him to fail at following the diet prescribed. The nurse recognizes that the patient is using the defense mechanism of:

Projection Signup and view all the answers

The nurse is sensitive to the fact that patients lose control over their lives when admitted to the hospital. This loss of control frequently results in:

Anxiety Signup and view all the answers

The patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. This is called the:

Sick role Signup and view all the answers

The nurse is very observant of patient behavior because all behavior has meaning and is:

Learned Signup and view all the answers

A nursing intervention that helps build trust, encourages the patient to have faith in the care being received, and meets psychosocial needs is:

Patient education Signup and view all the answers

When the nurse informs a family that the brain damage to their daughter is irreversible, the father curses at the nurse and storms out of the room. The nurse recognizes the father is in the crisis stage of:

Denial Signup and view all the answers

When developing a care plan for a mentally ill patient, the nurse's first priority would be to assess:

Emotional status Signup and view all the answers

When the patient doing physical therapy four times a day to regain control of his lower extremities is told that his insurance will no longer pay for the therapy, the nurse is aware that this obstruction to his goal may result in:

Frustration Signup and view all the answers

The nurse is supportive when an attempt at adaptation fails and knows that the most likely result will be:

Anxiety Signup and view all the answers

The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. Based on this data alone, the nurse identifies the level of anxiety as:

Severe Signup and view all the answers

When assisting the older adult who is despondent about the need to leave his home, the nurse uses which technique?

Reminisce with the patient and review his life Signup and view all the answers

A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. The nurse recognizes that the patient may also have feelings of:

Suicidal ideation Signup and view all the answers

The nurse uses a diagram to show how the four parts of 'self' fit together. What are the four parts? (Select all that apply)

Self-esteem Signup and view all the answers

The situation in which a parent must choose between attending a daughter's ballet recital or a son's baseball game is an example of:

conflict Signup and view all the answers

In the movie Gone with the Wind, Scarlett O'Hara says, 'I'll think about that tomorrow. Tomorrow is another day.' This reflects the defense mechanism of:

repression Signup and view all the answers

The nurse outlines which factor(s) that influence the level of anxiety experienced when faced by a stressful situation? (Select all that apply)

Present role assumption Signup and view all the answers

Place the events in the mental health care movement in chronological order:

Passage of Omnibus Budget Reconciliation Act (OBRA) Signup and view all the answers

Study Notes

Understanding Behavior and Mental Health

Behavior in mental health is defined as the manner in which a person performs daily activities.
Mental health is characterized by the ability to cope with and adjust to daily stresses.
Patients with mental illness often display behavior that deviates from social norms.

Prevalence and Historical Context

Approximately one in eight individuals in the U.S. require mental health services.
Dr. Philippe Pinel is noted for advocating humane care for the mentally ill during the 17th and 18th centuries.
Linda Richards is recognized as the first psychiatric nurse, establishing the foundation for psychiatric nursing education.

Mental Health Continuum

The illness end of the mental health continuum indicates behavior that suggests disconnection from reality.
Functional capacity can diminish due to external crises, impacting individuals' mental health.
Classifying mental illness hinges on observed behavior and its context.

Personality Theories

Freud's superego functions as the mediator of moral judgment.
A strong ego allows an individual to analyze their behavior against societal norms.
Erikson's developmental theory suggests self-absorption results from an inability to establish intimate connections.

Role Theory and Self-Concept

Ascribed roles are those which individuals don't choose, such as ethnicity and gender.
Role integration occurs when individuals simultaneously manage multiple responsibilities.
Repeatedly apologizing is a sign of poor self-concept reflecting self-effacement.

Stress and Coping Mechanisms

Change can induce stress, a nonspecific body response to demands.
Healthy coping involves effective delegation to alleviate stressful situations.
Anxiety arises from a perceived threat, manifesting as feelings of apprehension.

Defense Mechanisms

Regression is reverting to earlier coping mechanisms when faced with stress.
Rationalization involves justifying behaviors with acceptable explanations.
Denial is refusing to accept reality, especially in the context of health issues.

Emotional Responses and Crisis Stages

Admission to a hospital often leads to a loss of control, resulting in anxiety.
The sick role allows patients to evade daily responsibilities during illness.
Emotions such as hopelessness can lead to suicidal ideation.

Factors Influencing Anxiety

Anxiety levels are influenced by perception of events and the number of concurrent stressors.
Previous experiences can shape responses to similar future situations.

Historical Timeline of Mental Health Care Movement

Mental health care advancements include the establishment of the Pennsylvania House, public awareness by Dorothea Dix, and the deinstitutionalization movement leading to modern practices.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Explore the fundamental concepts of mental health with these flashcards from Chapter 34. Each card presents key definitions and scenarios relevant to mental health nursing, focusing on behavior and coping strategies. Perfect for nursing students and professionals looking to reinforce their understanding.

Mental Health Chapter 34 Flashcards

Questions and Answers

When using the term behavior, the mental health nurse is referring to:

The nurse clarifies the concept of 'mental health' by defining it as:

When assessing patients with mental illness, the nurse anticipates their behavior to be:

While assessing a patient with mental illness, the nurse realizes that the number of people in need of mental health services is:

During the 17th and 18th centuries, care of patients with mental illness often was cruel. Dr. Phillippe Pinel brought about change by advocating:

In 1882, the first psychiatric training school for nurses opened. The first psychiatric nurse was:

Using the mental health continuum as a guide, the nurse observes behavior that usually places an individual on the illness end of the continuum. This behavior:

The majority of people function in a relatively healthy manner, but their functioning capacity can be diminished by:

Classifying a person as having a mental illness is based on the:

Using Freud's personality theory, the nurse identifies the influence of the superego after observing a patient:

Using Freud's personality theory, the nurse recognizes a strong ego when a patient:

The nurse is assessing a 26-year-old man who is unmarried, dates many different women, and spends his income on himself. Using Erikson's developmental theory, the classifies this behavior as:

When explaining the role theory, the nurse gives the example of an ascribed role as the patient's:

The nurse assessing a young woman who is a teacher, happily married, raising two children, taking care of her disabled mother, and going to school to get a master's degree classifies this behavior as:

The nurse assesses a patient as having a poor self-concept because the patient consistently:

Any event that requires change stimulates an amount of:

A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. The head nurse assesses the use of a healthy coping mechanism observing the nurse:

The nurse explains that an individual who perceives a threat to self may experience a universal emotion of:

The nursing instructor recognizes signs of moderate anxiety when a student does what before taking a test?

The nurse documents a flat affect when the patient:

The nurse recognizes that a patient is seeking ways to deal with and resolve stress after observing the patient use:

When a 40-year-old patient cries and has a tantrum when the physician refuses to give her a prescription for diet pills, the nurse observes the use of the defense mechanism of:

When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the defense mechanism of:

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: 'It's only a little bit, and it won't do anything.' The nurse recognizes the use of a defense mechanism called:

The patient complains to the nurse that the physician does not like him and wants him to fail at following the diet prescribed. The nurse recognizes that the patient is using the defense mechanism of:

The nurse is sensitive to the fact that patients lose control over their lives when admitted to the hospital. This loss of control frequently results in:

The patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. This is called the:

The nurse is very observant of patient behavior because all behavior has meaning and is:

A nursing intervention that helps build trust, encourages the patient to have faith in the care being received, and meets psychosocial needs is:

When the nurse informs a family that the brain damage to their daughter is irreversible, the father curses at the nurse and storms out of the room. The nurse recognizes the father is in the crisis stage of:

When developing a care plan for a mentally ill patient, the nurse's first priority would be to assess:

When the patient doing physical therapy four times a day to regain control of his lower extremities is told that his insurance will no longer pay for the therapy, the nurse is aware that this obstruction to his goal may result in:

The nurse is supportive when an attempt at adaptation fails and knows that the most likely result will be:

The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. Based on this data alone, the nurse identifies the level of anxiety as:

When assisting the older adult who is despondent about the need to leave his home, the nurse uses which technique?

A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. The nurse recognizes that the patient may also have feelings of:

The nurse uses a diagram to show how the four parts of 'self' fit together. What are the four parts? (Select all that apply)

The situation in which a parent must choose between attending a daughter's ballet recital or a son's baseball game is an example of:

In the movie Gone with the Wind, Scarlett O'Hara says, 'I'll think about that tomorrow. Tomorrow is another day.' This reflects the defense mechanism of:

The nurse outlines which factor(s) that influence the level of anxiety experienced when faced by a stressful situation? (Select all that apply)

Place the events in the mental health care movement in chronological order:

Study Notes

Understanding Behavior and Mental Health

Prevalence and Historical Context

Mental Health Continuum

Personality Theories

Role Theory and Self-Concept

Stress and Coping Mechanisms

Defense Mechanisms

Emotional Responses and Crisis Stages

Factors Influencing Anxiety

Historical Timeline of Mental Health Care Movement

Studying That Suits You

Description

More Quizzes Like This

Mental Health Nursing Quiz

Personality Disorders Quiz

Theories in Mental Health Nursing

Mental Health Nursing Principles