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A mental health technician asks the nurse,"How do psychiatrists determine which diagnosis to give a patient?" Which is the nurse's best response?


A) "Psychiatrists use criteria from the APA's Diagnostic and Statistical Manual of Mental Disorders."
B) "Psychiatrists are required to follow hospital policy to diagnose mental disorders."
C) "Psychiatrists make diagnoses based on the patient's behavior and other factors."
D) "Psychiatrists use one of the 10 diagnostic labels from the American Medical Association."

E) C) and D)
F) A) and D)

Correct Answer

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Which of the following is determined by the degree to which thoughts,feelings,and behaviors interfere with an individual's functioning?


A) Anxiety
B) Defense mechanisms
C) Mental health
D) Adaptation

E) A) and B)
F) A) and C)

Correct Answer

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The nurse is interviewing a client with a history of excessive drinking and multiple arrests for impaired driving.The client states,"I work hard to provide for my family.I don't see why I can't drink to relax." The nurse recognizes the client is using which defense mechanism?


A) Projection
B) Rationalization
C) Regression
D) Sublimation

E) A) and B)
F) B) and C)

Correct Answer

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A supervisor openly disagrees with an employee's suggestions during a staff meeting.The employee's behavior represents the defense mechanism of displacement when he does which of the following actions?


A) Assertively confronts the supervisor
B) Abruptly leaves the staff meeting
C) Angrily criticizes a coworker
D) Takes the supervisor to lunch

E) A) and B)
F) C) and D)

Correct Answer

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Which disorder does the nurse recognize as a disorder in the DSM-5?


A) Morbid obesity
B) Generalized anxiety disorder
C) Essential hypertension
D) Bereavement

E) All of the above
F) B) and D)

Correct Answer

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A nurse is assessing a 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:


A) Demonstrate major depression and indicate mental illness.
B) Are clinically significant and indicate serious mental illness.
C) Are not congruent with cultural norms and indicate mental illness.
D) Show daily function is not impaired and do not indicate mental illness.

E) C) and D)
F) None of the above

Correct Answer

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A nurse is educating a patient about the difference between mental health and mental illness.Which statement indicates teaching was effective?


A) "Mental health is characterized by an absence of stressors."
B) "Mental health is reflected by successful adaptation to stressors."
C) "Mental health is incongruence between feelings and behavior."
D) "Mental health is included in the diagnostic categories in the DSM-5."

E) A) and B)
F) A) and C)

Correct Answer

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Most cultures label behavior as mental illness based on which of the following criteria?


A) Incomprehensibility and cultural relativity
B) Strength of character and ethics
C) Goal directedness and high energy
D) Creativity and good coping skills

E) B) and C)
F) A) and D)

Correct Answer

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A new psychiatric nurse states,"This client's use of defense mechanisms should be eliminated." Which is a correct evaluation of the nurse's statement?


A) Defense mechanisms are self-protective responses to stress and do not need to be eliminated.
B) Defense mechanisms are maladaptive attempts of the ego to manage anxiety and should always be eliminated.
C) Defense mechanisms are used by individuals with weak ego integrity and should not be eliminated.
D) Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.

E) C) and D)
F) None of the above

Correct Answer

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Which demonstrates use of the ego defense mechanism of regression?


A) A mother blames the teacher for her child's failure in school.
B) A teenager becomes hysterical after seeing a friend killed in a car accident.
C) A woman decides to marry a man exactly like her beloved father.
D) An adult throws a temper tantrum when he does not get his own way.

E) A) and B)
F) B) and C)

Correct Answer

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The nurse is caring for a client admitted to the palliative care unit.The client's spouse has been at the client's bedside since the client was admitted.One week ago,the spouse began to visit 2 or 3 hours a day.The nurse understands the spouse is experiencing which of the following?


A) Anticipatory grief
B) Bereavement
C) Depression
D) Resolution

E) B) and C)
F) All of the above

Correct Answer

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During an intake assessment,the nurse asks a client physiological and psychosocial questions.The client angrily responds,"I'm here for my heart problems,not for my head." Which is the nurse's best response?


A) "We ask all clients these questions."
B) "Why are you concerned about these questions?"
C) "Psychological stress can affect medical conditions."
D) "We can skip these questions if you prefer."

E) None of the above
F) A) and B)

Correct Answer

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Which psychoneurotic responses to severe anxiety are identified in the DSM-5?


A) Somatic symptom disorders
B) Grief reactions
C) Psychosis
D) Bipolar disorder

E) C) and D)
F) None of the above

Correct Answer

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Which of the following believed mental illness was curable?


A) Benjamin Rush
B) Dorothea Dix
C) Florence Nightingale
D) Linda Richards

E) None of the above
F) A) and B)

Correct Answer

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