Download WKU Nursing Mental Health Exam #1 Test Bank Newest Edition 2025-2026. Questions & Answers and more Exams Nursing in PDF only on Docsity!
WKU Nursing Mental Health Exam
Test Bank Newest Edition 2025-2026.
Questions & Correct Answers. Graded
A
An individual may deal with emotional conflicts or stressors by emphasizing the amusing or ironic aspects of the conflict or stressor through what? โ ANS Humor As treats pass what kicks in? โ ANS The parasympathetic nervous system which promotes homeostasis and relaxation, dropping cortisol levels How long must symptoms of PSDT last in order for a diagnosis to be made? โ ANS Longer than a month Many individuals have more than one mental disorder at a time, known as?
- ANSDual diagnosis or co-occurring disorders Medical treatment for people diagnosed with PTSD includes...? - ANSAntidepressants, particularly selective serotonin reuptake inhibitors Stress can be...? - ANSPsychological Physical Psychosocial
What appear only in particular cultures and does not appear globally in all societies or parts of the world? - ANSCulture-bound syndromes What are approved for treatment of PTSD? - ANSSSRIs Sertraline Paroxetine What are attitudes toward the mentally ill that can have harmful effects on an individual and family and result in social isolation and reduced opportunities? - ANSStigmatizing attitudes What are characterized by severe anxiety or fear provoked by exposure to a social situation or a performance situation, resulting in humiliation or embarrassment? - ANSSocial anxiety disorders or social phobias What are characterized by the experience of high levels of anxiety or fear in response to specific objects or situations? - ANSSpecific phobias What are common elements in individuals with PTSD? - ANSFeelings of helplessness or powerlessness in the face of overwhelming circumstances What are defined as thought, impulses, or images that persist and recur so that they cannot be dismissed from the mind? - ANSObsessions What are medical conditions (dysfunctions of the brain and neurotransmitters) that affect a person's thinking, feeling, mood, ability to relate to others, and daily functioning? - ANSMental illnesses
What are some guidelines for finding balance in you life as a nurse? - ANSMake a concerted balance to put activities in your schedule that add an experience of joy, pleasure, and diversion Allow for mini-escapes to relieve the intensity of your work Get medical care Refrain from the use of alcohol or drugs to self-medicate Refrain from the negative aspects of your work and focus on the meaning and parts that you are grateful for What are some innovative treatment for PTSD? - ANSAcupuncture Yoga Therapeutic use of animals Eye movement desensitization reprocessing Creative narration What are some symptoms of compassion fatigue or secondary traumatic stress? - ANSFeeling overwhelmed, physically and mentally exhausted Interferes with ability to function Intrusive thoughts/images of another's critical experience Difficulty separating work from personal life
Becoming pessimistic, critical, irritable, prone to anger Dread of working with certian individuals Ineffective and/or destructive self-soothing behaviors Withdrawing socially and becoming emotionally disconnected from others Becoming demoralizing and questioning one's professional competence and effectiveness Insomnia Lowered self-esteem in nonprofessional situation Loss of hope What are the five most important properties of defense mechanisms? - ANS1. Defenses are a major means of managing conflict and affect
- Defenses are for the most part unconscious
- Defenses are discrete from one another
- Although defenses are often the hallmarks of major psychiatric syndromes, they are reversible
- Defenses are adaptive as well as pathological
Patient will have fewer nightmares and flashbacks Patient will express decreased irritability Patient will be able to demonstrate effective anxiety reduction techniques What are the s/s of mild anxiety? - ANSSlight discomfort Attention-seeking behaviors Restlessness Irritability or impatience Mild tension-relieving behavior: foot or finger tapping, lip chewing, fidgeting What are the s/s of moderate anxiety? - ANSVoice tremors Change in coice pitch Difficulty concentrating Shakiness Repetitive questioning Somatic complaints Increased respiration rate Increased pulse rate Increased mm tension More extreme tension-relieving behavior: pacing, banging hands on table What are the s/s of panic anxiety? - ANSExperience of terror Immobility or severe hyperactivity or flight Dilated pupils
Unintelligible communication or inability to speak Severe shackiness Sleeplessness Severe withdrawal Hallucinations or delusions; likely out of touch with reality What are the s/s of severe anxiety? - ANSFeelings of dread Ineffective functioning Confusion Purposeless activity Sense of impending doom More intense somatic complaints Hyperventilation Tachycardia Withdrawal Loud and rapid speech Treats and demands What are the somatic symptoms of GAD? - ANSSweating Nausea Diarrhea What are the symptoms of GAD? - ANSRestlessness Fatigue Poor concentration Irritability MM tension
What cardinal symptom of PTSD involves avoiding of all memories and feelings as well as people or places that might recall the event? - ANSAvoidance What cardinal symptom of PTSD involves distorted cognitions about themselves and others and feeling detachment? - ANSPersistent negative alterations in cognitions and mood What cardinal symptom of PTSD involves flashbacks, nightmares, unwanted distressing memories of the event, feelings of unreality? - ANSIntrusive reexperiencing of the initial trauma What cardinal symptom of PTSD involves irritability, angry, outbursts, self- destructive behavior, exaggerated startle response, hyper vigilance, sleep difficulties? - ANSAlteration and arousal and activity What compensates for an act or communication? - ANSUndoing What consists of justifying illogical or unreasonable ideas, actions, or feeling by developing acceptable explanations that satisfy the teller as well as the listener? It is a form of self-deception. - ANSRationalization What country has a suicide rate 60% higher than the global average? - ANSJapan What decreases in anxiety disorders? - ANSSerotonin
What described the emotional effect that nurses and other health care workers may experience by being indirectly traumatized when helping or trying to help a person who has experienced primary traumatic stress? - ANSCompassion fatigue or secondary traumatic stress What differs from normal anxiety in terms of duration, intensity, and disturbance in a person's ability to function? Occurs with an intensity that is out of proportion to the threat, persists after the threat is resolved, becomes generalized to benign situations, or occurs in the complete absence of a stressor. - ANSPathological anxiety What does cortisol do? - ANSHelps to supply cells with amino acids and fatty acids for energy, as well as diverts glucose from muscles for use by brain to maintain vigilance What does stigmatizing result in? - ANSFeelings of shame and negative sense of self, which can impact recovery What does the DSM-5 provide clinicians, researchers, regulatory agencies, health insurance companies, pharmacological companies, and policy makers with? - ANSA standard language and criteria for the classification of mental disorders What does the limbic system consist of? - ANSAmygdala Hippocampus Thalamus Hypothalamus
What involves escaping unpleasant realities by ignoring their existence? - ANSDenial What is a chronic psychiatric disorder associated with severe distress different from other anxiety disorders in that there is pervasive cognitive dysfunction, impaired functioning and poor health-related outcome? - ANSGeneralized anxiety disorder (GAD) What is a disorder that entails voluntary starvation? - ANSanorexia nervosa What is a disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment? - ANSDissociation What is a form of mental illness in which someone (usually male) runs around engaging in furious, almost indiscriminate violent behavior? - ANSRunning amok What is a healthy life force necessary for survival that provides the energy to carry out the tasks involved in living and striving toward goals? - ANSNormal anxiety What is a mediator of acute stress responses, and overactivity of that system has been associated with both severe anxiety or agitation and higher suicidal risk? - ANSNoradrenergic system What is a painful symptom? - ANSDistress
What is a persistent, intense irrational fear of a specific object, activity, or situation that leads to a desire for avoidance, or actual avoidance, of the object, activity, or situation? - ANSPhobia What is a reaction to a specific danger, and more often the body reacts with surges of autonomic arousal necessary for flight or flight, thoughts of immediate danger, and escape behaviors? - ANSFear What is a trigger of stress? - ANSStressor What is an intense excessive anxiety about or fear of being in places or situations where help might be available and escape might be either difficult of embarrassing? - ANSAgoraphobia What is an unconscious process of substituting constructive and socially acceptable activity for strong impulses that are not acceptable in their original form? - ANSSublimation What is an uncontrollable desire to tear ones clothing off and expose oneself to severe winter weather? - ANSPibloktoq What is another major stress response system that is associated with major depression and suicidal victims often exhibit abnormalities? - ANSHPA axis What is associated with excessive collecting of items that are essentially worthless? - ANSHoarding
What is indirectly and unassertively expressing aggression toward others? - ANSPassive aggression What is it important to remember about the patients? - ANSThey are first and foremost a human being, and not the diagnosis. It is important not to use labels whenever possible What is it when an individual addresses emotional conflicts or stressors by actions rather than by reflections or feeling? - ANSActing out behaviors What is it when emotional conflicts or stressors are addressed by attributing exaggerated qualities to others? - ANSIdealization What is not limited to military personel and can occur in any individual who has had exposure to a trauma severe enough to be outside the range of normal human experience? - ANSPTSD What is precipitated by an imminent loss or change that threatens and individual's sense of security? It is a normal and expected response to stress. - ANSAcute anxiety What is referred to as the emotional brain? - ANSThe limbic system What is related to emotional exhaustion and withdrawal associated with increased workload and institutional stress? - ANSBurnout
What is stress that causes problems both emotionally and physically? - ANSDistress What is the ability to learn of a person with mild anxiety? - ANSAble to work effectively toward a goal and examine alternatives What is the ability to learn of a person with moderate anxiety? - ANSAble to solve problems but not at optimal ability Benefits from the guidance of others What is the ability to learn of a person with panic anxiety? - ANSMay be mute or have extreme psychmotor agitation leading to exhaustion Shows disorganized or irrational reasoning What is the ability to learn of a person with severe anxiety? - ANSUnable to see connections between events or details Has distorted perceptions What is the ability to recover from or adjust successfully to trauma or change? - ANSResiliency What is the act of intentionally ending one's own life? - ANSSuicide or completed suicide What is the autonomic nervous system comprised of? - ANSThe sympathetic and parasympathetic nervous systems
What is the continuum of healthy self-concept? - ANSReasonable self- confidence; Resourcefulness to... Lacks self-confidence; Inability to function independently What is the continuum of satisfying relationships? - ANSStable, strong relationships; variety of social supports to... Unstable or intense relationships; Lack of support What is the current guidebook for categorizing and diagnosing psychiatric mental health disorders in the US? - ANSDSM- What is the exclusion of unpleasant or unwanted experiences, emotions, or ideas from conscious awareness? - ANSRepression What is the feeling of apprehension, uneasiness, uncertainty, or dread resulting from a real or perceived threat whose actual source is unknown or unrecognized? More often associated with mm tension and vigilance in preparation for future danger with cautious or avoidant behavior. - ANSAnxiety What is the first step in treatment of an individual with PTSD? - ANSEstablish a sense of safety What is the foundation of all defense mechanisms that are used on an unconscious level? - ANSRepression
What is the inability to integrate the positive and negative qualities of oneself or others into a cohesive image? - ANSSplitting What is the most immediately important nursing diagnosis? - ANSRisk for suicide What is the perceptual field in someone with panic anxiety? - ANSUnable to focus on environment Experiences the utmost state of terror and emotional paralysis; feels he or she ceases to exist May have hallucinations or delusions that take the place of reality What is the perceptual field in someone with severe anxiety? - ANSGreatly reduced Focuses on details or one specific detail Attention scattered Completely absorbed with self May no be able to attend to events in environment even when pointed out by others What is the perceptual field of someone with mild anxiety - ANSHeightened Is alert and can see, hear, and grasp what is happening in the environment Can identify issues that are disrupting and are producing anxiety
