Mental Health Nursing Quiz | Practice MCQ #mcq.ImBooz

• (A) Denial
• (B) Fantasy
• (C) Rationalization
• (D) Transference

Check AnswerSolution[C]:-Rationalization is the defense mechanism that sounds like “excuses.”

• (A) Denial
• (B) Fantasy
• (C) Dissociation
• (D) Transference

Check AnswerSolution[A]:-Denial is the refusal to accept situations for what they really are. This is a classic example of denial.

• (A) Denial
• (B) Transference
• (C) Dissociation
• (D) Compensation

Check AnswerSolution[D]:-This child is using compensation,which is finding some other strength that will make up for a real or imagined inadequacy.

• (A) Repression
• (B) Regression
• (C) Dissociation
• (D) Projection

Check AnswerSolution[D]:-He is “blaming” his wife for his actions rather than taking responsibility for his thoughts, feelings, and actions.

• (A) Rationalization
• (B) Repression
• (C) Regression
• (D) Rebellion

Check AnswerSolution[A]:-Rationalization. Certainly, eating a meal of burgers and fries does not depict mental illness. Even though the person may be joking, and there is an element of truth, this statement depicts an “excuse” for one’s behavior and choice of menu selection.

• (A) Denial
• (B) Undoing
• (C) Symbolization
• (D) Conversion

Check AnswerSolution[B]:-Undoing. This is a tricky one. Many may have chosen C, Symbolization.The reason this would be more likely an example of “undoing” is because Tara is trying to make up for a negative behavior that affected her daughter.While words have not been spoken, there is not really an “emotion” that is being represented, as would be the case in symbolization.Rather, Tara seems to be offering the tickets to “undo” the embarrassment she caused her daughter by her drunk and inappropriate public behavior.

• (A) Posing as a young adolescent
• (B) Posing as her mother
• (C) Pouting when poses were suggested by the photographer
• (D) Stopping the session to make two ponytails, one on each side of her head

Check AnswerSolution[D]:-Shirley is returning to a time when her stress level was minimal. Posing as an adolescent reminded her of being young and innocent.Shirley knew when she pouted at an earlier age that she got her way and was considered cute.

• (A) Avoidance
• (B) Regression
• (C) Projection
• (D) Denial

Check AnswerSolution[C]:-John blamed the search committee,who are all right handed, for denying him the job instead of the possibility of not being qualified.

• (A) Being able to make choices that are healthy and individualized
• (B) The excessive usage of any defense mechanism
• (C) Imitating the coping behavior of others
• (D) Working on the problem until totally exhausted

Check AnswerSolution[A]:-For healthy outcomes, a person has to have effective coping to engage in selecting appropriate choices.

• (A) Id
• (B) Ego
• (C) Superego
• (D) Non of the above

Check AnswerSolution[C]:-The personality is made up of these three components according to Freud’s theory.

• (A) Denial
• (B) Feeling of well-being
• (C) Use of projection
• (D) Rationalization

Check AnswerSolution[B]:-Options A, C, and D are commonly seen in the crisis (or third) phase of crisis; feeling of well-being is observed in the pre-crisis phase of crisis, when the patient thinks and states that everything is “fine.”

• (A) “Why didn’t you leave the first time you were attacked?”
• (B) “Do you want to prosecute or not?”
• (C) “What do you think made that person hit you?”
• (D) “You’re safe here. I would like to help you.”

Check AnswerSolution[D]:-The patient needs to know that he or she is away from the stress, even if it is only temporary. The person may not be able to think rationally, and to hear that safety and help are being offered can be the start of stress reduction and intervention. The following explain why the other options are not correct.A: “Why” needs to be avoided when possible to decrease the chance of the statement sounding judgmental and allowing the patient to feel defensive.B: Besides the fact that this is a closedended question, the person may not know the answer to this. It may, in fact, be one of the major causes of the stress that led to the crisis. C: This is an open-ended statement and will be valid to ask-later. As one of the first questions a person in crisis hears, it can lead to increased confusion and guilt. He or she might not have a clue as to what led to the attack or may be blaming himself or herself needlessly. Because nobody deserves to be abused,asking the question of the person experiencing crisis can sound as though the nurse thinks the perpetrator had just cause to abuse.

• (A) An environment in which a patient is under a 72-hour hold
• (B) An environment that is locked and supervised
• (C) An environment that is structured to decrease stress and encourage learning new behavior
• (D) An environment that is designed to be homelike for persons who are hospitalized for life

Check AnswerSolution[C]:-Milieu is the therapeutic environment.It should be stress-free, or at least minimally stress-producing, and should make the patients feel comfortable to practice new, healthy behaviors. It might be locked, depending on the patients, but it is not required to be.The patients will not usually be hospitalized “for life” (however, some might be); a 72-hour-hold situation should have a milieu that corresponds to the needs of the patient being held

• (A) It is used to treat depression and schizophrenia.
• (B) It is used to stop convulsive seizures.
• (C) Fatigue and disorientation are immediate side effects.
• (D) Memory will gradually return.

Check AnswerSolution[B]:-ECT is not used to treat convulsive disorders. That is a mistake people make because of the name “electroconvulsive therapy.” The treatment causes a light seizure but does not treat seizure disorders. Options A, C, and D are all true about ECT.

• (A) As a cure for mental illness
• (B) Only to control violent behavior
• (C) To alter the pain receptors in the brain
• (D) To decrease symptoms and facilitate other therapies

Check AnswerSolution[D]:-The use of psychoactive medications can change the person’s ability to think and process information and help him or her to feel different about the situation, which may allow other therapies to work in adjunct to the medication, to help the person toward wellness. These medications do not cure mental illness. They are used for more than just violent behavior, and although they may have an effect on pain receptors, that is a side effect rather than a primary use for this group of medications.

• (A) Prozac
• (B) Lithium
• (C) MAOIs
• (D) Tricyclic antidepressants

Check AnswerSolution[C]:-Patients treated with the MAOI group of medications should avoid certain foods and beverages that contain tyramine to avoid hypertensive crisis.

• (A) Safety
• (B) Increasing anxiety
• (C) Taking care of the precipitating event
• (D) Return to pre-crisis or better level of functioning

Check AnswerSolution[B]:-One of the goals of crisis intervention is to decrease anxiety. The person may feel a temporary increase in anxiety (e.g., at the time of being arrested or taken to the “detox” center), but that should resolve fairly quickly with effective intervention.

• (A) Encourage the patient to repress feelings.
• (B) Reinforce appropriate behavior.
• (C) Establish a therapeutic patient-staff relationship.
• (D) Assist patient to gain insight into problem.

Check AnswerSolution[A]:-Repression is a defense mechanism and is therefore counterproductive in therapy. All other choices are correct.

• (A) Lithium salts
• (B) Antianxiety drugs
• (C) Antipsychotic drugs
• (D) Anticholinergics

Check AnswerSolution[B]:-The antianxiety drugs are potentially addictive. Patients with addictive tendencies may become addicted to these medications more easily than they would to drugs from other categories.

• (A) Are antidepressants and should have stopped his suicidal impulse
• (B) Have no particular nursing considerations for children and adolescents
• (C) Are antidepressants and may have an increase in the suicidal ideation for children and adolescents
• (D) Are not effective as antidepressants for children or adolescents

Check AnswerSolution[C]:-Antidepressants all carry a FDA black box warning that these medications may increase suicide risk in children and adolescents.