Essentials of Psychiatric Mental Health Nursing Exam Quiz Review Questions and Answers_100% A+ Graded
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Course
Essentials of Psychiatric Nursing
Institution
Essentials Of Psychiatric Nursing
Essentials of Psychiatric Mental Health Nursing Exam Quiz Review Questions and Answers_100% A+ Graded
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not...
Essentials of Psychiatric Mental Health Nursing Exam
Quiz Review Questions and Answers_100% A+ Graded
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The clients appetite, sleep patterns, and
daily routine have not changed. How should the nurse interpret the clients behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no mental
illness. - CORRECT ANSWER-4. The clients behaviors demonstrate no functional
impairment, indicating no mental illness.
Rationale: The nurse should assess that the clients daily functioning is not impaired.
The client who experiences feelings of sadness after the loss of a pet is responding
within normal expectations. Without significant impairment, the clients distress does not
indicate a mental illness
2. At what point should the nurse determine that a client is at risk for developing a
mental illness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection. - CORRECT ANSWER-
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
,Rationale: The nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. The DSM-5
indicates that in order to be diagnosed with a mental illness, daily functioning must be
significantly impaired. The clients ability to communicate distress would be considered a
positive attribute.
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently
to stress.One twin becomes anxious and irritable, and the other withdraws and cries.
How should the nurse explain these different stress responses to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stress
vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to stress.
4. Environmental influences to stress weigh more heavily than genetic influences. -
CORRECT ANSWER-1. Reactions to stress are relative rather than absolute; individual
responses to stress vary.
Rationale: The nurse should explain to the parents that, although the twins have
identical DNA, there are several other factors that affect reactions to stress. Mental
health is a state of being that is relative to the individual client. Environmental influences
and temperament can affect stress reactions.
4. Which client should the nurse anticipate to be most receptive to psychiatric
treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
,4. A Protestant, Swedish business executive. - CORRECT ANSWER-1. A Jewish,
female social worker.
Rationale: The nurse should anticipate that the client of Jewish culture would place a
high importance on preventative health care and would consider mental health as
equally important as physical health. Women are also more likely to seek treatment for
mental health problems than men.
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be
eliminated. Which is a correct evaluation of this nurses statement?
1. Defense mechanisms can be appropriate responses to stress and need not be
eliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
should always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be
discouraged and not eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged. - CORRECT ANSWER-1. Defense mechanisms can be appropriate
responses to stress and need not be eliminated.
The nurse should determine that defense mechanisms can be appropriate during times
of stress. The client with no defense mechanisms may have a lower tolerance for
stress, thus leading to anxiety disorders. Defense mechanisms should be confronted
when they impede the client from developing healthy coping skills.
6. During an intake assessment, a nurse asks both physiological and psychosocial
questions. The client angrily responds, Im here for my heart, not my head problems.
Which is the nurses best response?
, 1. Its just a routine part of our assessment. All clients are asked these same questions.
2. Why are you concerned about these types of questions?
3. Psychological factors, like excessive stress, have been found to affect medical
conditions.
4. We can skip these questions, if you like. It isnt imperative that we complete this
section. - CORRECT ANSWER-3. Psychological factors, like excessive stress, have
been found to affect medical conditions.
The nurse should attempt to educate the client on the negative effects of excessive
stress on medical conditions. It is not appropriate to skip physiological and psychosocial
questions, as this would lead to an inaccurate assessment.
7. An employee uses the defense mechanism of displacement when the boss openly
disagrees with suggestions. What behavior would be expected from this employee?
1. The employee assertively confronts the boss.
2. The employee leaves the staff meeting to work out in the gym.
3. The employee criticizes a coworker.
4. The employee takes the boss out to lunch - CORRECT ANSWER-3. The employee
criticizes a coworker.
The nurse should expect that the client using the defense mechanism displacement
would criticize a coworker after being confronted by the boss. Displacement refers to
transferring feelings from one target to a neutral or less-threatening target.
8. A fourth-grade boy teases and makes jokes about a cute girl in his class. This
behavior should be identified by a nurse as indicative of which defense mechanism?
1. Displacement
2. Projection
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