NURS 325 Psychiatric and Mental Health
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solution
Which statement best describes the DSM-5?
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a. It is a medical psychiatric assessment system.
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b. It is a compendium of treatment modalities.
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c. It offers a complete list of nursing diagnoses.
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d. It suggests common interventions for mental disorder - a. It is a medical psychiatric
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assessment system.
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Asylum-based training programs began in the late 1800s in Canada. What was the
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rationale for initiating psychiatric nursing training?
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a. There were greater needs for custodial care
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b. Changes in treatment approaches meant greater needs for nursing care and
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assistance
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c. The early feminist movement advocated for career training for women and girls
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d. The moral treatment era meant that early psychotherapy strategies were desired in
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asylum settings - b. Changes in treatment approaches meant greater needs for nursing
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care and assistance.
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II A cognitive therapist would help a patient restructure the thought "I am stupid!" to...
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a. "What I did was stupid."
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b. "I am not as smart as others."
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c. "Things usually go wrong for me."
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d. "Things like this should not happen to anyone. - a. "What I did was stupid."
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Treatment of mental illnesses with psychotropic drugs is directed at which of the
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following?
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a. Altering brain neurochemistry
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b. Correcting brain anatomical defects
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c. Regulating social behaviours
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d. Activating the body's normal response to stress - a. Altering brain neurochemistry
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II Which imaging technique can provide information about brain function?
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a. Computed tomography (CT) scan
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b. Positron emission tomography (PET) scan
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,c. Magnetic resonance imaging (MRI) scan
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d. Skull radiograph - b. Positron emission tomography (PET) scan
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Which statement regarding patients' rights after being voluntarily admitted to an acute
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care psychiatric unit is true?
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a. All rights remain intact.
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b. All rights are temporarily suspended.
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c. The right to refuse treatment is no longer guaranteed.
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d. Only rights that do not involve decision making remain intact. - a. All rights remain
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intact.
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II Which is a characteristic of a therapeutic inpatient milieu?
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a. It provides for the patient's safety and comfort.
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b. Voluntarily admitted patients are generally allowed additional privileges.
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c. Rules and behavioural limits are flexibly enforced.
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d. Staff provide frequent and ongoing negative feedback to patients. - a. It provides for
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the patient's safety and comfort.
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II Which attribute would be least helpful for a community mental health nurse to have?
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a. Autonomy
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b. Reactive manner
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c. Non-judgemental attitude
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d. Ability to cross service systems - b. Reactive manner
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II Which ethical principle refers to the individual's right to make his or her own decisions?
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a. Beneficence
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b. Autonomy
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c. Veracity
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d. Fidelity - b. Autonomy
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II The mental status examination aids in the collection of what type of data?
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a. Covert
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b. Physical
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c. Objective
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d. Subjective - c. Objective
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Which of the following is an example of an action that is acceptable in a social relationship
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but not in a therapeutic relationship?
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a. Giving advice
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b. Listening actively
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, c. Clarifying feelings
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d. Giving positive regard - a. Giving advice
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To help a patient develop his or her resources, the nurse must first be aware of which of
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the following?
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a. The patient's strengths
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b. Negative transferences
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c. Counter-transferences
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d. Resistances - a. The patient's strengths
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One of the possible sources of boundary violations is placing the focus on which of the
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following?
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a. Meeting the nurse's needs
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b. Identifying patient disturbances
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c. Assessing the patient's ego strength
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d. Assessing the patient's weaknesses - a. Meeting the nurse's needs
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What therapeutic communication technique is the nurse using by asking a newly admitted
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patient, "Can you tell me what was happening to you that led to your being hospitalized
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here?"
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a. Using a minimal encourager
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b. Using an open-ended question
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c. Paraphrasing
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d. Reflecting - b. Using an open-ended question
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Stress can be attributed to stimulation of the hypothalamus-pituitary-adrenal cortex, and
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over the long term it can result in which of the following?
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a. Glucose intolerance
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b. A high resting heart rate
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c. Digestive problems
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d. Chronic muscle tension - a. Glucose intolerance
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A man continues to speak of his wife as though she were still alive, 3 years after her
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death. This behaviour suggests the use of which of the following defence mechanisms?
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a. Altruism
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b. Denial
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c. Undoing
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d. Suppression - b. Denial
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II An obsession is defined as which of the following?
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