When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics?
a. The manic patient in room 234
b. The patient in room 234 is a manic
c. The patient in room 234 is possibly a manic
d. The patient in room 234 is displayin...
Mental Health Midterm - Ch 1-11, 15, 16,
21, 23,30 Exam Questions And Answers
When providing respectful, appropriate nursing care, how should the nurse identify the patient
and his or her observable characteristics?
a. The manic patient in room 234
b. The patient in room 234 is a manic
c. The patient in room 234 is possibly a manic
d. The patient in room 234 is displaying manic behavior - ANS d. The patient in room 234
is displaying manic behavior
Recognizing the frequency of depression among the American population, the nurse should
advocate for which mental health promotion intervention?
a. Including discussions on depression as part of school health classes
b. Providing regular depression screening for adolescent and teenage students
c. Increasing the number of community-based depression hotlines available to the public
d. Encouraging senior centers to provide information on accessing community depression
resources - ANS b. Providing regular depression screening for adolescent and teenage
students
Which statement made by a patient demonstrates a healthy degree of resilience? Select all that
apply.
a. "I try to remember not to take other people's bad moods personally."
b. "I know that if I get really mad I'll end up being depressed."
c. "I really feel that sometimes bad things are meant to happen."
d. "I've learned to calm down before trying to defend my opinions."
e. "I know that discussing issues with my boss would help me get my point across." - ANS
a. "I try to remember not to take other people's bad moods personally."
d. "I've learned to calm down before trying to defend my opinions."
e. "I know that discussing issues with my boss would help me get my point across."
Which statement demonstrates the nurse's understanding of the effect of environmental factors
on a patient's mental health?
a. "I'll need to assess how the patient's family views mental illness."
b. "There is a history of depression in the patient's extended family."
c. "I'm not familiar with the patient's Japanese's cultural view on suicide."
d. "The patient's ability to pay for mental health services needs to be assessed." - ANS c.
"I'm not familiar with the patient's Japanese's cultural view on suicide."
,When considering stigmatization, which statement made by the nurse demonstrates a need for
immediate intervention by the nurse manager?
a. "Depression seems to be a real problem among the teenage population."
b. "My experience has been that the Irish have a problem with alcohol use."
c. "Women are at greater risk for developing suicidal thoughts then acting on them."
d. "We've admitted several military veterans with posttraumatic stress disorder this month." -
ANS b. "My experience has been that the Irish have a problem with alcohol use."
A nursing student new to psychiatric-mental health nursing asks a peer what resources he can
use to figure out which symptoms are present in a specific psychiatric disorder. The best answer
would be:
a. Nursing Interventions Classification (NIC)
b. Nursing Outcomes Classification (NOC)
c. NANDA-I nursing diagnoses
d. DSM-5 - ANS d. DSM-5
Epidemiological studies contribute to improvements in care for individuals with mental disorders
by:
a. Providing information about effective nursing techniques.
b. Identifying risk factors that contribute to the development of a disorder.
c. Identifying individuals in the general population who will develop a specific disorder.
d. Identifying which individuals will respond favorably to a specific treatment. - ANS b.
Identifying risk factors that contribute to the development of a disorder.
d. Identifying which individuals will respond favorably to a specific treatment.
Which of the following activities would be considered nursing care and appropriate to be
performed by a basic level nurse for a patient suffering from mental illness?
a. Treating major depression
b. Teaching coping skills for a specific family dynamic
c. Conducting psychotherapy
d. Prescribing antidepressant medication - ANS b. Teaching coping skills for a specific
family dynamic
Which statement about mental illness is true?
a. Mental illness is a matter of individual nonconformity with societal norms.
b. Mental illness is present when irrational and illogical behavior occurs.
c. Mental illness changes with culture, time in history, political systems, and the groups defining
it.
d. Mental illness is evaluated solely by considering individual control over behavior and
appraisal of reality. - ANS c. Mental illness changes with culture, time in history, political
systems, and the groups defining it.
,The World Health Organization describes health as "a state of complete physical, mental, and
social wellbeing and not merely the absence of disease or infirmity." Which statement is true in
regards to overall health? Select all that apply.
a. There is no relationship between physical and mental health.
b. Poor physical health can lead to mental distress and disorders.
c. Poor mental health does not lead to physical illness.
d. There is a strong relationship between physical health and mental health.
e. Mental health needs take precedence over physical health needs. - ANS b. Poor
physical health can lead to mental distress and disorders.
d. There is a strong relationship between physical health and mental health.
A male patient reports to the nurse, "I'm told I have memories of childhood abuse stored in my
unconscious mind. I want to work on this." Based on this statement, what information should the
nurse provide the patient?
a. To seek the help of a trained therapist to help uncover and deal with the trauma associated
with those memories.
b. How to use a defense mechanism such as suppression so that the memories will be less
threatening.
c. Psychodynamic therapy will allow the surfacing of those unconscious memories to occur in
just a few sessions.
d. Group sessions are valuable to identify underlying themes of the memories being
suppressed. - ANS a. To seek the help of a trained therapist to help uncover and deal with
the trauma associated with those memories.
Which question should the nurse ask when assessing for what Sullivan's Interpersonal Theory
identifies as the most painful human condition?
a. "Is self-esteem important to you?"
b. "Do you think of yourself as being lonely?"
c. "What do you do to manage your anxiety?"
d. "Have you ever been diagnosed with depression?" - ANS b. "Do you think of yourself as
being lonely?"
When discussing therapy options, the nurse should provide information about interpersonal
therapy to which patient? Select all that apply.
a. The teenager who is the focus of bullying at school
b. The older woman who has just lost her life partner to cancer
c. The young adult who has begun demonstrating hoarding tendencies
d. The adolescent demonstrating aggressive verbal and physical tendencies
e. The middle-aged adult who recently discovered her partner has been unfaithful - ANS a.
The teenager who is the focus of bullying at school
b. The older woman who has just lost her life partner to cancer
e. The middle-aged adult who recently discovered her partner has been unfaithful
, When considering the suggestions of Hildegard Peplau, which activity should the nurse
regularly engage in to ensure that the patient stays the focus of all therapeutic conversations?
a. Assessing the patient for unexpressed concerns and fears
b. Evaluating the possible need for additional training and education
c. Reflecting on personal behaviors and personal needs
d. Avoiding power struggles with the manipulative patient - ANS c. Reflecting on personal
behaviors and personal needs
Which action reflects therapeutic practices associated with operant conditioning?
a. Encouraging a parent to read to their children to foster a love for learning
b. Encouraging a patient to make daily journal entries describing their feelings
c. Suggesting to a new mother that she spend time cuddling her newborn often during the day
d. Acknowledging a patient who is often verbally aggressive for complimenting a picture another
patient drew - ANS d. Acknowledging a patient who is often verbally aggressive for
complimenting a picture another patient drew
A nurse is assessing a patient who graduated at the top of his class but now obsesses about
being incompetent in his new job. The nurse recognizes that this patient may benefit from the
following type of psychotherapy:
a. Interpersonal
b. Operant conditioning
c. Behavioral
d. Cognitive-behavioral - ANS d. Cognitive-behavioral
According to Maslow's hierarchy of needs, the most basic needs category for nurses to address
is:
a. physiological
b. safety
c. love and belonging
d. self-actualization - ANS a. physiological
In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient
smiles when he sees her. One day the young man tells the nurse, "You are pretty like my
mother." The nurse recognizes that the male is exhibiting:
a. Transference
b. Id expression
c. Countertransference
d. A cognitive distortion - ANS a. Transference
Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she
would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy?
a. Behavioral
b. Biofeedback
c. Aversion
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