Download Mental Health Final Exam Questions and Answers and more Exams Psychology in PDF only on Docsity!
MENTAL HEALTH FINAL EXAM (ACTUAL EXAM) |
COMPLETE EXAM QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION 2025 (JUST RELEASED)
The nurse is using the nursing process to care for a suicidal client. Which of the following nursing actions is a part of the implementation step of the nursing process? a) Prioritizes the necessity for maintaining a safe environment for the client. b) Determines if nursing interventions have been appropriate to achieve desired results. c) Obtains a short-term contract from the client to seek out staff if feeling suicidal. d) Establishes goal of care: Client will not harm self during hospitalization. - --------CORRECT ANSWER-----------------c) Obtains a short-term contract from the client to seek out staff if feeling suicidal. The nurse is using the nursing process to care for a suicidal client. Which of the following nursing actions is a part of the evaluation step of the nursing process? a) Prioritizes the necessity for maintaining a safe environment for the client. b) Determines if nursing interventions have been appropriate to achieve desired results. c) Obtains a short-term contract from the client to seek out staff if feeling suicidal. d) Establishes goal of care: Client will not harm self during hospitalization. - --------CORRECT ANSWER-----------------b) Determines if nursing interventions have been appropriate to achieve desired results. S.T. is a 15-year-old girl who has just been admitted to the adolescent psychiatric unit with a diagnosis of anorexia nervosa. She is 55 tall and weighs 82 lb. She was elected to the cheerleading squad for the fall but states that she is not as good as the others on the squad. The treatment team has identified the following problems: refusal to eat, occasional
purging, refusing to interact with staff and peers, and fear of failure. Which of the following nursing diagnoses would be appropriate for S.T.? (Select all that apply.) a) Social Isolation. b) Disturbed Body Image. c) Low Self-Esteem. d) Imbalanced Nutrition: Less than body requirements. ---------CORRECT ANSWER-----------------a) Social Isolation. b) Disturbed Body Image. c) Low Self-Esteem. d) Imbalanced Nutrition: Less than body requirements. S.T. is a 15-year-old girl who has just been admitted to the adolescent psychiatric unit with a diagnosis of anorexia nervosa. She is 55 tall and weighs 82 lb. She was elected to the cheerleading squad for the fall but states that she is not as good as the others on the squad. The treatment team has identified the following problems: refusal to eat, occasional purging, refusing to interact with staff and peers, and fear of failure. Which of the following nursing diagnoses would be the priority diagnosis for S.T.? a) Social Isolation. b) Disturbed Body Image. c) Low Self-Esteem. d) Imbalanced Nutrition: Less than body requirements. ---------CORRECT ANSWER-----------------d) Imbalanced Nutrition: Less than body requirements. Nursing diagnoses are prioritized according to: a) Degree of potential for resolution. b) Legal implications associated with nursing intervention. c) Life-threatening potential. d) Client and family requests. ---------CORRECT ANSWER-----------------c) Life-threatening potential
c) Attending to the nutritional and comfort needs of all clients d) Establishing contacts with community resources ---------CORRECT ANSWER-----------------c) Attending to the nutritional and comfort needs of all clients In evaluating the progress of Jack, a client diagnosed with Antisocial Personality Disorder, which of the following behaviors would be considered the most significant indication of positive change? a. Jack got angry only once in group this week. b. Jack was able to wait a whole hour for a cigarette without verbally abusing the staff. c. On his own initiative, Jack sent a note of apology to a man he had injured in a recent fight. d. Jack stated that he would no longer start any more fights. --------- CORRECT ANSWER-----------------c. On his own initiative, Jack sent a note of apology to a man he had injured in a recent fight. Which of the following behavioral patterns is characteristic of individuals with narcissistic personality disorder? a. Overly self-centered and exploitative of others b. Suspicious and mistrustful of others c. Rule conscious and disapproving of change d. Anxious and socially isolated ---------CORRECT ANSWER-----------------a. Overly self-centered and exploitative of others Carol is a new nursing graduate being oriented on a medical/surgical unit by the head nurse, Mrs. Carey. When Carol describes a new technique she has learned for positioning immobile clients, Mrs. Carey states, "What are you trying to do... tell me how to do my job? We have always done it this way on this unit, and we will continue to do it this way until I say differently!" This is an example of which type of personality characteristic? a. Antisocial b. Paranoid c. Passive-aggressive
d. Obsessive-compulsive ---------CORRECT ANSWER-----------------d. Obsessive-compulsive Which of the following behavioral patterns is characteristic of individuals with schizotypal personality disorder? a. Belittling themselves and their abilities b. A lifelong pattern of social withdrawal c. Suspicious and mistrustful of others d. Overreacting inappropriately to minor stimuli ---------CORRECT ANSWER-----------------b. A lifelong pattern of social withdrawal Sharon, a women with multiple cuts and abrasions, arrives at the ED with her three small children. She tells the nurse her husband inflicted these wounds on her. She says " I didn't want to come. I'm really okay. He only does this when he has too much to drink. I just shouldn't have yelled him." The best response is, a. how often does he drink too much? b. it is not your fault. you did the right thing by coming here. c. how many times has he done this to you? d. he is not a goo husband. you have to leave him before he kills you. ------- --CORRECT ANSWER-----------------b. it is not your fault. you did the right thing by coming here. Sharon, a women with multiple cuts and abrasions, arrives at the ED with her three small children. She tells the nurse her husband inflicted these wounds on her. In the interview, sharon tells the nurse, "he's been getting more and more violent lately. he's been under a lot of stress at work the last few weeks, so he drinks a lot when he gets home. He always gets mean when he drinks. Iwas getting scared. So I just finally told him that I was going to take the kids and leave. He got furious and began beating me with his fists. " What part of the cycle is this? a. Phase 1. Sharon was trying to stay out of his way to keep everything calm b. Phase 1. A minor battering incident for which Sharon assumes the blame
torso, in various stages of healing. She also notices some small scars. Jana's abdomen protrudes on her small, thin frame. From the objective physical assessment, the nurse suspects that a. Jana is experiencing physical and sexual abuse. b. Jana is experiencing physical abuse and neglect. c. Jana is experiencing emotional neglect. d. Jana is experiencing sexual and emotional abuse. ---------CORRECT ANSWER-----------------b. Jana is experiencing physical abuse and neglect. A school nurse notices bruises and scars on a child's body, but the child refuses to say how she received them. Another way in which the nurse can get information from the child is to a. have her evaluated by the school psychologist. b. tell her she may select a "treat" from the treat box (e.g., sucker, balloon, junk jewelry) if she answers the nurse's questions. c. explain to her that if she answers the questions, she may stay in the nurse's office and not have to go back to class. d. use a "family" of dolls to role-play the child's family with her. --------- CORRECT ANSWER-----------------d. use a "family" of dolls to role-play the child's family with her. A school nurse notices bruises and scars on a child's body. The nurse suspects that the child is being physically abused. How should the nurse proceed with this information? a. As a health-care worker, report the suspicion to the Department of Health and Human Services. b. Check Jana again in a week and see if there are any new bruises. c. Meet with Jana's parents and ask them how Jana got the bruises. d. Initiate paperwork to have Jana placed in foster care. ---------CORRECT ANSWER-----------------a. As a health-care worker, report the suspicion to the Department of Health and Human Services.
Three years ago, Anna's dog Lucky, whom she had for 16 years, was run over by a car and killed. Anna's daughter reports that since that time Anna doesn't do a thing for herself anymore. She has lost weight, rarely leaves her home, and just sits and talks about Lucky. Anna's behavior would be considered maladaptive because: a) it has been more than 3 years since lucky died b) her grief is too intense over just the loss of a dog c) her grief is interfering with her functioning d) people in this culture would not comprehend such behavior over the loss of a pet ---------CORRECT ANSWER-----------------c) her grief is interfering with her functioning Based on the information about Anna and her dog Lucky, Anna's grieving behavior would most likely be considered to be: a) delayed b) inhibited c) prolonged d) distorted ---------CORRECT ANSWER-----------------c) prolonged Anna, who is 72 years old, is of the age when she may have experienced many losses coming close together: what is this called? a) bereavement overload b) normal mourning c) isolation d) cultural relativity ---------CORRECT ANSWER-----------------a) bereavement overload Anna is diagnosed with Major Depressive Disorder. She is most likely fixed in which stage of the grief process? a) denial b) anger c) depression
Anna has been a widow for 20 years. Her maladaptive grief response to the loss of her dog may be attributed to which of the following? Select all that apply. a) unresolved grief over loss of her husband b) loss of several relatives and friends over the last few years c) repressed feelings of guilt over the way in which Lucky died d) inability to prepare in advance for the loss ---------CORRECT ANSWER-- ---------------a) unresolved grief over loss of her husband b) loss of several relatives and friends over the last few years c) repressed feelings of guilt over the way in which Lucky died d) inability to prepare in advance for the loss For what reason would Anna's illness be considered neurosis rather than psychosis? a) she is unaware that her behavior is maladaptive b) she exhibits inappropriate affect c) she experiences no loss of contact with reality d) she tells the nurse, "There is nothing wrong with me!" ---------CORRECT ANSWER-----------------c) she experiences no loss of contact with reality Which of the following statements by Anna might suggest that she is achieving resolution of her grief over Lucky's death? a) "I don't cry anymore when I think about Lucky." b) "It's true. Lucky didn't always mind me. Sometimes he ignored my commands." c) "I remember how it happened now. I should have held tighter to his leash!" d) "I won't ever have another dog. It's just too painful to lose them." --------- CORRECT ANSWER-----------------b) "It's true. Lucky didn't always mind me. Sometimes he ignored my commands." John is on the Alcohol Treatment Unit. He walks into the dayroom where other clients are watching
a program on TV. He picks up the remote and changes the channel and says, "That's a stupid program! I want to watch something else!" In what stage of development is John fixed according to Sullivan's interpersonal theory? a) Juvenile. He is learning to form satisfactory peer relationships. b) Childhood. He has not learned to delay gratification. c) Early adolescence. He is struggling to form an identity. d) Late adolescence. He is working to develop a lasting relationship. --------- CORRECT ANSWER-----------------b) Childhood. He has not learned to delay gratification. Adam has antisocial personality disorder. He says to the nurse, "I'm not crazy. I'm just fun-loving. I believe in looking out for myself. Who cares what anyone thinks? If it feels good, do it!" Which of the following describes the psychoanalytical structure of Adam's personality? a) Weak id, strong ego, weak superego b) Strong id, weak ego, weak superego c) Weak id, weak ego, punitive superego d) Strong id, weak ego, punitive superego ---------CORRECT ANSWER------ -----------b) Strong id, weak ego, weak superego Larry, who has antisocial personality disorder, feels no guilt about violating the rights of others. He does as he pleases without thought to possible consequences. In which of Peplau's stages of development would you place Larry? a) Learning to count on others b)Learning to delay gratification c) Identifying oneself d) Developing skills in participation ---------CORRECT ANSWER--------------- --b) Learning to delay gratification
The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, "Some changes will have to be made in your behavior. I care about what happens to you." Which nursing role described by Peplau is the nurse fulfilling in this instance? a) Counselor b) Surrogate c) Technical Expert d) Resource Person ---------CORRECT ANSWER-----------------b) Surrogate Which of the following parts of the brain is associated with multiple feelings and behaviors and is sometimes referred to as the "emotional brain?" a. Frontal lobe b. Thalamus c. Hypothalamus d. Limbic system ---------CORRECT ANSWER-----------------d) Limbic system Which of the following parts of the brain is concerned with visual reception and interpretation? a. Frontal lobe b. Parietal lobe c. Temporal lobe d. Occipital lobe ---------CORRECT ANSWER-----------------d) Occipital lobe Which of the following parts of the brain is associated with voluntary body movement, thinking and judgement, and expression of feeling? a. Frontal lobe b. Parietal lobe c. Temporal lobe
d. Occipital lobe ---------CORRECT ANSWER-----------------a) Frontal lobe Which of the following parts of the brain integrates all sensory input (except smell) on the way to the cortex? a. Temporal lobe b. Thalamus c. Limbic system d. Hypothalamus ---------CORRECT ANSWER-----------------b) Thalamus Which of the following parts of the brain deals with sensory perception and interpretation? a. Hypothalamus b. Cerebellum c. Parietal lobe d. Hippocampus ---------CORRECT ANSWER-----------------c) Parietal lobe Which of the following parts of the brain is concerned with hearing, short- term memory, and sense of smell? a. Temporal lobe b. Parietal lobe c. Cerebellum d. Hypothalamus ---------CORRECT ANSWER-----------------a) Temporal lobe Which of the following parts of the brain has control over the pituitary gland and autonomic nervous system? It also regulates appetite and temperature. a. Temporal lobe b. Parietal lobe c. Cerebellum d. Hypothalamus ---------CORRECT ANSWER-----------------d) Hypothalamus
Psychotropic medications that block the acetylcholine receptor may result in which of the following side effects? a. Dry mouth b. Sexual dysfunction c. Nausea d. Priapism ---------CORRECT ANSWER-----------------a) Dry mouth Psychotropic medications that are strong blockers of the D2 receptor may result in which of the following side effects? a. Sedation b. Urinary retention c. Extrapyramidal symptoms d. Hypertensive Crisis ---------CORRECT ANSWER-----------------c) Extrapyramidal symptoms Nurse Jones decides to go against family wishes and tell the client of his terminal status because that is what she would want if she were the client. Which of the following ethical theories is considering this decision? a) Kantianism b) Christian ethics c) Natural law theories d) Ethical egoism ---------CORRECT ANSWER-----------------b) Christian ethics Nurse Jones decides to respect family wishes and not to the client of his terminal status because that would bring the most happiness to the most people. With the following ethical theories is considered in this decision? a) Utilitarianism b) Kantianism c) Christian ethics d) Ethical egoism ---------CORRECT ANSWER-----------------a) Utilitarianism
Nurse Jones decides to tell the client of his terminal status because she believes it is her duty to do so. Which of the following at the clip the reasons considered in this decision? a) Natural law theories b) Ethical egoism c) Kantianism d) Utilitarianism ---------CORRECT ANSWER-----------------c) Kantianism The nurse assists the physician with electroconvulsive therapy on his client who has refuse to give consent. With which of the following legal actions might the nurse be charged because of this nursing action? a) Assault b) Battery c) False imprisonment d) Breach of confidentiality ---------CORRECT ANSWER-----------------b) Battery A competent, voluntary client has stated he wants to leave the hospital. The nurse hides his close in an effort to keep them from leaving. With which of the following legal actions might the nurse be charged because of this nursing action? a) Assault b) Battery c) False imprisonment d) Breach of confidentiality ---------CORRECT ANSWER-----------------c) False imprisonment Joe is very restless and is pacing a lot. The nurse says to Joe, "If you don't sit down in the chair and be still, I'm going to put you in restraints!" With which of the following legal actions might the nurse be charged because of this nursing action?
Guidelines relating to "duty to warn" states that a therapist should consider taking action to warn a third party when his or her client (select all that apply): a) Threatens violence toward another individual. b) Identifies a specific intended victim. c) Has command hallucinations. d) Reveals paranoid delusions about another individual. ---------CORRECT ANSWER-----------------a) Threatens violence toward another individual. b) Identifies a specific intended victim. Attempting to calm an angry client by using "talk therapy" is an example which of the following clients rights? a) The right to privacy b) The right to refuse medication c) The right to the least restrictive treatment alternative d) The right to confidentiality ---------CORRECT ANSWER-----------------c) The right to the least restrictive treatment alternative Nurse Mary has been providing care for Tom during his hospital stay. On Tom's day of discharge, his wife brings a bouquet of flowers and box of chocolates to his room. He presents these gifts to Nurse Mary saying, "Thank you for taking care of me." What is a correct response by the nurse? a) "I don't accept gifts from patients." b) "Thank you so much! It is so nice to be appreciated." c) "Thank you. I will share these with the rest of the staff." d) "Hospital policy forbids me to accept gifts from patients." --------- CORRECT ANSWER-----------------c) "Thank you. I will share these with the rest of the staff." Nancy says to the nurse, "I worked as a secretary to put my husband through college, and as soon as he graduated, he left me. I hate him! I hate all men!" Which is an empathetic response by the nurse?
a) "You are very angry now. This is a normal response to your loss." b) "I know what you mean. Men can be very insensitive." c) "I understand completely. My husband divorced me, too." d) "You are depressed now, but you will feel better in time." --------- CORRECT ANSWER-----------------a) "You are very angry now. This is a normal response to your loss." Which of the following behaviors suggest a possible breach of professional boundaries? (Select all that apply.) a) The nurse repeatedly requests to be assigned to a specific client. b) The nurse shares the details of her divorce with the client. c) The nurse makes arrangements to meet the client outside of the therapeutic environment. d) The nurse shares how she dealt with a similar difficult situation. --------- CORRECT ANSWER-----------------a) The nurse repeatedly requests to be assigned to a specific client. b) The nurse shares the details of her divorce with the client. c) The nurse makes arrangements to meet the client outside of the therapeutic environment. Which of the following tasks are associated with the orientation phase of relationship development? (Select all that apply.) a) Promoting the client's insight and perception of reality. b) Creating an environment for the establishment of trust and rapport. c) Using the problem-solving model toward goal fulfillment. d) Obtaining available information about the client from various sources. e) Formulating nursing diagnoses and setting goals. ---------CORRECT ANSWER-----------------b) Creating an environment for the establishment of trust and rapport. e) Formulating nursing diagnoses and setting goals. A client states: "I refuse to shower in this room. I must be very cautious. The FBI has placed a camera in here to monitor my every move." Which of the following is the therapeutic response?
