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NSG 3450. Mental Health Exam 1 Review Questions with correct answers
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The |\scope |\of |\practiced |\for |\an |\advanced |\nurse |\practitioner |\would |
include |\which |\intervention? a. |\Conducting |\a |\mental |\health |\assessment. b. |\Prescribing |\psychotropic |\medication. c. |\Establishing |\a |\therapeutic |\relationship. d. |\Individualizing |\a |\nursing |\care |\plan. |- |\CORRECT |\ANSWERS |\✔✔b. |
Prescribing |\psychotropic |\medication. A |\nursing |\student |\expresses |\concerns |\that |\mental |\health |\nurses |"lose |\all |\their |\clinical nursing |\skills." |\Select |\the |\best |\response |\by |\the |\mental |\health |\nurse. a. |"Psychiatric |\nurses |\practice |\in |\safer |\environments |\than |\other |
specialties. |\Nurse-to |\client |\ratios |\must |\be |\better |\because |\of |\the |
nature |\of |\the |\clients' |\problems." b. |"Psychiatric |\nurses |\use |\complex |\communication |\skills |\as |\well |\as |
critical |\thinking |\to |\solve |\multidimensional |\problems. |\I |\am |\challenged |
by |\those |\situations." c. |"That's |\a |\misconception. |\Psychiatric |\nurses |\frequently |\use |\high |
technology |\monitoring
equipment |\and |\manage |\complex |\intravenous |\therapies." d. |"Psychiatric |\nurses |\do |\not |\have |\to |\deal |\with |\as |\much |\pain |\and |
suffering |\as |\medical- surgical |\nurses |\do. |\That |\appeals |\to |\me." |- |\CORRECT |\ANSWERS |\✔✔b. |"Psychiatric |\nurses |\use |\complex |\communication |\skills |\as |\well |\as |
critical |\thinking |\to |\solve |\multidimensional |\problems. |\I |\am |\challenged |
by |\those |\situations." When |\a |\new |\bill |\introduced |\in |\Congress |\reduces |\funding |\for |\care |\of |
persons |\diagnosed |\with |\mental |\illness, |\a |\group |\of |\nurses |\write |
letters |\to |\their |\elected |\representatives |\in |\opposition |\to |\the |\legislation. |\Which |\role |\have |\the |\nurses |\fulfilled? a. |\Recovery b. |\Attending c. |\Advocacy d. |\Evidence-based |\practice |- |\CORRECT |\ANSWERS |\✔✔c. |\Advocacy A |\family |\has |\a |\long |\history |\of |\conflicted |\relationships |\among |\the |
members. |\Which |\family |\member's |\comment |\best |\reflects |\a |\mentally |
healthy |\perspective? a. |"I've |\made |\mistakes |\but |\everyone |\else |\in |\this |\family |\has |\also."
b. |\behaving |\without |\considering |\the |\consequences |\of |\personal |
actions. c. |\aggressively |\meeting |\personal |\needs |\without |\considering |\the |
rights |\of |\others. d. |\seeking |\help |\from |\others |\to |\avoid |\assuming |\responsibility |\for |
major |\areas |\of |\own |\life. |- |\CORRECT |\ANSWERS |\✔✔a. |\being |\willing |\to |
work |\towards |\achieving |\ideals |\and |\meeting |\demands. A |\nurse |\encounters |\an |\unfamiliar |\psychiatric |\disorder |\on |\a |\new |
client's |\admission |\form. |\Which |\resource |\should |\the |\nurse |\consult |\to |
determine |\criteria |\used |\to |\establish |\this |\diagnosis? a. |\International |\Statistical |\Classification |\of |\Diseases |\and |\Related |
Health |\Problems (ICD-10) b. |\The |\ANA's |\Psychiatric-Mental |\Health |\Nursing |\Scope |\and |\Standards |
of |\Practice c. |\Diagnostic |\and |\Statistical |\Manual |\of |\Mental |\Disorders |(DSM-V) d. |\A |\behavioral |\health |\reference |\manual |- |\CORRECT |\ANSWERS |\✔✔c. |
Diagnostic |\and |\Statistical |\Manual |\of |\Mental |\Disorders |(DSM-V) A |\nurse |\wants |\to |\find |\a |\description |\of |\diagnostic |\criteria |\for |\anxiety |
disorders. |\Which |\resource |\would |\have |\the |\most |\complete |
information?
a. |\Nursing |\Outcomes |\Classification |(NOC) b. |\DSM-V c. |\The |\ANA's |\Psychiatric-Mental |\Health |\Nursing |\Scope |\and |\Standards |
of |\Practice d. |\ICD-10 |- |\CORRECT |\ANSWERS |\✔✔b. |\DSM-V Which |\individual |\behavior |\demonstrates |\resilience? a. |\Repress |\stressors |\associated |\with |\a |\divorce. b. |\Continuing |\to |\grieve |\the |\death |\of |\a |\spouse |\for |\ 5 |\years. c. |\Continuing |\to |\live |\in |\a |\shelter |\for |\ 2 |\years |\after |\the |\home |\is |
destroyed |\by |\fire. d. |\Taking |\a |\temporary |\job |\to |\maintain |\financial |\stability |\after |\loss |\of |\a |\permanent |\job. |- |\CORRECT |\ANSWERS |\✔✔d. |\Taking |\a |\temporary |\job |
to |\maintain |\financial |\stability |\after |\loss |\of |\a |\permanent |\job. The |\relationship |\of |\the |\North |\American |\Nursing |\Diagnosis |
Association |(NANDA) |\is |\to |\clinical |\judgment |\as |\Nursing |\Interventions |
Classification |(NIC) |\is |\to |\what? a. |\client |\outcomes. b. |\nursing |\actions.
What |\does |\the |\DSM-V |\classify? a. |\deviant |\behaviors b. |\present |\disability |\or |\distress c. |\people |\with |\mental |\disorders d. |\mental |\disorders |- |\CORRECT |\ANSWERS |\✔✔d) |\Mental |\disorders |
The |\DSM-V |\classifies |\disorders |\people |\have |\rather |\than |\people |
themselves. A |\citizen |\at |\a |\community |\health |\fair |\asks |\the |\nurse, |"What |\is |\the |
most |\prevalent |\mental |\disorder |\in |\the |\United |\States?" |\Select |\the |
nurse's |\correct |\response. a. |\Schizophrenia b. |\Bipolar |\disorder c. |\Dissociative |\fugue d. |\Alzheimer's |\disease |- |\CORRECT |\ANSWERS |\✔✔d. |\Alzheimer's |\disease In |\the |\majority |\culture |\of |\the |\United |\States, |\which |\individual |\has |\the |
greatest |\risk |\to |\be labeled |\mentally |\ill?
a. |\One |\who |\describes |\hearing |\God's |\voice |\speaking. b. |\One |\who |\is |\usually |\pessimistic |\but |\strives |\to |\meet |\personal |\goals. c. |\One |\who |\is |\wealthy |\and |\gives |\away |$20 |\bills |\to |\needy |\individuals. d. |\One |\who |\always |\has |\an |\optimistic |\viewpoint |\about |\life |- |\CORRECT |
ANSWERS |\✔✔a. |\One |\who |\describes |\hearing |\God's |\voice |\speaking. A |\client's |\relationships |\are |\intense |\and |\unstable. |\The |\client |\initially |
idealizes |\the |\significant |\other |\and |\then |\devalues |\him |\or |\her, |\resulting |\in |\frequent |\feelings |\of |\emptiness. |\This |\client |\will |\benefit |\from |
interventions |\to |\develop |\which |\aspect |\of |\mental |\health? a. |\Effectiveness |\in |\work b. |\Communication |\skills c. |\Productive |\activities d. |\Fulfilling |\relationships |- |\CORRECT |\ANSWERS |\✔✔d. |\Fulfilling |
relationships Which |\belief |\will |\best |\support |\a |\nurse's |\efforts |\to |\provide |\client |
advocacy |\during |\a multidisciplinary |\client |\care |\planning |\session? a. |\All |\mental |\illnesses |\are |\culturally |\determined.
b. |"This |\illness |\results |\from |\developmental |\factors |\rather |\than |\stress." c. |"Research |\shows |\that |\this |\condition |\more |\likely |\has |\a |\biological |
basis." d. |"It |\must |\be |\frustrating |\for |\you |\that |\your |\spouse |\is |\sick |\so |\much |\of |
the |\time." |- |\CORRECT |\ANSWERS |\✔✔c. |"Research |\shows |\that |\this |
condition |\more |\likely |\has |\a |\biological |\basis." A |\category |\ 5 |\tornado |\occurred |\in |\a |\community |\of |\ 400 |\people. |\Many |
homes |\and |\businesses |\were |\destroyed. |\In |\the |\ 2 |\years |\following |\the |
disaster, |\ 140 |\individuals |\were |\diagnosed |\with |\post-traumatic |\stress |
disorder |(PTSD). |\Which |\term |\best |\applies |\to |\these |\newly |\diagnosed |
cases? a. |\Prevalence b. |\Comorbidity c. |\Incidence d. |\Parity |- |\CORRECT |\ANSWERS |\✔✔c. |\Incidence Which |\component |\of |\treatment |\of |\mental |\illness |\is |\specifically |
recognized |\by |\Quality |\and |\Safety |\Education |\for |\Nurses |(QSEN)? a. |\All |\genomes |\are |\unique. b. |\Care |\is |\centered |\on |\the |\client. c. |\Healthy |\development |\is |\vital |\to |\mental |\health.
d. |\Recovery |\occurs |\on |\a |\continuum |\from |\illness |\to |\health. |- |\CORRECT |
ANSWERS |\✔✔b. |\Care |\is |\centered |\on |\the |\client. What |\is |\the |\best |\response |\for |\the |\nurse |\to |\provide |\to |\a |\question |
from |\another |\health professional |\regarding |\the |\difference |\between |\a |\diagnosis |\in |\DSM-V |
and |\a |\nursing |\diagnosis. a. |"There |\is |\no |\functional |\difference |\between |\the |\two. |\Both |\identify |
human disorders." b. |"The |\DSM-V |\diagnosis |\disregards |\culture, |\whereas |\the |\nursing |
diagnosis |\takes culture |\into |\account." c. |"The |\DSM-V |\diagnosis |\describes |\causes |\of |\disorders |\whereas |\a |
nursing |\diagnosis does |\not |\explore |\etiology." d. |"The |\DSM-V |\diagnosis |\guides |\medical |\treatment, |\whereas |\the |
nursing |\diagnosis offers |\a |\framework |\for |\identifying |\interventions |\for |\issues |\a |\client |\is |
experiencing." |- |\CORRECT |\ANSWERS |\✔✔d. |"The |\DSM-V |\diagnosis |
guides |\medical |\treatment, |\whereas |\the |\nursing |\diagnosis offers |\a |\framework |\for |\identifying |\interventions |\for |\issues |\a |\client |\is |
experiencing."
d. |\Experienced |\psychiatric |\nurses |\have |\learned |\the |\best |\ways |\to |\care |
for |\mentally |\ill |\clients through |\trial |\and |\error. e. |\An |\intuitive |\sense |\of |\clients' |\needs |\guides |\effective |\psychiatric |
nurses. |- |\CORRECT |\ANSWERS |\✔✔a. |\The |\experienced |\nurse |\may |\have |
lost |\sight |\of |\clients' |\individuality, |\which |\may compromise |\the |\integrity |\of |\practice b. |\New |\research |\findings |\should |\be |\integrated |\continuously |\into |\a |
nurse's |\practice |\to |\provide |\the |\most |\effective |\care. Which |\findings |\are |\signs |\of |\a |\person |\who |\is |\mentally |\healthy? |(Select |
all |\that |\apply.) a. |\Says, |"I |\have |\some |\weaknesses, |\but |\I |\feel |\I'm |\important |\to |\my |
family |\and |\friends." b. |\Adheres |\strictly |\to |\religious |\beliefs |\of |\parents |\and |\family |\of |\origin. c. |\Spends |\all |\holidays |\alone |\watching |\old |\movies |\on |\television. d. |\Considers |\past |\experiences |\when |\deciding |\about |\the |\future. e. |\Experiences |\feelings |\of |\conflict |\related |\to |\changing |\jobs. |- |
CORRECT |\ANSWERS |\✔✔a. |\Says, |"I |\have |\some |\weaknesses, |\but |\I |\feel |
I'm |\important |\to |\my |\family |\and |\friends." d. |\Considers |\past |\experiences |\when |\deciding |\about |\the |\future. e. |\Experiences |\feelings |\of |\conflict |\related |\to |\changing |\jobs.
A |\client |\in |\the |\emergency |\department |\says, |"Voices |\say |\someone |\is |
stalking |\me. |\They |\want |\to |\kill |\me |\because |\I |\developed |\a |\cure |\for |
cancer. |\I |\have |\a |\knife |\and |\will |\stab |\anyone |\who |\is |\a |\threat." |\Which |
aspects |\of |\the |\client's |\mental |\health |\have |\the |\greatest |\and |\most |
immediate concern |\to |\the |\nurse? |(Select |\all |\that |\apply.) a. |\Happiness b. |\Appraisal |\of |\reality c. |\Control |\over |\behavior d. |\Effectiveness |\in |\work e. |\Healthy |\self-concept |- |\CORRECT |\ANSWERS |\✔✔b. |\Appraisal |\of |\reality c. |\Control |\over |\behavior e. |\Healthy |\self-concept A |\parent |\says, |"My |\2-year-old |\child |\refuses |\toilet |\training |\and |\shouts |'No!' |\when |\given directions. |\What |\do |\you |\think |\is |\wrong?" |\What |\is |\the |\nurse's |\best |
reply? a. |"Your |\child |\needs |\firmer |\control. |\It |\is |\important |\to |\set |\limits |\now." b. |"This |\is |\normal |\for |\your |\child's |\age. |\The |\child |\is |\striving |\for |
independence." c. |"There |\may |\be |\developmental |\problems. |\Most |\children |\are |\toilet |
trained |\by |\age |\2."
A |\nurse |\supports |\a |\parent |\for |\praising |\a |\child |\who |\behaves |\in |\helpful |\ways |\to |\others. |\When |\this |\child |\behaves |\with |\politeness |\and |
helpfulness |\in |\adulthood, |\which |\feeling |\will |\most |\likely |\result? a. |\Guilt b. |\Anxiety c. |\Humility d. |\Self-esteem |- |\CORRECT |\ANSWERS |\✔✔d. |\self-esteem An |\adult |\says, |"I |\never |\know |\the |\answers," |\and |"My |\opinion |\does |\not |\count." |\Which psychosocial |\crisis |\was |\unsuccessfully |\resolved |\for |\this |\adult? a. |\Initiative |\versus |\guilt b. |\Trust |\versus |\mistrust c. |\Autonomy |\versus |\shame |\and |\doubt d. |\Generativity |\versus |\self-absorption |- |\CORRECT |\ANSWERS |\✔✔c. |
Autonomy |\versus |\shame |\and |\doubt Which |\statement |\by |\a |\client |\would |\lead |\the |\nurse |\to |\suspect |
unsuccessful |\completion |\of |\the |\psychosocial |\developmental |\task |\of |
infancy?
a. |"I |\know |\how |\to |\do |\things |\right, |\so |\I |\prefer |\jobs |\where |\I |\work |\alone |\rather |\than |\on |\a |\team." b. |"I |\do |\not |\allow |\other |\people |\to |\truly |\get |\to |\know |\me." c. |"I |\depend |\on |\frequent |\praise |\from |\others |\to |\feel |\good |\about |
myself." d. |"I |\usually |\need |\to |\do |\things |\several |\times |\before |\I |\get |\them |\right." |- |\CORRECT |\ANSWERS |\✔✔b. |"I |\do |\not |\allow |\other |\people |\to |\truly |\get |
to |\know |\me." According |\to |\Erikson, |\the |\developmental |\task |\of |\infancy |\is |\the |
development |\of |\trust. A |\client |\is |\suspicious |\and |\is |\frequently |\sarcastic |\toward |\others. |\To |
which |\psychosexual |\stage |\do |\these |\traits |\relate? a. |\Oral b. |\Anal c. |\Phallic d. |\Genital |- |\CORRECT |\ANSWERS |\✔✔a. |\Oral A |\client |\expresses |\a |\desire |\to |\be |\cared |\for |\by |\others |\and |\often |
behaves |\in |\a |\helpless |\fashion. |\Which |\stage |\of |\psychosexual |
development |\is |\most |\relevant |\to |\the |\client's |\needs?
b. |"Funerals |\are |\supposed |\to |\be |\conducted |\quietly, |\respectfully, |\and |
according |\to |\a |\social protocol." c. |"This |\death |\was |\unfair, |\but |\I |\hope |\we |\can |\plan |\a |\service |\that |
everyone |\feels |\is |\a celebration |\of |\life." d. |"This |\death |\was |\probably |\the |\consequence |\of |\years |\of |\selfish |\and |
inconsiderate |\behavior by |\our |\sibling." |- |\CORRECT |\ANSWERS |\✔✔c. |"This |\death |\was |\unfair, |\but |\I |\hope |\we |\can |\plan |\a |\service |\that |\everyone |\feels |\is |\a celebration |\of |\life." A |\student |\nurse |\says, |"I |\don't |\need |\to |\interact |\with |\my |\clients. |\I |\learn |\what |\I |\need |\to |\know |\by |\observation." |\An |\instructor |\can |\best |
interpret |\the |\nursing |\implications |\of |\Sullivan's |\theory |\to |\this |\student |
by |\providing |\what |\response? a. |"Interactions |\are |\required |\in |\order |\to |\help |\you |\develop |\therapeutic |\communication |\skills." b. |"Nurses |\cannot |\be |\isolated. |\We |\must |\interact |\to |\provide |\clients |
with |\opportunities |\to |\practice |\interpersonal |\skills." c. |"Observing |\client |\interactions |\will |\help |\you |\formulate |\priority |
nursing |\diagnoses |\and appropriate |\interventions."
d. |"It |\is |\important |\to |\pay |\attention |\to |\clients' |\behavioral |\changes, |
because |\these |\signify adjustments |\in |\personality." |- |\CORRECT |\ANSWERS |\✔✔b. |"Nurses |
cannot |\be |\isolated. |\We |\must |\interact |\to |\provide |\clients |\with |
opportunities |\to |\practice |\interpersonal |\skills." A |\nurse |\consistently |\encourages |\client |\to |\do |\his |\or |\her |\own |\activities |
of |\daily |\living. |\If |\the |\client |\is |\unable |\to |\complete |\an |\activity, |\the |\nurse |\helps |\until |\the |\client |\is |\once |\again |\independent. |\This |\nurse's |\practice |\is |\most |\influenced |\by |\which |\theorist? a. |\Betty |\Neuman b. |\Patricia |\Benner c. |\Dorothea |\Orem d. |\Joyce |\Travelbee |- |\CORRECT |\ANSWERS |\✔✔c. |\Dorothea |\Orem A |\nurse |\uses |\Maslow's |\hierarchy |\of |\needs |\to |\plan |\care |\for |\a |\client |
diagnosed |\with |\mental |\illness. |\Which |\problem |\will |\receive |\priority? a. |\Refusal |\to |\eat |\or |\bathe. b. |\Reporting |\feelings |\of |\alienation |\from |\family. c. |\Reluctance |\to |\participate |\in |\unit |\social |\activities. d. |\Being |\unaware |\of |\medication |\action |\and |\side |\effects. |- |\CORRECT |
ANSWERS |\✔✔a. |\Refusal |\to |\eat |\or |\bathe.