Test Bank: Psychiatric and Mental Health Nursing for
Canadian Practice Latest Edition - Ch. 1-35,
9781496384874, with Rationales
Exam #1 Mental Health
1. One characteristics of mental health that allows people to adapt to tragedies, trauma,
and loss is:
A. Dependence
B. Resilience
C. Pessimism
D. Altruism
B. Resilience
2. You and Jack are two of the nurses working on the psychiatric unit. Jack mentions to
you that the biological model for mental illness is the one he embraces, and states "it's the
only one I really believe." Which of the following statements is true regarding believing in
only the biological model?
A. The biological model is the oldest and most reliable model for explaining mental illness.
B. The biological model does not explain every symptom of mental illness.
C. The biological model is the most popular theory among leading psychiatrists and
therefore the one that should be fully embraced.
D. In believing only the biological model, other influences on mental health including
cultural, environmental, social, and spiritual influences are not taken into account.
,D. In believing only the biological model, other influences on mental health including cultural,
environmental, social, and spiritual influences are not taken into account.
3. Vanessa's provider writes orders including medication to treat her depression. Based on
current understanding of brain physiology, which of the following neurotransmitters would
you expect to see targeted c the medication ordered?
A. Dopamine
B. GABA
C. Serotonin/Norepinephrine
D. Acetylcholine
C. Serotonin/Norepinephrine
4. Which of the following structural safety precautions is most important to prevent the
most common type of inpatient suicides?
A. Break-away closet bars to prevent hanging
B. Bedroom and dining areas with locked windows to prevent jumping
C. Double-locked doors to prevent escaping from the unit
D. Platform beds to prevent crush injuries
A. Break-away closet bars to prevent hanging
5. Josefina Juarez, aged 36 years, comes to the mental health clinic where you work after
being referred by her primary care provider. Josefina came to live in the US from Brazil 5
years ago. She is now a single mother to 6 children, ages 2 to 15, following the death of her
husband last year. During the initial intake assessment, Josefina tells you her problem is
that she has headaches and backaches "almost every day" and "can't sleep at night." She
, shakes her head no and looks away when asked about anxiety or depression and states she
does not know why she was referred to the mental health clinic. You recognize that Josefina
may be exhibiting:
A. regression.
B. somatization.
C. enculturation.
D. assimilation.
B. somatization
6. You are working on an inpatient psychiatric unit and caring for Elizabeth, who is
becoming agitated. You speak with Elizabeth one to one in a private setting, finding out the
reason for the agitation, and then assist Elizabeth with ways to calm down, possibly
including prn medication to prevent further escalation of Elizabeth's agitation, which could
lead to seclusion and/or restraints. You are making care decisions based on:
A. Writ of habeas corpus
B. Least restrictive alternative doctrine
C. Veracity
D. Bioethics
B. Least restrictive alternative doctrine
7. Joel is a 43-year-old patient being seen in the mental health clinical c depression. Joel
states "I have always been a practicing Jew, but in the past few mos. I am questioning
everything. I just don't know if I believe in it anymore. Which of the following nursing
diagnoses best describes Joel's comment?
Canadian Practice Latest Edition - Ch. 1-35,
9781496384874, with Rationales
Exam #1 Mental Health
1. One characteristics of mental health that allows people to adapt to tragedies, trauma,
and loss is:
A. Dependence
B. Resilience
C. Pessimism
D. Altruism
B. Resilience
2. You and Jack are two of the nurses working on the psychiatric unit. Jack mentions to
you that the biological model for mental illness is the one he embraces, and states "it's the
only one I really believe." Which of the following statements is true regarding believing in
only the biological model?
A. The biological model is the oldest and most reliable model for explaining mental illness.
B. The biological model does not explain every symptom of mental illness.
C. The biological model is the most popular theory among leading psychiatrists and
therefore the one that should be fully embraced.
D. In believing only the biological model, other influences on mental health including
cultural, environmental, social, and spiritual influences are not taken into account.
,D. In believing only the biological model, other influences on mental health including cultural,
environmental, social, and spiritual influences are not taken into account.
3. Vanessa's provider writes orders including medication to treat her depression. Based on
current understanding of brain physiology, which of the following neurotransmitters would
you expect to see targeted c the medication ordered?
A. Dopamine
B. GABA
C. Serotonin/Norepinephrine
D. Acetylcholine
C. Serotonin/Norepinephrine
4. Which of the following structural safety precautions is most important to prevent the
most common type of inpatient suicides?
A. Break-away closet bars to prevent hanging
B. Bedroom and dining areas with locked windows to prevent jumping
C. Double-locked doors to prevent escaping from the unit
D. Platform beds to prevent crush injuries
A. Break-away closet bars to prevent hanging
5. Josefina Juarez, aged 36 years, comes to the mental health clinic where you work after
being referred by her primary care provider. Josefina came to live in the US from Brazil 5
years ago. She is now a single mother to 6 children, ages 2 to 15, following the death of her
husband last year. During the initial intake assessment, Josefina tells you her problem is
that she has headaches and backaches "almost every day" and "can't sleep at night." She
, shakes her head no and looks away when asked about anxiety or depression and states she
does not know why she was referred to the mental health clinic. You recognize that Josefina
may be exhibiting:
A. regression.
B. somatization.
C. enculturation.
D. assimilation.
B. somatization
6. You are working on an inpatient psychiatric unit and caring for Elizabeth, who is
becoming agitated. You speak with Elizabeth one to one in a private setting, finding out the
reason for the agitation, and then assist Elizabeth with ways to calm down, possibly
including prn medication to prevent further escalation of Elizabeth's agitation, which could
lead to seclusion and/or restraints. You are making care decisions based on:
A. Writ of habeas corpus
B. Least restrictive alternative doctrine
C. Veracity
D. Bioethics
B. Least restrictive alternative doctrine
7. Joel is a 43-year-old patient being seen in the mental health clinical c depression. Joel
states "I have always been a practicing Jew, but in the past few mos. I am questioning
everything. I just don't know if I believe in it anymore. Which of the following nursing
diagnoses best describes Joel's comment?
