Nursing Concepts for Psychiatric/Mental Health Exam 1
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1. The primary impact that the development and use of psychotropic drugs had
on nursing's role in the care of clients with mental health disorders was:
A. The availability of mental health therapies as an outpatient service.
B. The expansion of the role assumed by professionally trained nurses.
C. Nurses were needed to fill the gap created by a lack of medical personnel.
D. More nurses were required to address the needs of the now treatable mental
health clients.: B. The expansion of the role assumed by professionally trained nurses.
2. Which nursing activity demonstrates the role of a professional psychiatric
nurse as identified by Hildegard Peplau?
A. Managing the milieu
B. Caring for the client's physiological needs
C. Providing counseling
D. Documenting client behaviors: C. Providing counseling
3. Which nursing activity is a direct result of the Community Mental Health
Centers Act of 1963?
A. Being a member of a client's multidisciplinary treatment team
B. Performing an extensive admissions assessment for each hospitalized client
C. Using physical restraints as only the last resort when client safety requires it
D. Educating a client on the role of neurotransmitters in chronic depression: A.
Being a member of a client's multidisciplinary treatment team
4. What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH)
from the Psychiatric-Mental Health Advanced Practice Registered Nurse
(APRN-PMH)?
A. Only the APRN-PMH is responsible for milieu management.
B. The APRN-PMH exercises a greater degree of autonomy when providing
care.
C. Only the RN-PMH provides medication education to the client.
D. The RN-PMH has less experience working with the mentally ill.: B. The APRN-PMH
exercises a greater degree of autonomy when providing care.
5. In order to become political advocates for the mentally ill, psychiatric nurses
must first:
A. Be willing to learn the legislative and regulatory processes at both the federal
, Nursing Concepts for Psychiatric/Mental Health Exam 1
Study online at https://quizlet.com/_bng99s
and state levels.
B. Recognize the need to work in partnership with the American Medical Asso-
ciation.
C. Be willing to put aside differences and unite for a common mental health
cause.
D. Recognize the value of their understanding of the needs of the mentally ill.: D.
Recognize the value of their understanding of the needs of the mentally ill.
6. The nurse demonstrates an understanding of the first assumption of Stuart's
Stress Adaptation Model when:
A. Encouraging a client's adult children to accompany their parent to family
group therapy sessions.
B. Discussing with a client's health team which interventions should be included
in the plan of care.
C. Planning interventions based on a particular nursing theory that is relevant
to the client's problem.
D. Identifying community resources that will help a mentally ill client live in his
own home.: A. Encouraging a client's adult children to accompany their parent to family group therapy sessions.
7. A young adult tells the nurse at the local free clinic that he is currently living
in his car and panhandling for money. The nurse asks the individual the reason
for his decision to live as he does. Which response will the nurse follow up on
to determine if the individual is experiencing mental health issues?
A. "I'll live in a house and get a job when the government gives everyone those
opportunities."
B. "I live like this for 3 months each year just to remind myself how much I really
have."
C. "This way they can't find me and if they can't find me they can't hurt me."
D. "The law says I can live any way I want to as long as I'm not hurting
anyone.": C. "This way they can't find me and if they can't find me they can't hurt me."
8. Which statement by an older adult who has recently had hip replacement
surgery supports that her positive attitude is contributing to her mental health
wellness?
A. "I know I can't go hiking like I did, but I really miss it so much."
, Nursing Concepts for Psychiatric/Mental Health Exam 1
Study online at https://quizlet.com/_bng99s
B. "I can't go hiking, but I still enjoy walking in the park in the afternoon."
C. "If I work really hard in rehab, I think I'll be able to hike again next spring."
D. "Hiking gave me such pleasure, but if I can't hike, I'll just have to get used to
it.": B. "I can't go hiking, but I still enjoy walking in the park in the afternoon."
9. Which statement made by a teenager indicates an increased risk for poor
stress management as a result of a psychosocial factor?
A. "I couldn't survive if my boyfriend left me."
B. "My father tried to kill himself when I was 10 years old."
C. "Our religion does not accept homosexuality as a lifestyle choice."
D. "In my culture mental illness is thought of as a punishment not a sickness.": A.
"I couldn't survive if my boyfriend left me."
10. What is the long-term benefit of successfully implementing a constructive
coping mechanism?
A. Similar stressors will no longer have a negative affect in the future.
B. One's ability to avoid stressors in the future is greatly improved.
C. Stress is no longer viewed as a barrier to future happiness and success.
D. Confidence in one's ability to manage stress in the future is reinforced.: D.
Confidence in one's ability to manage stress in the future is reinforced.
11. The client's chart indicates that she has experienced trauma to the cerebral
cortex as a result of injuries sustained during an attempted suicide. Which
observation is most likely the result of this injury?
A. Client is often found crying into her pillow.
B. Client demonstrates involuntary twitching of facial muscles.
C. Client states, "What do you mean 'it's raining cats and dogs'?"
D. Client asks, "Can you address this letter to my mom; I forget her address?": C.
Client states, "What do you mean 'it's raining cats and dogs'?"
12. A client suspected of being schizophrenic is scheduled for a computed to-
mography (CT). The nurse informs the client that the diagnostic test will:
A. Confirm the diagnosis of schizophrenia.
B. Trace the flow of blood through his brain.
C. Allow the doctors to view the structures of his brain.
, Nursing Concepts for Psychiatric/Mental Health Exam 1
Study online at https://quizlet.com/_bng99s
D. Help determine the areas of his brain that are overreacting.: C. Allow the doctors to
view the structures of his brain.
13. A client diagnosed with depression has reported fatigue and poor concen-
tration. When she is told that the results of her sleep study show that she has
excessive REM sleep cycles, the client asks the nurse to explain what those
results mean. The nurse best answers the client's concerns by replying:
A. "It means that you are sleep deprived."
B. "REM sleep stands for rapid eye movement sleep."
C. "Too much REM sleep deprives you of deep restoring sleep."
D. "Depressed individuals generally experience prolonged periods of REM
sleep.": C. "Too much REM sleep deprives you of deep restoring sleep."
14. The greatest benefit derived from current work being done related to phar-
macogenetics is that:
A. The cost of medication manufacturing will be drastically reduced.
B. Research and development of new drugs will be much less costly.
C. Medications will be designed so that they do not cause unwanted side
effects.
D. Medications will be formulated so that only one dose per day will be re-
quired.: C. Medications will be designed so that they do not cause unwanted side effects.
15. The psychiatric nurse best demonstrates an understanding of the general
health challenges facing a mentally ill client who reports auditory hallucina-
tions when asking:
A. "When did you first start hearing voices?"
B. "What did you have to eat last night for supper?"
C. "May I have your permission to take your blood pressure?"
D. "Do you understand why you need to take your medication?": C. "May I have your
permission to take your blood pressure?"
16. The mental health nurse is about to conduct an admissions interview with
an older adult being admitted for depression. Which action demonstrates
an understanding of the appropriate integration of the mental health status
examination into an assessment interview?
A. Conducting the interview in a quiet, private location
Study online at https://quizlet.com/_bng99s
1. The primary impact that the development and use of psychotropic drugs had
on nursing's role in the care of clients with mental health disorders was:
A. The availability of mental health therapies as an outpatient service.
B. The expansion of the role assumed by professionally trained nurses.
C. Nurses were needed to fill the gap created by a lack of medical personnel.
D. More nurses were required to address the needs of the now treatable mental
health clients.: B. The expansion of the role assumed by professionally trained nurses.
2. Which nursing activity demonstrates the role of a professional psychiatric
nurse as identified by Hildegard Peplau?
A. Managing the milieu
B. Caring for the client's physiological needs
C. Providing counseling
D. Documenting client behaviors: C. Providing counseling
3. Which nursing activity is a direct result of the Community Mental Health
Centers Act of 1963?
A. Being a member of a client's multidisciplinary treatment team
B. Performing an extensive admissions assessment for each hospitalized client
C. Using physical restraints as only the last resort when client safety requires it
D. Educating a client on the role of neurotransmitters in chronic depression: A.
Being a member of a client's multidisciplinary treatment team
4. What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH)
from the Psychiatric-Mental Health Advanced Practice Registered Nurse
(APRN-PMH)?
A. Only the APRN-PMH is responsible for milieu management.
B. The APRN-PMH exercises a greater degree of autonomy when providing
care.
C. Only the RN-PMH provides medication education to the client.
D. The RN-PMH has less experience working with the mentally ill.: B. The APRN-PMH
exercises a greater degree of autonomy when providing care.
5. In order to become political advocates for the mentally ill, psychiatric nurses
must first:
A. Be willing to learn the legislative and regulatory processes at both the federal
, Nursing Concepts for Psychiatric/Mental Health Exam 1
Study online at https://quizlet.com/_bng99s
and state levels.
B. Recognize the need to work in partnership with the American Medical Asso-
ciation.
C. Be willing to put aside differences and unite for a common mental health
cause.
D. Recognize the value of their understanding of the needs of the mentally ill.: D.
Recognize the value of their understanding of the needs of the mentally ill.
6. The nurse demonstrates an understanding of the first assumption of Stuart's
Stress Adaptation Model when:
A. Encouraging a client's adult children to accompany their parent to family
group therapy sessions.
B. Discussing with a client's health team which interventions should be included
in the plan of care.
C. Planning interventions based on a particular nursing theory that is relevant
to the client's problem.
D. Identifying community resources that will help a mentally ill client live in his
own home.: A. Encouraging a client's adult children to accompany their parent to family group therapy sessions.
7. A young adult tells the nurse at the local free clinic that he is currently living
in his car and panhandling for money. The nurse asks the individual the reason
for his decision to live as he does. Which response will the nurse follow up on
to determine if the individual is experiencing mental health issues?
A. "I'll live in a house and get a job when the government gives everyone those
opportunities."
B. "I live like this for 3 months each year just to remind myself how much I really
have."
C. "This way they can't find me and if they can't find me they can't hurt me."
D. "The law says I can live any way I want to as long as I'm not hurting
anyone.": C. "This way they can't find me and if they can't find me they can't hurt me."
8. Which statement by an older adult who has recently had hip replacement
surgery supports that her positive attitude is contributing to her mental health
wellness?
A. "I know I can't go hiking like I did, but I really miss it so much."
, Nursing Concepts for Psychiatric/Mental Health Exam 1
Study online at https://quizlet.com/_bng99s
B. "I can't go hiking, but I still enjoy walking in the park in the afternoon."
C. "If I work really hard in rehab, I think I'll be able to hike again next spring."
D. "Hiking gave me such pleasure, but if I can't hike, I'll just have to get used to
it.": B. "I can't go hiking, but I still enjoy walking in the park in the afternoon."
9. Which statement made by a teenager indicates an increased risk for poor
stress management as a result of a psychosocial factor?
A. "I couldn't survive if my boyfriend left me."
B. "My father tried to kill himself when I was 10 years old."
C. "Our religion does not accept homosexuality as a lifestyle choice."
D. "In my culture mental illness is thought of as a punishment not a sickness.": A.
"I couldn't survive if my boyfriend left me."
10. What is the long-term benefit of successfully implementing a constructive
coping mechanism?
A. Similar stressors will no longer have a negative affect in the future.
B. One's ability to avoid stressors in the future is greatly improved.
C. Stress is no longer viewed as a barrier to future happiness and success.
D. Confidence in one's ability to manage stress in the future is reinforced.: D.
Confidence in one's ability to manage stress in the future is reinforced.
11. The client's chart indicates that she has experienced trauma to the cerebral
cortex as a result of injuries sustained during an attempted suicide. Which
observation is most likely the result of this injury?
A. Client is often found crying into her pillow.
B. Client demonstrates involuntary twitching of facial muscles.
C. Client states, "What do you mean 'it's raining cats and dogs'?"
D. Client asks, "Can you address this letter to my mom; I forget her address?": C.
Client states, "What do you mean 'it's raining cats and dogs'?"
12. A client suspected of being schizophrenic is scheduled for a computed to-
mography (CT). The nurse informs the client that the diagnostic test will:
A. Confirm the diagnosis of schizophrenia.
B. Trace the flow of blood through his brain.
C. Allow the doctors to view the structures of his brain.
, Nursing Concepts for Psychiatric/Mental Health Exam 1
Study online at https://quizlet.com/_bng99s
D. Help determine the areas of his brain that are overreacting.: C. Allow the doctors to
view the structures of his brain.
13. A client diagnosed with depression has reported fatigue and poor concen-
tration. When she is told that the results of her sleep study show that she has
excessive REM sleep cycles, the client asks the nurse to explain what those
results mean. The nurse best answers the client's concerns by replying:
A. "It means that you are sleep deprived."
B. "REM sleep stands for rapid eye movement sleep."
C. "Too much REM sleep deprives you of deep restoring sleep."
D. "Depressed individuals generally experience prolonged periods of REM
sleep.": C. "Too much REM sleep deprives you of deep restoring sleep."
14. The greatest benefit derived from current work being done related to phar-
macogenetics is that:
A. The cost of medication manufacturing will be drastically reduced.
B. Research and development of new drugs will be much less costly.
C. Medications will be designed so that they do not cause unwanted side
effects.
D. Medications will be formulated so that only one dose per day will be re-
quired.: C. Medications will be designed so that they do not cause unwanted side effects.
15. The psychiatric nurse best demonstrates an understanding of the general
health challenges facing a mentally ill client who reports auditory hallucina-
tions when asking:
A. "When did you first start hearing voices?"
B. "What did you have to eat last night for supper?"
C. "May I have your permission to take your blood pressure?"
D. "Do you understand why you need to take your medication?": C. "May I have your
permission to take your blood pressure?"
16. The mental health nurse is about to conduct an admissions interview with
an older adult being admitted for depression. Which action demonstrates
an understanding of the appropriate integration of the mental health status
examination into an assessment interview?
A. Conducting the interview in a quiet, private location
