Mental health nursing final exam
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1. Which situations qualify as abandonment on the part of a nurse? (Select all
that apply.)
A) The nurse terminates employment without referring a seriously mentally ill
patient for aftercare.
B) The nurse asks another nurse to provide a patient's care because of concerns
about countertransference.
C) The nurse calls police to bring a suicidal patient to the hospital after a suicide
attempt.
D) The nurse refers a patient with persistent paranoid schizophrenia to com-
munity treatment.
E) The nurse allows a patient with acute mania to refuse hospitalization without
taking further action.: A) The nurse terminates employment without referring a seriously mentally ill patient
for aftercare.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further action.
2. The goal for a patient is to increase resiliency. Which outcome should the
nurse add to the plan of care to be achieved within three days?
A) patient will describe feelings associated with loss and stress
B) patient will identify healthy coping behaviors in response to stressful events
C) patient will allow others to assume responsibility for major areas of own life
D) patient will meet own needs before considering the rights of others: B) patient
will identify healthy coping behaviors in response to stressful events
3. A patient tells a nurse, "I have psychiatric problems and am in and out of
hospitals all the time. Not one of my friends or relatives has these problems."
What is the nurse's best response?
A) "comparing yourself with others has no real advantages."
B) "mental illness affects 50% of the adult population in any given year"
C) "why do you blame yourself for having a psychiatric illness?"
D) "are you concerned that others don't experience the same challenges as
you?": D) are you concerned others don't experience the same challenges as you
4. A critical care nurse asks a psychiatric nurse about the difference between a
diagnosis in the Diagnostic and Statistical manual of Mental disorders (DSM-5)
and a nursing diagnosis. What is the psychiatric nurse's best response?
, Mental health nursing final exam
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A) "the DSM-5 diagnosis disregards culture, whereas the nursing diagnosis
includes cultural variables"
B) " the DSM-5 diagnosis influences the medical treatment, the nursing diag-
nosis offers a framework to identify interventions for problems a patient may
experience."
C) "no functional difference exists between the two diagnoses. both serve to
identify a human deviance"
D) "the DSM-5 diagnosis profiles present distress or disability, whereas a nurs-
ing diagnosis considers past and present responses to actual mental health
problems": B) "the DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a framework
to identify interventions for problems a patient has or may experience"
5. A patient's history shows intense and unstable relationships with others. The
patient initially idealizes an individual and then devalues the person when the
patient's needs are not met. Which aspect of mental health is a problem for
this patient?
A) maintaining relationships
B) communication skills
C) effectiveness in work
D) productive activities: A) maintaining relationships
6. In the majority culture of the United States, which individual is at greatest risk
to be incorrectly labeled mentally ill?
A) person who expresses strong beliefs about the existence of alien abduc-
tions.
B) Wealthy person who gives $20 bills to needy individuals in the community
C) person who is usually pessimistic but strives to meet personal goals
D) person with an optimistic viewpoint about getting his or her own needs met:
7. A 26-month-old child displays negative behaviors. The parent says, "My child
refuses toilet training and shouts, 'No!' when given direction. What do you think
is wrong?" Select the nurse's best reply.
A) "this is normal for your child's age. the child is striving for independence."
B) "some undesirable attitudes are developing. a child psychologist can help
you develop a remedial plan."
, Mental health nursing final exam
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C) "the child needs firmer control. punish the child for disobedience and say
"no"."
D) "there may be developmental problems. most children are toilet trained by
age 2 years.": A) "this is normal for you child's age. the child is striving for independence"
8. A 26-month-old child displays negative behavior, refuses toilet training, and
often shouts, "No!" when given direction. The nurse's counseling with the
parent should be based on the premise that the child is engaged in which of
Erikson's psychosocial crises?
A) trust versus mistrust
B) autonomy versus shame and doubt
C) initiative versus guilt
D) industry versus inferiority: B) autonomy versus shame and doubt
9. A 4-year-old child grabs toys from siblings, saying, "I want that toy now!" The
siblings cry, and the child's parent becomes upset with the behavior. Using
the Freudian theory, a nurse can interpret the child's behavior as a product of
impulses originating in the:
A) id
B) superego
C) ego
D) preconscious: A) id
10. The parent of a 4 year old rewards and praises the child for helping a younger
sibling, being polite, and using good manners. A nurse supports the use of
praise because, according to the Freudian theory, these qualities will likely be
internalized and become what part of the child's personality?
A) preconscious
B) id
C) ego
D) superego: D) superego
11. A nurse assesses that a patient is suspicious and frequently manipulates oth-
ers. Using the Freudian theory, these traits are related to which psychosexual
stage?
A) anal
, Mental health nursing final exam
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B) oral
C) genital
D) phallic: B) oral
12. A nurse listens to a group of recent retirees. One says, "I volunteer with Meals
on Wheels, coach teen sports, and do church visitation." Another laughs and
says, "I'm too busy taking care of myself to volunteer. I don't have time to help
others." These comments contrast which developmental tasks?
A) trust vs mistrust
B) industry vs inferiority
C) intimacy vs isolation
D) generativity vs self-absorption: D) generativity vs self-absorption
13. A nurse uses Maslow's hierarchy of needs to plan care for a psychotic patient.
Which problem will receive priority?
A) is reluctant to participate in unit social activities
B) reports feelings of alienation from family
C) needs to be taught about medication action and side effects
D) refuses to eat or bathe: D) refuses to eat or bathe
14. The parent of a child diagnosed with schizophrenia tearfully asks a nurse,
"What could I have done differently to prevent this illness?" Select the nurse's
most caring response.
A) "although schizophrenia is caused by impaired family relationships, try not
to feel guilty. no one can predict how a child will respond to parental guidance"
B) "most of the damage is done, but there is still hope. changing your parenting
style can help your child learn to cope more effectively with the environment"
C) "most mental illnesses result from genetic inheritance. your genes are more
at fault than your parenting"
D) "schizophrenia is a biological illness with similarities to diabetes and heart
disease. you are not to blame for your child's illness": D) "schizophrenia is a biological illness
with similarities to diabetes and heart disease. you are not to blame for your child's illness."
15. A nurse psychotherapist works with an anxious, dependent patient. What
therapeutic strategy is most consistent with the framework of psychoanalytic
psychotherapy?
Study online at https://quizlet.com/_a5qo6l
1. Which situations qualify as abandonment on the part of a nurse? (Select all
that apply.)
A) The nurse terminates employment without referring a seriously mentally ill
patient for aftercare.
B) The nurse asks another nurse to provide a patient's care because of concerns
about countertransference.
C) The nurse calls police to bring a suicidal patient to the hospital after a suicide
attempt.
D) The nurse refers a patient with persistent paranoid schizophrenia to com-
munity treatment.
E) The nurse allows a patient with acute mania to refuse hospitalization without
taking further action.: A) The nurse terminates employment without referring a seriously mentally ill patient
for aftercare.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further action.
2. The goal for a patient is to increase resiliency. Which outcome should the
nurse add to the plan of care to be achieved within three days?
A) patient will describe feelings associated with loss and stress
B) patient will identify healthy coping behaviors in response to stressful events
C) patient will allow others to assume responsibility for major areas of own life
D) patient will meet own needs before considering the rights of others: B) patient
will identify healthy coping behaviors in response to stressful events
3. A patient tells a nurse, "I have psychiatric problems and am in and out of
hospitals all the time. Not one of my friends or relatives has these problems."
What is the nurse's best response?
A) "comparing yourself with others has no real advantages."
B) "mental illness affects 50% of the adult population in any given year"
C) "why do you blame yourself for having a psychiatric illness?"
D) "are you concerned that others don't experience the same challenges as
you?": D) are you concerned others don't experience the same challenges as you
4. A critical care nurse asks a psychiatric nurse about the difference between a
diagnosis in the Diagnostic and Statistical manual of Mental disorders (DSM-5)
and a nursing diagnosis. What is the psychiatric nurse's best response?
, Mental health nursing final exam
Study online at https://quizlet.com/_a5qo6l
A) "the DSM-5 diagnosis disregards culture, whereas the nursing diagnosis
includes cultural variables"
B) " the DSM-5 diagnosis influences the medical treatment, the nursing diag-
nosis offers a framework to identify interventions for problems a patient may
experience."
C) "no functional difference exists between the two diagnoses. both serve to
identify a human deviance"
D) "the DSM-5 diagnosis profiles present distress or disability, whereas a nurs-
ing diagnosis considers past and present responses to actual mental health
problems": B) "the DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a framework
to identify interventions for problems a patient has or may experience"
5. A patient's history shows intense and unstable relationships with others. The
patient initially idealizes an individual and then devalues the person when the
patient's needs are not met. Which aspect of mental health is a problem for
this patient?
A) maintaining relationships
B) communication skills
C) effectiveness in work
D) productive activities: A) maintaining relationships
6. In the majority culture of the United States, which individual is at greatest risk
to be incorrectly labeled mentally ill?
A) person who expresses strong beliefs about the existence of alien abduc-
tions.
B) Wealthy person who gives $20 bills to needy individuals in the community
C) person who is usually pessimistic but strives to meet personal goals
D) person with an optimistic viewpoint about getting his or her own needs met:
7. A 26-month-old child displays negative behaviors. The parent says, "My child
refuses toilet training and shouts, 'No!' when given direction. What do you think
is wrong?" Select the nurse's best reply.
A) "this is normal for your child's age. the child is striving for independence."
B) "some undesirable attitudes are developing. a child psychologist can help
you develop a remedial plan."
, Mental health nursing final exam
Study online at https://quizlet.com/_a5qo6l
C) "the child needs firmer control. punish the child for disobedience and say
"no"."
D) "there may be developmental problems. most children are toilet trained by
age 2 years.": A) "this is normal for you child's age. the child is striving for independence"
8. A 26-month-old child displays negative behavior, refuses toilet training, and
often shouts, "No!" when given direction. The nurse's counseling with the
parent should be based on the premise that the child is engaged in which of
Erikson's psychosocial crises?
A) trust versus mistrust
B) autonomy versus shame and doubt
C) initiative versus guilt
D) industry versus inferiority: B) autonomy versus shame and doubt
9. A 4-year-old child grabs toys from siblings, saying, "I want that toy now!" The
siblings cry, and the child's parent becomes upset with the behavior. Using
the Freudian theory, a nurse can interpret the child's behavior as a product of
impulses originating in the:
A) id
B) superego
C) ego
D) preconscious: A) id
10. The parent of a 4 year old rewards and praises the child for helping a younger
sibling, being polite, and using good manners. A nurse supports the use of
praise because, according to the Freudian theory, these qualities will likely be
internalized and become what part of the child's personality?
A) preconscious
B) id
C) ego
D) superego: D) superego
11. A nurse assesses that a patient is suspicious and frequently manipulates oth-
ers. Using the Freudian theory, these traits are related to which psychosexual
stage?
A) anal
, Mental health nursing final exam
Study online at https://quizlet.com/_a5qo6l
B) oral
C) genital
D) phallic: B) oral
12. A nurse listens to a group of recent retirees. One says, "I volunteer with Meals
on Wheels, coach teen sports, and do church visitation." Another laughs and
says, "I'm too busy taking care of myself to volunteer. I don't have time to help
others." These comments contrast which developmental tasks?
A) trust vs mistrust
B) industry vs inferiority
C) intimacy vs isolation
D) generativity vs self-absorption: D) generativity vs self-absorption
13. A nurse uses Maslow's hierarchy of needs to plan care for a psychotic patient.
Which problem will receive priority?
A) is reluctant to participate in unit social activities
B) reports feelings of alienation from family
C) needs to be taught about medication action and side effects
D) refuses to eat or bathe: D) refuses to eat or bathe
14. The parent of a child diagnosed with schizophrenia tearfully asks a nurse,
"What could I have done differently to prevent this illness?" Select the nurse's
most caring response.
A) "although schizophrenia is caused by impaired family relationships, try not
to feel guilty. no one can predict how a child will respond to parental guidance"
B) "most of the damage is done, but there is still hope. changing your parenting
style can help your child learn to cope more effectively with the environment"
C) "most mental illnesses result from genetic inheritance. your genes are more
at fault than your parenting"
D) "schizophrenia is a biological illness with similarities to diabetes and heart
disease. you are not to blame for your child's illness": D) "schizophrenia is a biological illness
with similarities to diabetes and heart disease. you are not to blame for your child's illness."
15. A nurse psychotherapist works with an anxious, dependent patient. What
therapeutic strategy is most consistent with the framework of psychoanalytic
psychotherapy?
