Nursing Mental Health Exam 1 comprehensive Questions and Answers with
100% Correct Answers | Latest Version Already Graded A+
Medical insurance coverage for medical illnesses is greater than for psychiatric illnesses. What term best
describes this discrepancy?
Medical noncompliance.
Stigmatism related to medical coverage.
Lack of parity.
Limited access to services. - (ANSWER)Lack of parity.
Rationale: Parity refers to the various inequities inherent in any health care system. Many health plans
cover the costs of psychotropic drugs at far lower rates than they do for other medications. Health care
inequities are largely a result of social values and perceived significance. A gap exists between the most
effective treatments available and what people actually receive. It is difficult for clients and families to
determine what services are needed and where to find them, which causes limited access to services.
Medication noncompliance occurs when clients do not take their medications as prescribed.
Which is the most influencing factor that complicates the treatment of people with mental illness in the
Unites States?
Lack of effective treatments
Increased responsibility for care by state mental hospitals
Insurers' reimbursement decisions
Overuse of the well-coordinated mental health care system - (ANSWER)Insurers' reimbursement
decisions
Rationale: A goal of behavioral health managed care has been to reduce hospital admissions, which are
the most expensive part of psychiatric care. Unfortunately, some managed care "gatekeepers" have
denied or restricted access to needed services and therefore have added to the discouragement,
distress, and even despair of clients and their families.
What nursing action demonstrates the intended impact of the American Nurses Association (ANA)
standards of care on mental health nursing care?
,Nursing Mental Health Exam 1 comprehensive Questions and Answers with
100% Correct Answers | Latest Version Already Graded A+
Citing the standards as a guide for determining the delegation of care.
Using the standards to determine if a nurse's action is considered criminally negligent.
Using the standards as a guide to identify advanced level nursing functions.
Referring to the standards to determine if a particularly prescribed treatment falls within the scope of a
nurse's practice. - (ANSWER)Referring to the standards to determine if a particularly prescribed
treatment falls within the scope of a nurse's practice.
Rationale: The American Nurses Association (ANA) develops standards of care as authoritative
statements by professional organizations that describe the responsibilities for which nurses are
accountable, thus identifying the nurse's scope of practice. They are not legally binding unless they are
incorporated into the state nurse practice act or state board rules and regulations. When legal problems
or lawsuits arise, these professional standards are used to determine safe and acceptable practice and to
assess the quality of care in the court of law. Neither identifying advanced level functions or safety
delegation principles are directly associated with the ANAs nursing standards.
Which is a difference between counseling and psychotherapy?
Counseling may be used in the care of acutely psychotic clients, but psychotherapy is contraindicated.
Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an advanced
practice role.
Transference and countertransference are significant obstacles in psychotherapy that can be avoided in a
counseling mode.
Psychotherapy is reserved for clients who have a documented history of failing to respond to counseling.
- (ANSWER)Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an
advanced practice role.
Rationale: The psychiatric nurse uses counseling interventions, but psychotherapy requires advanced
certification according to the American Nurses Association. Psychotherapy is not reserved solely for
those who have not responded to counseling. Transference and countertransference are significant
obstacles in both modes, and neither intervention is appropriate during acute psychotic episodes.
,Nursing Mental Health Exam 1 comprehensive Questions and Answers with
100% Correct Answers | Latest Version Already Graded A+
Chlorpromazine is a drug in which classification?
Antidepressant
Antianxiety
Antipsychotic
Antimanic - (ANSWER)Antipsychotic
Rationale:
Thorazine is a first generation antipsychotic medication.
What percentage of adults requiring mental health services get the care they need? - (ANSWER)0.25
Rationale:
Only about 25%, or 1 in 4, of adults requiring mental health services get the care that they need.
Initially, the nurse should focus on successfully achieving which goal in order to effectively provide care
for a client diagnosed with a mental illness?
Promoting friendship within the relationship
Setting reasonable limits early in the relationship
Establishing trust and rapport with the client
Offering sound advice concerning the client's primary problem - (ANSWER)Establishing trust and rapport
with the client
Rationale: Establishing trust and rapport are the most important components when caring for a client
with mental illness. Without this foundation, therapeutic nursing care is not possible. The nurse does not
offer advice but rather works with the client to arrive at effective solutions to existing problems.
Reasonable limits regarding the actual work that is accomplished is important but limits can't be set or
enforced until there is a therapeutic relationship established. The nurse-client relationship is therapeutic
in its nature; it does not involve a social friendship.
, Nursing Mental Health Exam 1 comprehensive Questions and Answers with
100% Correct Answers | Latest Version Already Graded A+
Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice?
Conducting family therapy
Promoting symptom management
Managing psychotropic medications
Interpreting laboratory tests - (ANSWER)Promoting symptom management
Rationale: Basic psychiatric-mental health nurses promote and encourage the maintenance of health and
prevention of disorders, assess biopsychosocial functioning, serve as case managers, design therapeutic
environments, and promote self-care activities, including medication and symptom management. At the
advanced level, psychiatric-mental health nurses deliver comprehensive primary mental health services.
Functions include teaching and screening, performing preventive interventions, and evaluating and
managing care for people with mental illness.
Which intervention is focused on a goal included in Healthy People 2020 Mental Health objectives?
Including a depression screening in the assessment interview conducted by the staff of a group of family
practitioners
Assuring a teenage client diagnosed with anorexia that their condition will be cured
Providing the local police with an in-service on effectively medicating agitated individuals
Opening a homeless shelter especially for those demonstrating behaviors associated with mania -
(ANSWER)Including a depression screening in the assessment interview conducted by the staff of a
group of family practitioners
Rationale: One of the Healthy People 2020 Mental Health objectives is to increase depression screening
by primary care providers. While the remaining options may present positive interventions, none are
directly associated with Healthy People 2020 Mental Health objectives.
Which is an inaccurate depiction of self-awareness?
100% Correct Answers | Latest Version Already Graded A+
Medical insurance coverage for medical illnesses is greater than for psychiatric illnesses. What term best
describes this discrepancy?
Medical noncompliance.
Stigmatism related to medical coverage.
Lack of parity.
Limited access to services. - (ANSWER)Lack of parity.
Rationale: Parity refers to the various inequities inherent in any health care system. Many health plans
cover the costs of psychotropic drugs at far lower rates than they do for other medications. Health care
inequities are largely a result of social values and perceived significance. A gap exists between the most
effective treatments available and what people actually receive. It is difficult for clients and families to
determine what services are needed and where to find them, which causes limited access to services.
Medication noncompliance occurs when clients do not take their medications as prescribed.
Which is the most influencing factor that complicates the treatment of people with mental illness in the
Unites States?
Lack of effective treatments
Increased responsibility for care by state mental hospitals
Insurers' reimbursement decisions
Overuse of the well-coordinated mental health care system - (ANSWER)Insurers' reimbursement
decisions
Rationale: A goal of behavioral health managed care has been to reduce hospital admissions, which are
the most expensive part of psychiatric care. Unfortunately, some managed care "gatekeepers" have
denied or restricted access to needed services and therefore have added to the discouragement,
distress, and even despair of clients and their families.
What nursing action demonstrates the intended impact of the American Nurses Association (ANA)
standards of care on mental health nursing care?
,Nursing Mental Health Exam 1 comprehensive Questions and Answers with
100% Correct Answers | Latest Version Already Graded A+
Citing the standards as a guide for determining the delegation of care.
Using the standards to determine if a nurse's action is considered criminally negligent.
Using the standards as a guide to identify advanced level nursing functions.
Referring to the standards to determine if a particularly prescribed treatment falls within the scope of a
nurse's practice. - (ANSWER)Referring to the standards to determine if a particularly prescribed
treatment falls within the scope of a nurse's practice.
Rationale: The American Nurses Association (ANA) develops standards of care as authoritative
statements by professional organizations that describe the responsibilities for which nurses are
accountable, thus identifying the nurse's scope of practice. They are not legally binding unless they are
incorporated into the state nurse practice act or state board rules and regulations. When legal problems
or lawsuits arise, these professional standards are used to determine safe and acceptable practice and to
assess the quality of care in the court of law. Neither identifying advanced level functions or safety
delegation principles are directly associated with the ANAs nursing standards.
Which is a difference between counseling and psychotherapy?
Counseling may be used in the care of acutely psychotic clients, but psychotherapy is contraindicated.
Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an advanced
practice role.
Transference and countertransference are significant obstacles in psychotherapy that can be avoided in a
counseling mode.
Psychotherapy is reserved for clients who have a documented history of failing to respond to counseling.
- (ANSWER)Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an
advanced practice role.
Rationale: The psychiatric nurse uses counseling interventions, but psychotherapy requires advanced
certification according to the American Nurses Association. Psychotherapy is not reserved solely for
those who have not responded to counseling. Transference and countertransference are significant
obstacles in both modes, and neither intervention is appropriate during acute psychotic episodes.
,Nursing Mental Health Exam 1 comprehensive Questions and Answers with
100% Correct Answers | Latest Version Already Graded A+
Chlorpromazine is a drug in which classification?
Antidepressant
Antianxiety
Antipsychotic
Antimanic - (ANSWER)Antipsychotic
Rationale:
Thorazine is a first generation antipsychotic medication.
What percentage of adults requiring mental health services get the care they need? - (ANSWER)0.25
Rationale:
Only about 25%, or 1 in 4, of adults requiring mental health services get the care that they need.
Initially, the nurse should focus on successfully achieving which goal in order to effectively provide care
for a client diagnosed with a mental illness?
Promoting friendship within the relationship
Setting reasonable limits early in the relationship
Establishing trust and rapport with the client
Offering sound advice concerning the client's primary problem - (ANSWER)Establishing trust and rapport
with the client
Rationale: Establishing trust and rapport are the most important components when caring for a client
with mental illness. Without this foundation, therapeutic nursing care is not possible. The nurse does not
offer advice but rather works with the client to arrive at effective solutions to existing problems.
Reasonable limits regarding the actual work that is accomplished is important but limits can't be set or
enforced until there is a therapeutic relationship established. The nurse-client relationship is therapeutic
in its nature; it does not involve a social friendship.
, Nursing Mental Health Exam 1 comprehensive Questions and Answers with
100% Correct Answers | Latest Version Already Graded A+
Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice?
Conducting family therapy
Promoting symptom management
Managing psychotropic medications
Interpreting laboratory tests - (ANSWER)Promoting symptom management
Rationale: Basic psychiatric-mental health nurses promote and encourage the maintenance of health and
prevention of disorders, assess biopsychosocial functioning, serve as case managers, design therapeutic
environments, and promote self-care activities, including medication and symptom management. At the
advanced level, psychiatric-mental health nurses deliver comprehensive primary mental health services.
Functions include teaching and screening, performing preventive interventions, and evaluating and
managing care for people with mental illness.
Which intervention is focused on a goal included in Healthy People 2020 Mental Health objectives?
Including a depression screening in the assessment interview conducted by the staff of a group of family
practitioners
Assuring a teenage client diagnosed with anorexia that their condition will be cured
Providing the local police with an in-service on effectively medicating agitated individuals
Opening a homeless shelter especially for those demonstrating behaviors associated with mania -
(ANSWER)Including a depression screening in the assessment interview conducted by the staff of a
group of family practitioners
Rationale: One of the Healthy People 2020 Mental Health objectives is to increase depression screening
by primary care providers. While the remaining options may present positive interventions, none are
directly associated with Healthy People 2020 Mental Health objectives.
Which is an inaccurate depiction of self-awareness?
