Essentials of Psychiatric Nursing 2nd Edition Boyd Luebbert
Test Bank
Chapter 1 Mental Health and Mental Disorders
1.
A nursing instructor is describing the DSM-IV-TR to a
group of nursing students. Which of the following would
the instructor include as the primary purpose of this
classification?
A) Provide a commonly understood diagnostic
category for clinical practice.
B) Describe treatment modalities for psychiatric
disorders and mental illnesses.
C) Identify various etiologies for mental disorders
based on family histories.
D) Provide optimal outcomes for treatment for
individuals with mental illnesses.
2. A nurse is providing care to a patient with a mental
disorder classified by the DSM-IV-TR. The nurse
understands that although the first three axes appear to
contain all the diagnostic information about a patient, a
truly accurate picture of the client is incomplete without
considering other factors such as an estimate of current
functioning and:
A) Life stressors
B) Cultural background
C) Marital status
D) Genetic history
B) Cultural background
C) Marital status
D) Genetic history
3. A patients global assessment functioning reveals that he
has minimal symptoms with good functioning in all
areas. Which score would the nurse correlate with these
,findings?
A) 94
B) 82
C) 75
D) 63
4. A female patient was admitted to the hospital with
pneumonia, and in the course of her treatment, it was
determined that she was experiencing alcohol
dependence because she began experiencing alcohol
withdrawal while she was in the hospital. When the
psychiatrist who was called in as a consultant
documented the patients mental disorder, he identified
her alcohol dependence on which axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
5. A 25-year-old woman who recently had abdominal
surgery was admitted to the psychiatric unit, where it was
determined that she had a borderline personality disorder.
During the first week on the unit, it was determined that
she also has diabetes. Her diabetes mellitus would be
listed in which axis of her DSM-IV-TR diagnosis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
she also has diabetes. Her diabetes mellitus would be
listed in which axis of her DSM-IV-TR diagnosis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
,6. As part of a class activity, nursing students are engaged
in a small group discussion about the epidemiology of
mental illness. Which statement best explains the
importance of epidemiology in understanding the impact
of mental disorders?
A) Epidemiology helps promote understanding of the
patterns of occurrence associated with mental
disorders.
B) Epidemiology helps explain research findings about the
neurophysiology that causes mental disorders.
C) Epidemiology provides a thorough theoretical
explanation of why specific mental disorders occur.
D) Epidemiology predicts when a specific psychiatric
client will recover from a specific mental disorder.
7. A nurse is working in a community mental health center
that provides care to a large population of Asian descent.
When developing programs for this community, which of
the following would be most important for the nurse to
address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
8. A group of students are reviewing the multiaxial
diagnostic system of the DSM-IV-TR. The students
demonstrate understanding of the axes when they identify
that each axis represents which of the following?
A) An evidence-based research finding
B) An experimental design to guide care
C) A domain of information
D) A laboratory test finding
9. A nursing student is assigned to care for a patient
diagnosed with schizophrenia. When talking about this
, patient in a clinical postconference, the student would use
which terminology when referring to the patient?
A) Committed patient
B) Schizophrenic
C) Schizophrenic patient
D) Person with schizophrenia
10.
Mrs. Green is a patient on a psychiatric unit. At the time
of her admission, her dog was killed when a car
accidentally ran over it; in addition to that, she just found
out that her mother has been diagnosed with colon
cancer. This information would be addressed in
which DSM-IV axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
11.
A nursing student is reviewing journal articles about
major depression. One of the articles describes the
number of persons newly diagnosed with the disorder
during the past year. The student interprets this as which
of the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence
12.
While working in a community mental health treatment
center, the nurse overhears one of the receptionists saying
that one of the patients is really psycho. Later in the day,
the nurse talks with the receptionist about the comment.
This action by the nurse demonstrates an attempt to
Test Bank
Chapter 1 Mental Health and Mental Disorders
1.
A nursing instructor is describing the DSM-IV-TR to a
group of nursing students. Which of the following would
the instructor include as the primary purpose of this
classification?
A) Provide a commonly understood diagnostic
category for clinical practice.
B) Describe treatment modalities for psychiatric
disorders and mental illnesses.
C) Identify various etiologies for mental disorders
based on family histories.
D) Provide optimal outcomes for treatment for
individuals with mental illnesses.
2. A nurse is providing care to a patient with a mental
disorder classified by the DSM-IV-TR. The nurse
understands that although the first three axes appear to
contain all the diagnostic information about a patient, a
truly accurate picture of the client is incomplete without
considering other factors such as an estimate of current
functioning and:
A) Life stressors
B) Cultural background
C) Marital status
D) Genetic history
B) Cultural background
C) Marital status
D) Genetic history
3. A patients global assessment functioning reveals that he
has minimal symptoms with good functioning in all
areas. Which score would the nurse correlate with these
,findings?
A) 94
B) 82
C) 75
D) 63
4. A female patient was admitted to the hospital with
pneumonia, and in the course of her treatment, it was
determined that she was experiencing alcohol
dependence because she began experiencing alcohol
withdrawal while she was in the hospital. When the
psychiatrist who was called in as a consultant
documented the patients mental disorder, he identified
her alcohol dependence on which axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
5. A 25-year-old woman who recently had abdominal
surgery was admitted to the psychiatric unit, where it was
determined that she had a borderline personality disorder.
During the first week on the unit, it was determined that
she also has diabetes. Her diabetes mellitus would be
listed in which axis of her DSM-IV-TR diagnosis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
she also has diabetes. Her diabetes mellitus would be
listed in which axis of her DSM-IV-TR diagnosis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
,6. As part of a class activity, nursing students are engaged
in a small group discussion about the epidemiology of
mental illness. Which statement best explains the
importance of epidemiology in understanding the impact
of mental disorders?
A) Epidemiology helps promote understanding of the
patterns of occurrence associated with mental
disorders.
B) Epidemiology helps explain research findings about the
neurophysiology that causes mental disorders.
C) Epidemiology provides a thorough theoretical
explanation of why specific mental disorders occur.
D) Epidemiology predicts when a specific psychiatric
client will recover from a specific mental disorder.
7. A nurse is working in a community mental health center
that provides care to a large population of Asian descent.
When developing programs for this community, which of
the following would be most important for the nurse to
address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
8. A group of students are reviewing the multiaxial
diagnostic system of the DSM-IV-TR. The students
demonstrate understanding of the axes when they identify
that each axis represents which of the following?
A) An evidence-based research finding
B) An experimental design to guide care
C) A domain of information
D) A laboratory test finding
9. A nursing student is assigned to care for a patient
diagnosed with schizophrenia. When talking about this
, patient in a clinical postconference, the student would use
which terminology when referring to the patient?
A) Committed patient
B) Schizophrenic
C) Schizophrenic patient
D) Person with schizophrenia
10.
Mrs. Green is a patient on a psychiatric unit. At the time
of her admission, her dog was killed when a car
accidentally ran over it; in addition to that, she just found
out that her mother has been diagnosed with colon
cancer. This information would be addressed in
which DSM-IV axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
11.
A nursing student is reviewing journal articles about
major depression. One of the articles describes the
number of persons newly diagnosed with the disorder
during the past year. The student interprets this as which
of the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence
12.
While working in a community mental health treatment
center, the nurse overhears one of the receptionists saying
that one of the patients is really psycho. Later in the day,
the nurse talks with the receptionist about the comment.
This action by the nurse demonstrates an attempt to
