PSYCH AND MENTAL HEALTH NURSING QUIZLET MIDTERM 1 | QUESTIONS AND
ANSWERS
Which activity of the core PMH disciplines is considered to be the most important for
national mental health care?
1. The promotion and protection of mental health
2. The prevention and treatment of mental disorders
3. Recovery and rehabilitation
4. All of the above - 4. All of the above
Select the statement that best describes the successful treatment of mental disorders in
the United States.
1. Treatment outcomes were most successful when they focused on biologic
interventions.
2. The treatment of mental disorders has greatly improved during the 21st century, and
this is reflected in the reduction of the number of mental disorders.
3. Statistics regarding the prevalence of mental disorders in the United States remain
static.
4. The combination of medications with interactive and biologic therapies has been the
most successful for reducing the prevalence of mental disorders. - 3. Statistics
regarding the prevalence of mental disorders in the United States remain static.
Which of the following scenarios identifies a mental disorder?
1. A 67-year-old woman says that she has not spent one day without crying several
hours a day since her husband died last month.
2. A mother says that her 15-year-old child spends all of his spare hours in his room
with the computer and even misses meals.
3. A 19-year-old man begins to hear voices that no one else hears during lectures in his
college math course.
4. All of the above - 3. A 19-year-old man begins to hear voices that no one else hears
during lectures in his college math course.
4. Risk factors for the development of physical and mental disorders include which of
the following?
1. A parent who gets drunk every night after work and says that it is relaxing
2. A school in which students either ignore or bully the new students
3. A higher-than-average intelligence level and many satisfying hobbies
4. A large circle of friends who play sports together - 1. A parent who gets drunk every
night after work and says that it is relaxing
and
2. A school in which students either ignore or bully the new students
,5. Which of the following statements about PMHN are true?
1. Nurses may be certified in their specialty at the entry level or at the advanced
practice level.
2. The art of PMHN is more important than the science of nursing.
3. Integrated care is reserved for psychiatrists and is not for nurses.
4. None of the above - 1. Nurses may be certified in their specialty at the entry level or
at the advanced practice level.
A beginning psychiatric nurse grew up with a mother who had schizophrenia. The nurse
recalls feelings of embarrassment and anger about her mother's behavior in the
community. Select the best ways for this nurse to cope with her memories. You may
select more than one answer.
1. Recognize that the memories are unhealthy. The nurse should try to forget them
while working with patients.
2. Reexamine the choice of psychiatric nursing as an appropriate area of practice.
Explore other specialties.
3. Begin each new patient relationship with the statement, "My mother had mental
illness, so I know what you're going through."
4. Recognize that early experiences have the potential to positively influence the nurse's
practice.
5. Seek ways to use the information and experience gained from childhood to help
patients cope with their own illnesses. - 4. Recognize that early experiences have the
potential to positively influence the nurse's practice.
and
5. Seek ways to use the information and experience gained from childhood to help
patients cope with their own illnesses.
Prioritize these outcomes for a patient with mental illness.
1. The patient will consume at least 50% of every meal within 3 days.
2. The patient will identify his or her assets and strengths within 1 week.
3. The patient will describe characteristics of healthy relationships with others within 1
week.
4. The patient will have a contract with the team to report the incidence of suicidal
thoughts within 24 hours. - 4, 1, 2, 3
A psychiatric nurse designs an hour-by-hour plan for working with patients for the day.
Select the best analysis of this nurse's action.
1. The nurse has demonstrated goal-directed behavior.
2. The nurse is likely to feel rewarded at the end of the day.
3. The plan is likely to result in feelings of frustration for the nurse.
4. The plan will support the development of the nurse's organizational skills. - 3. The
plan is likely to result in feelings of frustration for the nurse.
The therapeutic alliance is a vehicle for patients to accomplish which of the following?
1. Identifying other patient's problems in group therapy
, 2. Gaining insight into their own problems
3. Forgetting about past emotional abuse
4. Gaining courage to eliminate support systems after discharge - 2. Gaining insight
into their own problems
A nurse is assigned to the following four patients. Which patient should receive the
nurse's priority attention?
1. mA mnewly madmitted mpatient mwho mhas mbeen mdiagnosed mwith mmajor mdepression mwhose
massessment mis mincomplete
2. mA mpatient mwith mschizophrenia mwho mis mhaving mauditory mhallucinations mof msomeone
mcrying
3. mA mpatient mwho mrecently mbecame munemployed mand mwho mhas ma m10-year mhistory mof
mdaily malcohol muse
4. mA mpatient mwith mdisorganized mschizophrenia mwho mhas mdifficulty mcompleting mactivities
mof mdaily mliving m- m m1. mA mnewly madmitted mpatient mwho mhas mbeen mdiagnosed mwith mmajor
mdepression mwhose massessment mis mincomplete
The mnurse mcompletes ma mthorough mnursing massessment mof ma mnew mpatient. mWhat mis mthe
mnurse's mnext maction?
1. mImplementing mthe mplan mof mcare
2. mDeveloping mbehavioral mgoals mand moutcomes
3. mFormulating mthe mnursing mdiagnoses
4. mConstructing minterventions mwith mrationale mstatements m- m m3. mFormulating mthe mnursing
mdiagnoses
The mnurse muses mwhich mquestion mto massess mthe mpatient's mjudgment?
1. mWhat msituations min myour mlife mhave mcaused myou mthe mmost manxiety?
2. mWhat mdoes mthe msaying m"People min mglass mhouses mshouldn't mthrow mstones" mmean mto
myou?
3. mIf myou mhad ma mhigh mfever mand mwere mvomiting mfor m3 mdays, mwhat mwould myou mdo?
4. mHow mwould myou mrate myour manxiety mlevel mon ma mscale mof m1 mto m10, mwhere m10 mmeans
mpanic? m- m m3. mIf myou mhad ma mhigh mfever mand mwere mvomiting mfor m3 mdays, m what mwould
myou mdo?
Select mthe mnursing mdiagnosis mthat mbest mmatches mthe mfollow-ing metiology mand mdefining
mcharacteristics. m__________ mrelated mto mlack mof mapproval mand mperceived mlack mof
mrespect mfrom mothers mas mevidenced mby mexaggerated mor mrejected mnegative mfeedback
mabout mself.
1. mChronic mlow mself-esteem
2. mSocial misolation
3. mDisturbed mpersonal midentity
4. mPowerlessness m- m m1. mChronic mlow mself-esteem
Which mof mthe mfollowing mdiagnostic mdocumentation mformats mwould mthe mnurse mexpect mto
msee min ma mpsychiatric macute mcare msetting?
1. m
ANSWERS
Which activity of the core PMH disciplines is considered to be the most important for
national mental health care?
1. The promotion and protection of mental health
2. The prevention and treatment of mental disorders
3. Recovery and rehabilitation
4. All of the above - 4. All of the above
Select the statement that best describes the successful treatment of mental disorders in
the United States.
1. Treatment outcomes were most successful when they focused on biologic
interventions.
2. The treatment of mental disorders has greatly improved during the 21st century, and
this is reflected in the reduction of the number of mental disorders.
3. Statistics regarding the prevalence of mental disorders in the United States remain
static.
4. The combination of medications with interactive and biologic therapies has been the
most successful for reducing the prevalence of mental disorders. - 3. Statistics
regarding the prevalence of mental disorders in the United States remain static.
Which of the following scenarios identifies a mental disorder?
1. A 67-year-old woman says that she has not spent one day without crying several
hours a day since her husband died last month.
2. A mother says that her 15-year-old child spends all of his spare hours in his room
with the computer and even misses meals.
3. A 19-year-old man begins to hear voices that no one else hears during lectures in his
college math course.
4. All of the above - 3. A 19-year-old man begins to hear voices that no one else hears
during lectures in his college math course.
4. Risk factors for the development of physical and mental disorders include which of
the following?
1. A parent who gets drunk every night after work and says that it is relaxing
2. A school in which students either ignore or bully the new students
3. A higher-than-average intelligence level and many satisfying hobbies
4. A large circle of friends who play sports together - 1. A parent who gets drunk every
night after work and says that it is relaxing
and
2. A school in which students either ignore or bully the new students
,5. Which of the following statements about PMHN are true?
1. Nurses may be certified in their specialty at the entry level or at the advanced
practice level.
2. The art of PMHN is more important than the science of nursing.
3. Integrated care is reserved for psychiatrists and is not for nurses.
4. None of the above - 1. Nurses may be certified in their specialty at the entry level or
at the advanced practice level.
A beginning psychiatric nurse grew up with a mother who had schizophrenia. The nurse
recalls feelings of embarrassment and anger about her mother's behavior in the
community. Select the best ways for this nurse to cope with her memories. You may
select more than one answer.
1. Recognize that the memories are unhealthy. The nurse should try to forget them
while working with patients.
2. Reexamine the choice of psychiatric nursing as an appropriate area of practice.
Explore other specialties.
3. Begin each new patient relationship with the statement, "My mother had mental
illness, so I know what you're going through."
4. Recognize that early experiences have the potential to positively influence the nurse's
practice.
5. Seek ways to use the information and experience gained from childhood to help
patients cope with their own illnesses. - 4. Recognize that early experiences have the
potential to positively influence the nurse's practice.
and
5. Seek ways to use the information and experience gained from childhood to help
patients cope with their own illnesses.
Prioritize these outcomes for a patient with mental illness.
1. The patient will consume at least 50% of every meal within 3 days.
2. The patient will identify his or her assets and strengths within 1 week.
3. The patient will describe characteristics of healthy relationships with others within 1
week.
4. The patient will have a contract with the team to report the incidence of suicidal
thoughts within 24 hours. - 4, 1, 2, 3
A psychiatric nurse designs an hour-by-hour plan for working with patients for the day.
Select the best analysis of this nurse's action.
1. The nurse has demonstrated goal-directed behavior.
2. The nurse is likely to feel rewarded at the end of the day.
3. The plan is likely to result in feelings of frustration for the nurse.
4. The plan will support the development of the nurse's organizational skills. - 3. The
plan is likely to result in feelings of frustration for the nurse.
The therapeutic alliance is a vehicle for patients to accomplish which of the following?
1. Identifying other patient's problems in group therapy
, 2. Gaining insight into their own problems
3. Forgetting about past emotional abuse
4. Gaining courage to eliminate support systems after discharge - 2. Gaining insight
into their own problems
A nurse is assigned to the following four patients. Which patient should receive the
nurse's priority attention?
1. mA mnewly madmitted mpatient mwho mhas mbeen mdiagnosed mwith mmajor mdepression mwhose
massessment mis mincomplete
2. mA mpatient mwith mschizophrenia mwho mis mhaving mauditory mhallucinations mof msomeone
mcrying
3. mA mpatient mwho mrecently mbecame munemployed mand mwho mhas ma m10-year mhistory mof
mdaily malcohol muse
4. mA mpatient mwith mdisorganized mschizophrenia mwho mhas mdifficulty mcompleting mactivities
mof mdaily mliving m- m m1. mA mnewly madmitted mpatient mwho mhas mbeen mdiagnosed mwith mmajor
mdepression mwhose massessment mis mincomplete
The mnurse mcompletes ma mthorough mnursing massessment mof ma mnew mpatient. mWhat mis mthe
mnurse's mnext maction?
1. mImplementing mthe mplan mof mcare
2. mDeveloping mbehavioral mgoals mand moutcomes
3. mFormulating mthe mnursing mdiagnoses
4. mConstructing minterventions mwith mrationale mstatements m- m m3. mFormulating mthe mnursing
mdiagnoses
The mnurse muses mwhich mquestion mto massess mthe mpatient's mjudgment?
1. mWhat msituations min myour mlife mhave mcaused myou mthe mmost manxiety?
2. mWhat mdoes mthe msaying m"People min mglass mhouses mshouldn't mthrow mstones" mmean mto
myou?
3. mIf myou mhad ma mhigh mfever mand mwere mvomiting mfor m3 mdays, mwhat mwould myou mdo?
4. mHow mwould myou mrate myour manxiety mlevel mon ma mscale mof m1 mto m10, mwhere m10 mmeans
mpanic? m- m m3. mIf myou mhad ma mhigh mfever mand mwere mvomiting mfor m3 mdays, m what mwould
myou mdo?
Select mthe mnursing mdiagnosis mthat mbest mmatches mthe mfollow-ing metiology mand mdefining
mcharacteristics. m__________ mrelated mto mlack mof mapproval mand mperceived mlack mof
mrespect mfrom mothers mas mevidenced mby mexaggerated mor mrejected mnegative mfeedback
mabout mself.
1. mChronic mlow mself-esteem
2. mSocial misolation
3. mDisturbed mpersonal midentity
4. mPowerlessness m- m m1. mChronic mlow mself-esteem
Which mof mthe mfollowing mdiagnostic mdocumentation mformats mwould mthe mnurse mexpect mto
msee min ma mpsychiatric macute mcare msetting?
1. m
