Mental health midterm chapter review
Questions And Answers
Resilience, the capacity to rebound from stressors via adaptive coping, is associated with
positive mental health. Your friend has just been laid off from his job. Which of the following
responses on your part would most likely contribute to his enhanced resilience?
a. using your connections to set up an interview with your employer
b. connecting him with a friend of the family who owns his own business
c. supporting him in arranging, preparing for, and completing multiple interviews
d. helping him to understand that the layoff resulted from troubles in the economy and is not his
fault - ANS C
Which of the following situations best supports the diathesis-stress model of mental illness
development?
A. The rate of suicide increases during times of national disaster and despair
B. A woman feels mildly anxious when asked to speak to a large group of people
C. A man with no prior mental health problems experiences sadness after his divorce
D. A man develops schizophrenia, but his identical twin remains free of mental illness - ANS D
Of the following statements about mental illness, identify all correct ones:
A. About 20% of Canadians experience a mental disorder during their lifetime
B. Mental disorders and diagnoses occur very consistently across cultures
C. Most serious mental illnesses are psychological rather than biological in nature
D. The Mental Health Commission of Canada's report Changing Directions, Changing Lives
outlines the mental health strategy for Canada - ANS A
Jane is a 32-year-old mother of four. She is active with her family and in her community despite
having a diagnosis of severe anxiety. Refer to the mental health-mental illness continuum and
consider where you would place Jane.
A. Optimal mental health with mental illness
B. Optimal mental health without mental illness
C. Poor mental health with mental illness
D. Poor mental health without mental illness - ANS A
,Which of the following actions represent the primary focus of psychiatric nursing for a basic-level
registered nurse? Select all that apply.
A. Determining a patients diagnosis according to the DSM-5
B. Ordering diagnostic tests such as EEGs or MRI scans
C. Identifying how a patient is coping with a symptom such as hallucinations
D. Guiding a patient to learn and use a variety of stress-management techniques
E. Helping a patient without personal transportation find a way to his or her treatment
appointments
F. Collecting petition signatures seeking the removal of stigmatizing images on television - ANS
C, d, e, f
Asylum care of people with mental illness in Canada began in which year?
A. 1620
B. 1932
C. 1845
D. 1798 - ANS C
The Weir Report was considered influential in which of the following areas?
A. Asylum reform
B. Nursing education curriculum reform
C. Deinstitutionalization
D. The establishment of the registered psychiatric nurse designation - ANS B
Psychiatric mental health nursing in the community setting was influenced by which of the
following factors?
A. The Weir Report
B. Deinstitutionalization
C. The registered psychiatric nurse designation
D. The increased medicalization of psychiatry - ANS B
A friend recognizes that his depression has returned and tells wou he is suicidal and concerned
he will harm himself. He is afraid that if he seeks help he will be involuntarily admitted to a
psychiatric hospital, an idea that terrifies him, Which of the following responses best meets his
immediate care needs?
A. Provide emotional support and encourage him to contact his family.
B. Express your concern for his safety, normalize psychiatric treatment as equal to treatment of
any physical condition, and offer to accompany and support him through assessment at a
nearby emergency department.
C. Contact the police or a provincial/territorial magistrate to initiate involuntary assessment.
, D. Assist him to obtain an outpatient counselling appointment at an area community mental
health centre, and call him frequently to ensure that he is safe until this appointment occurs. -
ANS B
You are about to interview a newly admitted patient on your inpatient mental health unit. This is
his first experience with psychiatric treatment. Which of the following interventions would be
appropriate for this patient? Select all that apply.
A. Discuss outpatient care options for after discharge.
B. Anticipate and address possible increased anxiety and shame.
C. Ensure that the individual understands his rights as a patient on your unit.
D. Assess the patient for physical health needs that may have been overlooked.
E. Carefully check all clothing and possessions for potentially dangerous items. - ANS B, c , d,
e
Which of the following nursing actions are appropriate in maintaining a safe therapeutic inpatient
milieu? Select all that apply.
A. Interact frequently with both individuals and groups on the unit.
B. Ensure that none of the unit fixtures can be used for suicide by hanging.
C. Initiate and support group interactions via therapeutic groups and activities.
D. Stock the unit with standard hospital beds and other sturdy hospital furnishings.
E. Provide and encourage opportunities to practise social and other life skills.
F. Collaborate with housekeeping to provide a safe, pleasant environment. - ANS A, b, c, e, f
A patient becomes agitated and hostile, threatening to smash a chair into the nurses' station
door. Which of the following responses would be most appropriate for the student nurse to
make?
A. Maintain a safe distance, and attempt to de-escalate the patient verbally.
B. When the response team arrives, assist in physically restraining the patient.
C. Assist in promptly moving other patients to a safe distance or separate location.
D. Meet with the patient immediately after the crisis to help him process what happened. - ANS
C
A student is considering a career in mental health nursing. Which of the following statements
accurately reflects the role and expectations of mental health nurses in acute care settings?
A. The primary role of the nurse is to monitor the patients from the nurses' station.
B. Psychiatric patients rarely need medical care, so nurses do not need medical nursing skills.
C. The close relationships developed with patients can lead to later romantic relationships.
D. Mental health nursing requires a high degree of interpersonal comfort and therapeutic skill. -
ANS D
Questions And Answers
Resilience, the capacity to rebound from stressors via adaptive coping, is associated with
positive mental health. Your friend has just been laid off from his job. Which of the following
responses on your part would most likely contribute to his enhanced resilience?
a. using your connections to set up an interview with your employer
b. connecting him with a friend of the family who owns his own business
c. supporting him in arranging, preparing for, and completing multiple interviews
d. helping him to understand that the layoff resulted from troubles in the economy and is not his
fault - ANS C
Which of the following situations best supports the diathesis-stress model of mental illness
development?
A. The rate of suicide increases during times of national disaster and despair
B. A woman feels mildly anxious when asked to speak to a large group of people
C. A man with no prior mental health problems experiences sadness after his divorce
D. A man develops schizophrenia, but his identical twin remains free of mental illness - ANS D
Of the following statements about mental illness, identify all correct ones:
A. About 20% of Canadians experience a mental disorder during their lifetime
B. Mental disorders and diagnoses occur very consistently across cultures
C. Most serious mental illnesses are psychological rather than biological in nature
D. The Mental Health Commission of Canada's report Changing Directions, Changing Lives
outlines the mental health strategy for Canada - ANS A
Jane is a 32-year-old mother of four. She is active with her family and in her community despite
having a diagnosis of severe anxiety. Refer to the mental health-mental illness continuum and
consider where you would place Jane.
A. Optimal mental health with mental illness
B. Optimal mental health without mental illness
C. Poor mental health with mental illness
D. Poor mental health without mental illness - ANS A
,Which of the following actions represent the primary focus of psychiatric nursing for a basic-level
registered nurse? Select all that apply.
A. Determining a patients diagnosis according to the DSM-5
B. Ordering diagnostic tests such as EEGs or MRI scans
C. Identifying how a patient is coping with a symptom such as hallucinations
D. Guiding a patient to learn and use a variety of stress-management techniques
E. Helping a patient without personal transportation find a way to his or her treatment
appointments
F. Collecting petition signatures seeking the removal of stigmatizing images on television - ANS
C, d, e, f
Asylum care of people with mental illness in Canada began in which year?
A. 1620
B. 1932
C. 1845
D. 1798 - ANS C
The Weir Report was considered influential in which of the following areas?
A. Asylum reform
B. Nursing education curriculum reform
C. Deinstitutionalization
D. The establishment of the registered psychiatric nurse designation - ANS B
Psychiatric mental health nursing in the community setting was influenced by which of the
following factors?
A. The Weir Report
B. Deinstitutionalization
C. The registered psychiatric nurse designation
D. The increased medicalization of psychiatry - ANS B
A friend recognizes that his depression has returned and tells wou he is suicidal and concerned
he will harm himself. He is afraid that if he seeks help he will be involuntarily admitted to a
psychiatric hospital, an idea that terrifies him, Which of the following responses best meets his
immediate care needs?
A. Provide emotional support and encourage him to contact his family.
B. Express your concern for his safety, normalize psychiatric treatment as equal to treatment of
any physical condition, and offer to accompany and support him through assessment at a
nearby emergency department.
C. Contact the police or a provincial/territorial magistrate to initiate involuntary assessment.
, D. Assist him to obtain an outpatient counselling appointment at an area community mental
health centre, and call him frequently to ensure that he is safe until this appointment occurs. -
ANS B
You are about to interview a newly admitted patient on your inpatient mental health unit. This is
his first experience with psychiatric treatment. Which of the following interventions would be
appropriate for this patient? Select all that apply.
A. Discuss outpatient care options for after discharge.
B. Anticipate and address possible increased anxiety and shame.
C. Ensure that the individual understands his rights as a patient on your unit.
D. Assess the patient for physical health needs that may have been overlooked.
E. Carefully check all clothing and possessions for potentially dangerous items. - ANS B, c , d,
e
Which of the following nursing actions are appropriate in maintaining a safe therapeutic inpatient
milieu? Select all that apply.
A. Interact frequently with both individuals and groups on the unit.
B. Ensure that none of the unit fixtures can be used for suicide by hanging.
C. Initiate and support group interactions via therapeutic groups and activities.
D. Stock the unit with standard hospital beds and other sturdy hospital furnishings.
E. Provide and encourage opportunities to practise social and other life skills.
F. Collaborate with housekeeping to provide a safe, pleasant environment. - ANS A, b, c, e, f
A patient becomes agitated and hostile, threatening to smash a chair into the nurses' station
door. Which of the following responses would be most appropriate for the student nurse to
make?
A. Maintain a safe distance, and attempt to de-escalate the patient verbally.
B. When the response team arrives, assist in physically restraining the patient.
C. Assist in promptly moving other patients to a safe distance or separate location.
D. Meet with the patient immediately after the crisis to help him process what happened. - ANS
C
A student is considering a career in mental health nursing. Which of the following statements
accurately reflects the role and expectations of mental health nurses in acute care settings?
A. The primary role of the nurse is to monitor the patients from the nurses' station.
B. Psychiatric patients rarely need medical care, so nurses do not need medical nursing skills.
C. The close relationships developed with patients can lead to later romantic relationships.
D. Mental health nursing requires a high degree of interpersonal comfort and therapeutic skill. -
ANS D
