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NSG 2271 Exam 1 Questions With Correct
Answers
The concept of object relations is important in understanding how an abused child, under
certain circumstances, becomes the adult abuser. - answer✔True
The theories of Harry Stack Sullivan focus on the importance of individual relationships in
personality development as opposed to instincts and drives. - answer✔True
B. F. Skinner designed the developmental theory most often used in nursing. - answer✔False
Providing family therapy is an appropriate role for a generalist psychiatric--mental health nurse.
- answer✔False
Hildegard Peplau's model of anxiety is no longer useful in contemporary psychiatric nursing
practice. - answer✔False
A person's sense of his or her ability to deal effectively with the environment is
called______________________. - answer✔Self-efficacy
Carol Gilligan's model concludes that female development depends
on______________________________ and not separation as the primary goal of human
development. - answer✔Relationships
Family systems models are used to help nurses form____________________ relationships with
clients and families dealing with health problems. - answer✔Collaborative
Many group interventions, as well as milieu therapy, are based on _______________________
theories. - answer✔Sociocultural
The______________ model is used extensively in psychiatric--mental health nursing because it
emphasizes the promotion of independence and self-care activities. - answer✔Orem's
The biopsychosocial framework is an organizing framework for understanding the interactive
domains of an individual's mental health and matching interventions with their needs. -
answer✔True
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Neurobiologic theories serve as a basis for understanding and administering medications. -
answer✔True
Knowledge of the social domain is important because psychiatric disorders are caused by social
factors. - answer✔False. Psychiatric disorders are not caused by social factors, but their
manifestations and treatment can be significantly affected by the society in which the patient
lives.
Psychiatric nursing care is considered to be separate from medical nursing. - answer✔False
Another name for collaboration in mental health care is the interdisciplinary approach. -
answer✔True
Mental disorders are often manifested in ____________________ symptoms and physical
changes. - answer✔psychological
The practice of psychiatric nursing is regulated by law but guided by
_________________________ of practice. - answer✔Scope and Standards
The nurse--client relationship is paramount in psychiatric nursing because the most important
tool of psychiatric nursing is the ___________________. - answer✔Self
In clinical situations, there are often conflicts between two fundamental principles, autonomy
and _____________________________. - answer✔Benefiencence
Because client records are now readily available and easily accessed, maintaining
_______________ is a challenge faced by psychiatric nurses. - answer✔Patient Confidentiality
When a person with a mental illness shares the public's negative view of mental illness, self-
stigma occurs. - answer✔True
Culture-bound syndromes meet the criteria for some of the DSM-5 disorders. - answer✔False,
There is little research on the syndromes, but ataque de nervios and susto are well documents.
Epidemiology is important in understanding the distribution of mental illness and determinants
of health within a given population. - answer✔True
The recovery process focuses on illness. - answer✔False, the recovery process focuses on
improved health and wellness.
A mental disorder can disrupt mental health and result in one of the most common causes of
disability. - answer✔False
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__________ is the single most important goal for individuals with mental disorders. -
answer✔Recovery
_____________________ is an instrument that can be used to measure the amount of
impairment an individual is experiencing. - answer✔WHO Disability Assessment Schedule 2.0
A mental illness or mental disorder is a __________, a set of symptoms that cluster together
that may have multiple causes and may represent several different disease states that have not
yet been defined. - answer✔syndrome
__________ occurs when negative stereotypes are internalized by people with mental illness. -
answer✔Self-stigma
Mental disorders are health conditions characterized by alterations in thinking, mood, or
__________. - answer✔behavior
The federal law requiring hospitals to inform patients about their right to be a central part of
any health care decision made about them is called the Americans with Disabilities Act. -
answer✔False, Bill of Rights for Persons Receiving Mental Health Services
An advanced directive or living will must be signed by an attorney. - answer✔False
Informed consent is mandated by state law. - answer✔True
A mental health professional has the "duty to warn" when a client in his or her care has
threatened to injure someone. - answer✔True
Involuntary commitment is rarely used to force someone into the hospital for treatment. -
answer✔False
Being empowered or having the free will to make moral judgments is self-________________. -
answer✔Self-determinism
_________________ is the degree to which a client can understand and appreciate the
information given during the consent process. - answer✔Competency
Informed consent is especially important in research projects involving ___________________
drugs or therapies. - answer✔trial or experimental
The right to refuse treatment is related to the larger concept of the right to be treated in the
least ____________________ environment. - answer✔restrictive
Discussing a client's problems with one of his or her relatives without the client's consent is a
breach of ________________. - answer✔Confidentiality
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Acculturation is the removal of cultural influences from a person's life. - answer✔False
Cultural identity is a set of cultural beliefs with which one looks for standards of behavior. -
answer✔True
African Americans are disproportionately diagnosed as having schizophrenia when compared to
other groups. - answer✔True
Compared to men, more Asian American women suffer from depression, yet are less likely than
white women to seek out mental health care. - answer✔True
Meditation, guided imagery, and prayer are examples of spiritual interventions. - answer✔True
Cultural _________________ is developed through cultural awareness, acquisition of cultural
knowledge, development of cultural skills, and engagement of numerous cultural encounters. -
answer✔competence
Linguistic _________________ is the capacity to communicate effectively and convey
information that is easily understood by a diverse audience. - answer✔competence
The ___________________ population is the group most at risk for being unable to escape the
spiral of poverty. - answer✔homeless
Access to mental health treatment is particularly limited for people living in rural areas because
most mental health services are located in ____________ areas. - answer✔urban
Generally, __________ cultures have a tradition of denying or disguising the existence of
mental illnesses. - answer✔Asian
Assessment is completed when the admission database is done. - answer✔False
Priority risk factors include risk for violence or suicide. - answer✔True
Counseling and psychotherapy are the same. - answer✔False.
Counseling interventions are interactions between a nurse and a patient, family, or group
experiencing immediate or ongoing difficulties related to their health or well-being. Counseling
is usually short term and focuses on stabilizing symptoms, supporting personal recovery goals,
improving coping abilities, reinforcing healthy behaviors, fostering positive interactions, or
preventing illness and disability.
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