Exam #1 Mental Health
1. One characteristics of mental health that allows people to adapt to tragedies, trauma, and loss is:
A. Dependence
B. Resilience
C. Pessimism
D. Altruism - ✔✔ correct answer B. Resilience
2. You and Jack are two of the nurses working on the psychiatric unit. Jack mentions to you that the
biological model for mental illness is the one he embraces, and states "it's the only one I really believe."
Which of the following statements is true regarding believing in only the biological model?
A. The biological model is the oldest and most reliable model for explaining mental illness.
B. The biological model does not explain every symptom of mental illness.
C. The biological model is the most popular theory among leading psychiatrists and therefore the one
that should be fully embraced.
D. In believing only the biological model, other influences on mental health including cultural,
environmental, social, and spiritual influences are not taken into account. - ✔✔ correct answer D. In
believing only the biological model, other influences on mental health including cultural, environmental,
social, and spiritual influences are not taken into account.
3. Vanessa's provider writes orders including medication to treat her depression. Based on current
understanding of brain physiology, which of the following neurotransmitters would you expect to see
targeted c the medication ordered?
A. Dopamine
B. GABA
C. Serotonin/Norepinephrine
D. Acetylcholine - ✔✔ correct answer C. Serotonin/Norepinephrine
4. Which of the following structural safety precautions is most important to prevent the most common
type of inpatient suicides?
A. Break-away closet bars to prevent hanging
B. Bedroom and dining areas with locked windows to prevent jumping
C. Double-locked doors to prevent escaping from the unit
, Exam #1 Mental Health
D. Platform beds to prevent crush injuries - ✔✔ correct answer A. Break-away closet bars to prevent
hanging
5. Josefina Juarez, aged 36 years, comes to the mental health clinic where you work after being referred
by her primary care provider. Josefina came to live in the US from Brazil 5 years ago. She is now a single
mother to 6 children, ages 2 to 15, following the death of her husband last year. During the initial intake
assessment, Josefina tells you her problem is that she has headaches and backaches "almost every day"
and "can't sleep at night." She shakes her head no and looks away when asked about anxiety or
depression and states she does not know why she was referred to the mental health clinic. You recognize
that Josefina may be exhibiting:
A. regression.
B. somatization.
C. enculturation.
D. assimilation. - ✔✔ correct answer B. somatization
6. You are working on an inpatient psychiatric unit and caring for Elizabeth, who is becoming agitated.
You speak with Elizabeth one to one in a private setting, finding out the reason for the agitation, and
then assist Elizabeth with ways to calm down, possibly including prn medication to prevent further
escalation of Elizabeth's agitation, which could lead to seclusion and/or restraints. You are making care
decisions based on:
A. Writ of habeas corpus
B. Least restrictive alternative doctrine
C. Veracity
D. Bioethics - ✔✔ correct answer B. Least restrictive alternative doctrine
7. Joel is a 43-year-old patient being seen in the mental health clinical c depression. Joel states "I have
always been a practicing Jew, but in the past few mos. I am questioning everything. I just don't know if I
believe in it anymore. Which of the following nursing diagnoses best describes Joel's comment?
A. Ineffective coping
B. Spiritual distress
C. Risk for self-harm
D. Hopelessness - ✔✔ correct answer B. Spiritual distress
1. One characteristics of mental health that allows people to adapt to tragedies, trauma, and loss is:
A. Dependence
B. Resilience
C. Pessimism
D. Altruism - ✔✔ correct answer B. Resilience
2. You and Jack are two of the nurses working on the psychiatric unit. Jack mentions to you that the
biological model for mental illness is the one he embraces, and states "it's the only one I really believe."
Which of the following statements is true regarding believing in only the biological model?
A. The biological model is the oldest and most reliable model for explaining mental illness.
B. The biological model does not explain every symptom of mental illness.
C. The biological model is the most popular theory among leading psychiatrists and therefore the one
that should be fully embraced.
D. In believing only the biological model, other influences on mental health including cultural,
environmental, social, and spiritual influences are not taken into account. - ✔✔ correct answer D. In
believing only the biological model, other influences on mental health including cultural, environmental,
social, and spiritual influences are not taken into account.
3. Vanessa's provider writes orders including medication to treat her depression. Based on current
understanding of brain physiology, which of the following neurotransmitters would you expect to see
targeted c the medication ordered?
A. Dopamine
B. GABA
C. Serotonin/Norepinephrine
D. Acetylcholine - ✔✔ correct answer C. Serotonin/Norepinephrine
4. Which of the following structural safety precautions is most important to prevent the most common
type of inpatient suicides?
A. Break-away closet bars to prevent hanging
B. Bedroom and dining areas with locked windows to prevent jumping
C. Double-locked doors to prevent escaping from the unit
, Exam #1 Mental Health
D. Platform beds to prevent crush injuries - ✔✔ correct answer A. Break-away closet bars to prevent
hanging
5. Josefina Juarez, aged 36 years, comes to the mental health clinic where you work after being referred
by her primary care provider. Josefina came to live in the US from Brazil 5 years ago. She is now a single
mother to 6 children, ages 2 to 15, following the death of her husband last year. During the initial intake
assessment, Josefina tells you her problem is that she has headaches and backaches "almost every day"
and "can't sleep at night." She shakes her head no and looks away when asked about anxiety or
depression and states she does not know why she was referred to the mental health clinic. You recognize
that Josefina may be exhibiting:
A. regression.
B. somatization.
C. enculturation.
D. assimilation. - ✔✔ correct answer B. somatization
6. You are working on an inpatient psychiatric unit and caring for Elizabeth, who is becoming agitated.
You speak with Elizabeth one to one in a private setting, finding out the reason for the agitation, and
then assist Elizabeth with ways to calm down, possibly including prn medication to prevent further
escalation of Elizabeth's agitation, which could lead to seclusion and/or restraints. You are making care
decisions based on:
A. Writ of habeas corpus
B. Least restrictive alternative doctrine
C. Veracity
D. Bioethics - ✔✔ correct answer B. Least restrictive alternative doctrine
7. Joel is a 43-year-old patient being seen in the mental health clinical c depression. Joel states "I have
always been a practicing Jew, but in the past few mos. I am questioning everything. I just don't know if I
believe in it anymore. Which of the following nursing diagnoses best describes Joel's comment?
A. Ineffective coping
B. Spiritual distress
C. Risk for self-harm
D. Hopelessness - ✔✔ correct answer B. Spiritual distress
