Psych/Mental Health Nursing Final Exam Review 100
Questions with Verified Answers
Which client statement demonstrates the mental health concept of resilience?
A. "My kids' happiness is worth any sacrifice I have to make."
B. "My mother made decisions about my husband's funeral when I just couldn't
do that."
C. "Losing my job was hard but my skills will help me get another one."
D. "In spite of all the treatment, I know I'll never be really healthy." - CORRECT
ANSWER C. "Losing my job was hard but my skills will help me get another one."
Resilience is a characteristic that helps individuals cope with loss and trauma that
may occur in life. Dependence is described as relying on others for decision
making and care. Pessimism is a life philosophy that things are more likely to go
wrong than right. Altruism is described as putting others before yourself.
The nurse being aware that certain mental illnesses have a prevalence among a
specific gender, will suspect which statement was made by a female client?
(Select all that apply.)
A. "I'm so anxious, about everything."
B. "There is no way I could make a presentation to a group of people."
C. "I freeze in panic when I see a spider."
D. "I've been depressed most of my adult life."
E. "I've been arrested 6 times in the last 15 years." - CORRECT ANSWER D. "I've
been depressed most of my adult life."
E. "I've been arrested 6 times in the last 15 years."
Antisocial personality disorder, characterized by repeated illegal behavior, is more
commonly diagnosed in men while major depressive disorder, characterized by
chronic feelings of sadness negatively impacts life, is more common among
women.
,A nurse is providing care to a 28-year-old client diagnosed with bipolar disorder
who was admitted in a manic state. According to Maslow's Hierarchy of Needs
theory, the nurse should identify which client symptom as having priority?
A. Rapid, pressured speech
B. Grandiose thoughts
C. Lack of sleep
D. Hyperactive behavior - CORRECT ANSWER C. Lack of sleep
Based on Maslow's theory, physiological needs such as food, water, air, sleep,
etc., are the priority and must be taken care of first. The other options are
symptoms of mania but not as critical as lack of sleep.
A client states, "I will always be alone because nobody could ever love me." The
nurse recognizes that the client is expressing what cognitive-behavioral concept?
A. Actualization
B. Aversion
C. Schema
D. Emotional consequence - CORRECT ANSWER C. Schema
Schemas are unique assumptions about ourselves, according to Beck's theory.
This statement is an example of a negative schema. Emotional consequence is the
end result of negative thinking process, as described by Ellis. Actualization is a
level of Maslow's Hierarchy of Needs. Aversion is a therapy characterized by
punishment.
A 38-year-old patient diagnosed with major depression states, "my provider said
something about the medicine I've been prescribed will affect my
neurotransmitters. What exactly are neurotransmitters?" What is the nurse's best
response to the patient's question?
A. "Neurotransmitters are chemical messengers in the brain that help regulate
specific functions such as depression."
B. "Neurotransmitters are too complicated to explain easily. Just know that the
medication will help your mood and make you less depressed."
,C. "Neurotransmitters are chemicals in the brain that are the reason you are
depressed."
D. "I will ask your provider to give you a more in-depth explanation about why
this medication will help your depression." - CORRECT ANSWER A.
"Neurotransmitters are chemical messengers in the brain that help regulate
specific functions such as depression."
Neurotransmitters are chemicals released from neurons that function as a
neuromessenger and influence brain functions. Telling the patient that the
answer is too complicated belittles the patient by implying she cannot
understand, while stating that neurotransmitters are the reason she is depressed
is too simplistic. Asking the provider to give the education abdicates your
responsibility to provide patient education.
A prescription for which medication would require the nurse to monitor the client
for potential development of the side effect of hypothyroidism?
A. Fluoxetine
B. Bupropion
C. Lithium
D. Imipramine - CORRECT ANSWER C. Lithium
Long-term use of lithium may cause hypothyroidism. The other options refer to
drugs whose long-term use does not cause hypothyroidism.
A 49-year-old client diagnosed with schizophrenia at 22 years old is prescribed
risperidone. Which nursing assessment is the priority for this client?
A. Monitoring blood levels to avoid toxicity
B. Monitoring for abnormal involuntary movements
C. Observing for secondary mania
D. Observing for memory changes - CORRECT ANSWER B. Monitoring for
abnormal involuntary movements
Risperidone has the highest rate of extrapyramidal side effects (EPSs) of the
second-generation antipsychotic medications, thus making it imperative to
, monitor for EPSs. Risperidone is not monitored with blood levels and does not
cause mania or memory changes.
The nurse is caring for an admitted client with a history of becoming aggressive
when angry and has caused physical injury to another client and two staff
members. When this client begins to demonstrate signs of anger while in the day
room what intervention should the nurse implement to address the safety of the
milieu?
A. Alert security to come to the unit for a show of strength
B. Request that the client accompany the nurse to the client's room
C. Inform the client that restraints will be used if the behavior continues
D. Prepare to administer a prn chemical restraint to the client - CORRECT ANSWER
B. Request that the client accompany the nurse to the client's room
Least restrictive alternative doctrine requires using the least drastic means of
achieving a specific goal. By first attempting to remove the client to a safer
location, the nurse is respecting the client's right to treatment that is less
restrictive than the other options.
When considering client rights, which client can be legally medicated against his
or her wishes?
A. The client has accepted the medication in the past.
B. The client may cause imminent harm to self or others.
C. The client's primary provider orders the medication.
D. The client's mental illness may relate to cognitive impairment. - CORRECT
ANSWER B. The client may cause imminent harm to self or others.
A patient may be medicated against their will without a court hearing in an
emergency if the patient poses a danger to himself or herself or to others. The
other options are not legally valid reasons to give medication against a patient's
will.
When considering the duty to warn and protect third parties, which client
statement should the nurse report to the treatment team members?
Questions with Verified Answers
Which client statement demonstrates the mental health concept of resilience?
A. "My kids' happiness is worth any sacrifice I have to make."
B. "My mother made decisions about my husband's funeral when I just couldn't
do that."
C. "Losing my job was hard but my skills will help me get another one."
D. "In spite of all the treatment, I know I'll never be really healthy." - CORRECT
ANSWER C. "Losing my job was hard but my skills will help me get another one."
Resilience is a characteristic that helps individuals cope with loss and trauma that
may occur in life. Dependence is described as relying on others for decision
making and care. Pessimism is a life philosophy that things are more likely to go
wrong than right. Altruism is described as putting others before yourself.
The nurse being aware that certain mental illnesses have a prevalence among a
specific gender, will suspect which statement was made by a female client?
(Select all that apply.)
A. "I'm so anxious, about everything."
B. "There is no way I could make a presentation to a group of people."
C. "I freeze in panic when I see a spider."
D. "I've been depressed most of my adult life."
E. "I've been arrested 6 times in the last 15 years." - CORRECT ANSWER D. "I've
been depressed most of my adult life."
E. "I've been arrested 6 times in the last 15 years."
Antisocial personality disorder, characterized by repeated illegal behavior, is more
commonly diagnosed in men while major depressive disorder, characterized by
chronic feelings of sadness negatively impacts life, is more common among
women.
,A nurse is providing care to a 28-year-old client diagnosed with bipolar disorder
who was admitted in a manic state. According to Maslow's Hierarchy of Needs
theory, the nurse should identify which client symptom as having priority?
A. Rapid, pressured speech
B. Grandiose thoughts
C. Lack of sleep
D. Hyperactive behavior - CORRECT ANSWER C. Lack of sleep
Based on Maslow's theory, physiological needs such as food, water, air, sleep,
etc., are the priority and must be taken care of first. The other options are
symptoms of mania but not as critical as lack of sleep.
A client states, "I will always be alone because nobody could ever love me." The
nurse recognizes that the client is expressing what cognitive-behavioral concept?
A. Actualization
B. Aversion
C. Schema
D. Emotional consequence - CORRECT ANSWER C. Schema
Schemas are unique assumptions about ourselves, according to Beck's theory.
This statement is an example of a negative schema. Emotional consequence is the
end result of negative thinking process, as described by Ellis. Actualization is a
level of Maslow's Hierarchy of Needs. Aversion is a therapy characterized by
punishment.
A 38-year-old patient diagnosed with major depression states, "my provider said
something about the medicine I've been prescribed will affect my
neurotransmitters. What exactly are neurotransmitters?" What is the nurse's best
response to the patient's question?
A. "Neurotransmitters are chemical messengers in the brain that help regulate
specific functions such as depression."
B. "Neurotransmitters are too complicated to explain easily. Just know that the
medication will help your mood and make you less depressed."
,C. "Neurotransmitters are chemicals in the brain that are the reason you are
depressed."
D. "I will ask your provider to give you a more in-depth explanation about why
this medication will help your depression." - CORRECT ANSWER A.
"Neurotransmitters are chemical messengers in the brain that help regulate
specific functions such as depression."
Neurotransmitters are chemicals released from neurons that function as a
neuromessenger and influence brain functions. Telling the patient that the
answer is too complicated belittles the patient by implying she cannot
understand, while stating that neurotransmitters are the reason she is depressed
is too simplistic. Asking the provider to give the education abdicates your
responsibility to provide patient education.
A prescription for which medication would require the nurse to monitor the client
for potential development of the side effect of hypothyroidism?
A. Fluoxetine
B. Bupropion
C. Lithium
D. Imipramine - CORRECT ANSWER C. Lithium
Long-term use of lithium may cause hypothyroidism. The other options refer to
drugs whose long-term use does not cause hypothyroidism.
A 49-year-old client diagnosed with schizophrenia at 22 years old is prescribed
risperidone. Which nursing assessment is the priority for this client?
A. Monitoring blood levels to avoid toxicity
B. Monitoring for abnormal involuntary movements
C. Observing for secondary mania
D. Observing for memory changes - CORRECT ANSWER B. Monitoring for
abnormal involuntary movements
Risperidone has the highest rate of extrapyramidal side effects (EPSs) of the
second-generation antipsychotic medications, thus making it imperative to
, monitor for EPSs. Risperidone is not monitored with blood levels and does not
cause mania or memory changes.
The nurse is caring for an admitted client with a history of becoming aggressive
when angry and has caused physical injury to another client and two staff
members. When this client begins to demonstrate signs of anger while in the day
room what intervention should the nurse implement to address the safety of the
milieu?
A. Alert security to come to the unit for a show of strength
B. Request that the client accompany the nurse to the client's room
C. Inform the client that restraints will be used if the behavior continues
D. Prepare to administer a prn chemical restraint to the client - CORRECT ANSWER
B. Request that the client accompany the nurse to the client's room
Least restrictive alternative doctrine requires using the least drastic means of
achieving a specific goal. By first attempting to remove the client to a safer
location, the nurse is respecting the client's right to treatment that is less
restrictive than the other options.
When considering client rights, which client can be legally medicated against his
or her wishes?
A. The client has accepted the medication in the past.
B. The client may cause imminent harm to self or others.
C. The client's primary provider orders the medication.
D. The client's mental illness may relate to cognitive impairment. - CORRECT
ANSWER B. The client may cause imminent harm to self or others.
A patient may be medicated against their will without a court hearing in an
emergency if the patient poses a danger to himself or herself or to others. The
other options are not legally valid reasons to give medication against a patient's
will.
When considering the duty to warn and protect third parties, which client
statement should the nurse report to the treatment team members?
