NUR 316; Nursing Concepts for Psychiatric/Mental Health Exam 1;
An Asian-American client has been prescribed an antidepressant medication for severe
depression. When the nurse prepares discharge teaching topics for this client, which specific
information will be included? - correct answer . Some racial and ethnic groups are genetically
predisposed to enzyme deficiencies that require that their medications be prescribed at lower
than normal dosages.
Which statement by an older adult who has recently had hip replacement surgery supports that
her positive attitude is contributing to her mental health wellness? - correct answer "I can't go
hiking, but I still enjoy walking in the park in the afternoon."
The primary impact that the development and use of psychotropic drugs had on nursing's role in
the care of clients with mental health disorders was: - correct answer The expansion of the role
assumed by professionally trained nurses.
Which nursing activity demonstrates the role of a professional psychiatric nurse as identified by
Hildegard Peplau? - correct answer Providing counseling
Which nursing activity is a direct result of the Community Mental Health Centers Act of 1963? -
correct answer Being a member of a client's multidisciplinary treatment team
What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH) from the
Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN-PMH)? - correct answer
The APRN-PMH exercises a greater degree of autonomy when providing care.
In order to become political advocates for the mentally ill, psychiatric nurses must first: - correct
answer Recognize the value of their understanding of the needs of the mentally ill.
The nurse demonstrates an understanding of the first assumption of Stuart's Stress Adaptation
Model when: - correct answer Encouraging a client's adult children to accompany their parent
to family group therapy sessions.
A young adult tells the nurse at the local free clinic that he is currently living in his car and
panhandling for money. The nurse asks the individual the reason for his decision to live as he
does. Which response will the nurse follow up on to determine if the individual is experiencing
mental health issues? - correct answer "This way they can't find me and if they can't find me
they can't hurt me."
Which statement made by a teenager indicates an increased risk for poor stress management as
a result of a psychosocial factor? - correct answer "I couldn't survive if my boyfriend left me."
What is the long-term benefit of successfully implementing a constructive coping mechanism? -
correct answer . Confidence in one's ability to manage stress in the future is reinforced.
,The client's chart indicates that she has experienced trauma to the cerebral cortex as a result of
injuries sustained during an attempted suicide. Which observation is most likely the result of
this injury? - correct answer Client states, "What do you mean 'it's raining cats and dogs'?"
A client suspected of being schizophrenic is scheduled for a computed tomography (CT). The
nurse informs the client that the diagnostic test will: - correct answer . Allow the doctors to
view the structures of his brain.
A client diagnosed with depression has reported fatigue and poor concentration. When she is
told that the results of her sleep study show that she has excessive REM sleep cycles, the client
asks the nurse to explain what those results mean. The nurse best answers the client's concerns
by replying: - correct answer "Too much REM sleep deprives you of deep restoring sleep."
The greatest benefit derived from current work being done related to pharmacogenetics is that:
- correct answer C. Medications will be designed so that they do not cause unwanted side
effects.
The psychiatric nurse best demonstrates an understanding of the general health challenges
facing a mentally ill client who reports auditory hallucinations when asking: - correct answer .
"May I have your permission to take your blood pressure?"
The mental health nurse is about to conduct an admissions interview with an older adult being
admitted for depression. Which action demonstrates an understanding of the appropriate
integration of the mental health status examination into an assessment interview? - correct
answer Including mental health questions among the general assessment interview questions
During an assessment interview with a newly admitted client, the nurse identifies a sense of
anger developing in response to the client's defiant statements. In order to maintain a
therapeutic environment, the nurse: - correct answer . Shares with the client that he appears
angry about being admitted.
A client diagnosed with chronic depression appears sad and joyless when arriving at the mental
health clinic for a scheduled appointment. The nurse best assesses the client's mood by: -
correct answer . Asking, "On a scale of 0 to 10 with 10 being as happy as you can ever
remember being, how do you feel today?"
The Mini Mental State Exam is most appropriately used when the: - correct answer . Focus of
the exam is the client's cognitive function.
Which statement demonstrates an understanding of the value of using rating scales when
assessing and documenting client responses? - correct answer . "The depression rating scale
makes tracing a client's response to antidepressant medication much more reliable."
The key to asking culturally competent assessment questions is to: - correct answer Remove all
bias from the questions.
,The nurse is managing the care of a client who recently lost his job and is diagnosed with mild
situational depression. During the assessment interview, the client volunteered that he stopped
attending school in the 8th grade. The nurse is satisfied that a client's lack of formal education
has not become a risk factor to his mental health when he: - correct answer Reflects on his
problem and formulates a realistic plan to find another job.
Which statement made by a nurse who manages care for a number of culturally diverse
Hispanic clients demonstrates an understanding of the challenges this assignment presents? -
correct answer "There are many differences between Hispanic subcultures."
Ethnic minorities are often victims of stigmatization regarding their mental illnesses. The nurse
initially addresses this potential problem by: - correct answer . Discussing with the client how
family and friends are reacting to his illness.
Diverse cultural beliefs can result in dramatically varied perceptions of wellness, disease, and
the treatment of disease. In order to best address these variations when planning nursing care,
the nurse and client initially: - correct answer . Discuss what the client believes is the cause of
his or her illness.
The nurse best assures that a psychiatric client's rights are respected and preserved by: - correct
answer Being knowledgeable of the state laws that regulate client rights.
Which nursing statement describes the basis of the ethical theory called utilitarianism? - correct
answer . "I can't allow a client to smoke in the day room since it isn't healthy for the other
clients."
Which statement describes the basis of an ethical dilemma? - correct answer . "There are only
two treatment choices; both are very painful and neither has a high rate of success."
A client has been voluntarily admitted to a mental health unit for treatment of acute
depression. Which client request will the nurse deny based on this type of commitment? -
correct answer Notifying his wife to bring him his personal cell phone
Which individual has not met the criteria for involuntary commitment to a mental health
facility? - correct answer . An adult who reports that he drinks way too much in order to forget
the abuse he's endured
According to the World Health Organization study, which nursing activity addresses the number
one psychiatric cause of disability in the world today? - correct answer Offering a depression
screening at a local school for students in grades 8 through 12
It has been estimated that 20%, or 45 million, adults ages 18 or older in the United States have
experienced a mental illness in the past year. Which nursing intervention is directed toward
addressing the greatest barrier to successful treatment outcomes for these individuals? -
, correct answer . Educating clients as to the importance of completing their treatment
recommendations
Currently, the mental health system in the United States focuses on managing client disabilities.
It has been suggested that the focus be changed. Which nursing intervention demonstrates an
attempt to work toward that recommended focus? - correct answer Teaching stress
management techniques to new mothers
Access to mental health care services has been identified as a necessary component in an
effective mental health care system. Which intervention demonstrates an attempt to meet the
needs of an underserved group of Americans? - correct answer . Establishing a mobile mental
health clinic that serves residents in a rural farming community
Words are powerful and language can stigmatize the individual dealing with mental illness. How
can a nurse personally advocate for such individuals with this in mind? - correct answer . Role
modeling language that is respectful to those with mental illnesses
Which nursing intervention is directed toward one of the aims of primary preventive psychiatric
nursing care? - correct answer . Providing stress management classes to new parents
The initial step in providing effective mental health-focused public health services is: - correct
answer Surveying the targeted community to identify needs of the high-risk groups.
The nurse demonstrates an understanding of the importance of assessment in prevention of
mental illness when: - correct answer Observing the partner of a pregnant woman for evidence
of effective support and caring.
Which statement made by a client who has been the victim of physical abuse by her partner
supports the nurse's belief that the client has developed competence?
" - correct answer . "I have the strength to leave if I ever begin to feel threatened."
Nursing advocacy directed towards eliminating the stigma attached to mental illness is based on
the fact that: - correct answer No one is immune to mental illness or emotional problems.
The nurse is addressing a primary symptom of schizophrenia when: - correct answer .
Reinforcing the client's ability to interrupt intrusive paranoid thoughts.
The greatest negative personal result of stigma directed toward those diagnosed with a mental
illness is: - correct answer . Low self-esteem.
Which mental health service focuses on a largely underserved at-risk population? - correct
answer A depression support group for adolescent children
Which statement by the nurse will have the greatest impact on medication adherence for a
client diagnosed with depression? - correct answer . "Taking this medication will help you start
enjoying the time you spend with your grandchildren again."
An Asian-American client has been prescribed an antidepressant medication for severe
depression. When the nurse prepares discharge teaching topics for this client, which specific
information will be included? - correct answer . Some racial and ethnic groups are genetically
predisposed to enzyme deficiencies that require that their medications be prescribed at lower
than normal dosages.
Which statement by an older adult who has recently had hip replacement surgery supports that
her positive attitude is contributing to her mental health wellness? - correct answer "I can't go
hiking, but I still enjoy walking in the park in the afternoon."
The primary impact that the development and use of psychotropic drugs had on nursing's role in
the care of clients with mental health disorders was: - correct answer The expansion of the role
assumed by professionally trained nurses.
Which nursing activity demonstrates the role of a professional psychiatric nurse as identified by
Hildegard Peplau? - correct answer Providing counseling
Which nursing activity is a direct result of the Community Mental Health Centers Act of 1963? -
correct answer Being a member of a client's multidisciplinary treatment team
What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH) from the
Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN-PMH)? - correct answer
The APRN-PMH exercises a greater degree of autonomy when providing care.
In order to become political advocates for the mentally ill, psychiatric nurses must first: - correct
answer Recognize the value of their understanding of the needs of the mentally ill.
The nurse demonstrates an understanding of the first assumption of Stuart's Stress Adaptation
Model when: - correct answer Encouraging a client's adult children to accompany their parent
to family group therapy sessions.
A young adult tells the nurse at the local free clinic that he is currently living in his car and
panhandling for money. The nurse asks the individual the reason for his decision to live as he
does. Which response will the nurse follow up on to determine if the individual is experiencing
mental health issues? - correct answer "This way they can't find me and if they can't find me
they can't hurt me."
Which statement made by a teenager indicates an increased risk for poor stress management as
a result of a psychosocial factor? - correct answer "I couldn't survive if my boyfriend left me."
What is the long-term benefit of successfully implementing a constructive coping mechanism? -
correct answer . Confidence in one's ability to manage stress in the future is reinforced.
,The client's chart indicates that she has experienced trauma to the cerebral cortex as a result of
injuries sustained during an attempted suicide. Which observation is most likely the result of
this injury? - correct answer Client states, "What do you mean 'it's raining cats and dogs'?"
A client suspected of being schizophrenic is scheduled for a computed tomography (CT). The
nurse informs the client that the diagnostic test will: - correct answer . Allow the doctors to
view the structures of his brain.
A client diagnosed with depression has reported fatigue and poor concentration. When she is
told that the results of her sleep study show that she has excessive REM sleep cycles, the client
asks the nurse to explain what those results mean. The nurse best answers the client's concerns
by replying: - correct answer "Too much REM sleep deprives you of deep restoring sleep."
The greatest benefit derived from current work being done related to pharmacogenetics is that:
- correct answer C. Medications will be designed so that they do not cause unwanted side
effects.
The psychiatric nurse best demonstrates an understanding of the general health challenges
facing a mentally ill client who reports auditory hallucinations when asking: - correct answer .
"May I have your permission to take your blood pressure?"
The mental health nurse is about to conduct an admissions interview with an older adult being
admitted for depression. Which action demonstrates an understanding of the appropriate
integration of the mental health status examination into an assessment interview? - correct
answer Including mental health questions among the general assessment interview questions
During an assessment interview with a newly admitted client, the nurse identifies a sense of
anger developing in response to the client's defiant statements. In order to maintain a
therapeutic environment, the nurse: - correct answer . Shares with the client that he appears
angry about being admitted.
A client diagnosed with chronic depression appears sad and joyless when arriving at the mental
health clinic for a scheduled appointment. The nurse best assesses the client's mood by: -
correct answer . Asking, "On a scale of 0 to 10 with 10 being as happy as you can ever
remember being, how do you feel today?"
The Mini Mental State Exam is most appropriately used when the: - correct answer . Focus of
the exam is the client's cognitive function.
Which statement demonstrates an understanding of the value of using rating scales when
assessing and documenting client responses? - correct answer . "The depression rating scale
makes tracing a client's response to antidepressant medication much more reliable."
The key to asking culturally competent assessment questions is to: - correct answer Remove all
bias from the questions.
,The nurse is managing the care of a client who recently lost his job and is diagnosed with mild
situational depression. During the assessment interview, the client volunteered that he stopped
attending school in the 8th grade. The nurse is satisfied that a client's lack of formal education
has not become a risk factor to his mental health when he: - correct answer Reflects on his
problem and formulates a realistic plan to find another job.
Which statement made by a nurse who manages care for a number of culturally diverse
Hispanic clients demonstrates an understanding of the challenges this assignment presents? -
correct answer "There are many differences between Hispanic subcultures."
Ethnic minorities are often victims of stigmatization regarding their mental illnesses. The nurse
initially addresses this potential problem by: - correct answer . Discussing with the client how
family and friends are reacting to his illness.
Diverse cultural beliefs can result in dramatically varied perceptions of wellness, disease, and
the treatment of disease. In order to best address these variations when planning nursing care,
the nurse and client initially: - correct answer . Discuss what the client believes is the cause of
his or her illness.
The nurse best assures that a psychiatric client's rights are respected and preserved by: - correct
answer Being knowledgeable of the state laws that regulate client rights.
Which nursing statement describes the basis of the ethical theory called utilitarianism? - correct
answer . "I can't allow a client to smoke in the day room since it isn't healthy for the other
clients."
Which statement describes the basis of an ethical dilemma? - correct answer . "There are only
two treatment choices; both are very painful and neither has a high rate of success."
A client has been voluntarily admitted to a mental health unit for treatment of acute
depression. Which client request will the nurse deny based on this type of commitment? -
correct answer Notifying his wife to bring him his personal cell phone
Which individual has not met the criteria for involuntary commitment to a mental health
facility? - correct answer . An adult who reports that he drinks way too much in order to forget
the abuse he's endured
According to the World Health Organization study, which nursing activity addresses the number
one psychiatric cause of disability in the world today? - correct answer Offering a depression
screening at a local school for students in grades 8 through 12
It has been estimated that 20%, or 45 million, adults ages 18 or older in the United States have
experienced a mental illness in the past year. Which nursing intervention is directed toward
addressing the greatest barrier to successful treatment outcomes for these individuals? -
, correct answer . Educating clients as to the importance of completing their treatment
recommendations
Currently, the mental health system in the United States focuses on managing client disabilities.
It has been suggested that the focus be changed. Which nursing intervention demonstrates an
attempt to work toward that recommended focus? - correct answer Teaching stress
management techniques to new mothers
Access to mental health care services has been identified as a necessary component in an
effective mental health care system. Which intervention demonstrates an attempt to meet the
needs of an underserved group of Americans? - correct answer . Establishing a mobile mental
health clinic that serves residents in a rural farming community
Words are powerful and language can stigmatize the individual dealing with mental illness. How
can a nurse personally advocate for such individuals with this in mind? - correct answer . Role
modeling language that is respectful to those with mental illnesses
Which nursing intervention is directed toward one of the aims of primary preventive psychiatric
nursing care? - correct answer . Providing stress management classes to new parents
The initial step in providing effective mental health-focused public health services is: - correct
answer Surveying the targeted community to identify needs of the high-risk groups.
The nurse demonstrates an understanding of the importance of assessment in prevention of
mental illness when: - correct answer Observing the partner of a pregnant woman for evidence
of effective support and caring.
Which statement made by a client who has been the victim of physical abuse by her partner
supports the nurse's belief that the client has developed competence?
" - correct answer . "I have the strength to leave if I ever begin to feel threatened."
Nursing advocacy directed towards eliminating the stigma attached to mental illness is based on
the fact that: - correct answer No one is immune to mental illness or emotional problems.
The nurse is addressing a primary symptom of schizophrenia when: - correct answer .
Reinforcing the client's ability to interrupt intrusive paranoid thoughts.
The greatest negative personal result of stigma directed toward those diagnosed with a mental
illness is: - correct answer . Low self-esteem.
Which mental health service focuses on a largely underserved at-risk population? - correct
answer A depression support group for adolescent children
Which statement by the nurse will have the greatest impact on medication adherence for a
client diagnosed with depression? - correct answer . "Taking this medication will help you start
enjoying the time you spend with your grandchildren again."
