NUR 316 NURSING CONCEPTS FOR
PSYCHIATRIC (MENTAL HEALTH) EXAM
1 WITH CORRECT ANSWERS
A |client |with |major |depression |must |take |tranylcypromine |sulfate |(Parnate), |a
|monoamine |oxidase |inhibitor |(MAOI). |During |medication |teaching, |the |nurse
|should |instruct |the |client |to |avoid |consuming:
A. |Free-range |poultry.
B. |Whole |grain |bread.
C. |Aged |cheese.
D. |Fresh |fish. |- |CORRECT |ANSWERS-C. |Aged |cheese.
During |the |mental |status |examination, |a |client |may |be |asked |to |explain |such
|proverbs |as |"Don't |cry |over |spilled |milk." |The |purpose |is |to |evaluate |the |client's
|ability |to |think:
A. |Rationally.
B. |Concretely.
C. |Abstractly.
D. |Tangentially. |- |CORRECT |ANSWERS-C. |Abstractly.
Which |nursing |intervention |would |be |most |helpful |for |a |client |experiencing |a
|panic |attack?
A. |Encouraging |the |client |to |identify |what |precipitated |the |attack
B. |Promoting |the |client's |interaction |with |others |to |reduce |anxiety |through
|diversion
C. |Staying |with |the |client |and |remaining |calm, |confident, |and |reassuring
D. |Reducing |intolerable |stimuli |by |encouraging |the |client |to |stay |in |the |room
|alone |until |the |anxiety |abates |- |CORRECT |ANSWERS-C. |Staying |with |the |client
|and |remaining |calm, |confident, |and |reassuring
A |client |with |a |history |of |substance |abuse |has |been |attending |Alcoholics
|Anonymous |meetings |regularly |in |the |psychiatric |unit. |One |afternoon, |the |client
|tells |the |nurse, |"I'm |not |going |to |those |meetings |anymore. |I'm |not |like |the |rest |of
|those |people. |I'm |not |a |drunk." |What |is |the |most |appropriate |response?
A. |"If |you |aren't |an |alcoholic, |why |do |you |keep |drinking |and |ending |up |in |the
|hospital?"
B. |"It's |your |decision. |If |you |don't |want |to |go, |you |don't |have |to."
C. |"You |seem |upset |about |the |meetings."
D. |"You |have |to |go |to |the |meetings. |It's |part |of |your |treatment |plan." |- |CORRECT
|ANSWERS-C. |"You |seem |upset |about |the |meetings."
,A |client |diagnosed |with |anxiety |disorder |is |prescribed |buspirone |(BuSpar).
|Teaching |instructions |for |newly |prescribed |buspirone |should |include |which |of |the
|following?
A. |A |warning |that |immediate |sedation |can |occur |with |a |resultant |drop |in |pulse
B. |A |reminder |of |the |need |to |schedule |blood |work |in |1 |week |to |check |blood
|levels |of |the |drug
C. |A |warning |about |the |incidence |of |neuroleptic |malignant |syndrome |(NMS)
D. |A |warning |about |the |drug's |delayed |therapeutic |effect, |which |occurs |in |14 |to
|30 |days |- |CORRECT |ANSWERS-D. |A |warning |about |the |drug's |delayed |therapeutic
|effect, |which |occurs |in |14 |to |30 |days
The |nurse's |goal |in |crisis |intervention |is |to |provide:
A. |Problem-solving |techniques |and |structured |activities.
B. |An |insight-oriented |analytic |approach.
C. |Medication |to |sedate |the |client.
D. |Nondirective |techniques |such |as |free |association. |- |CORRECT |ANSWERS-A.
|Problem-solving |techniques |and |structured |activities.
What |is |a |generally |accepted |criterion |of |mental |health?
A. |Absence |of |anxiety
B. |Self-acceptance
C. |Ability |to |control |others
D. |Happiness |- |CORRECT |ANSWERS-B. |Self-acceptance
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:
A. |The |availability |of |mental |health |therapies |as |an |outpatient |service.
B. |The |expansion |of |the |role |assumed |by |professionally |trained |nurses.
C. |Nurses |were |needed |to |fill |the |gap |created |by |a |lack |of |medical |personnel.
D. |More |nurses |were |required |to |address |the |needs |of |the |now |treatable |mental
|health |clients. |- |CORRECT |ANSWERS-B. |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?
A. |Managing |the |milieu
B. |Caring |for |the |client's |physiological |needs
C. |Providing |counseling
D. |Documenting |client |behaviors |- |CORRECT |ANSWERS-C. |Providing |counseling
Which |nursing |activity |is |a |direct |result |of |the |Community |Mental |Health |Centers
|Act |of |1963?
A. |Being |a |member |of |a |client's |multidisciplinary |treatment |team
B. |Performing |an |extensive |admissions |assessment |for |each |hospitalized |client
C. |Using |physical |restraints |as |only |the |last |resort |when |client |safety |requires |it
,D. |Educating |a |client |on |the |role |of |neurotransmitters |in |chronic |depression |-
|CORRECT |ANSWERS-A. |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)?
A. |Only |the |APRN-PMH |is |responsible |for |milieu |management.
B. |The |APRN-PMH |exercises |a |greater |degree |of |autonomy |when |providing |care.
C. |Only |the |RN-PMH |provides |medication |education |to |the |client.
D. |The |RN-PMH |has |less |experience |working |with |the |mentally |ill. |- |CORRECT
|ANSWERS-B. |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:
A. |Be |willing |to |learn |the |legislative |and |regulatory |processes |at |both |the |federal
|and |state |levels.
B. |Recognize |the |need |to |work |in |partnership |with |the |American |Medical
|Association.
C. |Be |willing |to |put |aside |differences |and |unite |for |a |common |mental |health
|cause.
D. |Recognize |the |value |of |their |understanding |of |the |needs |of |the |mentally |ill. |-
|CORRECT |ANSWERS-D. |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:
A. |Encouraging |a |client's |adult |children |to |accompany |their |parent |to |family
|group |therapy |sessions.
B. |Discussing |with |a |client's |health |team |which |interventions |should |be |included
|in |the |plan |of |care.
C. |Planning |interventions |based |on |a |particular |nursing |theory |that |is |relevant |to
|the |client's |problem.
D. |Identifying |community |resources |that |will |help |a |mentally |ill |client |live |in |his
|own |home. |- |CORRECT |ANSWERS-A. |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?
A. |"I'll |live |in |a |house |and |get |a |job |when |the |government |gives |everyone |those
|opportunities."
B. |"I |live |like |this |for |3 |months |each |year |just |to |remind |myself |how |much |I |really
|have."
C. |"This |way |they |can't |find |me |and |if |they |can't |find |me |they |can't |hurt |me."
, D. |"The |law |says |I |can |live |any |way |I |want |to |as |long |as |I'm |not |hurting |anyone." |-
|CORRECT |ANSWERS-C. |"This |way |they |can't |find |me |and |if |they |can't |find |me |they
|can't |hurt |me."
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?
A. |"I |know |I |can't |go |hiking |like |I |did, |but |I |really |miss |it |so |much."
B. |"I |can't |go |hiking, |but |I |still |enjoy |walking |in |the |park |in |the |afternoon."
C. |"If |I |work |really |hard |in |rehab, |I |think |I'll |be |able |to |hike |again |next |spring."
D. |"Hiking |gave |me |such |pleasure, |but |if |I |can't |hike, |I'll |just |have |to |get |used |to
|it." |- |CORRECT |ANSWERS-B. |"I |can't |go |hiking, |but |I |still |enjoy |walking |in |the |park
|in |the |afternoon."
Which |statement |made |by |a |teenager |indicates |an |increased |risk |for |poor |stress
|management |as |a |result |of |a |psychosocial |factor?
A. |"I |couldn't |survive |if |my |boyfriend |left |me."
B. |"My |father |tried |to |kill |himself |when |I |was |10 |years |old."
C. |"Our |religion |does |not |accept |homosexuality |as |a |lifestyle |choice."
D. |"In |my |culture |mental |illness |is |thought |of |as |a |punishment |not |a |sickness." |-
|CORRECT |ANSWERS-A. |"I |couldn't |survive |if |my |boyfriend |left |me."
What |is |the |long-term |benefit |of |successfully |implementing |a |constructive |coping
|mechanism?
A. |Similar |stressors |will |no |longer |have |a |negative |affect |in |the |future.
B. |One's |ability |to |avoid |stressors |in |the |future |is |greatly |improved.
C. |Stress |is |no |longer |viewed |as |a |barrier |to |future |happiness |and |success.
D. |Confidence |in |one's |ability |to |manage |stress |in |the |future |is |reinforced. |-
|CORRECT |ANSWERS-D. |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?
A. |Client |is |often |found |crying |into |her |pillow.
B. |Client |demonstrates |involuntary |twitching |of |facial |muscles.
C. |Client |states, |"What |do |you |mean |'it's |raining |cats |and |dogs'?"
D. |Client |asks, |"Can |you |address |this |letter |to |my |mom; |I |forget |her |address?" |-
|CORRECT |ANSWERS-C. |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:
A. |Confirm |the |diagnosis |of |schizophrenia.
B. |Trace |the |flow |of |blood |through |his |brain.
C. |Allow |the |doctors |to |view |the |structures |of |his |brain.
D. |Help |determine |the |areas |of |his |brain |that |are |overreacting. |- |CORRECT
|ANSWERS-C. |Allow |the |doctors |to |view |the |structures |of |his |brain.
PSYCHIATRIC (MENTAL HEALTH) EXAM
1 WITH CORRECT ANSWERS
A |client |with |major |depression |must |take |tranylcypromine |sulfate |(Parnate), |a
|monoamine |oxidase |inhibitor |(MAOI). |During |medication |teaching, |the |nurse
|should |instruct |the |client |to |avoid |consuming:
A. |Free-range |poultry.
B. |Whole |grain |bread.
C. |Aged |cheese.
D. |Fresh |fish. |- |CORRECT |ANSWERS-C. |Aged |cheese.
During |the |mental |status |examination, |a |client |may |be |asked |to |explain |such
|proverbs |as |"Don't |cry |over |spilled |milk." |The |purpose |is |to |evaluate |the |client's
|ability |to |think:
A. |Rationally.
B. |Concretely.
C. |Abstractly.
D. |Tangentially. |- |CORRECT |ANSWERS-C. |Abstractly.
Which |nursing |intervention |would |be |most |helpful |for |a |client |experiencing |a
|panic |attack?
A. |Encouraging |the |client |to |identify |what |precipitated |the |attack
B. |Promoting |the |client's |interaction |with |others |to |reduce |anxiety |through
|diversion
C. |Staying |with |the |client |and |remaining |calm, |confident, |and |reassuring
D. |Reducing |intolerable |stimuli |by |encouraging |the |client |to |stay |in |the |room
|alone |until |the |anxiety |abates |- |CORRECT |ANSWERS-C. |Staying |with |the |client
|and |remaining |calm, |confident, |and |reassuring
A |client |with |a |history |of |substance |abuse |has |been |attending |Alcoholics
|Anonymous |meetings |regularly |in |the |psychiatric |unit. |One |afternoon, |the |client
|tells |the |nurse, |"I'm |not |going |to |those |meetings |anymore. |I'm |not |like |the |rest |of
|those |people. |I'm |not |a |drunk." |What |is |the |most |appropriate |response?
A. |"If |you |aren't |an |alcoholic, |why |do |you |keep |drinking |and |ending |up |in |the
|hospital?"
B. |"It's |your |decision. |If |you |don't |want |to |go, |you |don't |have |to."
C. |"You |seem |upset |about |the |meetings."
D. |"You |have |to |go |to |the |meetings. |It's |part |of |your |treatment |plan." |- |CORRECT
|ANSWERS-C. |"You |seem |upset |about |the |meetings."
,A |client |diagnosed |with |anxiety |disorder |is |prescribed |buspirone |(BuSpar).
|Teaching |instructions |for |newly |prescribed |buspirone |should |include |which |of |the
|following?
A. |A |warning |that |immediate |sedation |can |occur |with |a |resultant |drop |in |pulse
B. |A |reminder |of |the |need |to |schedule |blood |work |in |1 |week |to |check |blood
|levels |of |the |drug
C. |A |warning |about |the |incidence |of |neuroleptic |malignant |syndrome |(NMS)
D. |A |warning |about |the |drug's |delayed |therapeutic |effect, |which |occurs |in |14 |to
|30 |days |- |CORRECT |ANSWERS-D. |A |warning |about |the |drug's |delayed |therapeutic
|effect, |which |occurs |in |14 |to |30 |days
The |nurse's |goal |in |crisis |intervention |is |to |provide:
A. |Problem-solving |techniques |and |structured |activities.
B. |An |insight-oriented |analytic |approach.
C. |Medication |to |sedate |the |client.
D. |Nondirective |techniques |such |as |free |association. |- |CORRECT |ANSWERS-A.
|Problem-solving |techniques |and |structured |activities.
What |is |a |generally |accepted |criterion |of |mental |health?
A. |Absence |of |anxiety
B. |Self-acceptance
C. |Ability |to |control |others
D. |Happiness |- |CORRECT |ANSWERS-B. |Self-acceptance
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:
A. |The |availability |of |mental |health |therapies |as |an |outpatient |service.
B. |The |expansion |of |the |role |assumed |by |professionally |trained |nurses.
C. |Nurses |were |needed |to |fill |the |gap |created |by |a |lack |of |medical |personnel.
D. |More |nurses |were |required |to |address |the |needs |of |the |now |treatable |mental
|health |clients. |- |CORRECT |ANSWERS-B. |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?
A. |Managing |the |milieu
B. |Caring |for |the |client's |physiological |needs
C. |Providing |counseling
D. |Documenting |client |behaviors |- |CORRECT |ANSWERS-C. |Providing |counseling
Which |nursing |activity |is |a |direct |result |of |the |Community |Mental |Health |Centers
|Act |of |1963?
A. |Being |a |member |of |a |client's |multidisciplinary |treatment |team
B. |Performing |an |extensive |admissions |assessment |for |each |hospitalized |client
C. |Using |physical |restraints |as |only |the |last |resort |when |client |safety |requires |it
,D. |Educating |a |client |on |the |role |of |neurotransmitters |in |chronic |depression |-
|CORRECT |ANSWERS-A. |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)?
A. |Only |the |APRN-PMH |is |responsible |for |milieu |management.
B. |The |APRN-PMH |exercises |a |greater |degree |of |autonomy |when |providing |care.
C. |Only |the |RN-PMH |provides |medication |education |to |the |client.
D. |The |RN-PMH |has |less |experience |working |with |the |mentally |ill. |- |CORRECT
|ANSWERS-B. |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:
A. |Be |willing |to |learn |the |legislative |and |regulatory |processes |at |both |the |federal
|and |state |levels.
B. |Recognize |the |need |to |work |in |partnership |with |the |American |Medical
|Association.
C. |Be |willing |to |put |aside |differences |and |unite |for |a |common |mental |health
|cause.
D. |Recognize |the |value |of |their |understanding |of |the |needs |of |the |mentally |ill. |-
|CORRECT |ANSWERS-D. |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:
A. |Encouraging |a |client's |adult |children |to |accompany |their |parent |to |family
|group |therapy |sessions.
B. |Discussing |with |a |client's |health |team |which |interventions |should |be |included
|in |the |plan |of |care.
C. |Planning |interventions |based |on |a |particular |nursing |theory |that |is |relevant |to
|the |client's |problem.
D. |Identifying |community |resources |that |will |help |a |mentally |ill |client |live |in |his
|own |home. |- |CORRECT |ANSWERS-A. |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?
A. |"I'll |live |in |a |house |and |get |a |job |when |the |government |gives |everyone |those
|opportunities."
B. |"I |live |like |this |for |3 |months |each |year |just |to |remind |myself |how |much |I |really
|have."
C. |"This |way |they |can't |find |me |and |if |they |can't |find |me |they |can't |hurt |me."
, D. |"The |law |says |I |can |live |any |way |I |want |to |as |long |as |I'm |not |hurting |anyone." |-
|CORRECT |ANSWERS-C. |"This |way |they |can't |find |me |and |if |they |can't |find |me |they
|can't |hurt |me."
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?
A. |"I |know |I |can't |go |hiking |like |I |did, |but |I |really |miss |it |so |much."
B. |"I |can't |go |hiking, |but |I |still |enjoy |walking |in |the |park |in |the |afternoon."
C. |"If |I |work |really |hard |in |rehab, |I |think |I'll |be |able |to |hike |again |next |spring."
D. |"Hiking |gave |me |such |pleasure, |but |if |I |can't |hike, |I'll |just |have |to |get |used |to
|it." |- |CORRECT |ANSWERS-B. |"I |can't |go |hiking, |but |I |still |enjoy |walking |in |the |park
|in |the |afternoon."
Which |statement |made |by |a |teenager |indicates |an |increased |risk |for |poor |stress
|management |as |a |result |of |a |psychosocial |factor?
A. |"I |couldn't |survive |if |my |boyfriend |left |me."
B. |"My |father |tried |to |kill |himself |when |I |was |10 |years |old."
C. |"Our |religion |does |not |accept |homosexuality |as |a |lifestyle |choice."
D. |"In |my |culture |mental |illness |is |thought |of |as |a |punishment |not |a |sickness." |-
|CORRECT |ANSWERS-A. |"I |couldn't |survive |if |my |boyfriend |left |me."
What |is |the |long-term |benefit |of |successfully |implementing |a |constructive |coping
|mechanism?
A. |Similar |stressors |will |no |longer |have |a |negative |affect |in |the |future.
B. |One's |ability |to |avoid |stressors |in |the |future |is |greatly |improved.
C. |Stress |is |no |longer |viewed |as |a |barrier |to |future |happiness |and |success.
D. |Confidence |in |one's |ability |to |manage |stress |in |the |future |is |reinforced. |-
|CORRECT |ANSWERS-D. |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?
A. |Client |is |often |found |crying |into |her |pillow.
B. |Client |demonstrates |involuntary |twitching |of |facial |muscles.
C. |Client |states, |"What |do |you |mean |'it's |raining |cats |and |dogs'?"
D. |Client |asks, |"Can |you |address |this |letter |to |my |mom; |I |forget |her |address?" |-
|CORRECT |ANSWERS-C. |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:
A. |Confirm |the |diagnosis |of |schizophrenia.
B. |Trace |the |flow |of |blood |through |his |brain.
C. |Allow |the |doctors |to |view |the |structures |of |his |brain.
D. |Help |determine |the |areas |of |his |brain |that |are |overreacting. |- |CORRECT
|ANSWERS-C. |Allow |the |doctors |to |view |the |structures |of |his |brain.
