NUR 405 Exam 1 Questions With Correct
Answers
1. |A |nurse |is |assessing |a |client |who |is |experiencing |occasional |feelings |of |sadness |because |of |
the |recent |death |of |a |beloved |pet. |The |client's |appetite, |sleep |patterns, |and |daily |routine |have
|not |changed. |How |should |the |nurse |interpret |the |client's |behaviors?
A. |The |client's |behaviors |demonstrate |mental |illness |in |the |form |of |depression.
B. |The |client's |behaviors |are |extensive, |which |indicates |the |presence |of |mental |illness.
C. |The |client's |behaviors |are |not |congruent |with |cultural |norms.
D. |The |client's |behaviors |demonstrate |no |functional |impairment, |indicating |no |mental |illness. |-
|CORRECT |ANSWER✔✔-ANS: |D
The |nurse |should |assess |that |the |client's |daily |functioning |is |not |impaired. |The |client |who |
experiences |feelings |of |sadness |after |the |loss |of |a |pet |is |responding |within |normal |
expectations. |Without |significant |impairment, |the |client's |distress |does |not |indicate |a |mental |
illness.
2. |At |what |point |should |the |nurse |determine |that |a |client |is |at |risk |for |developing |a |mental |
disorder?
A. |When |thoughts, |feelings, |and |behaviors |are |not |reflective |of |the |DSM-5 |criteria
B. |When |maladaptive |responses |to |stress |are |coupled |with |interference |in |daily |functioning
C. |When |the |client |communicates |significant |distress
D. |When |the |client |uses |defense |mechanisms |as |ego |protection |- |CORRECT |ANSWER✔✔-ANS: |
B
The |nurse |should |determine |that |the |client |is |at |risk |for |mental |disorder |when |responses |to |
stress |are |maladaptive |and |interfere |with |daily |functioning. |The |DSM-5 |indicates |that |in |order |
to |be |diagnosed |with |a |mental |disorder, |there |must |be |significant |disturbance |in |cognition, |
emotion, |regulation, |or |behavior |that |reflects |a |dysfunction |in |the |psychological, |biological |or |
developmental |processes |underlying |mental |functioning. |These |disorders |are |usually |
,associated |with |significant |distress |or |disability |in |social, |occupational, |or |other |important |
activities. |The |client's |ability |to |communicate |distress |would |be |considered |a |positive |attribute
3. |A |nurse |is |assessing |15-year-old |identical |twins |who |respond |very |differently |to |stress. |One |
twin |becomes |anxious |and |irritable, |while |the |other |withdraws |and |cries. |How |should |the |
nurse |explain |these |different |responses |to |stress |to |the |parents?
A. |Reactions |to |stress |are |relative |rather |than |absolute; |individual |responses |to |stress |vary.
B. |It |is |abnormal |for |identical |twins |to |react |differently |to |similar |stressors.
C. |Identical |twins |should |share |the |same |temperament |and |respond |similarly |to |stress.
D. |Environmental |influences |weigh |more |heavily |than |genetic |influences |on |reactions |to |stress.
|- |CORRECT |ANSWER✔✔-ANS: |A
Responses |to |stress |are |variable |among |individuals |and |may |be |influenced |by |perception, |past
|experience, |and |environmental |factors |in |addition |to |genetic |factors.
4. |A |client |has |a |history |of |excessive |drinking, |which |has |led |to |multiple |arrests |for |driving |
under |the |influence |(DUI). |The |client |states, |"I |work |hard |to |provide |for |my |family. |I |don't |see |
why |I |can't |drink |to |relax." |The |nurse |recognizes |the |use |of |which |defense |mechanism?
A. |Projection
B. |Rationalization
C. |Regression
D. |Sublimation |- |CORRECT |ANSWER✔✔-ANS: |B
The |nurse |should |recognize |that |the |client |is |using |rationalization, |a |common |defense |
mechanism. |The |client |is |attempting |to |make |excuses |and |create |logical |reasons |to |justify |
unacceptable |feelings |or |behaviors.
5. |Which |client |should |the |nurse |anticipate |to |be |most |receptive |to |psychiatric |treatment?
A. |A |Jewish, |female |journalist
B. |A |Baptist, |homeless |male
C. |A |Catholic, |black |male
,D. |A |Protestant, |Swedish |business |executive |- |CORRECT |ANSWER✔✔-ANS: |A
The |nurse |should |anticipate |that |the |client |of |Jewish |culture |would |place |a |high |importance |
on |preventative |health |care |and |would |consider |mental |health |as |equally |important |as |
physical |health. |Women |are |also |more |likely |than |men |to |seek |treatment |for |mental |health |
problems.
6. |A |new |psychiatric |nurse |states, |"This |client's |use |of |defense |mechanisms |should |be |
eliminated." |Which |is |a |correct |evaluation |of |this |nurse's |statement?
A. |Defense |mechanisms |can |be |self-protective |responses |to |stress |and |need |not |be |
eliminated.
B. |Defense |mechanisms |are |a |maladaptive |attempt |of |the |ego |to |manage |anxiety |and |should |
always |be |eliminated.
C. |Defense |mechanisms, |used |by |individuals |with |weak |ego |integrity, |should |be |discouraged |
and |not |eliminated.
D. |Defense |mechanisms |cause |disintegration |of |the |ego |and |should |be |fostered |and |
encouraged. |- |CORRECT |ANSWER✔✔-ANS: |A
The |nurse |should |know |that |defense |mechanisms |serve |the |purpose |of |reducing |anxiety |
during |times |of |stress. |A |client |with |no |defense |mechanisms |may |have |a |lower |tolerance |for |
stress, |predisposing |him |or |her |to |anxiety |disorders. |Defense |mechanisms |should |be |
confronted |when |they |impede |the |client |from |developing |healthy |coping |skills.
7. |During |an |intake |assessment, |a |nurse |asks |both |physiological |and |psychosocial |questions. |
The |client |angrily |responds, |"I'm |here |for |my |heart, |not |my |head |problems." |Which |is |the |
nurse's |best |response?
A. |"It's |just |a |routine |part |of |our |assessment. |All |clients |are |asked |these |same |questions."
B. |"Why |are |you |concerned |about |these |types |of |questions?"
C. |"Psychological |factors, |like |excessive |stress, |have |been |found |to |affect |medical |conditions."
D. |"We |can |skip |these |questions, |if |you |like. |It |isn't |imperative |that |we |complete |this |section."
|- |CORRECT |ANSWER✔✔-ANS: |C
, The |nurse |should |attempt |to |educate |the |client |on |the |negative |effects |of |excessive |stress |on |
medical |conditions. |It |is |not |appropriate |to |skip |either |physiological |or |psychosocial |questions, |
as |this |would |lead |to |an |inaccurate |assessment.
8. |Which |statement |reflects |a |student |nurse's |accurate |understanding |of |the |concepts |of |
mental |health |and |mental |illness?
A. |"The |concepts |are |rigid |and |religiously |based."
B. |"The |concepts |are |multidimensional |and |culturally |defined."
C. |"The |concepts |are |universal |and |unchanging."
D. |"The |concepts |are |unidimensional |and |fixed." |- |CORRECT |ANSWER✔✔-ANS: |B
The |student |nurse |should |understand |that |mental |health |and |mental |illness |are |
multidimensional |and |culturally |defined. |It |is |important |for |nurses |to |be |aware |of |cultural |
norms |when |evaluating |a |client's |mental |state.
9. |A |mental |health |technician |asks |the |nurse, |"How |do |psychiatrists |determine |which |
diagnosis |to |give |a |patient?" |Which |of |these |responses |by |the |nurse |would |be |most |accurate?
A. |Psychiatrists |use |pre-established |criteria |from |the |APA's |Diagnostic |and |Statistical |Manual |of
|Mental |Disorders |(DSM-5).
B. |Hospital |policy |dictates |how |psychiatrists |diagnose |mental |disorders.
C. |Psychiatrists |assess |the |patient |and |identify |diagnoses |based |on |the |patient's |unhealthy |
responses |and |contributing |factors.
D. |The |American |Medical |Association |identifies |10 |diagnostic |labels |that |psychiatrists |can |
choose |from. |- |CORRECT |ANSWER✔✔-ANS: |A
The |DSM-5 |is |an |organized |manual |describing |mental |disorders |and |the |criteria |that |
determine |whether |a |given |diagnosis |is |appropriate. |It |is |published |by |the |American |
Psychiatric |Association |(APA). |It |intends |to |facilitate |accurate |and |reliable |medical |diagnosis |
and |treatment. |Item |C |describes |nursing |rather |than |medical |diagnosis.
10. |The |nurse |is |preparing |to |provide |medication |instruction |for |a |patient. |Which |of |the |
following |understandings |about |anxiety |will |be |essential |to |effective |instruction?
Answers
1. |A |nurse |is |assessing |a |client |who |is |experiencing |occasional |feelings |of |sadness |because |of |
the |recent |death |of |a |beloved |pet. |The |client's |appetite, |sleep |patterns, |and |daily |routine |have
|not |changed. |How |should |the |nurse |interpret |the |client's |behaviors?
A. |The |client's |behaviors |demonstrate |mental |illness |in |the |form |of |depression.
B. |The |client's |behaviors |are |extensive, |which |indicates |the |presence |of |mental |illness.
C. |The |client's |behaviors |are |not |congruent |with |cultural |norms.
D. |The |client's |behaviors |demonstrate |no |functional |impairment, |indicating |no |mental |illness. |-
|CORRECT |ANSWER✔✔-ANS: |D
The |nurse |should |assess |that |the |client's |daily |functioning |is |not |impaired. |The |client |who |
experiences |feelings |of |sadness |after |the |loss |of |a |pet |is |responding |within |normal |
expectations. |Without |significant |impairment, |the |client's |distress |does |not |indicate |a |mental |
illness.
2. |At |what |point |should |the |nurse |determine |that |a |client |is |at |risk |for |developing |a |mental |
disorder?
A. |When |thoughts, |feelings, |and |behaviors |are |not |reflective |of |the |DSM-5 |criteria
B. |When |maladaptive |responses |to |stress |are |coupled |with |interference |in |daily |functioning
C. |When |the |client |communicates |significant |distress
D. |When |the |client |uses |defense |mechanisms |as |ego |protection |- |CORRECT |ANSWER✔✔-ANS: |
B
The |nurse |should |determine |that |the |client |is |at |risk |for |mental |disorder |when |responses |to |
stress |are |maladaptive |and |interfere |with |daily |functioning. |The |DSM-5 |indicates |that |in |order |
to |be |diagnosed |with |a |mental |disorder, |there |must |be |significant |disturbance |in |cognition, |
emotion, |regulation, |or |behavior |that |reflects |a |dysfunction |in |the |psychological, |biological |or |
developmental |processes |underlying |mental |functioning. |These |disorders |are |usually |
,associated |with |significant |distress |or |disability |in |social, |occupational, |or |other |important |
activities. |The |client's |ability |to |communicate |distress |would |be |considered |a |positive |attribute
3. |A |nurse |is |assessing |15-year-old |identical |twins |who |respond |very |differently |to |stress. |One |
twin |becomes |anxious |and |irritable, |while |the |other |withdraws |and |cries. |How |should |the |
nurse |explain |these |different |responses |to |stress |to |the |parents?
A. |Reactions |to |stress |are |relative |rather |than |absolute; |individual |responses |to |stress |vary.
B. |It |is |abnormal |for |identical |twins |to |react |differently |to |similar |stressors.
C. |Identical |twins |should |share |the |same |temperament |and |respond |similarly |to |stress.
D. |Environmental |influences |weigh |more |heavily |than |genetic |influences |on |reactions |to |stress.
|- |CORRECT |ANSWER✔✔-ANS: |A
Responses |to |stress |are |variable |among |individuals |and |may |be |influenced |by |perception, |past
|experience, |and |environmental |factors |in |addition |to |genetic |factors.
4. |A |client |has |a |history |of |excessive |drinking, |which |has |led |to |multiple |arrests |for |driving |
under |the |influence |(DUI). |The |client |states, |"I |work |hard |to |provide |for |my |family. |I |don't |see |
why |I |can't |drink |to |relax." |The |nurse |recognizes |the |use |of |which |defense |mechanism?
A. |Projection
B. |Rationalization
C. |Regression
D. |Sublimation |- |CORRECT |ANSWER✔✔-ANS: |B
The |nurse |should |recognize |that |the |client |is |using |rationalization, |a |common |defense |
mechanism. |The |client |is |attempting |to |make |excuses |and |create |logical |reasons |to |justify |
unacceptable |feelings |or |behaviors.
5. |Which |client |should |the |nurse |anticipate |to |be |most |receptive |to |psychiatric |treatment?
A. |A |Jewish, |female |journalist
B. |A |Baptist, |homeless |male
C. |A |Catholic, |black |male
,D. |A |Protestant, |Swedish |business |executive |- |CORRECT |ANSWER✔✔-ANS: |A
The |nurse |should |anticipate |that |the |client |of |Jewish |culture |would |place |a |high |importance |
on |preventative |health |care |and |would |consider |mental |health |as |equally |important |as |
physical |health. |Women |are |also |more |likely |than |men |to |seek |treatment |for |mental |health |
problems.
6. |A |new |psychiatric |nurse |states, |"This |client's |use |of |defense |mechanisms |should |be |
eliminated." |Which |is |a |correct |evaluation |of |this |nurse's |statement?
A. |Defense |mechanisms |can |be |self-protective |responses |to |stress |and |need |not |be |
eliminated.
B. |Defense |mechanisms |are |a |maladaptive |attempt |of |the |ego |to |manage |anxiety |and |should |
always |be |eliminated.
C. |Defense |mechanisms, |used |by |individuals |with |weak |ego |integrity, |should |be |discouraged |
and |not |eliminated.
D. |Defense |mechanisms |cause |disintegration |of |the |ego |and |should |be |fostered |and |
encouraged. |- |CORRECT |ANSWER✔✔-ANS: |A
The |nurse |should |know |that |defense |mechanisms |serve |the |purpose |of |reducing |anxiety |
during |times |of |stress. |A |client |with |no |defense |mechanisms |may |have |a |lower |tolerance |for |
stress, |predisposing |him |or |her |to |anxiety |disorders. |Defense |mechanisms |should |be |
confronted |when |they |impede |the |client |from |developing |healthy |coping |skills.
7. |During |an |intake |assessment, |a |nurse |asks |both |physiological |and |psychosocial |questions. |
The |client |angrily |responds, |"I'm |here |for |my |heart, |not |my |head |problems." |Which |is |the |
nurse's |best |response?
A. |"It's |just |a |routine |part |of |our |assessment. |All |clients |are |asked |these |same |questions."
B. |"Why |are |you |concerned |about |these |types |of |questions?"
C. |"Psychological |factors, |like |excessive |stress, |have |been |found |to |affect |medical |conditions."
D. |"We |can |skip |these |questions, |if |you |like. |It |isn't |imperative |that |we |complete |this |section."
|- |CORRECT |ANSWER✔✔-ANS: |C
, The |nurse |should |attempt |to |educate |the |client |on |the |negative |effects |of |excessive |stress |on |
medical |conditions. |It |is |not |appropriate |to |skip |either |physiological |or |psychosocial |questions, |
as |this |would |lead |to |an |inaccurate |assessment.
8. |Which |statement |reflects |a |student |nurse's |accurate |understanding |of |the |concepts |of |
mental |health |and |mental |illness?
A. |"The |concepts |are |rigid |and |religiously |based."
B. |"The |concepts |are |multidimensional |and |culturally |defined."
C. |"The |concepts |are |universal |and |unchanging."
D. |"The |concepts |are |unidimensional |and |fixed." |- |CORRECT |ANSWER✔✔-ANS: |B
The |student |nurse |should |understand |that |mental |health |and |mental |illness |are |
multidimensional |and |culturally |defined. |It |is |important |for |nurses |to |be |aware |of |cultural |
norms |when |evaluating |a |client's |mental |state.
9. |A |mental |health |technician |asks |the |nurse, |"How |do |psychiatrists |determine |which |
diagnosis |to |give |a |patient?" |Which |of |these |responses |by |the |nurse |would |be |most |accurate?
A. |Psychiatrists |use |pre-established |criteria |from |the |APA's |Diagnostic |and |Statistical |Manual |of
|Mental |Disorders |(DSM-5).
B. |Hospital |policy |dictates |how |psychiatrists |diagnose |mental |disorders.
C. |Psychiatrists |assess |the |patient |and |identify |diagnoses |based |on |the |patient's |unhealthy |
responses |and |contributing |factors.
D. |The |American |Medical |Association |identifies |10 |diagnostic |labels |that |psychiatrists |can |
choose |from. |- |CORRECT |ANSWER✔✔-ANS: |A
The |DSM-5 |is |an |organized |manual |describing |mental |disorders |and |the |criteria |that |
determine |whether |a |given |diagnosis |is |appropriate. |It |is |published |by |the |American |
Psychiatric |Association |(APA). |It |intends |to |facilitate |accurate |and |reliable |medical |diagnosis |
and |treatment. |Item |C |describes |nursing |rather |than |medical |diagnosis.
10. |The |nurse |is |preparing |to |provide |medication |instruction |for |a |patient. |Which |of |the |
following |understandings |about |anxiety |will |be |essential |to |effective |instruction?
