PSYCHIATRIC/MENTAL HEALTH
NURSING
PSYCHIATRIC/MENTAL HEALTH
NURSING, MENTAL HEALTH NURSING
CHAPTER 1-10, CONTEMPORARY
PSYCHIATRIC-MENTAL HEALTH
NURSING (TEST 1) CHAPS 1-5 8-10, 13,
23, PSYCHIATRIC NURSING - PRELIMS,
MIDTERM
A patient usually watches television all day, seldom going out in the community or socializing
with others. The patient says, "I don't know what to do with my free time." Which member of
the treatment team would be most helpful to this patient?
a. Psychologist
b. Social worker
c. Recreational therapist
d. Occupational therapist –
A+ TEST BANK 1
, PSYCHIATRIC/MENTAL HEALTH
NURSING
Correct Answer :ANS: C
Recreational therapists help patients use leisure time to benefit their mental health.
Occupational therapists assist with a broad range of skills, including those for employment.
Psychologists conduct testing and provide other patient services. Social workers focus on the
patient's support system.
A patient was diagnosed with anorexia nervosa. The history shows the patient virtually stopped
eating 5 months ago and lost 25% of body weight. The serum potassium is currently 2.7 mg/dL.
Which nursing diagnosis applies?
a. Adult failure to thrive related to abuse of laxatives as evidenced by electrolyte imbalances and
weight loss
b. Disturbed energy field related to physical exertion in excess of energy produced through
caloric intake as evidenced by weight loss and hyperkalemia
c. Ineffective health maintenance related to self-induced vomiting as evidenced by swollen
parotid glands and hyperkalemia
d. Imbalanced nutrition: less than body requirements related to reduced oral intake as
evidenced by loss of 25% of body weight and hypokalemia –
Correct Answer :ANS: D
The patient's history and lab result support the nursing diagnosis Imbalanced nutrition: less than
body requirements. Data are not present that the patient uses laxatives, induces vomiting, or
exercises excessively. The patient has hypokalemia rather than hyperkalemia.
A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While
planning discharge, the case manager learned that the patient received a notice of eviction
immediately prior to admission. Select the case manager's most appropriate action.
a. Postpone the patient's discharge from the hospital.
b. Contact the landlord who evicted the patient to further discuss the situation.
c. Arrange a temporary place for the patient to stay until new housing can be arranged.
A+ TEST BANK 2
, PSYCHIATRIC/MENTAL HEALTH
NURSING
d. Determine whether the adverse medication reaction was genuine because the patient had
nowhere to live. –
Correct Answer :ANS: C
The case manager should intervene by arranging temporary shelter for the patient until an
apartment can be found. This activity is part of the coordination and delivery of services that falls
under the case manager role. None of the other options is a viable alternative.
A patient with acute depression states, "God is punishing me for my past sins." What is the
nurse's most therapeutic response?
a. "You sound very upset about this."
b. "God always forgives us for our sins."
c. "Why do you think you are being punished?"
d. "If you feel this way, you should talk to your minister." –
Correct Answer :ANS: A
The nurse reflects the patient's comment, a therapeutic technique to encourage sharing for
perceptions and feelings. The incorrect responses reflect probing, closed-ended comments, and
giving advice, all of which are non-therapeutic.
A patient would benefit from therapy in which peers as well as staff have a voice in determining
patients' privileges and psychoeducational topics. Which approach would be best?
a. Milieu therapy
b. Cognitive therapy
c. Short-term dynamic therapy
d. Systematic desensitization –
Correct Answer :ANS: A
A+ TEST BANK 3
, PSYCHIATRIC/MENTAL HEALTH
NURSING
Milieu therapy is based on the idea that all members of the environment contribute to the
planning and functioning of the setting. The distracters are individual therapies that do not fit
the description.
A patient's relationships are intense and unstable. The patient initially idealizes the significant
other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will
benefit from interventions to develop which aspect of mental health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships –
Correct Answer :ANS: D
The information given centers on relationships with others that are described as intense and
unstable. The relationships of mentally healthy individuals are stable, satisfying, and socially
integrated. Data are not present to describe work effectiveness, communication skills, or
activities.
A person says, "I was the only survivor in a small plane crash. Three business associates died. I
got depressed and saw a counselor twice a week for 4 weeks. We talked about my feelings
related to being a survivor, and I'm better now." Which type of therapy was used?
a. Milieu therapy
b. Psychoanalysis
c. Behavior modification
d. Interpersonal psychotherapy –
Correct Answer :ANS: D
Interpersonal psychotherapy returned the patient to his former level of functioning by helping
him come to terms with the loss of friends and guilt over being a survivor. Milieu therapy refers
A+ TEST BANK 4
NURSING
PSYCHIATRIC/MENTAL HEALTH
NURSING, MENTAL HEALTH NURSING
CHAPTER 1-10, CONTEMPORARY
PSYCHIATRIC-MENTAL HEALTH
NURSING (TEST 1) CHAPS 1-5 8-10, 13,
23, PSYCHIATRIC NURSING - PRELIMS,
MIDTERM
A patient usually watches television all day, seldom going out in the community or socializing
with others. The patient says, "I don't know what to do with my free time." Which member of
the treatment team would be most helpful to this patient?
a. Psychologist
b. Social worker
c. Recreational therapist
d. Occupational therapist –
A+ TEST BANK 1
, PSYCHIATRIC/MENTAL HEALTH
NURSING
Correct Answer :ANS: C
Recreational therapists help patients use leisure time to benefit their mental health.
Occupational therapists assist with a broad range of skills, including those for employment.
Psychologists conduct testing and provide other patient services. Social workers focus on the
patient's support system.
A patient was diagnosed with anorexia nervosa. The history shows the patient virtually stopped
eating 5 months ago and lost 25% of body weight. The serum potassium is currently 2.7 mg/dL.
Which nursing diagnosis applies?
a. Adult failure to thrive related to abuse of laxatives as evidenced by electrolyte imbalances and
weight loss
b. Disturbed energy field related to physical exertion in excess of energy produced through
caloric intake as evidenced by weight loss and hyperkalemia
c. Ineffective health maintenance related to self-induced vomiting as evidenced by swollen
parotid glands and hyperkalemia
d. Imbalanced nutrition: less than body requirements related to reduced oral intake as
evidenced by loss of 25% of body weight and hypokalemia –
Correct Answer :ANS: D
The patient's history and lab result support the nursing diagnosis Imbalanced nutrition: less than
body requirements. Data are not present that the patient uses laxatives, induces vomiting, or
exercises excessively. The patient has hypokalemia rather than hyperkalemia.
A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While
planning discharge, the case manager learned that the patient received a notice of eviction
immediately prior to admission. Select the case manager's most appropriate action.
a. Postpone the patient's discharge from the hospital.
b. Contact the landlord who evicted the patient to further discuss the situation.
c. Arrange a temporary place for the patient to stay until new housing can be arranged.
A+ TEST BANK 2
, PSYCHIATRIC/MENTAL HEALTH
NURSING
d. Determine whether the adverse medication reaction was genuine because the patient had
nowhere to live. –
Correct Answer :ANS: C
The case manager should intervene by arranging temporary shelter for the patient until an
apartment can be found. This activity is part of the coordination and delivery of services that falls
under the case manager role. None of the other options is a viable alternative.
A patient with acute depression states, "God is punishing me for my past sins." What is the
nurse's most therapeutic response?
a. "You sound very upset about this."
b. "God always forgives us for our sins."
c. "Why do you think you are being punished?"
d. "If you feel this way, you should talk to your minister." –
Correct Answer :ANS: A
The nurse reflects the patient's comment, a therapeutic technique to encourage sharing for
perceptions and feelings. The incorrect responses reflect probing, closed-ended comments, and
giving advice, all of which are non-therapeutic.
A patient would benefit from therapy in which peers as well as staff have a voice in determining
patients' privileges and psychoeducational topics. Which approach would be best?
a. Milieu therapy
b. Cognitive therapy
c. Short-term dynamic therapy
d. Systematic desensitization –
Correct Answer :ANS: A
A+ TEST BANK 3
, PSYCHIATRIC/MENTAL HEALTH
NURSING
Milieu therapy is based on the idea that all members of the environment contribute to the
planning and functioning of the setting. The distracters are individual therapies that do not fit
the description.
A patient's relationships are intense and unstable. The patient initially idealizes the significant
other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will
benefit from interventions to develop which aspect of mental health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships –
Correct Answer :ANS: D
The information given centers on relationships with others that are described as intense and
unstable. The relationships of mentally healthy individuals are stable, satisfying, and socially
integrated. Data are not present to describe work effectiveness, communication skills, or
activities.
A person says, "I was the only survivor in a small plane crash. Three business associates died. I
got depressed and saw a counselor twice a week for 4 weeks. We talked about my feelings
related to being a survivor, and I'm better now." Which type of therapy was used?
a. Milieu therapy
b. Psychoanalysis
c. Behavior modification
d. Interpersonal psychotherapy –
Correct Answer :ANS: D
Interpersonal psychotherapy returned the patient to his former level of functioning by helping
him come to terms with the loss of friends and guilt over being a survivor. Milieu therapy refers
A+ TEST BANK 4
