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Which statement best describes the DSM-5?
a. It is a medical psychiatric assessment system.
b. It is a compendium of treatment modalities.
c. It offers a complete list of nursing diagnoses.
d. It suggests common interventions for mental disorder - correct answer. a. It is a
medical psychiatric assessment system.
Asylum-based training programs began in the late 1800s in Canada. What was the
rationale for initiating psychiatric nursing training?
a. There were greater needs for custodial care
b. Changes in treatment approaches meant greater needs for nursing care and
assistance
c. The early feminist movement advocated for career training for women and girls
d. The moral treatment era meant that early psychotherapy strategies were desired in
asylum settings - correct answer. b. Changes in treatment approaches meant
greater needs for nursing care and assistance.
A cognitive therapist would help a patient restructure the thought "I am stupid!" to...
a. "What I did was stupid."
b. "I am not as smart as others."
c. "Things usually go wrong for me."
,d. "Things like this should not happen to anyone. - correct answer. a. "What I did
was stupid."
Treatment of mental illnesses with psychotropic drugs is directed at which of the
following?
a. Altering brain neurochemistry
b. Correcting brain anatomical defects
c. Regulating social behaviours
d. Activating the body's normal response to stress - correct answer. a. Altering brain
neurochemistry
Which imaging technique can provide information about brain function?
a. Computed tomography (CT) scan
b. Positron emission tomography (PET) scan
c. Magnetic resonance imaging (MRI) scan
d. Skull radiograph - correct answer. b. Positron emission tomography (PET) scan
Which statement regarding patients' rights after being voluntarily admitted to an acute
care psychiatric unit is true?
a. All rights remain intact.
b. All rights are temporarily suspended.
c. The right to refuse treatment is no longer guaranteed.
d. Only rights that do not involve decision making remain intact. - correct answer. a.
All rights remain intact.
Which is a characteristic of a therapeutic inpatient milieu?
a. It provides for the patient's safety and comfort.
b. Voluntarily admitted patients are generally allowed additional privileges.
c. Rules and behavioural limits are flexibly enforced.
d. Staff provide frequent and ongoing negative feedback to patients. - correct answer.
a. It provides for the patient's safety and comfort.
Which attribute would be least helpful for a community mental health nurse to have?
a. Autonomy
b. Reactive manner
c. Non-judgemental attitude
d. Ability to cross service systems - correct answer. b. Reactive manner
Which ethical principle refers to the individual's right to make his or her own decisions?
a. Beneficence
, b. Autonomy
c. Veracity
d. Fidelity - correct answer. b. Autonomy
The mental status examination aids in the collection of what type of data?
a. Covert
b. Physical
c. Objective
d. Subjective - correct answer. c. Objective
Which of the following is an example of an action that is acceptable in a social
relationship but not in a therapeutic relationship?
a. Giving advice
b. Listening actively
c. Clarifying feelings
d. Giving positive regard - correct answer. a. Giving advice
To help a patient develop his or her resources, the nurse must first be aware of which of
the following?
a. The patient's strengths
b. Negative transferences
c. Counter-transferences
d. Resistances - correct answer. a. The patient's strengths
One of the possible sources of boundary violations is placing the focus on which of the
following?
a. Meeting the nurse's needs
b. Identifying patient disturbances
c. Assessing the patient's ego strength
d. Assessing the patient's weaknesses - correct answer. a. Meeting the nurse's
needs
What therapeutic communication technique is the nurse using by asking a newly
admitted patient, "Can you tell me what was happening to you that led to your being
hospitalized here?"
a. Using a minimal encourager
b. Using an open-ended question
c. Paraphrasing
d. Reflecting - correct answer. b. Using an open-ended question