NUR 3450 CORRECT EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔An adult says, "Most of the time I'm happy and feel good about myself. I have
learned that what I get out of something is proportional to the effort I put into it." Which
number on this mental health continuum should the nurse select?
Mental Illness Mental Health
12345
a. 1
b. 2
c. 3
d. 4
e. 5 - ✔✔e. 5
✔✔Which disorder is an example of a culture-bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depressive disorder - ✔✔c. Running amok
✔✔What does the DSM-V classify?
a. deviant behaviors
b. present disability or distress
c. people with mental disorders
d. mental disorders - ✔✔d) Mental disorders
The DSM-V classifies disorders people have rather than people themselves.
✔✔A citizen at a community health fair asks the nurse, "What is the most prevalent
mental disorder in the United States?" Select the nurse's correct response.
,a. Schizophrenia
b. Bipolar disorder
c. Dissociative fugue
d. Alzheimer's disease - ✔✔d. Alzheimer's disease
✔✔In the majority culture of the United States, which individual has the greatest risk to
be
labeled mentally ill?
a. One who describes hearing God's voice speaking.
b. One who is usually pessimistic but strives to meet personal goals.
c. One who is wealthy and gives away $20 bills to needy individuals.
d. One who always has an optimistic viewpoint about life - ✔✔a. One who describes
hearing God's voice speaking.
✔✔A client's relationships are intense and unstable. The client initially idealizes the
significant other and then devalues him or her, resulting in frequent feelings of
emptiness. This client will benefit from interventions to develop which aspect of mental
health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships - ✔✔d. Fulfilling relationships
✔✔Which belief will best support a nurse's efforts to provide client advocacy during a
multidisciplinary client care planning session?
a. All mental illnesses are culturally determined.
b. Schizophrenia and bipolar disorder are cross-cultural disorders.
c. Symptoms of mental disorders are unchanged from culture to culture.
d. Assessment findings in mental illness reflect a person's cultural patterns. - ✔✔d.
Assessment findings in mental illness reflect a person's cultural patterns.
✔✔A nurse is part of a multidisciplinary team working with groups of depressed clients.
One group of clients receives supportive interventions and antidepressant medication.
The other group receives only medication. The team measures outcomes for each
group. Which type of study is evident?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology - ✔✔d. Clinical epidemiology
,✔✔The spouse of a client diagnosed with schizophrenia says, "I don't understand how
events from childhood have anything to do with this disabling illness." Which response
by the nurse will best help the spouse understand the cause of this disorder?
a. "Psychological stress is the basis of most mental disorders."
b. "This illness results from developmental factors rather than stress."
c. "Research shows that this condition more likely has a biological basis."
d. "It must be frustrating for you that your spouse is sick so much of the time." - ✔✔c.
"Research shows that this condition more likely has a biological basis."
✔✔A category 5 tornado occurred in a community of 400 people. Many homes and
businesses were destroyed. In the 2 years following the disaster, 140 individuals were
diagnosed with post-traumatic stress disorder (PTSD). Which term best applies to these
newly diagnosed cases?
a. Prevalence
b. Comorbidity
c. Incidence
d. Parity - ✔✔c. Incidence
✔✔Which component of treatment of mental illness is specifically recognized by Quality
and Safety Education for Nurses (QSEN)?
a. All genomes are unique.
b. Care is centered on the client.
c. Healthy development is vital to mental health.
d. Recovery occurs on a continuum from illness to health. - ✔✔b. Care is centered on
the client.
✔✔What is the best response for the nurse to provide to a question from another health
professional regarding the difference between a diagnosis in DSM-V and a nursing
diagnosis.
a. "There is no functional difference between the two. Both identify human
disorders."
b. "The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes
culture into account."
c. "The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis
does not explore etiology."
d. "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for issues a client is experiencing." -
✔✔d. "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for issues a client is experiencing."
✔✔Which nursing intervention below is part of the scope of an advanced practice
psychiatric/mental health nurse rather than a basic level registered nurse?
, a. Coordination of care
b. Health teaching
c. Milieu therapy
d. Psychotherapy - ✔✔d. Psychotherapy
✔✔An experienced nurse says to a new graduate, "When you've practiced as long as I
have, you automatically know how to take care of clients experiencing psychosis."
Which factors should the new graduate consider when analyzing this comment? (Select
all that apply.)
a. The experienced nurse may have lost sight of clients' individuality, which may
compromise the integrity of practice.
b. New research findings should be integrated continuously into a nurse's practice to
provide the most effective care.
c. Experience provides mental health nurses with the essential tools and skills needed
for
effective professional practice.
d. Experienced psychiatric nurses have learned the best ways to care for mentally ill
clients
through trial and error.
e. An intuitive sense of clients' needs guides effective psychiatric nurses. - ✔✔a. The
experienced nurse may have lost sight of clients' individuality, which may
compromise the integrity of practice
b. New research findings should be integrated continuously into a nurse's practice to
provide the most effective care.
✔✔Which findings are signs of a person who is mentally healthy? (Select all that apply.)
a. Says, "I have some weaknesses, but I feel I'm important to my family and friends."
b. Adheres strictly to religious beliefs of parents and family of origin.
c. Spends all holidays alone watching old movies on television.
d. Considers past experiences when deciding about the future.
e. Experiences feelings of conflict related to changing jobs. - ✔✔a. Says, "I have some
weaknesses, but I feel I'm important to my family and friends."
d. Considers past experiences when deciding about the future.
e. Experiences feelings of conflict related to changing jobs.
✔✔A client in the emergency department says, "Voices say someone is stalking me.
They want to kill me because I developed a cure for cancer. I have a knife and will stab
anyone who is a threat." Which aspects of the client's mental health have the greatest
and most immediate
concern to the nurse? (Select all that apply.)
a. Happiness
b. Appraisal of reality
c. Control over behavior
d. Effectiveness in work
QUESTIONS SET A+
✔✔An adult says, "Most of the time I'm happy and feel good about myself. I have
learned that what I get out of something is proportional to the effort I put into it." Which
number on this mental health continuum should the nurse select?
Mental Illness Mental Health
12345
a. 1
b. 2
c. 3
d. 4
e. 5 - ✔✔e. 5
✔✔Which disorder is an example of a culture-bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depressive disorder - ✔✔c. Running amok
✔✔What does the DSM-V classify?
a. deviant behaviors
b. present disability or distress
c. people with mental disorders
d. mental disorders - ✔✔d) Mental disorders
The DSM-V classifies disorders people have rather than people themselves.
✔✔A citizen at a community health fair asks the nurse, "What is the most prevalent
mental disorder in the United States?" Select the nurse's correct response.
,a. Schizophrenia
b. Bipolar disorder
c. Dissociative fugue
d. Alzheimer's disease - ✔✔d. Alzheimer's disease
✔✔In the majority culture of the United States, which individual has the greatest risk to
be
labeled mentally ill?
a. One who describes hearing God's voice speaking.
b. One who is usually pessimistic but strives to meet personal goals.
c. One who is wealthy and gives away $20 bills to needy individuals.
d. One who always has an optimistic viewpoint about life - ✔✔a. One who describes
hearing God's voice speaking.
✔✔A client's relationships are intense and unstable. The client initially idealizes the
significant other and then devalues him or her, resulting in frequent feelings of
emptiness. This client will benefit from interventions to develop which aspect of mental
health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships - ✔✔d. Fulfilling relationships
✔✔Which belief will best support a nurse's efforts to provide client advocacy during a
multidisciplinary client care planning session?
a. All mental illnesses are culturally determined.
b. Schizophrenia and bipolar disorder are cross-cultural disorders.
c. Symptoms of mental disorders are unchanged from culture to culture.
d. Assessment findings in mental illness reflect a person's cultural patterns. - ✔✔d.
Assessment findings in mental illness reflect a person's cultural patterns.
✔✔A nurse is part of a multidisciplinary team working with groups of depressed clients.
One group of clients receives supportive interventions and antidepressant medication.
The other group receives only medication. The team measures outcomes for each
group. Which type of study is evident?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology - ✔✔d. Clinical epidemiology
,✔✔The spouse of a client diagnosed with schizophrenia says, "I don't understand how
events from childhood have anything to do with this disabling illness." Which response
by the nurse will best help the spouse understand the cause of this disorder?
a. "Psychological stress is the basis of most mental disorders."
b. "This illness results from developmental factors rather than stress."
c. "Research shows that this condition more likely has a biological basis."
d. "It must be frustrating for you that your spouse is sick so much of the time." - ✔✔c.
"Research shows that this condition more likely has a biological basis."
✔✔A category 5 tornado occurred in a community of 400 people. Many homes and
businesses were destroyed. In the 2 years following the disaster, 140 individuals were
diagnosed with post-traumatic stress disorder (PTSD). Which term best applies to these
newly diagnosed cases?
a. Prevalence
b. Comorbidity
c. Incidence
d. Parity - ✔✔c. Incidence
✔✔Which component of treatment of mental illness is specifically recognized by Quality
and Safety Education for Nurses (QSEN)?
a. All genomes are unique.
b. Care is centered on the client.
c. Healthy development is vital to mental health.
d. Recovery occurs on a continuum from illness to health. - ✔✔b. Care is centered on
the client.
✔✔What is the best response for the nurse to provide to a question from another health
professional regarding the difference between a diagnosis in DSM-V and a nursing
diagnosis.
a. "There is no functional difference between the two. Both identify human
disorders."
b. "The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes
culture into account."
c. "The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis
does not explore etiology."
d. "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for issues a client is experiencing." -
✔✔d. "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for issues a client is experiencing."
✔✔Which nursing intervention below is part of the scope of an advanced practice
psychiatric/mental health nurse rather than a basic level registered nurse?
, a. Coordination of care
b. Health teaching
c. Milieu therapy
d. Psychotherapy - ✔✔d. Psychotherapy
✔✔An experienced nurse says to a new graduate, "When you've practiced as long as I
have, you automatically know how to take care of clients experiencing psychosis."
Which factors should the new graduate consider when analyzing this comment? (Select
all that apply.)
a. The experienced nurse may have lost sight of clients' individuality, which may
compromise the integrity of practice.
b. New research findings should be integrated continuously into a nurse's practice to
provide the most effective care.
c. Experience provides mental health nurses with the essential tools and skills needed
for
effective professional practice.
d. Experienced psychiatric nurses have learned the best ways to care for mentally ill
clients
through trial and error.
e. An intuitive sense of clients' needs guides effective psychiatric nurses. - ✔✔a. The
experienced nurse may have lost sight of clients' individuality, which may
compromise the integrity of practice
b. New research findings should be integrated continuously into a nurse's practice to
provide the most effective care.
✔✔Which findings are signs of a person who is mentally healthy? (Select all that apply.)
a. Says, "I have some weaknesses, but I feel I'm important to my family and friends."
b. Adheres strictly to religious beliefs of parents and family of origin.
c. Spends all holidays alone watching old movies on television.
d. Considers past experiences when deciding about the future.
e. Experiences feelings of conflict related to changing jobs. - ✔✔a. Says, "I have some
weaknesses, but I feel I'm important to my family and friends."
d. Considers past experiences when deciding about the future.
e. Experiences feelings of conflict related to changing jobs.
✔✔A client in the emergency department says, "Voices say someone is stalking me.
They want to kill me because I developed a cure for cancer. I have a knife and will stab
anyone who is a threat." Which aspects of the client's mental health have the greatest
and most immediate
concern to the nurse? (Select all that apply.)
a. Happiness
b. Appraisal of reality
c. Control over behavior
d. Effectiveness in work
