TEST BANK FOR PSYCHIATRIC MENTAL
HEALTH NURSING 7TH EDITION VIDEBECK ALL
CHAPTERS INCLUDED
1. A nurse's primary goal in psychiatric mental health nursing is to:
Avoid discussing difficult topics
Promote recovery and adaptive functioning
Eliminate all unpleasant emotions
Make decisions for the client
2. Which statement best describes mental health?
Freedom from all illness
A fixed personality trait
A dynamic state that allows people to cope and function
The absence of any stress
3. Which nursing action best demonstrates recovery-oriented care?
Focusing only on symptoms
Helping the client identify personal goals and strengths
Choosing goals without client input
Discouraging community involvement
4. A client says, 'I am not sick; I just need to leave.' Which principle is most useful?
Threaten discharge consequences
Argue until the client agrees
Respect the client's perspective while assessing safety and functioning
Ignore the statement
5. Which factor is considered a social determinant that can influence mental
health?
Eye color
Housing stability
Hand dominance
Blood type
Psychiatric Mental Health Nursing Exam-Style Practice • Page 1
, CLINICAL-STYLE NURSE–CLIENT ENCOUNTER
6. The nurse uses the least restrictive intervention that is safe because it:
Eliminates the need for assessment
Protects autonomy while maintaining safety
Guarantees cooperation
Prevents all legal concerns
7. Which finding most strongly suggests impaired functioning rather than a
normal emotional response?
Occasional worry before an exam
Temporary frustration after an argument
Persistent symptoms causing major disruption in daily roles
Brief sadness after a loss
8. A culturally responsive psychiatric assessment should begin by:
Avoiding cultural questions
Using stereotypes to predict behavior
Exploring the client's beliefs and explanatory model
Assuming the nurse's beliefs are universal
9. Which behavior best reflects therapeutic presence?
Giving personal opinions
Remaining attentive and emotionally available
Talking continuously to fill silence
Changing the topic when emotion appears
10. A nurse recognizes a personal bias toward a client. The best action is to:
Tell the client about every personal feeling
Reflect on the bias and prevent it from affecting care
Psychiatric Mental Health Nursing Exam-Style Practice • Page 2
, Hide the bias and continue unchanged
Refuse to care for the client
NEUROBIOLOGIC THEORIES AND PSYCHOPHARMACOLOGY
11. Which neurotransmitter is most associated with reward, movement, and
psychosis when dysregulated?
Endorphin
Melatonin
Dopamine
Acetylcholine
12. A client taking an SSRI should be monitored most closely for which serious
early adverse effect?
Severe hypoglycemia
Suicidal thoughts or behavior
Permanent hearing loss
Cataracts
13. Which finding suggests serotonin syndrome?
Painless jaundice
Severe hypothermia and dry skin
Bradycardia and constipation only
Agitation, hyperreflexia, fever, and diarrhea
14. A client taking an antipsychotic develops fever, severe rigidity, and altered
consciousness. The nurse should suspect:
Serotonin syndrome
Neuroleptic malignant syndrome
Panic disorder
Lithium toxicity
15. Which medication teaching is most important for a client taking lithium?
Double the dose after a missed dose
Stop the drug when mood improves
Avoid all carbohydrates
Maintain consistent fluid and sodium intake
16. Which symptom is most consistent with anticholinergic effects?
Dry mouth and urinary retention
Diarrhea and sweating
Psychiatric Mental Health Nursing Exam-Style Practice • Page 3
, Bradykinesia
Excessive salivation
17. A client receiving clozapine requires monitoring of:
Urine ketones only
Visual acuity only
Serum amylase only
Absolute neutrophil count
18. Which medication class commonly requires monitoring for extrapyramidal
symptoms?
Proton pump inhibitors
Antacids
Antipsychotics
Antihistamines
19. A client taking a benzodiazepine is at increased risk for:
Hyperthyroidism
Photosensitivity only
Severe neutropenia in every case
Sedation and respiratory depression
20. Which statement about antidepressants is correct?
They should always be stopped abruptly
They eliminate suicide risk immediately
They work fully after one dose
Therapeutic effects often take several weeks to become evident
PSYCHOSOCIAL THEORIES AND THERAPY
21. In Freud's model, the part of personality guided by the reality principle is the:
Id
Superego
Collective unconscious
Ego
22. According to Erikson, the central developmental task of adolescence is:
Integrity versus despair
Generativity versus stagnation
Identity versus role confusion
Psychiatric Mental Health Nursing Exam-Style Practice • Page 4
HEALTH NURSING 7TH EDITION VIDEBECK ALL
CHAPTERS INCLUDED
1. A nurse's primary goal in psychiatric mental health nursing is to:
Avoid discussing difficult topics
Promote recovery and adaptive functioning
Eliminate all unpleasant emotions
Make decisions for the client
2. Which statement best describes mental health?
Freedom from all illness
A fixed personality trait
A dynamic state that allows people to cope and function
The absence of any stress
3. Which nursing action best demonstrates recovery-oriented care?
Focusing only on symptoms
Helping the client identify personal goals and strengths
Choosing goals without client input
Discouraging community involvement
4. A client says, 'I am not sick; I just need to leave.' Which principle is most useful?
Threaten discharge consequences
Argue until the client agrees
Respect the client's perspective while assessing safety and functioning
Ignore the statement
5. Which factor is considered a social determinant that can influence mental
health?
Eye color
Housing stability
Hand dominance
Blood type
Psychiatric Mental Health Nursing Exam-Style Practice • Page 1
, CLINICAL-STYLE NURSE–CLIENT ENCOUNTER
6. The nurse uses the least restrictive intervention that is safe because it:
Eliminates the need for assessment
Protects autonomy while maintaining safety
Guarantees cooperation
Prevents all legal concerns
7. Which finding most strongly suggests impaired functioning rather than a
normal emotional response?
Occasional worry before an exam
Temporary frustration after an argument
Persistent symptoms causing major disruption in daily roles
Brief sadness after a loss
8. A culturally responsive psychiatric assessment should begin by:
Avoiding cultural questions
Using stereotypes to predict behavior
Exploring the client's beliefs and explanatory model
Assuming the nurse's beliefs are universal
9. Which behavior best reflects therapeutic presence?
Giving personal opinions
Remaining attentive and emotionally available
Talking continuously to fill silence
Changing the topic when emotion appears
10. A nurse recognizes a personal bias toward a client. The best action is to:
Tell the client about every personal feeling
Reflect on the bias and prevent it from affecting care
Psychiatric Mental Health Nursing Exam-Style Practice • Page 2
, Hide the bias and continue unchanged
Refuse to care for the client
NEUROBIOLOGIC THEORIES AND PSYCHOPHARMACOLOGY
11. Which neurotransmitter is most associated with reward, movement, and
psychosis when dysregulated?
Endorphin
Melatonin
Dopamine
Acetylcholine
12. A client taking an SSRI should be monitored most closely for which serious
early adverse effect?
Severe hypoglycemia
Suicidal thoughts or behavior
Permanent hearing loss
Cataracts
13. Which finding suggests serotonin syndrome?
Painless jaundice
Severe hypothermia and dry skin
Bradycardia and constipation only
Agitation, hyperreflexia, fever, and diarrhea
14. A client taking an antipsychotic develops fever, severe rigidity, and altered
consciousness. The nurse should suspect:
Serotonin syndrome
Neuroleptic malignant syndrome
Panic disorder
Lithium toxicity
15. Which medication teaching is most important for a client taking lithium?
Double the dose after a missed dose
Stop the drug when mood improves
Avoid all carbohydrates
Maintain consistent fluid and sodium intake
16. Which symptom is most consistent with anticholinergic effects?
Dry mouth and urinary retention
Diarrhea and sweating
Psychiatric Mental Health Nursing Exam-Style Practice • Page 3
, Bradykinesia
Excessive salivation
17. A client receiving clozapine requires monitoring of:
Urine ketones only
Visual acuity only
Serum amylase only
Absolute neutrophil count
18. Which medication class commonly requires monitoring for extrapyramidal
symptoms?
Proton pump inhibitors
Antacids
Antipsychotics
Antihistamines
19. A client taking a benzodiazepine is at increased risk for:
Hyperthyroidism
Photosensitivity only
Severe neutropenia in every case
Sedation and respiratory depression
20. Which statement about antidepressants is correct?
They should always be stopped abruptly
They eliminate suicide risk immediately
They work fully after one dose
Therapeutic effects often take several weeks to become evident
PSYCHOSOCIAL THEORIES AND THERAPY
21. In Freud's model, the part of personality guided by the reality principle is the:
Id
Superego
Collective unconscious
Ego
22. According to Erikson, the central developmental task of adolescence is:
Integrity versus despair
Generativity versus stagnation
Identity versus role confusion
Psychiatric Mental Health Nursing Exam-Style Practice • Page 4
