Test Bank For Psychiatric Mental Health Nursing 8Th Edition Wanda Mohr

TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION WANDA MOHR Test Bank for Psychiatric Mental Health Nursing, 8th Edition Wanda Mohr Chapter 01- Introduction to Psychiatric-Mental Health Nursing 1. A nurse is giving a presentation about preventing mental illness to college freshmen. A student asks, “What does it mean to be mentally healthy?” Which of the following potential responses by the nurse is best? A) B) “Mental health is difficult to define and depends on cultural norms.” “Mental health is marked by productivity, fulfilling relationships, and adaptability.” C) D) “Mental health is characterized by the absence of mental illness.” “Mental health is the performance of behavior that is accepted as normal.” 1. A 48-year-old independent, successful woman is recovering from a modified radical mastectomy. She states she was grateful that during the first few weeks after surgery her mother stayed with her and did “everything” for her. Which element of mental health does this reflect? A) B) 1 | P a g e Reality orientation Mastery of the environmentC) D) Self-governance Tolerance of the unknown 1. Why is the document Mental Health: A Report of the Surgeon General (1999) most significant? A) B) C) D) Because it states clearly that there are effective treatments for mental illness Because it allocates research money to psychiatric facilities Because it sets new guidelines for use of restraints Because it establishes reimbursement guidelines for third-party payers 1. While a nurse is performing an admission assessment for a mental health client, the client states that all of his problems have been caused by his parents. The nurse knows that psychological factors that can influence mental health include which of the following? A) B) C) 2 | P a g e Neuroanatomy Emotional developmental level Values and beliefsD) Religion 1. What is the primary purpose of the five-axis system used in the fourth edition of theDiagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision(DSM- IV-TR)? A) B) C) D) To separate the various mental disorders into five related categories To give a comprehensive picture of client functioning To improve prognostic ability To provide a decision-making algorithm for pharmacologic treatment 1. One limitation of the DSM relates to diagnostic labels given to children. The most problematic issue caused by applying adult categories to children is which of the following? A) B) children. It prevents the proper treatment of childhood disorders. The criteria for diagnosis of a disorder are flexible for an adult, but not for C) children. Categories are based on manifestations of adult disorders, not research in D) 3 | P a g e The DSM was written before childhood psychological conditions wererecognized. 1. Which of the following represents a problem complicating the treatment of people with mental illness? A) B) C) D) Insurers' reimbursement decisions Increased responsibility for care by state mental hospitals Overuse of the well-coordinated mental health care system Lack of effective treatments 1. Julie, a 47-year-old woman, missed 1 week of work when she was hospitalized with bipolar disorder. She was placed on medication and was able to return to work. When asked about her absence, Julie informed coworkers that she was suffering from influenza. What is the most likely reason Julie lied about her illness? A) B) diagnosis This is a sign that the medication is not effectively treating her illness. Fear of rejection, isolation, and discrimination based on her mental health C) illnesses Due to workplace policies that encourage the firing of those with mental D) 4 | P a g e To avoid eliciting sympathy among her coworkers1. A 22-year-old man with a history of a recent suicide attempt is being treated for depression. Prior to becoming depressed, the client attended a prestigious art school and enjoyed many social and leisure activities. Of the following long-term goals for this client, which is consistent with an overarching recovery goal for all clients with mental disorders? A) B) C) D) The client will not injure himself. The client's symptoms will be reduced. The client will show interest in social and leisure activities. The client will resume pre-illness functioning. 1. Which of the following approaches to care best reflects cultural competence? A) Always assign nurses of a specific ethnic background to clients with the same ethnic background. B) Learn the behaviors and values associated with people of specific ethnic backgrounds. C) D) Assess the culturally mediated beliefs of each client. Believe that people are more alike than they are different. 5 | P a g eChapter 02- Neuroscience-Biology and Behavior 1. The basic units of structure and function in the nervous system are called which of the following? A) B) C) D) Glial cells Neurons Axons Dendrites 1. The structure and function of a neuron form the basis for the overall function of the nervous system. What are the components of a neuron? A) B) C) D) 6 | P a g e A glial cell, nucleus, organelles, dendrites, and axons A glial cell, nucleus, dendrites, and synapses A cell body, nucleus, organelles, dendrites, and axons A cell body, nucleus, axon, and synapses1. A patient has researched the role of neurotransmitters in her mental illness. What is the role of neurotransmitters? A) B) C) D) Excite the receptor cell located inside the synaptic cleft. Inhibit the receptor cell found inside of glial cells. Communicate information within the receptor cell. Communicate information from one cell or cell group to another. 1. Because neurotransmitters are responsible for immediately transmitting impulses between nerve cells, they are known as which of the following? A) B) C) D) First messengers Second messengers Receptors Synapses 1. A nurse is caring for a patient who is addicted to alcohol and drugs and is discussing the pathway of the brain responsible for this behavior. The nurse should know that the pathway of the brain thought to be involved in pleasurable sensations and the euphoria resulting from use of drugs is called the: 7 | P a g eA) B) C) D) Tuberinfundibular dopamine pathway Nigrostriatal dopamine pathway Mesocortical dopamine pathway Mesolimbic dopamine pathway 1. A client lives with acquired deficits in emotional control, memory, and learning. What part of this client's brain is most likely affected? A) B) C) D) Basal ganglia Brainstem Limbic system Cerebellum 1. You are caring for a mental health client who has developed difficulty with balance and muscle tone after a car accident that involved a head injury. Based on this information, what area of the brain was most likely injured in the accident? A) 8 | P a g e DiencephalonB) C) D) Brainstem Cerebellum Pons A) B) 1. A client who experiences dysfunction in the hypothalamus is most likely to have Maintaining homeostasis Processing sensory input C) D) Secreting melatonin Integrating motor activities 1. Sensory deprivation in infancy and childhood has adversely affected a boy's brain development. Which characteristic of the brain was most directly involved in this process? A) B) C) 9 | P a g e Neuroplasticity Reactive plasticity Adaptive plasticityD) Synaptic plasticity 1. Rather than being 100%, concordance rates for schizophrenia in monozygotic twins are only 50%. Which of the following statements best explains this phenomenon? A) B) C) D) Genetic predisposition to disease is frequently overstated. One twin is inherently more vulnerable in every case. Environmental experiences affect gene expression. The genetic pathway responsible for vulnerability is unrelated to being a twin. Chapter 03- Conceptual Frameworks and Theories 1. A psychiatric–mental health nurse is aware of the importance of theories in the development and delivery of care. Which of the following is the best definition of a theory? A) B) C) 10 | P a g e A group of related concepts or ideas A person's or group's beliefs about how something happens or works A prediction about two or more conceptsD) A researchable question related to health care 1. Which of the following explains why theories are important to psychiatric–mental health nursing? A) B) C) D) Theories provide more treatment options for clients. Theories add professionalism to health care. Theories simplify treatment decisions for most clients. Theories lead to the expansion of knowledge. 1. A client has been told by a psychologist that memories in his unconscious are contributing to his depression. This reasoning implies that the psychologist ascribes to what theory? A) B) C) Psychoanalytic theory Behavior theory Cognitive–behavioral theory D) 11 | P a g e The humanistic perspective1. A client's current plan of care includes interventions that are rooted in the concepts of reinforcement. Which theory of human behavior is being prioritized during this client's care? A) B) C) D) Humanistic theory Sociocultural theory Behavioral theory Psychoanalytic theory 1. A client and her therapist have been discussing the notion that her psychopathology results from the blocking or distortion of personal growth, excessive stress, and unfavorable social conditions. This discussion is congruent with what theory? A) B) C) D) Humanistic theory Interpersonal theory Biophysiological theory Sociocultural theory 1. During marital counseling, a man complains that his wife often “bombards” him with problems as soon as he settles down at home after work, which results in a prolonged argument. The wife admits that she does this but states she feels neglected and that her 12 | P a g ehusband does not take the family problems seriously. She doesn't want her marriage to turn out like her parents' marriage. The wife admits that she sometimes provokes an argument in order to gain her husband's attention. How would a behaviorist most likely explain the wife's actions? A) She has repressed painful memories about her emotionally distant father and is working out her anger at the parent in the marital relationship. B) behavior. Her thoughts about her parents' unhappy marriage are a justification for her C) D) She has an underlying anxiety disorder. The long argument in which she and her husband participate positively reinforces her behavior. 1. An adult man recalls that he was teased as a child about his inability to participate in sports. He began to avoid situations in which others might evaluate his behavior. He seeks treatment now because he is an accomplished musician but cannot perform for an audience. According to behavioral theory, his behavior is an example of which of the following concepts? A) B) C) D) 13 | P a g e Discrimination Modeling Generalization Shaping1. The nurse is working with a client who admits to having low self-esteem. The care team has determined that cognitive restructuring will likely enhance the client's selfesteem. Which of the following best describes the goals of this intervention? A) B) C) D) Avoid negative self-talk Replace negative self-talk with positive statements Change distorted thinking and the subsequent behaviors