PSYCHIATRIC NURSING PRACTICE QUESTIONS WITH VERIFIED ANSWERS

The quantitative study of the distribution of mental disorders in human populations is called A).Mortality B). Prevalence C). Epidemiology D). Clinical epidemiology. - correct answer C). Epidemiology What phrase best describes the DSM-V? A).Is a multiaxial psychiatric assessment system B). Is a compendium of treatment modalities C). Offers a complete list of nursing diagnoses D). Suggests common interventions for mental disorders - correct answer A). Is a multiaxial psychiatric assessment system Current information suggests that the most disabling mental disorders are the result of A). biological influcnes B). psychological trauma C). learned behavior D). faulty patterns of early nurturance - correct answer A). Biological influences A nurse's identification badge includes the wording, 'Psychiatric Mental Health Nurse'. A client with a history of paranoia asks, "What does that title mean?" The nurse responds best when answering: A). "Don't be afraid, it means I'm here to help not hurt you." B). "Psychiatric Mental Health nurses care for people with mental illnesses." C). "We have the specialized skills needed to care for those with mental illnesses." D). "The nurses who work in mental health facilities have that title." - correct answer C). we have specialized skills needed to care for those with mental illness Regarding individuals with mental disorders, distress refers to a painful symptom, and disability refers to A). the presence of deviant behavior B). impairment in important areas of functioning C). culturally appropriate responses to an event D). a conflict between the individual and society - correct answer B). impairment in important areas of functioning Which statement best describes the DSM-5? A). It is a medical psychiatric assessment system B). it is a compendium of treatment modaliies C). It offers a complete list of nursing diagnoses D). it suggests common interventions for mental disorders - correct answer A). it is a medical psychiatric assessment Which statement about diagnosis of a mental disorder is true? A). The symptoms of each disorder are common among all cultures. B).Culture may cause variations in symptoms for each clinical disorder. C). All mental disorders listed in the DSM-5 are seen in all other cultures. D). Psychiatric diagnoses are listed in separately from other physical disorders in a five axes system. - correct answer B). culture may cause variations in symptoms for each clinical disorder The prevalence rate over a 12-month period for major depressive disorder is A). lower than the prevalence rate for panic disorders B). greater than the prevalence rate for psychotic disorders. C). equal to the prevalence rate for psychotic disorders D). greater than the prevalence rate for generalized anxiety - correct answer D). greater than the prevalence rate for generalized anxiety These severe mental illnesses are recognized across cultures: A). antisocial and borderline personality disorders. B). schizophrenia and bipolar disorder C). bulimia and anorexia nervosa D). amok and social phobia - correct answer B). schizophrenia and bipolar disorder An important difference between the developmental theories of Freud and Erikson is A). Freud considers the entire lifespan from birth to old age B). Freud focuses to a greater extent on cognitive development C). Erikson viewed individual growth in terms of social setting D).Eriksin focuses on development of individual moral thinking - correct answer C). Erikson viewed individual growth in terms of social setting Maslow's theory of Humanistic Psychology has provided nursing with a framework for A). Holistic assessment B). determining moral development C). identifying potential for success in therapy D). conducting nurse-client interpersonal interactions - correct answer A). holistic assessment The premise underlying behavioral therapy is A). behavior is learned and can be modified B). behavior is a product of unconscious drives C). motives must change before behavior changes D). behavior is determined by cognition. change in cognitions produces behavior - correct answer A). Behavior is learned and can be modified The nurse planning care for a 14-year-old needs to take into account that the developmental task of adolescence is to A). establish trust B). gain autonomy C). achieve identity D).develop a sense of industry - correct answer C). achieve indentity Sullivan viewed anxiety as A). emotional experience felt after the age of 5 years B). a sign of guilt in adults C) .any painful feeling or emotion arising from social insecurity D). adults trying to go beyond experiences of guilt and pain - correct answer C). any painful feeling or emotion arising from social insecurity Which statement best clarifies the difference between the art and the science of nursing? A). The art is the care, compassion, and advocacy component, and the science is the applied knowledge base. B). The art is the way in which knowledge is applied, and the science is the technological aspects of caregiving. C). The art is the applied technology of practice, and the science is the problem-solving and teaching aspects of caregiving. D). The art is the assessing and planning phases of the nursi - correct answer A). the art is the care, compassion, and advocacy component, and the science is the applied knowledge base Which client problem would be most suited to the use of interpersonal therapy? A). Disturbed sensory perception B). impaired social interaction C). medication noncompliance D). dysfunctional grieving - correct answer D). dysfunctional grieving A cognitive therapist would help a client 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 The nurse providing anticipatory guidance to the mother of a toddler should advise that childhood temper tantrums are best handled by A). giving the child what he is asking for. B). scolding the child when he displays tantrum behaviors C). spanking the child at the onset of the tantrum behaviors. D). ignoring the tantrum and giving attention when the child acts appropriately - correct answer D). ignoring the tantrum and giving attention when the child acts appropriately Freud believed that individuals cope with anxiety by using A). the superego B). defense mechanisms C). security operations D). suppression - correct answer B) defense mechanisms A client receiving a psychotropic drug reports to the nurse that he is drowsy all the time and is having difficulty focusing his attention. The nurse will correctly interpret this symptom as related to the drug's effect on the brain's ability to regulate A). mood B). thought C). memory D). sleep - correct answer D). Sleep A client's communication is marked by loose associations and word salad. Dysfunction of which portion of the brain is responsible for these symptoms? A). Cerebrum B). Cerebellum C).Brainstem D). Basal ganglia - correct answer A) cerebrum On the basis of the current understanding of neurotransmitters, the nurse can view a client's symptoms of profound depression as likely related in part to A). increase dopamine level B). decreased serotonin level C). increased norepinephrine level D). decreased acetylcholine level - correct answer B) decreased serotonin level A nursing assistant shares with the nurse that a client with schizophrenia is as difficult to communicate with as," someone with Alzheimer's." The nurse offers the following advice: A). "Try talking to him early in the day to get the best results. Fatigue disorganizes his thinking." B). "Schizophrenia and Alzheimer's disease both cause irreversible brain damage, so keep your conversations short when you talk to a client with either disorder." C). "His medication targets his disturbed thought an - correct answer C). his medication targets his disturbed thought and speech patterns. to maximize improvement he will need positive interactions and support The nurse caring for a client taking risperidone (Risperidal) observes the client carefully for: A). napping during the day, a weight gain, and reports of dizziness B). reports of falls, heartburn and nausea C). a rapid heartbeat, red rash and hives D). dry mouth, poor urinary output, and constipation - correct answer A). napping during the day, weight gain, and reports of dizziness In psychiatric nursing, assessment of a "client" refers exclusively to A). an individual with a psychiatric diagnosis. B). an individual, family, group, or community. C). any person who seeks the assistance of the psychiatric nurse. D). the person identified by the system as being in need of treatment - correct answer B). an individual, family, group or community High levels of anxiety and maladaptive behavior are A). in all areas in the health care setting. B). only in the psychiatric mental health setting. C). where death is a frequent outcome despite treatment. D). when the nurse and client have yet to establish a therapeutic relationship. - correct answer A). in all areas in the health care setting Which activity is not considered a purpose of initial psychiatric assessment? A). Obtain understanding of the current problem B). Identify treatment goals C). Formulate a plan of care D). Evaluate results of intervention - correct answer D). Evaluate results of intervention The primary source for data collection during a psychiatric nursing assessment is the A). Client B). client's family & friends C). Client's non-verbal respondences D). client's medical treatment records - correct answer A). client The nurse best ensures appropriate client care when choosing an intervention from a Nursing Interventions Classification that match the A). the condition's etiology and client symptomology B). the nursing diagnosis and condition's etiology C). the defining data and nursing diagnosis D). the medical diagnosis and nursing diagnosis - correct answer C). the defining data and nursing diagnosis The nurse would not adopt which of the following goals when attempting to establish a therapeutic nurse-client relationship: A). assisting client with self care needs when appropriate. B). helping the client identify self defeating behaviors. C). providing the client with opportunities to socialize D). facilitating communication of disturbing feelings or thoughts. - correct answer C). providing the client with opportunities to socialize A technique that is acceptable in a social relationship but not acceptable in a therapeutic relationship is A). giving advice B). Listening actively C). Clarifyingfeelings D). Giving positive regard - correct answer A). giving advice A synonym for genuineness is A). respect B). empathy C). congruence D). positive regard - correct answer C). congruence The phase of the nurse-client relationship that may cause anxieties to reappear and past losses to be reviewed is the A). pre-orientation B). orientation C). working D). termination - correct answer D). termination The nurse says "I find myself always thinking that Mr. X is really a lowlife, based on the way he treated his wife and children." These thoughts will prevent this nurse from A). assessing client symptoms. B). assessing boundary issues. C). giving the client positive regard. D). engaging in values clarification. - correct answer C). giving the client positive regard Student nurses on psychiatric units may not have the luxury of seeing patients in a private office or conference room. Of the following environments, which would be most conducive to a therapeutic session? A). Nurse's station B). A tablet in the coffee shop C). Quiet section of the day room D). Utility room - correct answer C). Quite section of the day room Which communication techniques should the nurse use with a client who has been identified as having difficulty expressing thoughts and feelings? A). Using emotionally charged words and gestures B). Offering opinions and avoiding periods of silence C). Asking closed-ended questions requiring "yes" or "no" answers D). Asking open-ended questions and seeking clarification - correct answer D). asking open-ended questions and seeking clarification What therapeutic communication technique is the nurse using when 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 The content and direction of the clinical interview is determined by: A). The nurse B). The client C). The physician D). The health care team - correct answer B). the client The preferred seating arrangement for a nurse-client interview is with the A). nurse behind a desk and the client in a chair in front of the desk. B). nurse and client sitting at 90-degree angles to each other. C). client sitting in a chair and the nurse standing a few feet away. D). nurse and client sitting facing each other. - correct answer B). nurse and client at 90-degree angles to each other One effect of stress can be attributed to the stimulation of the hypothalamus-pituitary-adrenal cortex, causing a short-term increase in A). heart rate B). triglycerides C). gluconeogenesis D). brain norepinephrine - correct answer C). gluconeogenesis Stress can be attributed to stimulation of the hypothalamus-pituitary-adrenal cortex, and over the long term it can result in A). insulin resistance B). a high resting heart rate C). digestive problems D). chronic muscle tension - correct answer A). insulin resistance An Asian client would be most likely to respond to stress by the subjective experience of A). anxiety B). somatic complaints C). memory deficiencies D). sensory perceptual alterations - correct answer B). somatic complaints Stress reduction is not likely to result in A). reduced pain B). lower bloodpressure C). decreased cognitive function D). decreased gastrointestinal problems - correct answer C). decreased cognitive function What factor exerts the greatest influence on the degree to which various life events upset a specific individual? A). The individual's perception of the event B). The individual's degree of spirituality C). The effect of the individual's health-sustaining behaviors D). The amount of social support available to the individual - correct answer A). the individual's perception of the event High-quality social support relationships have attributes that include A). constructive criticism B). minor conflict C). continuous feedback D). reciprocal closeness - correct answer D). reciprocal closeness The first stage of the general adaptation syndrome can be characterized as A). eustress B). adaptive C). maladaptive D). psychological - correct answer B). adaptive A client who is experiencing great stress associated with a disturbing new diagnosis asks the nurse, "Do you think saying a prayer would help?" The answer the nurse should give is A). "Of course you may pray if you wish. I'll leave you alone." B). "At the moment we should continue the stress assessment." C). "Shall I call the chaplain for you?" D). "If you find comfort in prayer, I'd encourage you to pray." - correct answer D). if you find comfort in prayer, I'd encourage you to pray The relaxation response calls upon A). sympathetic activation B). parasympathetic activation C). brainstem deactivation D). increased cortisol production by the adrenals - correct answer B). parasympathetic activation An effective stress-reduction technique a nurse might teach an individual with performance anxiety is A). assertiveness B). journal keeping C). diaphragmatic breathing D). STAR WARS! - correct answer C). diaphragmatic breathing Which of the following is associated with managed care organizations? A). NIC B). NOC C). MBHO D). IDTP - correct answer C). MBHO The primary advantage of using a case manager is to A). increase collaborative practice B). enhance resource management C). increase client satisfaction with care D). promote evidence-based psychiatric nursing - correct answer B). enhance resource management Most clients who are diagnosed with chronic mental illness are not likely to have their psychiatric mental health experiences covered by A). Private insurance B). Medicare C). Medicaid D). Social Security - correct answer A). Private insurance How are clients' rights affected after admission to a behavioral health unit? A). Rights as citizens remainintact B). The rght to legal counsel is lost C). The right to refuse treatment is lost D). The right to publicly complains restricted - correct answer A). rights as citizens remainintact When a client is admitted to a behavioral health unit, which of the following does he or she NOT have the right to do? A). Refuse treatment B). Send and receive mail C). Seek legal counsel D). Accessibility to all possessions - correct answer D). accessibility to all possesions The community mental health movement was least influenced by A). the advent of antipsychotic medications. B). increasing public awareness of the poor care given in some large psychiatric hospitals C). the proliferation of federal entitlement programs, making it possible to move the mentally ill out of hospitals. D). the increasingly larger numbers of advanced practice nurses prepared to care for the mentally ill in the community. - correct answer D). the increasingly larger numbers of advanced practice nurses prepared to care for the mentally ill in the community Which attribute would be least helpful for a community mental health nurse to possess? A). Flexibility B). Reactive manner C). Non-judgmental attitude D). Ability to cross service systems - correct answer B). reactive manner Which information will be of greater importance to planning care for a client receiving mental health care in his home than to planning care for a client receiving services on an inpatient unit? A). Mental status examination B). Strengths and deficits of client C). Housing adequacy and stability D). Presenting problem and referring party - correct answer C). housing adequacy and stability The major difference between the psychiatric nursing assessment performed for a client who is hospitalized and for a client who will be treated in the community is A). For the latter, the general assessment must be expanded B). for the latter, the nursing focus is primarily on the mental status examination. C). for the former, the general assessment must be reimbursement based. D). for the former, the nursing focus is limited to client willingness to accept treatment. - correct answer A). for the latter, the general assessment must be expanded The community mental health nurse establishes meeting a client's need for basic life necessities as being the highest priority. What other need is of high priority for a seriously and persistently ill client living in the community? A). Access to medication B). Socialization and diversion C). Independent decision making D). Engaging in meaningful work - correct answer A). access to medication Which statement best explains the term "world-view"? A). Beliefs and values held by people of a given culture about what are good, right, and normal. B). Ideas derived from the major health care system of the culture about what causes illness. C). Cultural norms about how, when, and to whom illness symptoms may be displayed. D). Valuing one's beliefs and customs over those of another group. - correct answer A). beliefs and values held by people of a given culture about what are good, right, and normal Cultures develop norms to be consistent with their world-view and to adapt to their historical experience and the influences of the "outside" world. When members of a group are introduced to the culture's world-view, beliefs, values, and practices, it is called A). emeshment B). ethnocentrism C). enculturation D). cultural encounters - correct answer C). enculturation A cause of illness according to the Western scientific view of health is A). pathogens B). energy blockage C). spirit invasion D). soul loss - correct answer A). pathogens Which healing practice is least used in the Western health system of healing practices? A). Antibiotic medication B). Surgery C). Targeted cellular destruction D). Restoring lost balance or harmony - correct answer D). restoring lost balance or harmony Exclusive use of Western psychological theories by nurses making client assessments will result in A). a high level of care for all clients. B). standardizing nomenclature for psychiatric disorders. C). inadequate assessment of clients of diverse cultures. D). greater ease in selecting appropriate treatment interventions - correct answer C). inadequate assessment of clients of diverse cultures A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients? A). A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients? B). Prescribe psychotropic medication C). Establish therapeutic relationships. D). Individualize nursing care plans. - correct answer B). Prescribe psychotropic medication A newly admitted patient diagnosed with major depression has gained 20 pounds over a few months and has suicidal ideation. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis. A). Imbalanced nutrition: more than body requirements B). Chronic low self-esteem C). risk for suicide D). hopelessness - correct answer C). risk fir suicide A patient diagnosed with major depression has lost 20 pounds in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention has the highest priority?