ADVANCED MENTAL HEALTH NURSING (CHAPTER 1-10) EXAM QUESTIONS AND ANSWERS

ADVANCED MENTAL HEALTH NURSING (CHAPTER 1-10) EXAM QUESTIONS AND ANSWERS When planning care for a specific client, of what significance to the psychiatric nurse is the fact that the DSM-IV-TR is multiaxial? a) Pertinent aspects of client functioning and problems are reported. b) Standardized treatment plans are available for each diagnosis. c) Nursing diagnoses are included for each medical diagnosis. d) No particular significance exists. - CORRECT ANSWER -a) Pertinent aspects of client functioning and problems are reported. A nurse conducting research is seeking data about outcomes for depressed patients who have been treated with electroconvulsive therapy. The nurse is engaged in the field of A) experimental epidemiology. B) descriptive epidemiology. C) clinical epidemiology. D) analytic epidemiology. - CORRECT ANSWER -C) clinical epidemiology. A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is going to kill me." Which criterion of mental health can the nurse assess as lacking? A) Control over behavior B) Appraisal of reality C) Effectiveness in work D) Healthy self-concept - CORRECT ANSWER -B) Appraisal of reality A 14-year-old who belongs to a neighborhood gang is found by her parents to lie and engage in sexually promiscuous behavior. They bring her to the mental health center. The nurse performing the assessment is told by the 14-year-old that she is happy, does well in school, and sees herself as popular and well regarded by her group. She states her parents are just old fashioned and don't understand her. The assessment the nurse will most likely make is that she: A) is displaying deviant behavior. B) cannot accurately appraise reality. C) is seriously and persistently mentally ill. D) should be considered for group home placement. - CORRECT ANSWER -A) is displaying deviant behavior. An important concept for nurses to remember when planning care for mentally ill clients is that each client: A) has areas of strength on which to build. B) has right that must be respected. C) comes with experiences that contribute to their problem. D) share the same fears as mentally healthy individuals. - CORRECT ANSWER -A) has areas of strength on which to build. A nurse suspects that a client has a personality disorder in addition to displaying symptoms of a mood disorder. To determine whether these observations are correct, the nurse could look in the client's medical record on the DSM-IV-TR A) axis I. B) axis II. C) axis III. D) axis IV. - CORRECT ANSWER -B) axis II.