NSG 212 Exam 1
Which of the following is a true statement regarding Maslow's hierarchy of needs? - ANS
self-actualization cannot be effectively achieved if an individual is struggling with unmet safety
and security needs.
A sociocultural perspective defines mental illness as: - ANS behavior that is incomprehensible
within one's culture.
When an individual remains under stress for a prolonged period, which of the following
physiological effects occur? (Select all that apply.) - ANS uncompensated inflammation
decreased immune response
fluid retention
Which of the following are manifestations of mild anxiety? - ANS sharp senses and motivation
for productivity.
Extended periods of unmanaged or repressed severe anxiety may be associated with which of
the following psychiatric symptoms? - ANS panic disorder
phobias
somatic symptoms
A client with a history of substance use disorder is sent to the mental health clinic by their
employer who expresses concern about their drinking alcohol on the job. The client denies
having a problem and reports only drinking a little when the boss is "acting like a jerk". The
nurse should document that the client is manifesting which defense mechanisms? - ANS denial
and rationalization
A client with a history of schizophrenia is brought to the emergency department by police who
report that they were knocking down food displays at a grocery store and yelling that the food
was all poisoned. The client reports to the nurse that they have no idea why they were brought
to the emergency department because "there is nothing wrong with me." Which of these actions
by the nurse demonstrates good clinical judgment? - ANS document that the client is
manifesting psychotic symptoms and anosognosia.
During a primary care physician appointment, a client who has been a widow for 7 years reports
to the nurse not wanting to wake up in the morning and feeling like there is nothing left to live
for. Which of these actions by the nurse is a priority? - ANS asses the client for symptoms of
depression and suicide risk
,A client who has arrived at the health clinic for diabetic education is perspiring and states, "I'm
so anxious about giving myself shots I can hardly breathe. I don't know what to do." Which of
these actions by the nurse demonstrates good clinical judgment? - ANS assists the client in
relaxation exercises before commencing diabetes education.
A client who was admitted to the psychiatric unit for major depressive disorder reports to the
nurse, "Ever since my daughter died a year ago, I've been feeling depressed and thinking about
suicide." Which of these actions by the nurse demonstrates good clinical judgment? - ANS
assess the client's grief response and risk for suicide.
Which of the following parts of the brain is associated with multiple feelings and behaviors and
is sometimes referred to as the "emotional brain"? - ANS limbic system
Which of the following parts of the brain is concerned with visual reception and interpretation? -
ANS occipital lobe
Which of the following parts of the brain is associated with voluntary body movement, thinking
and judgment, and expression of feeling? - ANS frontal lobe
Which of the following parts of the brain integrates all sensory input (except smell) on the way to
the cortex? - ANS thalamus
Which of the following parts of the brain deals with sensory perception and interpretation? -
ANS parietal lobe
Which of the following parts of the brain is concerned with hearing, short-term memory, and
sense of smell? - ANS temporal lobe
Which of the following parts of the brain has control over the pituitary gland and autonomic
nervous system as well as regulation of appetite and temperature? - ANS hypothalamus
At a synapse, the determination of further impulse transmission is accomplished by means of
which of the following? - ANS neurotransmitters
Inhibitory neurotransmitters such as GABA have which of the following actions? - ANS
interrupts the progression of electrical impulses at the synapse.
Which of the following hormones has been implicated in the etiology of mood disorder with
seasonal pattern? - ANS increased levels of melatonin
Psychotropic medications may act at the neural synapse to accomplish which of the following?
(Select all that apply.) - ANS Inhibit the reuptake of certain neurotransmitters, creating more
availability
, Inhibit catabolic enzymes, promoting more availability of a neurotransmitter
Block receptors, resulting in less neurotransmitter activity
Psychoneuroimmunology is a branch of science that involves which of the following? (Select all
that apply.) - ANS The relationships among the immune system, the nervous system, and
psychological processes, including mental illness
The correlation between psychosocial stress and the onset of illness
The potential role of viruses in the onset of schizophrenia
The nurse decides to go against family wishes and tell the client of their terminal status because
that is what they would want if the nurse were the patient. Which of the following ethical theories
is considered in this decision? - ANS christian ethics
The nurse decides to respect family wishes and not tell the client of their terminal status
because that would bring the most happiness to the most people. Which of the following ethical
theories is considered in this decision? - ANS utilitarianism
The nurse decides to tell the client of their terminal status because the nurse believes it is their
duty to do so. Which of the following ethical theories is considered in this decision? - ANS
Kantianism
The nurse assists the physician with electroconvulsive therapy on their client who has refused to
give consent. With which of the following legal actions might the nurse be charged because of
this nursing action? - ANS battery
A competent, voluntary client has stated that they want to leave the hospital. The nurse hides
the client's clothes in an effort to keep them from leaving. With which of the following legal
actions might the nurse be charged because of this nursing action? - ANS false imprisonment
A hospitalized client is very restless and is pacing a lot. The nurse says, "If you don't sit down in
the chair and be still, I'm going to put you in restraints!" With which of the following legal actions
might the nurse be charged because of this nursing action? - ANS assault
A nurse reports to the supervisor that a depressed client is refusing medication to treat their
heart condition and states they "would rather just die." The nurse is not sure how to intervene
because, although clients have a right to refuse medication, this client may be so depressed
that the client's behavior represents risk for suicide. Which of these actions by the supervisor is
a priority? - ANS Activate appropriate hospital resources, such as an ethics committee, so this
issue can be explored further.
Which of the following is a true statement regarding Maslow's hierarchy of needs? - ANS
self-actualization cannot be effectively achieved if an individual is struggling with unmet safety
and security needs.
A sociocultural perspective defines mental illness as: - ANS behavior that is incomprehensible
within one's culture.
When an individual remains under stress for a prolonged period, which of the following
physiological effects occur? (Select all that apply.) - ANS uncompensated inflammation
decreased immune response
fluid retention
Which of the following are manifestations of mild anxiety? - ANS sharp senses and motivation
for productivity.
Extended periods of unmanaged or repressed severe anxiety may be associated with which of
the following psychiatric symptoms? - ANS panic disorder
phobias
somatic symptoms
A client with a history of substance use disorder is sent to the mental health clinic by their
employer who expresses concern about their drinking alcohol on the job. The client denies
having a problem and reports only drinking a little when the boss is "acting like a jerk". The
nurse should document that the client is manifesting which defense mechanisms? - ANS denial
and rationalization
A client with a history of schizophrenia is brought to the emergency department by police who
report that they were knocking down food displays at a grocery store and yelling that the food
was all poisoned. The client reports to the nurse that they have no idea why they were brought
to the emergency department because "there is nothing wrong with me." Which of these actions
by the nurse demonstrates good clinical judgment? - ANS document that the client is
manifesting psychotic symptoms and anosognosia.
During a primary care physician appointment, a client who has been a widow for 7 years reports
to the nurse not wanting to wake up in the morning and feeling like there is nothing left to live
for. Which of these actions by the nurse is a priority? - ANS asses the client for symptoms of
depression and suicide risk
,A client who has arrived at the health clinic for diabetic education is perspiring and states, "I'm
so anxious about giving myself shots I can hardly breathe. I don't know what to do." Which of
these actions by the nurse demonstrates good clinical judgment? - ANS assists the client in
relaxation exercises before commencing diabetes education.
A client who was admitted to the psychiatric unit for major depressive disorder reports to the
nurse, "Ever since my daughter died a year ago, I've been feeling depressed and thinking about
suicide." Which of these actions by the nurse demonstrates good clinical judgment? - ANS
assess the client's grief response and risk for suicide.
Which of the following parts of the brain is associated with multiple feelings and behaviors and
is sometimes referred to as the "emotional brain"? - ANS limbic system
Which of the following parts of the brain is concerned with visual reception and interpretation? -
ANS occipital lobe
Which of the following parts of the brain is associated with voluntary body movement, thinking
and judgment, and expression of feeling? - ANS frontal lobe
Which of the following parts of the brain integrates all sensory input (except smell) on the way to
the cortex? - ANS thalamus
Which of the following parts of the brain deals with sensory perception and interpretation? -
ANS parietal lobe
Which of the following parts of the brain is concerned with hearing, short-term memory, and
sense of smell? - ANS temporal lobe
Which of the following parts of the brain has control over the pituitary gland and autonomic
nervous system as well as regulation of appetite and temperature? - ANS hypothalamus
At a synapse, the determination of further impulse transmission is accomplished by means of
which of the following? - ANS neurotransmitters
Inhibitory neurotransmitters such as GABA have which of the following actions? - ANS
interrupts the progression of electrical impulses at the synapse.
Which of the following hormones has been implicated in the etiology of mood disorder with
seasonal pattern? - ANS increased levels of melatonin
Psychotropic medications may act at the neural synapse to accomplish which of the following?
(Select all that apply.) - ANS Inhibit the reuptake of certain neurotransmitters, creating more
availability
, Inhibit catabolic enzymes, promoting more availability of a neurotransmitter
Block receptors, resulting in less neurotransmitter activity
Psychoneuroimmunology is a branch of science that involves which of the following? (Select all
that apply.) - ANS The relationships among the immune system, the nervous system, and
psychological processes, including mental illness
The correlation between psychosocial stress and the onset of illness
The potential role of viruses in the onset of schizophrenia
The nurse decides to go against family wishes and tell the client of their terminal status because
that is what they would want if the nurse were the patient. Which of the following ethical theories
is considered in this decision? - ANS christian ethics
The nurse decides to respect family wishes and not tell the client of their terminal status
because that would bring the most happiness to the most people. Which of the following ethical
theories is considered in this decision? - ANS utilitarianism
The nurse decides to tell the client of their terminal status because the nurse believes it is their
duty to do so. Which of the following ethical theories is considered in this decision? - ANS
Kantianism
The nurse assists the physician with electroconvulsive therapy on their client who has refused to
give consent. With which of the following legal actions might the nurse be charged because of
this nursing action? - ANS battery
A competent, voluntary client has stated that they want to leave the hospital. The nurse hides
the client's clothes in an effort to keep them from leaving. With which of the following legal
actions might the nurse be charged because of this nursing action? - ANS false imprisonment
A hospitalized client is very restless and is pacing a lot. The nurse says, "If you don't sit down in
the chair and be still, I'm going to put you in restraints!" With which of the following legal actions
might the nurse be charged because of this nursing action? - ANS assault
A nurse reports to the supervisor that a depressed client is refusing medication to treat their
heart condition and states they "would rather just die." The nurse is not sure how to intervene
because, although clients have a right to refuse medication, this client may be so depressed
that the client's behavior represents risk for suicide. Which of these actions by the supervisor is
a priority? - ANS Activate appropriate hospital resources, such as an ethics committee, so this
issue can be explored further.
