Mental Health Nursing Final Exam
Which situations qualify as abandonment on the part of a nurse? (Select all that apply.)
A) The nurse terminates employment without referring a seriously mentally ill patient for aftercare.
B) The nurse asks another nurse to provide a patient's care because of concerns about
countertransference.
C) The nurse calls police to bring a suicidal patient to the hospital after a suicide attempt.
D) The nurse refers a patient with persistent paranoid schizophrenia to community treatment.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further action. -
Answer-A) The nurse terminates employment without referring a seriously mentally ill patient for
aftercare.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further action.
The goal for a patient is to increase resiliency. Which outcome should the nurse add to the plan of care
to be achieved within three days?
A) patient will describe feelings associated with loss and stress
B) patient will identify healthy coping behaviors in response to stressful events
C) patient will allow others to assume responsibility for major areas of own life
D) patient will meet own needs before considering the rights of others - Answer-B) patient will identify
healthy coping behaviors in response to stressful events
,A patient tells a nurse, "I have psychiatric problems and am in and out of hospitals all the time. Not one
of my friends or relatives has these problems." What is the nurse's best response?
A) "comparing yourself with others has no real advantages."
B) "mental illness affects 50% of the adult population in any given year"
C) "why do you blame yourself for having a psychiatric illness?"
D) "are you concerned that others don't experience the same challenges as you?" - Answer-D) are you
concerned others don't experience the same challenges as you
A critical care nurse asks a psychiatric nurse about the difference between a diagnosis in the Diagnostic
and Statistical manual of Mental disorders (DSM-5) and a nursing diagnosis. What is the psychiatric
nurse's best response?
A) "the DSM-5 diagnosis disregards culture, whereas the nursing diagnosis includes cultural variables"
B) " the DSM-5 diagnosis influences the medical treatment, the nursing diagnosis offers a framework to
identify interventions for problems a patient may experience."
C) "no functional difference exists between the two diagnoses. both serve to identify a human deviance"
D) "the DSM-5 diagnosis profiles present distress or disability, whereas a nursing diagnosis considers
past and present responses to actual mental health problems" - Answer-B) "the DSM-5 diagnosis
influences the medical treatment; the nursing diagnosis offers a framework to identify interventions for
problems a patient has or may experience"
A patient's history shows intense and unstable relationships with others. The patient initially idealizes an
individual and then devalues the person when the patient's needs are not met. Which aspect of mental
health is a problem for this patient?
A) maintaining relationships
B) communication skills
C) effectiveness in work
D) productive activities - Answer-A) maintaining relationships
,In the majority culture of the United States, which individual is at greatest risk to be incorrectly labeled
mentally ill?
A) person who expresses strong beliefs about the existence of alien abductions.
B) Wealthy person who gives $20 bills to needy individuals in the community
C) person who is usually pessimistic but strives to meet personal goals
D) person with an optimistic viewpoint about getting his or her own needs met - Answer-
A 26-month-old child displays negative behaviors. The parent says, "My child refuses toilet training and
shouts, 'No!' when given direction. What do you think is wrong?" Select the nurse's best reply.
A) "this is normal for your child's age. the child is striving for independence."
B) "some undesirable attitudes are developing. a child psychologist can help you develop a remedial
plan."
C) "the child needs firmer control. punish the child for disobedience and say "no"."
D) "there may be developmental problems. most children are toilet trained by age 2 years." - Answer-A)
"this is normal for you child's age. the child is striving for independence"
A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, "No!" when
given direction. The nurse's counseling with the parent should be based on the premise that the child is
engaged in which of Erikson's psychosocial crises?
A) trust versus mistrust
B) autonomy versus shame and doubt
C) initiative versus guilt
D) industry versus inferiority - Answer-B) autonomy versus shame and doubt
A 4-year-old child grabs toys from siblings, saying, "I want that toy now!" The siblings cry, and the child's
parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child's
behavior as a product of impulses originating in the:
A) id
B) superego
, C) ego
D) preconscious - Answer-A) id
The parent of a 4 year old rewards and praises the child for helping a younger sibling, being polite, and
using good manners. A nurse supports the use of praise because, according to the Freudian theory,
these qualities will likely be internalized and become what part of the child's personality?
A) preconscious
B) id
C) ego
D) superego - Answer-D) superego
A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian
theory, these traits are related to which psychosexual stage?
A) anal
B) oral
C) genital
D) phallic - Answer-B) oral
A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on Wheels, coach teen
sports, and do church visitation." Another laughs and says, "I'm too busy taking care of myself to
volunteer. I don't have time to help others." These comments contrast which developmental tasks?
A) trust vs mistrust
B) industry vs inferiority
C) intimacy vs isolation
D) generativity vs self-absorption - Answer-D) generativity vs self-absorption
A nurse uses Maslow's hierarchy of needs to plan care for a psychotic patient. Which problem will
receive priority?
Which situations qualify as abandonment on the part of a nurse? (Select all that apply.)
A) The nurse terminates employment without referring a seriously mentally ill patient for aftercare.
B) The nurse asks another nurse to provide a patient's care because of concerns about
countertransference.
C) The nurse calls police to bring a suicidal patient to the hospital after a suicide attempt.
D) The nurse refers a patient with persistent paranoid schizophrenia to community treatment.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further action. -
Answer-A) The nurse terminates employment without referring a seriously mentally ill patient for
aftercare.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further action.
The goal for a patient is to increase resiliency. Which outcome should the nurse add to the plan of care
to be achieved within three days?
A) patient will describe feelings associated with loss and stress
B) patient will identify healthy coping behaviors in response to stressful events
C) patient will allow others to assume responsibility for major areas of own life
D) patient will meet own needs before considering the rights of others - Answer-B) patient will identify
healthy coping behaviors in response to stressful events
,A patient tells a nurse, "I have psychiatric problems and am in and out of hospitals all the time. Not one
of my friends or relatives has these problems." What is the nurse's best response?
A) "comparing yourself with others has no real advantages."
B) "mental illness affects 50% of the adult population in any given year"
C) "why do you blame yourself for having a psychiatric illness?"
D) "are you concerned that others don't experience the same challenges as you?" - Answer-D) are you
concerned others don't experience the same challenges as you
A critical care nurse asks a psychiatric nurse about the difference between a diagnosis in the Diagnostic
and Statistical manual of Mental disorders (DSM-5) and a nursing diagnosis. What is the psychiatric
nurse's best response?
A) "the DSM-5 diagnosis disregards culture, whereas the nursing diagnosis includes cultural variables"
B) " the DSM-5 diagnosis influences the medical treatment, the nursing diagnosis offers a framework to
identify interventions for problems a patient may experience."
C) "no functional difference exists between the two diagnoses. both serve to identify a human deviance"
D) "the DSM-5 diagnosis profiles present distress or disability, whereas a nursing diagnosis considers
past and present responses to actual mental health problems" - Answer-B) "the DSM-5 diagnosis
influences the medical treatment; the nursing diagnosis offers a framework to identify interventions for
problems a patient has or may experience"
A patient's history shows intense and unstable relationships with others. The patient initially idealizes an
individual and then devalues the person when the patient's needs are not met. Which aspect of mental
health is a problem for this patient?
A) maintaining relationships
B) communication skills
C) effectiveness in work
D) productive activities - Answer-A) maintaining relationships
,In the majority culture of the United States, which individual is at greatest risk to be incorrectly labeled
mentally ill?
A) person who expresses strong beliefs about the existence of alien abductions.
B) Wealthy person who gives $20 bills to needy individuals in the community
C) person who is usually pessimistic but strives to meet personal goals
D) person with an optimistic viewpoint about getting his or her own needs met - Answer-
A 26-month-old child displays negative behaviors. The parent says, "My child refuses toilet training and
shouts, 'No!' when given direction. What do you think is wrong?" Select the nurse's best reply.
A) "this is normal for your child's age. the child is striving for independence."
B) "some undesirable attitudes are developing. a child psychologist can help you develop a remedial
plan."
C) "the child needs firmer control. punish the child for disobedience and say "no"."
D) "there may be developmental problems. most children are toilet trained by age 2 years." - Answer-A)
"this is normal for you child's age. the child is striving for independence"
A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, "No!" when
given direction. The nurse's counseling with the parent should be based on the premise that the child is
engaged in which of Erikson's psychosocial crises?
A) trust versus mistrust
B) autonomy versus shame and doubt
C) initiative versus guilt
D) industry versus inferiority - Answer-B) autonomy versus shame and doubt
A 4-year-old child grabs toys from siblings, saying, "I want that toy now!" The siblings cry, and the child's
parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child's
behavior as a product of impulses originating in the:
A) id
B) superego
, C) ego
D) preconscious - Answer-A) id
The parent of a 4 year old rewards and praises the child for helping a younger sibling, being polite, and
using good manners. A nurse supports the use of praise because, according to the Freudian theory,
these qualities will likely be internalized and become what part of the child's personality?
A) preconscious
B) id
C) ego
D) superego - Answer-D) superego
A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian
theory, these traits are related to which psychosexual stage?
A) anal
B) oral
C) genital
D) phallic - Answer-B) oral
A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on Wheels, coach teen
sports, and do church visitation." Another laughs and says, "I'm too busy taking care of myself to
volunteer. I don't have time to help others." These comments contrast which developmental tasks?
A) trust vs mistrust
B) industry vs inferiority
C) intimacy vs isolation
D) generativity vs self-absorption - Answer-D) generativity vs self-absorption
A nurse uses Maslow's hierarchy of needs to plan care for a psychotic patient. Which problem will
receive priority?
