Mental health nursing Chapter 1-10
exam with 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. - VERIFIED ANSWERS **✔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. - VERIFIED ANSWERS **✔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 - VERIFIED ANSWERS **✔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. - VERIFIED ANSWERS **✔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. - VERIFIED ANSWERS **✔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. - VERIFIED ANSWERS **✔B) axis II.
A man frequently bursts out by loudly singing operatic arias. The neighbors in the next
apartment find the noise disturbing. They go to his apartment to confront him and find that
in he is wearing only his bathrobe and his apartment is messy. He acts outraged and tells
them he must sing several hours daily and will not promise to be quieter. The conclusion
that can be drawn is:
,A) The man is demonstrating symptoms of bipolar disorder.
B) The man is socially deviant.
C) The man is egocentric.
D) The man may or may not be mentally ill. - VERIFIED ANSWERS **✔D) The man may
or may not be mentally ill.
A nursing diagnosis for a client with a psychiatric disorder serves the purpose of
A) justifying the use of certain psychotropic medication.
B) providing data essential for insurance reimbursement.
C) providing a framework for selecting appropriate interventions.
D) identifying information to be placed on DSM-IV-TR axis III. - VERIFIED ANSWERS
**✔C) providing a framework for selecting appropriate interventions.
A client has begun to neglect her appearance, is withdrawn and stays in her room. Her
mother hears her seemingly talking to others, but no one is in the room with her. Last night
she threw a chair and broke the window of her bedroom. She tells the nurse nothing is
wrong. The nurse rating her current global assessment of functioning would probably assign
the code
A) 100.
B) 70.
C) 40.
D) 0. - VERIFIED ANSWERS **✔C) 40.
The mental health or mental illness of a particular client can best be assessed by considering
A) the degree of conformity of the individual to society's norms.
B) the degree to which an individual is logical and rational.
C) placement on a continuum from healthy to psychotic.
D) the rate of intellectual and emotional growth. - VERIFIED ANSWERS **✔C) placement
on a continuum from healthy to psychotic.
, The quantitative study of the distribution of mental disorders in human populations is
called:
A) mortality.
B) prevalence.
C) epidemiology.
D) clinical epidemiology - VERIFIED ANSWERS **✔C) epidemiology.
What phrase best describes the DSM-IV-TR?
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. - VERIFIED ANSWERS **✔A) Is a
multiaxial psychiatric assessment system
Current information suggests that the most disabling mental disorders are the result of:
A) biological influences.
B) psychological trauma.
C) learned ways of behaving.
D) faulty patterns of early nurturance. - VERIFIED ANSWERS **✔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."
exam with 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. - VERIFIED ANSWERS **✔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. - VERIFIED ANSWERS **✔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 - VERIFIED ANSWERS **✔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. - VERIFIED ANSWERS **✔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. - VERIFIED ANSWERS **✔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. - VERIFIED ANSWERS **✔B) axis II.
A man frequently bursts out by loudly singing operatic arias. The neighbors in the next
apartment find the noise disturbing. They go to his apartment to confront him and find that
in he is wearing only his bathrobe and his apartment is messy. He acts outraged and tells
them he must sing several hours daily and will not promise to be quieter. The conclusion
that can be drawn is:
,A) The man is demonstrating symptoms of bipolar disorder.
B) The man is socially deviant.
C) The man is egocentric.
D) The man may or may not be mentally ill. - VERIFIED ANSWERS **✔D) The man may
or may not be mentally ill.
A nursing diagnosis for a client with a psychiatric disorder serves the purpose of
A) justifying the use of certain psychotropic medication.
B) providing data essential for insurance reimbursement.
C) providing a framework for selecting appropriate interventions.
D) identifying information to be placed on DSM-IV-TR axis III. - VERIFIED ANSWERS
**✔C) providing a framework for selecting appropriate interventions.
A client has begun to neglect her appearance, is withdrawn and stays in her room. Her
mother hears her seemingly talking to others, but no one is in the room with her. Last night
she threw a chair and broke the window of her bedroom. She tells the nurse nothing is
wrong. The nurse rating her current global assessment of functioning would probably assign
the code
A) 100.
B) 70.
C) 40.
D) 0. - VERIFIED ANSWERS **✔C) 40.
The mental health or mental illness of a particular client can best be assessed by considering
A) the degree of conformity of the individual to society's norms.
B) the degree to which an individual is logical and rational.
C) placement on a continuum from healthy to psychotic.
D) the rate of intellectual and emotional growth. - VERIFIED ANSWERS **✔C) placement
on a continuum from healthy to psychotic.
, The quantitative study of the distribution of mental disorders in human populations is
called:
A) mortality.
B) prevalence.
C) epidemiology.
D) clinical epidemiology - VERIFIED ANSWERS **✔C) epidemiology.
What phrase best describes the DSM-IV-TR?
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. - VERIFIED ANSWERS **✔A) Is a
multiaxial psychiatric assessment system
Current information suggests that the most disabling mental disorders are the result of:
A) biological influences.
B) psychological trauma.
C) learned ways of behaving.
D) faulty patterns of early nurturance. - VERIFIED ANSWERS **✔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."
