ACTUAL Questions and CORRECT
Answers
A patient's relationships are intense and unstable. The patient initially idealizes the significant
other and then devalues them, resulting in frequent feelings of emptiness. This patient will
benefit from interventions to develop which aspect of mental health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships - CORRECT ANSWER - d. Fulfilling relationships.
A nurse is part of a multidisciplinary team working with groups of depressed patients. Half the
patients receive supportive interventions and antidepressant medication. The other half receives
only medication. The team measures outcomes for each group. Which type of study is evident?
a. Prevalence
b. Clinical epidemiology
c. Descriptive epidemiology
d. Experimental epidemiology - CORRECT ANSWER - b. Clinical epidemiology.
A 4-year-old grabs toys from siblings and says, "I want that now!" The siblings cry, and the
child's parent becomes upset with the behavior. Using Freudian theory, the nurse can interpret
this behavior as a product of impulses originating in the:
a. id
b. Ego
c. superego
d. preconscious - CORRECT ANSWER - a. id
,A patient says, "I never know the answers" and "My opinion doesn't count." The nurse correctly
assesses that this patient had difficulty resolving which psychosocial crisis?
a. Initiative versus guilt
b. Trust versus mustrust
c. Autonomy versus shame and doubt
d. Generativity versus self-absorption - CORRECT ANSWER - c. Autonomy versus
shame and doubt
Operant conditioning is part of the treatment plan to encourage speech in a child who is nearly
mute. Which technique applies?
a. Encourage the child to observe others talking.
b. Include the child in small group activities
c. Give the child a small treat for speaking.
d. Teach the child relaxation techniques - CORRECT ANSWER - c. Give the child a small
treat for speaking
A nurse cares for patients taking various medications, including buspirone (BuSpar), haloperidol
(Haldol), carbamazepine (Tegretol), trazodone (Desyrel), and phenelzine, (Nardil). The nurse
will order a special diet for the patient who takes:
a. buspirone
b. haloperidol
c. carbamazepine
d. trazodone
e. phenelzine - CORRECT ANSWER - e. phenelzine
A category 5 hurricane is approaching. Which change in an individual's vital signs is most likely?
, a. Pulse rate changes from 90 to 72
b. Pupil size changes from 6 mm to 4 mm
c. Complaints of intestinal cramping begin
d. Blood pressure changes from 114/62 to 136/78 - CORRECT ANSWER - d. Blood
pressure changes from 114/62 to 136/78
A patient was hospitalized for a reaction to psychotropic medication. A new medication was
prescribed, and the patient was monitored for 24 hours. During pre-discharge planning, the case
manager learned that the patient received a notice of eviction on the day of admission. Select the
most appropriate action for the case manager.
a. Cancel the patient's discharge from the hospital
b. Contact the landlord who evicted the patient to further discuss the situation.
c. Arrange a temporary place for the patient to stay until new housing can be arranged.
d. Determine whether the adverse medication reaction was artificial, because the patient had
nowhere to live. - CORRECT ANSWER - c. Arrange a temporary place for the patient to
stay until new housing can be arranged.
At age 19, an individual developed a serious mental illness. Symptoms continued for 2 years
despite treatment, and the individual is unable to work. For which resource should this individual
apply?
a. Social security disability insurance
b. Veterans Administration benefits
c. Supplemental security income
d. Welfare - CORRECT ANSWER - c. Supplemental security income
Select the example of tertiary prevention
a. Helping a person with serious and persistent mental illness learn to manage money.