Psychiatric-Mental Health Exam 1 Review 2025
While assessing your patient, Simon, a 63 year old man in the psychiatric unit with a diagnosis
of generalized anxiety disorder, he asks you, "Can you tell me why my family thinks that I am
just acting sick to get attention?" Drawing from your knowledge on the impact of mental illness
on families, which of the following would you include in your discussion to help Simon see his
illness as a real illness? (Select all that apply)
A. Mental health is fundamental to health
B. Mental disorders are real health conditions that have an immense impact on individuals and
families
C. The efficacy of mental health treatment is well documented.
D. A range of treatments exists for most mental disorders - ANSWER
A. Mental health is fundamental to health
B. Mental disorders are real health conditions that have an immense impact on individuals and
families
C. The efficacy of mental health treatment is well documented.
D. A range of treatments exists for most mental disorders
A 25 year old man barely avoids a motor vehicle accident. His heart is pounding, his palms are
sweaty and his respirations are increased. This is an example of which stage of the general
adaptation syndrome?
A. Alarm reaction stage
B. Stage of resistance
C. Stage of exhaustion
,D. Stage of biological stress - ANSWER A. Alarm reaction stage
A client hates her mother because of childhood neglect. The nurse determines which client
statement represents the use of the defense mechanism of reaction formation?
A. "I don't like to talk about my relationship with my mother."
B. "My mother hates me."
C. "I have a very wonderful mother whom I love very much."
D. "My mom always loved my sister more than she loved me." - ANSWER
C. "I have a very wonderful mother whom I love very much."
A nursing student is learning about the human limbic system. Which student statement
demonstrates that teaching about the function of the limbic system has been effective?
A. "The limbic system helps stabilize emotional behavior."
B. "The limbic system functions to assist with symbolic thinking."
C. "The limbic system aids in analytical thinking."
"The limbic system helps modulate motor coordination." - ANSWER
A. "The limbic system helps stabilize emotional behavior."
A client is brought to the emergency department and diagnosed with a panic level of anxiety.
What biological system domination would be responsible for this diagnosis?
, A. Parasympathetic division of the autonomic nervous system
B. Sympathetic division of the autonomic nervous system
C. The cerebral cortex
D. The cerebellum - ANSWER B. Sympathetic division of the
autonomic nervous system
An operating room nurse asks a psychiatric nurse "How can you work with the mentally ill day in
and day out?" The psychiatric nurse replies "It's just the right thing to do." The psychiatric nurse
is operating from which ethical framework?
A. Kantianism
B. Christian Ethics
C. Ethical Egoism
D. Utilitarianism - ANSWER A. Kantianism
As a last resort, an agitated physically aggressive client placed in four point restraints. The client
yells "I'll sue you for assault and battery." The unit manger determines that the nurses are
protected under which condition?
A. The client is voluntarily committed and poses a danger to others on the unit.
B. The client is voluntarily committed and has a history of being a danger to others
C. The client is involuntarily committed because of a history of violent behavior.
D. The client is involuntarily committed and is refusing treatment. - ANSWER
A. The client is voluntarily committed and poses a danger to others on the unit.
While assessing your patient, Simon, a 63 year old man in the psychiatric unit with a diagnosis
of generalized anxiety disorder, he asks you, "Can you tell me why my family thinks that I am
just acting sick to get attention?" Drawing from your knowledge on the impact of mental illness
on families, which of the following would you include in your discussion to help Simon see his
illness as a real illness? (Select all that apply)
A. Mental health is fundamental to health
B. Mental disorders are real health conditions that have an immense impact on individuals and
families
C. The efficacy of mental health treatment is well documented.
D. A range of treatments exists for most mental disorders - ANSWER
A. Mental health is fundamental to health
B. Mental disorders are real health conditions that have an immense impact on individuals and
families
C. The efficacy of mental health treatment is well documented.
D. A range of treatments exists for most mental disorders
A 25 year old man barely avoids a motor vehicle accident. His heart is pounding, his palms are
sweaty and his respirations are increased. This is an example of which stage of the general
adaptation syndrome?
A. Alarm reaction stage
B. Stage of resistance
C. Stage of exhaustion
,D. Stage of biological stress - ANSWER A. Alarm reaction stage
A client hates her mother because of childhood neglect. The nurse determines which client
statement represents the use of the defense mechanism of reaction formation?
A. "I don't like to talk about my relationship with my mother."
B. "My mother hates me."
C. "I have a very wonderful mother whom I love very much."
D. "My mom always loved my sister more than she loved me." - ANSWER
C. "I have a very wonderful mother whom I love very much."
A nursing student is learning about the human limbic system. Which student statement
demonstrates that teaching about the function of the limbic system has been effective?
A. "The limbic system helps stabilize emotional behavior."
B. "The limbic system functions to assist with symbolic thinking."
C. "The limbic system aids in analytical thinking."
"The limbic system helps modulate motor coordination." - ANSWER
A. "The limbic system helps stabilize emotional behavior."
A client is brought to the emergency department and diagnosed with a panic level of anxiety.
What biological system domination would be responsible for this diagnosis?
, A. Parasympathetic division of the autonomic nervous system
B. Sympathetic division of the autonomic nervous system
C. The cerebral cortex
D. The cerebellum - ANSWER B. Sympathetic division of the
autonomic nervous system
An operating room nurse asks a psychiatric nurse "How can you work with the mentally ill day in
and day out?" The psychiatric nurse replies "It's just the right thing to do." The psychiatric nurse
is operating from which ethical framework?
A. Kantianism
B. Christian Ethics
C. Ethical Egoism
D. Utilitarianism - ANSWER A. Kantianism
As a last resort, an agitated physically aggressive client placed in four point restraints. The client
yells "I'll sue you for assault and battery." The unit manger determines that the nurses are
protected under which condition?
A. The client is voluntarily committed and poses a danger to others on the unit.
B. The client is voluntarily committed and has a history of being a danger to others
C. The client is involuntarily committed because of a history of violent behavior.
D. The client is involuntarily committed and is refusing treatment. - ANSWER
A. The client is voluntarily committed and poses a danger to others on the unit.
