Essentials of Psychiatric Mental Health
Nursing Chapter 1 Exam Questions With
100% Verified Solutions
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The clients appetite, sleep patterns, and
daily routine have not changed. How should the nurse interpret the clients behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no mental
illness. - CORRECT ANSWER-4. The clients behaviors demonstrate no functional
impairment, indicating no mental illness.
Rationale: The nurse should assess that the clients daily functioning is not impaired.
The client who experiences feelings of sadness after the loss of a pet is responding
within normal expectations. Without significant impairment, the clients distress does not
indicate a mental illness
2. At what point should the nurse determine that a client is at risk for developing a
mental illness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
3. When a client communicates significant distress.
, 4. When a client uses defense mechanisms as ego protection. - CORRECT ANSWER-
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
Rationale: The nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. The DSM-5
indicates that in order to be diagnosed with a mental illness, daily functioning must be
significantly impaired. The clients ability to communicate distress would be considered a
positive attribute.
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently
to stress.One twin becomes anxious and irritable, and the other withdraws and cries.
How should the nurse explain these different stress responses to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stress
vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to stress.
4. Environmental influences to stress weigh more heavily than genetic influences. -
CORRECT ANSWER-1. Reactions to stress are relative rather than absolute; individual
responses to stress vary.
Rationale: The nurse should explain to the parents that, although the twins have
identical DNA, there are several other factors that affect reactions to stress. Mental
health is a state of being that is relative to the individual client. Environmental influences
and temperament can affect stress reactions.
4. Which client should the nurse anticipate to be most receptive to psychiatric
treatment?
1. A Jewish, female social worker.
Nursing Chapter 1 Exam Questions With
100% Verified Solutions
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The clients appetite, sleep patterns, and
daily routine have not changed. How should the nurse interpret the clients behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no mental
illness. - CORRECT ANSWER-4. The clients behaviors demonstrate no functional
impairment, indicating no mental illness.
Rationale: The nurse should assess that the clients daily functioning is not impaired.
The client who experiences feelings of sadness after the loss of a pet is responding
within normal expectations. Without significant impairment, the clients distress does not
indicate a mental illness
2. At what point should the nurse determine that a client is at risk for developing a
mental illness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
3. When a client communicates significant distress.
, 4. When a client uses defense mechanisms as ego protection. - CORRECT ANSWER-
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
Rationale: The nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. The DSM-5
indicates that in order to be diagnosed with a mental illness, daily functioning must be
significantly impaired. The clients ability to communicate distress would be considered a
positive attribute.
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently
to stress.One twin becomes anxious and irritable, and the other withdraws and cries.
How should the nurse explain these different stress responses to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stress
vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to stress.
4. Environmental influences to stress weigh more heavily than genetic influences. -
CORRECT ANSWER-1. Reactions to stress are relative rather than absolute; individual
responses to stress vary.
Rationale: The nurse should explain to the parents that, although the twins have
identical DNA, there are several other factors that affect reactions to stress. Mental
health is a state of being that is relative to the individual client. Environmental influences
and temperament can affect stress reactions.
4. Which client should the nurse anticipate to be most receptive to psychiatric
treatment?
1. A Jewish, female social worker.
