Mental health nursing final exam
questions With 100% Verified Solutions
Rated A+
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. - CORRECT 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 - CORRECT
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?" -
CORRECT 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" -
CORRECT 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 - CORRECT 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 -
CORRECT 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." - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-B) oral
questions With 100% Verified Solutions
Rated A+
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. - CORRECT 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 - CORRECT
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?" -
CORRECT 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" -
CORRECT 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 - CORRECT 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 -
CORRECT 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." - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-B) oral
