Mental Health Final Exam
In which scenario is it most urgent for the nurse to act as a patient
advocate?
A.An adult cries and experiences anxiety after a near-miss automobile
accident on the way back to work.
B.A homeless adult diagnosed with schizophrenia lives in a community
expecting a category 5 hurricane.
C.A 14-year old girls grades decline because she consistently
focuses on her appearance and social networking.
D.The parents allow the prescription to lapse for 1 day for their 8-
year old childs medication for attention deficit disorder correct
answersB
The nurse interacts with a veteran of World War II. The veteran says,
"Veterans of modern war whine and complain all the time. Back when I was
in service, you kept your feelings to yourself." Select the nurses best
response.
E. "American society in the 1940's expected World War II soldiers to be
strong."
F."World War II was fought in a traditional way, but the enemy is
more difficult to identify in today's war."
G."We now have a better understanding of how trauma affects
people and the importance of research-based, compassionate care."
H."Intermittent explosive devices (IEDs), which were not in use during
World War II, produce traumatic brain injuries that must be treated."
correct answersC
A patient reports sleeplessness, fatigue, and sadness to the primary care
provider. In our current health care climate, what is the most likely
treatment approach that will be offered to the patient?
I. Group therapy
J. Individual psychotherapy
K. Complementary therapy
L. Psychopharmacological treatment correct answersD
,The nurse prepares outcomes to the plan of care for an adult diagnosed
with a mental illness. Which strategy recognizes the current focus of
treatment services for this population?
A. The patient's diagnoses are confirmed using advanced neuroimaging
techniques
B. The nurse confers with the treatment team to verify the patient's
most significant disability.
C. The nurse prioritizes the patient's problems in accordance with Maslow's
hierarchy of needs.
D. The patient and family participate actively in establishing priorities
and selecting interventions correct answersD
Which scenario best demonstrates empathetic caring?
A. A nurse provides comfort to a colleague after an error of medication
administration
B. A nurse works a fourth extra shift in 1 week to maintain adequate
staffing
C. A nurse identifies a violation of confidentially and makes a report to
an agency's privacy officer.
D. A nurse conscientiously reads current literature to stay aware of new
evidence-based practices. correct answersA
A mentally ill gunman open fire in a crowded movie theater, killing six
people and injuring others. Which comment about this event by a member
of the community most clearly shows the stigma of mental illness?
A. "Gun control laws are inadequate in our country."
B. "It's frightening to feel that it is not safe to go a movie theater."
C. "All these people with mental illness are violent and should be locked
up."
D. "These events happen because American families no longer go to church
together." correct answersC
The nurse presents a class about mental health and mental illness to a
group of fourth graders. One student asks, "Why do people get mentally
ill?" Select the nurses best response.
A. "There are many reasons why mental illness occurs."
,B. "The cause of mental illness is complicated and very hard to understand."
C. "Sometimes a person's brain does not work correctly because
something bad happens or he or she inherits a brain problem."
D. "Most mental illnesses result from genetically transmitted abnormalities
in cerebral structure; however, some are a consequence of a traumatic life
experience." correct answersC
An adult experienced a spinal cord injury resulting in quadriplegia 3 years
ago and now lives permanently in a skilled care facility. Which comment by
the person best demonstrates resiliency?
A. "I often pray for a miracle that will heal my paralysis so I will be whole
again."
B. "I don't know what I did to deserve this fate or whether I am tough
enough to endure it."
C. "My accident was a twist of fate. I suppose there are worse things
than being paralyzed."
D. "Being paralyzed has taken things from me, but it hasn't kept me from
being mentally involved in my life." correct answersD
A nursing assistant says to the nurse, "The schizophrenic in room 226 has
been rambling all day." When considering the nurse's responsibility to
manage the ancillary staff, which response should the nurse provide?
A. "It is more respectful to refer to the patient by name than by diagnosis."
B. "Thank you for informing me about that. I will document the behavior."
C. "It is not unusual for schizophrenics to do that. It's just part of their
illness.
D. "You have a difficult job. I'm glad you are so accepting of our patients'
behaviors." correct answersA
Which scenario meets the criteria for "normal" behavior?
A. An 8-year old child's only verbalization is "No, no, no"
B. A 16-year old girl usually sleeps for 3 or 4 hours per night.
C. A 43-year old man cries privately for 1 month after the death of his
wife.
, D. A 64-year old woman has difficulty remembering the names of her
grandchildren. correct answersC
The nurse cares for a hospitalized adolescent diagnosed with major
depressive disorder. The health care provider prescribes a low dose
antidepressant. In consideration of published warnings about the use of
antidepressant medications in younger patients, which action(s) should
the nurse employ. (Select all that apply)
A. Monitor the adolescent closely for evidence of adverse effects,
particularly suicidal thinking or behavior
B. Teach the adolescent about black box warnings associated with
antidepressant medications
C. Remind the healthcare provider about warnings associated with
the use of antidepressants in children and adolescents.
D. Notify the facility's patient advocate about the new prescription
correct answersA, B
A nurse plans a group meeting for adult patients in a therapeutic milieu.
Which topic should the nurse include?
A. Coping with grief and loss
B. The importance of hand washing
C. Strategies for money management
D. Staffing shortages expected over the next 3 days correct answersB
Considering Maslow's pyramid, which comment indicates that an individual
is motivated by one of the higher level of needs?
A. "Even though I'm 40-years old, I have returned to college so that I can
get a better job."
B. "I help my community by volunteering at a thrift shop that raises
money for the poor."
C. "I recently applied for public assistance in order to feed my family, but I
hope it's not forever."
D. "My children tell me I'm a good parent. I feel happy being part of a
family that appreciates me." correct answersB
Which patient is likely to achieve maximum benefit from cognitive
behavior therapy (CBT)?
In which scenario is it most urgent for the nurse to act as a patient
advocate?
A.An adult cries and experiences anxiety after a near-miss automobile
accident on the way back to work.
B.A homeless adult diagnosed with schizophrenia lives in a community
expecting a category 5 hurricane.
C.A 14-year old girls grades decline because she consistently
focuses on her appearance and social networking.
D.The parents allow the prescription to lapse for 1 day for their 8-
year old childs medication for attention deficit disorder correct
answersB
The nurse interacts with a veteran of World War II. The veteran says,
"Veterans of modern war whine and complain all the time. Back when I was
in service, you kept your feelings to yourself." Select the nurses best
response.
E. "American society in the 1940's expected World War II soldiers to be
strong."
F."World War II was fought in a traditional way, but the enemy is
more difficult to identify in today's war."
G."We now have a better understanding of how trauma affects
people and the importance of research-based, compassionate care."
H."Intermittent explosive devices (IEDs), which were not in use during
World War II, produce traumatic brain injuries that must be treated."
correct answersC
A patient reports sleeplessness, fatigue, and sadness to the primary care
provider. In our current health care climate, what is the most likely
treatment approach that will be offered to the patient?
I. Group therapy
J. Individual psychotherapy
K. Complementary therapy
L. Psychopharmacological treatment correct answersD
,The nurse prepares outcomes to the plan of care for an adult diagnosed
with a mental illness. Which strategy recognizes the current focus of
treatment services for this population?
A. The patient's diagnoses are confirmed using advanced neuroimaging
techniques
B. The nurse confers with the treatment team to verify the patient's
most significant disability.
C. The nurse prioritizes the patient's problems in accordance with Maslow's
hierarchy of needs.
D. The patient and family participate actively in establishing priorities
and selecting interventions correct answersD
Which scenario best demonstrates empathetic caring?
A. A nurse provides comfort to a colleague after an error of medication
administration
B. A nurse works a fourth extra shift in 1 week to maintain adequate
staffing
C. A nurse identifies a violation of confidentially and makes a report to
an agency's privacy officer.
D. A nurse conscientiously reads current literature to stay aware of new
evidence-based practices. correct answersA
A mentally ill gunman open fire in a crowded movie theater, killing six
people and injuring others. Which comment about this event by a member
of the community most clearly shows the stigma of mental illness?
A. "Gun control laws are inadequate in our country."
B. "It's frightening to feel that it is not safe to go a movie theater."
C. "All these people with mental illness are violent and should be locked
up."
D. "These events happen because American families no longer go to church
together." correct answersC
The nurse presents a class about mental health and mental illness to a
group of fourth graders. One student asks, "Why do people get mentally
ill?" Select the nurses best response.
A. "There are many reasons why mental illness occurs."
,B. "The cause of mental illness is complicated and very hard to understand."
C. "Sometimes a person's brain does not work correctly because
something bad happens or he or she inherits a brain problem."
D. "Most mental illnesses result from genetically transmitted abnormalities
in cerebral structure; however, some are a consequence of a traumatic life
experience." correct answersC
An adult experienced a spinal cord injury resulting in quadriplegia 3 years
ago and now lives permanently in a skilled care facility. Which comment by
the person best demonstrates resiliency?
A. "I often pray for a miracle that will heal my paralysis so I will be whole
again."
B. "I don't know what I did to deserve this fate or whether I am tough
enough to endure it."
C. "My accident was a twist of fate. I suppose there are worse things
than being paralyzed."
D. "Being paralyzed has taken things from me, but it hasn't kept me from
being mentally involved in my life." correct answersD
A nursing assistant says to the nurse, "The schizophrenic in room 226 has
been rambling all day." When considering the nurse's responsibility to
manage the ancillary staff, which response should the nurse provide?
A. "It is more respectful to refer to the patient by name than by diagnosis."
B. "Thank you for informing me about that. I will document the behavior."
C. "It is not unusual for schizophrenics to do that. It's just part of their
illness.
D. "You have a difficult job. I'm glad you are so accepting of our patients'
behaviors." correct answersA
Which scenario meets the criteria for "normal" behavior?
A. An 8-year old child's only verbalization is "No, no, no"
B. A 16-year old girl usually sleeps for 3 or 4 hours per night.
C. A 43-year old man cries privately for 1 month after the death of his
wife.
, D. A 64-year old woman has difficulty remembering the names of her
grandchildren. correct answersC
The nurse cares for a hospitalized adolescent diagnosed with major
depressive disorder. The health care provider prescribes a low dose
antidepressant. In consideration of published warnings about the use of
antidepressant medications in younger patients, which action(s) should
the nurse employ. (Select all that apply)
A. Monitor the adolescent closely for evidence of adverse effects,
particularly suicidal thinking or behavior
B. Teach the adolescent about black box warnings associated with
antidepressant medications
C. Remind the healthcare provider about warnings associated with
the use of antidepressants in children and adolescents.
D. Notify the facility's patient advocate about the new prescription
correct answersA, B
A nurse plans a group meeting for adult patients in a therapeutic milieu.
Which topic should the nurse include?
A. Coping with grief and loss
B. The importance of hand washing
C. Strategies for money management
D. Staffing shortages expected over the next 3 days correct answersB
Considering Maslow's pyramid, which comment indicates that an individual
is motivated by one of the higher level of needs?
A. "Even though I'm 40-years old, I have returned to college so that I can
get a better job."
B. "I help my community by volunteering at a thrift shop that raises
money for the poor."
C. "I recently applied for public assistance in order to feed my family, but I
hope it's not forever."
D. "My children tell me I'm a good parent. I feel happy being part of a
family that appreciates me." correct answersB
Which patient is likely to achieve maximum benefit from cognitive
behavior therapy (CBT)?
