Psychiatric nursing attempts to incorporate the science and art of nursing
into professional practice. Which nurse was highly influential in promoting
these aspects of modern nursing? correct answersHildegard Peplau
Which of the resources listed below would be best described as a clinical
treatment or intervention map, used for a designated timeframe, and
specific to a hospital or hospital unit? correct answersClinical and critical
pathways
A nurse manager is reviewing professional journals related to a change in
clinical practice on the unit. In one article, the nurse manager finds a
practice guideline related to group therapy with evidence that is considered
Level I. What would be an appropriate statement by the nurse manager
during a meeting with the other nurses from the unit? correct answersLevel 1
evidence: systematic review of meta-analysis of randomized control trial
(RCT)
Which organization has provided a working definition of the recovery
model with 10 guiding principles? correct answersSAMHSA
A patient is brought into the emergency department (ED) by the police
because he was "acting strange" and frightening other people at the train
station. Which statement by the nurse to the patient demonstrates
appropriate trauma-informed care? correct answerswhat has happened to
you?
When integrating evidence-based practice into the clinical setting, which
step should the nurse do after applying the evidence? correct answersThe 5
A's: Assess the performance
What is the art of nursing? correct answersDeveloping the skills for
the practice. Applying the science of nursing with caring, attending,
and advocacy
A nursing student classmate asks you, "What is the best resource for
figuring out which specific symptoms and criteria are present in designated
mental health disorders?" The best response is correct answersDSM-5
Which two of the following statements best describe mental health and
mental illness? correct answersMental health: "the successful adaptation to
stressors from the internal or external environment, evidenced by thoughts,
feelings, and behaviors that are age- appropriate and congruent with local
and cultural norms."
, Mental illness: "maladaptive responses to stressors from the internal or
external environment, evidenced by thoughts, feelings, and behaviors that
are incongruent with the local and cultural norms and that interfere with the
individual's social, occupational, and/or physical functioning"
When children and adolescents are diagnosed with a mental illness, what
is the preferred treatment plan? correct answersBefore drugs-first address
behaviors & provide additional support, start drugs on lower doses &
monitor more frequently than adults
Which of the following statements about psychotropic medications in
children and adolescents is true? correct answersMost antidepressants carry
a black box warning for risk of suicide ideation in children & adolescents
Which main structure in the brain is responsible for self-awareness,
executive functions, and higher cognitive skills? correct answersfrontal lobe
and/or prefrontal cortex
Your patient is scheduled for a neuroimaging procedure. Which of the
following techniques can provide evidence of metabolic changes in
unmedicated individuals such as those with depression, schizophrenia, or
obsessive-compulsive disorder? correct answersPositron-emission
tomography (PET) and single-photon emission computed tomography
(SPECT)
Which part of the nervous system in the brain is the primary target for
psychotropic agents? correct answerssynaptic cleft of neurons
The process by which a neurotransmitter is returned to the pre-
synaptic neuron is correct answersreuptake
Which of the following is a monoamine neurotransmitter that when
decreased is associated with depression and when increased is
associated with mania, anxiety, psychosis? correct
answersnorepinepherine
Which of the following is a major inhibitory neurotransmitter responsible for
modulation of neuronal excitability and is associated with the regulation of
anxiety? correct answersGABA
Which of the following neurotransmitters plays a role in learning, memory,
and mood regulation, is decreased in Alzheimer's disease and increased in
depression? correct answersAcetylcholine (ACH)
Which of the following neurotransmitters plays a role in fine motor
movement, decision making, integration of emotions and thoughts, and is
decreased in Parkinson's disease and depression? correct answersDopamine