N322 Mental Health Nursing Exam 2 Practice Questions
With Complete Solutions
End of Chapter Questions (Ch. 10, 11, 12, 13, 14, 26); ATI
Mental Health Book Questions (Ch. 4, 5, 9, 11, 12, 16, 18, 19,
20, 21, 26); ATI Pharmacology Book Questions (Ch. 7 and 16);
ATI Targeted Assessments (Anxiety, Personality Disorders &
Stress)
A charge nurse is preparing a staff education session on
personality disorders. Which of the following personality
characteristics associated with all of the personality disorders
should the charge nurse include in the teaching? (Select all that
apply.)
A. Difficulty in getting along with other members of a group
B. Belief in the ability to become invisible during times of stress
C. Display of defense mechanisms when routines are changed
D. Claiming to be more important than other persons
E. Difficulty understanding why it is inappropriate to have a
personal relationship with staff Correct Answers A. Difficulty
in getting along with other members of a group
C. Display of defense mechanisms when routines are changed
E. Difficulty understanding why it is inappropriate to have a
personal relationship with staff
A client is admitted with PTSD following a fire in his home in
which family members died. Which of the following should the
nurse recognize as an adaptive defense mechanism?
,A. The client begins reading a book when he experiences hand
tremors in response to loud noise.
B. The client makes a decision to postpone a needed surgery.
C. The client focuses on discussing his daily routine when asked
about the fire.
D. The client develops stomach pains when fire is seen on
television. Correct Answers A. The client begins reading a
book when he experiences hand tremors in response to loud
noise.
Rationale: This is an adaptive use of dissociation by temporarily
blocking memories and perceptions from conscious thought.
Dissociation involves a disruption in the usually integrated
functions of consciousness, memory, identity, or perception of
the environment. This client has a physical response of hand
trembling when he hears loud noise, and chooses to dissociate
from the loud noise by reading.
A college student has been experiencing significant stress
associated with academic demands. Last month, the student
began attending yoga sessions three times a week. Which
outcome indicates this activity has been successful?
A. The student reports improved feelings of well-being.
B. The student increases use of caffeine to enhance
concentration.
C. The student reports, "Now I am sleeping about 10 hours
every
day."
D. The student says, "I withdrew from two courses to reduce my
,academic load." Correct Answers A. The student reports
improved feelings of well-being.
A combat veteran from two tours of the war in Afghanistan tells
the nurse, "Some guys in my unit have posttraumatic stress
disorder,
but I never had any problems other than my hearing is not as
good as it once was." Which explanation for this comment
should the
nurse consider?
A. The veteran wants to demonstrate toughness and strength.
B. The veteran shows indicators of derealization and
depersonalization.
C. The veteran may be rationalizing this reaction to memories of
combat.
D. The veteran may have amnesia associated with the combat
experience. Correct Answers D. The veteran may have
amnesia associated with the combat experience.
Rationale: Although this may be true, Dr. Clark thinks more
information should have been provided as it does not
automatically mean the veteran was exposed to an explosive
device. She knows many veterans who have suffered hearing
loss as a result of long-term exposure to other loud experiences.
A community mental health nurse talks with a 6 year old child
whose divorced parents have shared custody. Which initial
question will best help the nurse explore the child's perception
of home life?
, A. "Is your life different from your friends' lives?"
B. "Are you happiest at your mother's or your father's house?"
C. "Do you find it hard to move back and forth between two
homes?"
D. "What are some of the good and bad things about living in
two homes?" Correct Answers D. "What are some of the good
and bad things about living in two homes?"
A home-health nurse is assessing a client who has obsessive-
compulsive disorder (OCD) and finds that the client
demonstrates constant repetitive thinking. The nurse knows that
this behavior is an attempt to accomplish which of the
following?
A. Decrease anxiety.
B. Prevent aggressive and impulsive behaviors.
C. Manipulate others.
D. Decrease the time available for interaction with people.
Correct Answers A. Decrease anxiety.
A mature, professional couple plans a large wedding in a city
100 miles from their home. Which response is most likely to be
associated with this experience?
A. Distress
B. Eustress
C. Acute stress
D. Depersonalization Correct Answers B. Eustress
With Complete Solutions
End of Chapter Questions (Ch. 10, 11, 12, 13, 14, 26); ATI
Mental Health Book Questions (Ch. 4, 5, 9, 11, 12, 16, 18, 19,
20, 21, 26); ATI Pharmacology Book Questions (Ch. 7 and 16);
ATI Targeted Assessments (Anxiety, Personality Disorders &
Stress)
A charge nurse is preparing a staff education session on
personality disorders. Which of the following personality
characteristics associated with all of the personality disorders
should the charge nurse include in the teaching? (Select all that
apply.)
A. Difficulty in getting along with other members of a group
B. Belief in the ability to become invisible during times of stress
C. Display of defense mechanisms when routines are changed
D. Claiming to be more important than other persons
E. Difficulty understanding why it is inappropriate to have a
personal relationship with staff Correct Answers A. Difficulty
in getting along with other members of a group
C. Display of defense mechanisms when routines are changed
E. Difficulty understanding why it is inappropriate to have a
personal relationship with staff
A client is admitted with PTSD following a fire in his home in
which family members died. Which of the following should the
nurse recognize as an adaptive defense mechanism?
,A. The client begins reading a book when he experiences hand
tremors in response to loud noise.
B. The client makes a decision to postpone a needed surgery.
C. The client focuses on discussing his daily routine when asked
about the fire.
D. The client develops stomach pains when fire is seen on
television. Correct Answers A. The client begins reading a
book when he experiences hand tremors in response to loud
noise.
Rationale: This is an adaptive use of dissociation by temporarily
blocking memories and perceptions from conscious thought.
Dissociation involves a disruption in the usually integrated
functions of consciousness, memory, identity, or perception of
the environment. This client has a physical response of hand
trembling when he hears loud noise, and chooses to dissociate
from the loud noise by reading.
A college student has been experiencing significant stress
associated with academic demands. Last month, the student
began attending yoga sessions three times a week. Which
outcome indicates this activity has been successful?
A. The student reports improved feelings of well-being.
B. The student increases use of caffeine to enhance
concentration.
C. The student reports, "Now I am sleeping about 10 hours
every
day."
D. The student says, "I withdrew from two courses to reduce my
,academic load." Correct Answers A. The student reports
improved feelings of well-being.
A combat veteran from two tours of the war in Afghanistan tells
the nurse, "Some guys in my unit have posttraumatic stress
disorder,
but I never had any problems other than my hearing is not as
good as it once was." Which explanation for this comment
should the
nurse consider?
A. The veteran wants to demonstrate toughness and strength.
B. The veteran shows indicators of derealization and
depersonalization.
C. The veteran may be rationalizing this reaction to memories of
combat.
D. The veteran may have amnesia associated with the combat
experience. Correct Answers D. The veteran may have
amnesia associated with the combat experience.
Rationale: Although this may be true, Dr. Clark thinks more
information should have been provided as it does not
automatically mean the veteran was exposed to an explosive
device. She knows many veterans who have suffered hearing
loss as a result of long-term exposure to other loud experiences.
A community mental health nurse talks with a 6 year old child
whose divorced parents have shared custody. Which initial
question will best help the nurse explore the child's perception
of home life?
, A. "Is your life different from your friends' lives?"
B. "Are you happiest at your mother's or your father's house?"
C. "Do you find it hard to move back and forth between two
homes?"
D. "What are some of the good and bad things about living in
two homes?" Correct Answers D. "What are some of the good
and bad things about living in two homes?"
A home-health nurse is assessing a client who has obsessive-
compulsive disorder (OCD) and finds that the client
demonstrates constant repetitive thinking. The nurse knows that
this behavior is an attempt to accomplish which of the
following?
A. Decrease anxiety.
B. Prevent aggressive and impulsive behaviors.
C. Manipulate others.
D. Decrease the time available for interaction with people.
Correct Answers A. Decrease anxiety.
A mature, professional couple plans a large wedding in a city
100 miles from their home. Which response is most likely to be
associated with this experience?
A. Distress
B. Eustress
C. Acute stress
D. Depersonalization Correct Answers B. Eustress
