Mental Health Final Outline
1. Do many nurses tend to be more comfortable with meeting physical needs than in focusing on
emotional needs?
a. Yes, because we haven’t dealt as much with emotional needs as we have physical needs.
2. What is stigma in mental illness?
a. A negative attitude toward something.
b. “They’re just lazy, they’re unmotivated; that’s why they fake their mental illness. They
don’t want to work.”
3. Do elderly patients sometimes show behaviors that look like mental illness, but may have
difficulty hearing the nurses?
a. Yes
b. I think the question may indicate the answer
4. What is the coordinating role of the community psychiatric nurse case manager?
a. We make sure they get rides, housing, medications are available. Make sure they go to
therapy.
b. A nurse receives three phone calls regarding a newly admitted patient.
The psychiatrist wishes complete an assessment interview.
The medical doctor wants to perform a physical examination.
The patient's attorney wants an appointment with the patient.
The nurse schedules the activities for the patient. Which role has the nurse fulfilled?
i. Case manager
c. A patient was hospitalized for a reaction to a psychotropic medication. A new medication
was prescribed, and the patient was monitored for 24 hours. During pre-discharge
planning, the case manager learned that the patient received a notice of eviction on the
day of admission. Select the most appropriate action for the case manager.
i. Arrange a temporary place for the patient to stay until new housing can be
arranged. Rationale: The case manager should intervene by arranging
temporary shelter for the patient until an apartment can be found. This is part of
the coordination and delivery of services that falls under the case manager role.
5. List different coping strategies patients are taught or they might have:
a. Limiting stimuli
b. Talk yourself through stimuli
c. Breathing exercises
d. Etc.
6. What allows the nurse to make culturally sensitive assessments and plan for care with patients?
,Mental Health Final Outline
a. You have to know a little bit about the culture.
b. According to the values of cultures whose members use folk healing practices, features
most important for a nurse to possess include: (Select all that apply.)
a. ethnocentrism.
b. cultural skill.
c. cultural desire.
d. cultural knowledge.
e. academic credentials.
f. respect for persons.
c. ANS: B, C, D, F
Cultural skill allows the nurse to make culturally sensitive assessments and plan for care.
Cultural desire refers to willingness to learn from the patient. Cultural knowledge alerts
the nurse to areas where cultural differences may be present, helps with understanding,
and reduces misinterpretations. Respect for persons is important to members of all
cultures and part of cultural desire. Ethnocentrism may result in imposing the nurse's
cultural norms on a patient. Academic credentials are not of concern because curative
factors focus on folk healing. More important are collaboration with cultural translators
and extensive involvement with the family and the community when delivering
education and making treatment plans.
7. Know nursing planning with a patient who has anergia and anhedonia.
a. Try helping them with pleasurable experiences. Let’s talk about it.
b. The admission note indicates a patient diagnosed with major depression has anergia and
anhedonia. For which measures should the nurse plan? Select all that apply.
a. Channeling excessive energy
b. Reducing guilty ruminations
c. Instilling a sense of hopefulness
, Mental Health Final Outline
d. Assisting with self-care activities
e. Accommodating psychomotor retardation
8. Can children adapt to changes in the environment, take advantage of nurturing relationships
with adults other than parents, and what is this called?
a. 10-year-old living in homeless shelter with schizophrenic mother. As a worker in the
facility, nurture the child when the parent cannot. Ask about friends, schools, etc.
b. A parent with schizophrenia and 10-year-old child live in a homeless shelter. The child
has adapted to shelter life and formed a relationship with a supportive volunteer. The
child says, "My three best friends and I got an A on our school science project." Which
assessment applies?
a. The child displays resilience.
b. Risk factors for substance abuse are evident.
c. The child is at risk for posttraumatic stress disorder.
d. The child uses intellectualization to deal with problems.
c. A parent with schizophrenia and 10-year-old child live in a homeless shelter. The child
has adapted to shelter life. The child says, "I have three good friends at school. We talk
about lots of things and sit together at lunch." Select the nurse's best action.
a. Recommend foster home placement of the child.
b. Refer the parent to the domestic violence program.
c. Refer the child for evaluation of emerging developmental problems.
d. Foster the child's healthy characteristics and existing environmental supports.
9. What are the side effects of H1 receptor blockade?
a. What are the side effects of 1st Gen antihistamines?
i. Meds such as diphenhydramine (Benadryl) and promethazine (an anti-emetic).
ii. sedation, anticholinergic effects (dry mouth, blurry vision, urinary retention),
N/V, *paradoxical excitation in children*
10. Is placement of picture an example of expression of cultural heritage and spirituality for a
patient?
a. Yes?
1. Do many nurses tend to be more comfortable with meeting physical needs than in focusing on
emotional needs?
a. Yes, because we haven’t dealt as much with emotional needs as we have physical needs.
2. What is stigma in mental illness?
a. A negative attitude toward something.
b. “They’re just lazy, they’re unmotivated; that’s why they fake their mental illness. They
don’t want to work.”
3. Do elderly patients sometimes show behaviors that look like mental illness, but may have
difficulty hearing the nurses?
a. Yes
b. I think the question may indicate the answer
4. What is the coordinating role of the community psychiatric nurse case manager?
a. We make sure they get rides, housing, medications are available. Make sure they go to
therapy.
b. A nurse receives three phone calls regarding a newly admitted patient.
The psychiatrist wishes complete an assessment interview.
The medical doctor wants to perform a physical examination.
The patient's attorney wants an appointment with the patient.
The nurse schedules the activities for the patient. Which role has the nurse fulfilled?
i. Case manager
c. A patient was hospitalized for a reaction to a psychotropic medication. A new medication
was prescribed, and the patient was monitored for 24 hours. During pre-discharge
planning, the case manager learned that the patient received a notice of eviction on the
day of admission. Select the most appropriate action for the case manager.
i. Arrange a temporary place for the patient to stay until new housing can be
arranged. Rationale: The case manager should intervene by arranging
temporary shelter for the patient until an apartment can be found. This is part of
the coordination and delivery of services that falls under the case manager role.
5. List different coping strategies patients are taught or they might have:
a. Limiting stimuli
b. Talk yourself through stimuli
c. Breathing exercises
d. Etc.
6. What allows the nurse to make culturally sensitive assessments and plan for care with patients?
,Mental Health Final Outline
a. You have to know a little bit about the culture.
b. According to the values of cultures whose members use folk healing practices, features
most important for a nurse to possess include: (Select all that apply.)
a. ethnocentrism.
b. cultural skill.
c. cultural desire.
d. cultural knowledge.
e. academic credentials.
f. respect for persons.
c. ANS: B, C, D, F
Cultural skill allows the nurse to make culturally sensitive assessments and plan for care.
Cultural desire refers to willingness to learn from the patient. Cultural knowledge alerts
the nurse to areas where cultural differences may be present, helps with understanding,
and reduces misinterpretations. Respect for persons is important to members of all
cultures and part of cultural desire. Ethnocentrism may result in imposing the nurse's
cultural norms on a patient. Academic credentials are not of concern because curative
factors focus on folk healing. More important are collaboration with cultural translators
and extensive involvement with the family and the community when delivering
education and making treatment plans.
7. Know nursing planning with a patient who has anergia and anhedonia.
a. Try helping them with pleasurable experiences. Let’s talk about it.
b. The admission note indicates a patient diagnosed with major depression has anergia and
anhedonia. For which measures should the nurse plan? Select all that apply.
a. Channeling excessive energy
b. Reducing guilty ruminations
c. Instilling a sense of hopefulness
, Mental Health Final Outline
d. Assisting with self-care activities
e. Accommodating psychomotor retardation
8. Can children adapt to changes in the environment, take advantage of nurturing relationships
with adults other than parents, and what is this called?
a. 10-year-old living in homeless shelter with schizophrenic mother. As a worker in the
facility, nurture the child when the parent cannot. Ask about friends, schools, etc.
b. A parent with schizophrenia and 10-year-old child live in a homeless shelter. The child
has adapted to shelter life and formed a relationship with a supportive volunteer. The
child says, "My three best friends and I got an A on our school science project." Which
assessment applies?
a. The child displays resilience.
b. Risk factors for substance abuse are evident.
c. The child is at risk for posttraumatic stress disorder.
d. The child uses intellectualization to deal with problems.
c. A parent with schizophrenia and 10-year-old child live in a homeless shelter. The child
has adapted to shelter life. The child says, "I have three good friends at school. We talk
about lots of things and sit together at lunch." Select the nurse's best action.
a. Recommend foster home placement of the child.
b. Refer the parent to the domestic violence program.
c. Refer the child for evaluation of emerging developmental problems.
d. Foster the child's healthy characteristics and existing environmental supports.
9. What are the side effects of H1 receptor blockade?
a. What are the side effects of 1st Gen antihistamines?
i. Meds such as diphenhydramine (Benadryl) and promethazine (an anti-emetic).
ii. sedation, anticholinergic effects (dry mouth, blurry vision, urinary retention),
N/V, *paradoxical excitation in children*
10. Is placement of picture an example of expression of cultural heritage and spirituality for a
patient?
a. Yes?
