Mental Health Final Exam Study Guide
With Correct Solutions Guaranteed
Pass Graded A+
A staff nurse completes orientation to a psychiatric unit. This nurse may
expect an advanced practice nurse to perform which additional
intervention?
a. Conduct mental health assessments.
c. Establish therapeutic relationships.
b. Prescribe psychotropic medication.
d. Individualize nursing care plans. - Ans--b. Prescribe psychotropic
medication.
In most states, prescriptive privileges are granted to master's-prepared
nurse practitioners who have taken special courses on prescribing
medication. The nurse prepared at the basic level is permitted to perform
mental health assessments, establish relationships, and provide
individualized care planning.
When a nursing student expresses concerns about how mental health
nurses "lose all their nursing skills," the best response by the mental health
nurse is:
a. "Psychiatric nurses practice in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients'
problems."
b. "Psychiatric nurses use complex communication skills as well as critical
thinking to solve multidimensional problems. I am challenged by those
situations."
,c. "That's a misconception. Psychiatric nurses frequently use high
technology monitoring equipment and manage complex intravenous
therapies."
d. "Psychiatric nurses do not have to deal with as much pain and suffering
as medical-surgical nurses do. That appeals to me." - Ans--b. "Psychiatric
nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations."
The practice of psychiatric nursing requires a different set of skills than
medical-surgical nursing, though there is substantial overlap. Psychiatric
nurses must be able to help patients with medical as well as mental health
problems, reflecting the holistic perspective these nurses must have.
Nurse-patient ratios and workloads in psychiatric settings have increased,
just like other specialties. Psychiatric nursing involves clinical practice, not
just documentation. Psychosocial pain and suffering are as real as physical
pain and suffering.
When a new bill introduced in Congress reduces funding for care of persons
with mental illness, a group of nurses writes letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a. Recovery
c. Advocacy
b. Attending
d. Evidence-based practice - Ans--c. Advocacy
An advocate defends or asserts another's cause, particularly when the
other person lacks the ability to do that for self. Examples of individual
advocacy include helping patients understand their rights or make
decisions. On a community scale, advocacy includes political activity,
public speaking, and publication in the interest of improving the human
condition. Since funding is necessary to deliver quality programming for
,persons with mental illness, the letter- writing campaign advocates for that
cause on behalf of patients who are unable to articulate their own needs.
Which comment best indicates that a patient perceived the nurse was
caring? "My nurse:
a. always asks me which type of juice I want to help me swallow my
medication."
b. explained my treatment plan to me and asked for my ideas about how to
make it better."
c. spends time listening to me talk about my problems. That helps me feel
like I am not alone."
d. told me that if I take all the medicines the doctor prescribes, then I will get
discharged sooner." - Ans--c. spends time listening to me talk about my
problems. That helps me feel like I am not alone."
Caring evidences empathetic understanding as well as competency. It
helps change pain and suffering into a shared experience, creating a
human connection that alleviates feelings of isolation. The distracters give
examples of statements that demonstrate advocacy or giving advice.
Which assessment finding most clearly indicates that a patient may be
experiencing a mental illness? The patient:
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between "as if" and "for real."
d. perceives difficulty making a decision about whether to change jobs. -
Ans--b. reports a consistently sad, discouraged, and hopeless mood.
, The correct response describes a mood alteration, which reflects mental
illness. The distracters describe behaviors that are mentally healthy or
within the usual scope of human experience.
Which finding best indicates that the goal "Demonstrate mentally healthy
behavior" was achieved? A patient:
a. sees self as capable of achieving ideals and meeting demands.
b. behaves without considering the consequences of personal actions.
c. aggressively meets own needs without considering the rights of others.
d. seeks help from others when assuming responsibility for major areas of
own life. - Ans--a. sees self as capable of achieving ideals and meeting
demands.
The correct response describes an adaptive, healthy behavior. The
distracters describe maladaptive behaviors.
A nurse encounters an unfamiliar psychiatric disorder on a new patient's
admission form. Which resource should the nurse consult to determine
criteria used to establish this diagnosis?
a. International Statistical Classification of Diseases and Related Health
Problems (ICD-10)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. A behavioral health reference manual
d. Wikipedia - Ans--b. Diagnostic and Statistical Manual of Mental
Disorders (DSM-5)
The DSM-5 gives the criteria used to diagnose each mental disorder. The
distracters may not contain diagnostic criteria for a psychiatric illness.
With Correct Solutions Guaranteed
Pass Graded A+
A staff nurse completes orientation to a psychiatric unit. This nurse may
expect an advanced practice nurse to perform which additional
intervention?
a. Conduct mental health assessments.
c. Establish therapeutic relationships.
b. Prescribe psychotropic medication.
d. Individualize nursing care plans. - Ans--b. Prescribe psychotropic
medication.
In most states, prescriptive privileges are granted to master's-prepared
nurse practitioners who have taken special courses on prescribing
medication. The nurse prepared at the basic level is permitted to perform
mental health assessments, establish relationships, and provide
individualized care planning.
When a nursing student expresses concerns about how mental health
nurses "lose all their nursing skills," the best response by the mental health
nurse is:
a. "Psychiatric nurses practice in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients'
problems."
b. "Psychiatric nurses use complex communication skills as well as critical
thinking to solve multidimensional problems. I am challenged by those
situations."
,c. "That's a misconception. Psychiatric nurses frequently use high
technology monitoring equipment and manage complex intravenous
therapies."
d. "Psychiatric nurses do not have to deal with as much pain and suffering
as medical-surgical nurses do. That appeals to me." - Ans--b. "Psychiatric
nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations."
The practice of psychiatric nursing requires a different set of skills than
medical-surgical nursing, though there is substantial overlap. Psychiatric
nurses must be able to help patients with medical as well as mental health
problems, reflecting the holistic perspective these nurses must have.
Nurse-patient ratios and workloads in psychiatric settings have increased,
just like other specialties. Psychiatric nursing involves clinical practice, not
just documentation. Psychosocial pain and suffering are as real as physical
pain and suffering.
When a new bill introduced in Congress reduces funding for care of persons
with mental illness, a group of nurses writes letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a. Recovery
c. Advocacy
b. Attending
d. Evidence-based practice - Ans--c. Advocacy
An advocate defends or asserts another's cause, particularly when the
other person lacks the ability to do that for self. Examples of individual
advocacy include helping patients understand their rights or make
decisions. On a community scale, advocacy includes political activity,
public speaking, and publication in the interest of improving the human
condition. Since funding is necessary to deliver quality programming for
,persons with mental illness, the letter- writing campaign advocates for that
cause on behalf of patients who are unable to articulate their own needs.
Which comment best indicates that a patient perceived the nurse was
caring? "My nurse:
a. always asks me which type of juice I want to help me swallow my
medication."
b. explained my treatment plan to me and asked for my ideas about how to
make it better."
c. spends time listening to me talk about my problems. That helps me feel
like I am not alone."
d. told me that if I take all the medicines the doctor prescribes, then I will get
discharged sooner." - Ans--c. spends time listening to me talk about my
problems. That helps me feel like I am not alone."
Caring evidences empathetic understanding as well as competency. It
helps change pain and suffering into a shared experience, creating a
human connection that alleviates feelings of isolation. The distracters give
examples of statements that demonstrate advocacy or giving advice.
Which assessment finding most clearly indicates that a patient may be
experiencing a mental illness? The patient:
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between "as if" and "for real."
d. perceives difficulty making a decision about whether to change jobs. -
Ans--b. reports a consistently sad, discouraged, and hopeless mood.
, The correct response describes a mood alteration, which reflects mental
illness. The distracters describe behaviors that are mentally healthy or
within the usual scope of human experience.
Which finding best indicates that the goal "Demonstrate mentally healthy
behavior" was achieved? A patient:
a. sees self as capable of achieving ideals and meeting demands.
b. behaves without considering the consequences of personal actions.
c. aggressively meets own needs without considering the rights of others.
d. seeks help from others when assuming responsibility for major areas of
own life. - Ans--a. sees self as capable of achieving ideals and meeting
demands.
The correct response describes an adaptive, healthy behavior. The
distracters describe maladaptive behaviors.
A nurse encounters an unfamiliar psychiatric disorder on a new patient's
admission form. Which resource should the nurse consult to determine
criteria used to establish this diagnosis?
a. International Statistical Classification of Diseases and Related Health
Problems (ICD-10)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. A behavioral health reference manual
d. Wikipedia - Ans--b. Diagnostic and Statistical Manual of Mental
Disorders (DSM-5)
The DSM-5 gives the criteria used to diagnose each mental disorder. The
distracters may not contain diagnostic criteria for a psychiatric illness.
