NR 547 Week 2 Exam: Psychiatric Mental Health Nursing and
Differential Diagnosis Review
NR 547 Week 2 Practice Exam: Questions & Answers
1. Harry Stack Sullivan viewed anxiety as which of the following?
• A. A biological imbalance
• B. Any painful feeling or emotion arising from social insecurity
• C. A conflict between the id and ego
• D. A result of learned behaviors
• Correct Answer: B
Rationale: Sullivan’s theory focuses on interpersonal relations, defining
anxiety specifically as a painful emotion rooted in social insecurity.
2. Which developmental model should a nurse use to assess age-appropriate
behavior patterns in clients?
• A. Erik Erikson’s eight stages of development
• B. Maslow’s Hierarchy of Needs
• C. Skinner’s Behavioral Theory
• D. Freud’s Psychoanalytic Theory
Correct Answer: A
Rationale: Erikson’s model is the standard for determining if a client’s behavior
aligns with their developmental age.
3. What is considered the "gold standard" or highest quality of evidence for
clinical practice?
• A. Expert opinion
• B. Case studies
, • C. Systematic reviews and meta-analyses
• D. Clinical algorithms
Correct Answer: C
Rationale: Systematic reviews and meta-analyses/metasyntheses are
recognized as providing the highest level of evidence for practice.
4. Resilience is defined as the characteristic of mental health that allows people
to:
• A. Reach self-actualization
• B. Avoid all emotional outbursts
• C. Adapt to tragedies, trauma, and loss
• D. Suppress painful memories
Correct Answer: C
Rationale: Resilience is the specific attribute enabling individuals and
families to recover and adapt after severe trauma or loss.
5. Approximately how many diagnoses does the current DSM-5 delineate?
• A. 100
• B. 200
• C. 300
• D. 500
Correct Answer: C
Rationale: The DSM-5 identifies roughly 300 distinct mental health
diagnoses.
6. Which components are incorporated into evidence-based practice (EBP)?
(Select all that apply.)
, • A. Clinical research
• B. The nurse's clinical knowledge and experience
• C. Client's preferences and desires
• D. The nurse's personal treatment preferences
Correct Answer: A, B, C
Rationale: EBP integrates research, expertise, and client values; the nurse's
personal treatment preferences are not considered a relevant component.
7. In which culture is the illness "running amok" specifically identified?
• A. Western Europe
• B. Southeast Asia
• C. Native America
• D. Sub-Saharan Africa
Correct Answer: B
Rationale: "Running amok" is a culture-bound syndrome characterized by
randomized violent behavior, primarily seen in Southeast Asia.
8. Which concept involves an imbalance of power due to negative attitudes and
discrimination against the mentally ill?
• A. Resilience
• B. Empowerment
• C. Stigma
• D. Marginalization
Correct Answer: C
Rationale: Stigma leads to negative stereotyping and discrimination,
creating power imbalances for those with mental health disorders.
Differential Diagnosis Review
NR 547 Week 2 Practice Exam: Questions & Answers
1. Harry Stack Sullivan viewed anxiety as which of the following?
• A. A biological imbalance
• B. Any painful feeling or emotion arising from social insecurity
• C. A conflict between the id and ego
• D. A result of learned behaviors
• Correct Answer: B
Rationale: Sullivan’s theory focuses on interpersonal relations, defining
anxiety specifically as a painful emotion rooted in social insecurity.
2. Which developmental model should a nurse use to assess age-appropriate
behavior patterns in clients?
• A. Erik Erikson’s eight stages of development
• B. Maslow’s Hierarchy of Needs
• C. Skinner’s Behavioral Theory
• D. Freud’s Psychoanalytic Theory
Correct Answer: A
Rationale: Erikson’s model is the standard for determining if a client’s behavior
aligns with their developmental age.
3. What is considered the "gold standard" or highest quality of evidence for
clinical practice?
• A. Expert opinion
• B. Case studies
, • C. Systematic reviews and meta-analyses
• D. Clinical algorithms
Correct Answer: C
Rationale: Systematic reviews and meta-analyses/metasyntheses are
recognized as providing the highest level of evidence for practice.
4. Resilience is defined as the characteristic of mental health that allows people
to:
• A. Reach self-actualization
• B. Avoid all emotional outbursts
• C. Adapt to tragedies, trauma, and loss
• D. Suppress painful memories
Correct Answer: C
Rationale: Resilience is the specific attribute enabling individuals and
families to recover and adapt after severe trauma or loss.
5. Approximately how many diagnoses does the current DSM-5 delineate?
• A. 100
• B. 200
• C. 300
• D. 500
Correct Answer: C
Rationale: The DSM-5 identifies roughly 300 distinct mental health
diagnoses.
6. Which components are incorporated into evidence-based practice (EBP)?
(Select all that apply.)
, • A. Clinical research
• B. The nurse's clinical knowledge and experience
• C. Client's preferences and desires
• D. The nurse's personal treatment preferences
Correct Answer: A, B, C
Rationale: EBP integrates research, expertise, and client values; the nurse's
personal treatment preferences are not considered a relevant component.
7. In which culture is the illness "running amok" specifically identified?
• A. Western Europe
• B. Southeast Asia
• C. Native America
• D. Sub-Saharan Africa
Correct Answer: B
Rationale: "Running amok" is a culture-bound syndrome characterized by
randomized violent behavior, primarily seen in Southeast Asia.
8. Which concept involves an imbalance of power due to negative attitudes and
discrimination against the mentally ill?
• A. Resilience
• B. Empowerment
• C. Stigma
• D. Marginalization
Correct Answer: C
Rationale: Stigma leads to negative stereotyping and discrimination,
creating power imbalances for those with mental health disorders.
