MENTAL HEALTH EXAM QUESTIONS AND ANSWERS #4
Which statement about mental illness is true? - correct answer Mental illness changes
with culture, time in history, political systems, and the groups defining it.
A nursing student new to psychiatric mental health nursing asks a peer what resources
he can use to figure out which symptoms are present in a psychiatric disorder. The best
answer would be: - correct answer DSM - 5
Epidemiological studies contribute to improvements in care for individuals with mental
disorders by: - correct answer Identifying who in the general population will develop a
specific disorder
Which statement best describes a major difference between a DSM - 5 diagnosis and a
nursing diagnosis - correct answer The DSM-5 is associated with present symptoms,
whereas a nursing diagnosis considers past, present, and potential responses to actual
mental health problems.
The intervention that can be practiced by an advanced practice registered nurse in
psychiatric mental health but cannot be practiced by a basic level registered nurse is -
correct answer Psychotherapy
Which contribution to modern psychiatric mental health nursing practice was made by
Freud? - correct answer The theory of personality structure and levels of awareness
The theory of interpersonal relationships developed by Hildegard Peplau is based on
the foundation provided by which early theorist? - correct answer Sullivan
The concepts at the heart of Sullivan's theory of personality are - correct answer Needs
and anxiety
The premise that an individual's behavior and affect are largely determined by his or her
attitudes and assumptions about the world underlies: - correct answer Cognitive-
behavioral therapy
Providing a safe environment for patients with impaired cognition, planning unit activities
to stimulate thinking, and including patients and staff in unit meetings are all part of: -
correct answer Milieu therapy
A nurse administering a benzodiazepine should understand that the therapeutic effect of
benzodiazepines results from potentiating the neurotransmitter: - correct answer GABA
Venlafaxine (Effexor) exerts its antidepressant effect by selectively blocking the
reuptake of: - correct answer Serotonin and norepinephrine
, The nurse administers each of the following drugs to various patients. The patient who
should be most carefully assessed for fluid and electrolyte imbalances is the one
receiving - correct answer lithium
Which drug group calls for nursing assessment for development of abnormal movement
disorders among individuals who take therapeutic dosages - correct answer
antipsychotics
Blockage of dopamine transmission can lead to increased pituitary secretions of
prolactin. In women, this hyperprolactinemia can result in - correct answer amenorrhea
Which of the following factors contribute to the movement of patients out of large state
institutions and into community-based mental health treatment - correct answer a.
States desire to save money by moving the patients to the community, where the
federal government would pick up more of the cost,
C. A system of coordinated and accessible community care was developed by forward-
thinking communities and offered more effective treatment, the Community Mental
Health
D. Centers Act of 1963 required states to develop and offer care in community-based
treatment programs,
E. Patient advocates exposed deficiencies of state hospitals and took legal actions,
leading to the identification of a right to treatment in the least restrictive setting,
F. New psychotropic medications controlled symptoms more effectively, allowing many
patient to live and receive care in less restrictive settings
Levels of prevention strategies prominent in outpatient psychiatric care consist of
primary prevention, secondary prevention, and ________ prevention. - correct answer
tertiary
Anna, a patient at the community mental health center, tends to stop taking her
medications at intervals, usually leading to decompensation. Which of the following
interventions would most likely improve her adherence to her medications? - correct
answer Help Anna to understand her illness and share in decisions about her care.
A friend recognizes that his depression has returned and tells you he is suicidal and
afraid he will harm himself. He wishes to be hospitalized but does not have health
insurance. Which of the following responses best meets his immediate care needs and
reflects the options for care a person in his position typically has? - correct answer
Assist him in obtaining an outpatient counseling appointment at an area community
mental health center, and call him frequently to assure he is safe until his appointment
occurs.
Which of the following nursing actions is appropriate in maintaining a safe therapeutic
inpatient milieu? - correct answer a. Interact frequently with both individuals and groups
on the unit
C. Initiate and support group interactions via therapeutic groups and activities
Which statement about mental illness is true? - correct answer Mental illness changes
with culture, time in history, political systems, and the groups defining it.
A nursing student new to psychiatric mental health nursing asks a peer what resources
he can use to figure out which symptoms are present in a psychiatric disorder. The best
answer would be: - correct answer DSM - 5
Epidemiological studies contribute to improvements in care for individuals with mental
disorders by: - correct answer Identifying who in the general population will develop a
specific disorder
Which statement best describes a major difference between a DSM - 5 diagnosis and a
nursing diagnosis - correct answer The DSM-5 is associated with present symptoms,
whereas a nursing diagnosis considers past, present, and potential responses to actual
mental health problems.
The intervention that can be practiced by an advanced practice registered nurse in
psychiatric mental health but cannot be practiced by a basic level registered nurse is -
correct answer Psychotherapy
Which contribution to modern psychiatric mental health nursing practice was made by
Freud? - correct answer The theory of personality structure and levels of awareness
The theory of interpersonal relationships developed by Hildegard Peplau is based on
the foundation provided by which early theorist? - correct answer Sullivan
The concepts at the heart of Sullivan's theory of personality are - correct answer Needs
and anxiety
The premise that an individual's behavior and affect are largely determined by his or her
attitudes and assumptions about the world underlies: - correct answer Cognitive-
behavioral therapy
Providing a safe environment for patients with impaired cognition, planning unit activities
to stimulate thinking, and including patients and staff in unit meetings are all part of: -
correct answer Milieu therapy
A nurse administering a benzodiazepine should understand that the therapeutic effect of
benzodiazepines results from potentiating the neurotransmitter: - correct answer GABA
Venlafaxine (Effexor) exerts its antidepressant effect by selectively blocking the
reuptake of: - correct answer Serotonin and norepinephrine
, The nurse administers each of the following drugs to various patients. The patient who
should be most carefully assessed for fluid and electrolyte imbalances is the one
receiving - correct answer lithium
Which drug group calls for nursing assessment for development of abnormal movement
disorders among individuals who take therapeutic dosages - correct answer
antipsychotics
Blockage of dopamine transmission can lead to increased pituitary secretions of
prolactin. In women, this hyperprolactinemia can result in - correct answer amenorrhea
Which of the following factors contribute to the movement of patients out of large state
institutions and into community-based mental health treatment - correct answer a.
States desire to save money by moving the patients to the community, where the
federal government would pick up more of the cost,
C. A system of coordinated and accessible community care was developed by forward-
thinking communities and offered more effective treatment, the Community Mental
Health
D. Centers Act of 1963 required states to develop and offer care in community-based
treatment programs,
E. Patient advocates exposed deficiencies of state hospitals and took legal actions,
leading to the identification of a right to treatment in the least restrictive setting,
F. New psychotropic medications controlled symptoms more effectively, allowing many
patient to live and receive care in less restrictive settings
Levels of prevention strategies prominent in outpatient psychiatric care consist of
primary prevention, secondary prevention, and ________ prevention. - correct answer
tertiary
Anna, a patient at the community mental health center, tends to stop taking her
medications at intervals, usually leading to decompensation. Which of the following
interventions would most likely improve her adherence to her medications? - correct
answer Help Anna to understand her illness and share in decisions about her care.
A friend recognizes that his depression has returned and tells you he is suicidal and
afraid he will harm himself. He wishes to be hospitalized but does not have health
insurance. Which of the following responses best meets his immediate care needs and
reflects the options for care a person in his position typically has? - correct answer
Assist him in obtaining an outpatient counseling appointment at an area community
mental health center, and call him frequently to assure he is safe until his appointment
occurs.
Which of the following nursing actions is appropriate in maintaining a safe therapeutic
inpatient milieu? - correct answer a. Interact frequently with both individuals and groups
on the unit
C. Initiate and support group interactions via therapeutic groups and activities
