NURS 450 Exam 1 Practice Questions
and Correct Answers
A client is in need of a family-like environment with a high level of support. Which would
be most appropriate?
Therapeutic foster care
Board-and-care home
Personal care home
Supervised apartment ✅Therapeutic foster care
During milieu therapy, nurses offer positive feedback and praise for appropriate
behaviors. These actions are essential to which concept of milieu therapy?
Containment
Support
Validation
Structure ✅Support
Dorothea Dix's solution to gain humane treatment for the mentally ill population included
what?
Community centers
Asylums
State hospitals
Locked wards ✅State hospitals
Who was the first to introduce the concept of interpersonal relations and the therapeutic
relationship?
Mary Nutting
Florence Nightingale
Hildegard Peplau
Linda Richards ✅Hildegard Peplau
The application of psychiatric mental health nursing theory to promote holistic client
care in the therapeutic relationship is grounded in the work of which historical figure?
Benner
Peplau
Freud
Dix ✅Peplau
One of the primary reforms accomplished by Dorothea Lynde Dix was the ...
,establishment of "commitment" laws in state legislatures.
establishment or enlargement of state hospitals.
use of music to treat mentally ill clients.
use of exercise therapy to treat mentally ill clients. ✅establishment or enlargement of
state hospitals
A client is referred to a psychosocial rehabilitation program. When explaining this type
of care to the client, what would the nurse emphasize?
Intensive treatment that prepares the client to live in the community
Services that promote the client's reintegration into the community
Detoxification services for alcohol and drugs in an outpatient setting
Frequent monitoring within a therapeutic milieu for relapse prevention ✅Services that
promote the client's reintegration into the community
When describing the various neurotransmitters, which would a nurse identify as the
primary cholinergic neurotransmitter?
dopamine
acetylcholine
norepinephrine
serotonin ✅acetylcholine
A nurse observes an older adult client who has been taking antipsychotic medications
for 8 months. The nurse sees the client's lips smacking and eyes blinking rapidly. The
nurse also observes a protruding tongue. Which action by the nurse would be most
appropriate?
Ask whether the client has been experiencing side effects.
Contact the client's physician for a different medication order.
Document the client's symptoms of tardive dyskinesia.
Instruct the client to begin tapering the medication. ✅Document the client's symptoms
of tar dive dyskinesia
A hospitalized male client who has been taking an antipsychotic medication for 2 weeks
begins pacing and walking throughout the unit. He tells the nurse that he "cannot sit
still." The nurse documents this finding as:
akinesia
dystonia
pseudoparkinsonism
akathisia. ✅Akathisia
A nurse is planning an educational program for families with a mentally ill relative.
Which goal is consistent with the current objectives of family education?
, Fewer hospital admissions
Improved medication compliance
Improved family quality of life
Increased independence with activities of daily living ✅Improved family quality of life
Which goal for an individual client is consistent with the overall objectives of community
support service programs?
The client's functional ability will improve
The client will gain insight into the causes of the client's mental illness
The client will experience fewer symptoms
The client will move from a group housing arrangement to independent living. ✅The
client's functional ability will improve
You are caring for a mental health client who has developed difficulty with balance and
muscle tone after a car accident that involved a head injury. Based on this information,
what area of the brain was most likely injured in the accident?
Diencephalon
Brain stem
Cerebellum
Pons ✅Cerebellum
Maintaining a therapeutic environment and promoting growth through role modeling are
components of which basic level function?
Milieu therapy
Counseling
Health teaching
Case management ✅Milieu therapy
Which is a result of deinstitutionalization?
A "revolving door" of repetitive hospital admissions
An increase in available community resources
The improvement of the ability of people diagnosed with mental illness to achieve
independence
An improvement in community-based programs' ability to get funding ✅A "revolving
door" of repetitive hospital admissions
Antidepressants are considered the treatment of choice for major depression; however,
they should be used most cautiously in clients with a history of:
asthma and respiratory diseases
smoking
and Correct Answers
A client is in need of a family-like environment with a high level of support. Which would
be most appropriate?
Therapeutic foster care
Board-and-care home
Personal care home
Supervised apartment ✅Therapeutic foster care
During milieu therapy, nurses offer positive feedback and praise for appropriate
behaviors. These actions are essential to which concept of milieu therapy?
Containment
Support
Validation
Structure ✅Support
Dorothea Dix's solution to gain humane treatment for the mentally ill population included
what?
Community centers
Asylums
State hospitals
Locked wards ✅State hospitals
Who was the first to introduce the concept of interpersonal relations and the therapeutic
relationship?
Mary Nutting
Florence Nightingale
Hildegard Peplau
Linda Richards ✅Hildegard Peplau
The application of psychiatric mental health nursing theory to promote holistic client
care in the therapeutic relationship is grounded in the work of which historical figure?
Benner
Peplau
Freud
Dix ✅Peplau
One of the primary reforms accomplished by Dorothea Lynde Dix was the ...
,establishment of "commitment" laws in state legislatures.
establishment or enlargement of state hospitals.
use of music to treat mentally ill clients.
use of exercise therapy to treat mentally ill clients. ✅establishment or enlargement of
state hospitals
A client is referred to a psychosocial rehabilitation program. When explaining this type
of care to the client, what would the nurse emphasize?
Intensive treatment that prepares the client to live in the community
Services that promote the client's reintegration into the community
Detoxification services for alcohol and drugs in an outpatient setting
Frequent monitoring within a therapeutic milieu for relapse prevention ✅Services that
promote the client's reintegration into the community
When describing the various neurotransmitters, which would a nurse identify as the
primary cholinergic neurotransmitter?
dopamine
acetylcholine
norepinephrine
serotonin ✅acetylcholine
A nurse observes an older adult client who has been taking antipsychotic medications
for 8 months. The nurse sees the client's lips smacking and eyes blinking rapidly. The
nurse also observes a protruding tongue. Which action by the nurse would be most
appropriate?
Ask whether the client has been experiencing side effects.
Contact the client's physician for a different medication order.
Document the client's symptoms of tardive dyskinesia.
Instruct the client to begin tapering the medication. ✅Document the client's symptoms
of tar dive dyskinesia
A hospitalized male client who has been taking an antipsychotic medication for 2 weeks
begins pacing and walking throughout the unit. He tells the nurse that he "cannot sit
still." The nurse documents this finding as:
akinesia
dystonia
pseudoparkinsonism
akathisia. ✅Akathisia
A nurse is planning an educational program for families with a mentally ill relative.
Which goal is consistent with the current objectives of family education?
, Fewer hospital admissions
Improved medication compliance
Improved family quality of life
Increased independence with activities of daily living ✅Improved family quality of life
Which goal for an individual client is consistent with the overall objectives of community
support service programs?
The client's functional ability will improve
The client will gain insight into the causes of the client's mental illness
The client will experience fewer symptoms
The client will move from a group housing arrangement to independent living. ✅The
client's functional ability will improve
You are caring for a mental health client who has developed difficulty with balance and
muscle tone after a car accident that involved a head injury. Based on this information,
what area of the brain was most likely injured in the accident?
Diencephalon
Brain stem
Cerebellum
Pons ✅Cerebellum
Maintaining a therapeutic environment and promoting growth through role modeling are
components of which basic level function?
Milieu therapy
Counseling
Health teaching
Case management ✅Milieu therapy
Which is a result of deinstitutionalization?
A "revolving door" of repetitive hospital admissions
An increase in available community resources
The improvement of the ability of people diagnosed with mental illness to achieve
independence
An improvement in community-based programs' ability to get funding ✅A "revolving
door" of repetitive hospital admissions
Antidepressants are considered the treatment of choice for major depression; however,
they should be used most cautiously in clients with a history of:
asthma and respiratory diseases
smoking
