1
,Chapter 01: Mental Health and Mental Illness
x1 x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanc
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ed practice nurse to perform which additional intervention? a.
x1 x1 x1 x1 x1 x1 x1 x1
Conduct mental health assess x1 x1 x1
ments.
b. Prescribe psychotropic medication. x1 x1
c. Establish therapeutic relationships. x1 x1
d. Individualize nursing care plans. x1 x1 x1
ANS: B x1
In most states, prescriptive privileges are granted to master‘s-
x1 x1 x1 x1 x1 x1 x1 x1
prepared nurse practitioners and clinical nurse specialists who have taken special courses on pres
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
cribing medication. The nurse prepared at the basic level is permitted to perform mental health
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
assessments, establish relationships, and provide individualized care planning.
x1 x1 x1 x1 x1 x1 x1
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
x1 x1 x1 x1 x1 x1 x1 x1 x1
23 TOP: Nursing Process: Implementation
x1 x1 x1 x1
MSC: Client Needs: Safe, Effective Care Environment
x1 x1 x1 x1 x1 x1
2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
skills.‖ Select the best response by the mental health nurse.
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
x1 x1 x1 x1 x1 x1 x1 x1 x1
patient ratios must be better because of the nature of the patients‘ problems.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to sol
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ve multidimensional problems. I am challenged by those situations.‖
x1 x1 x1 x1 x1 x1 x1 x1
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitorin
x1 x1 x1 x1 x1 x1 x1 x1 x1
g equipment and manage complex intravenous therapies.‖
x1 x1 x1 x1 x1 x1
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medica x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
l– surgical nurses do. That appeals to me.‖
x1 x1 x1 x1 x1 x1 x1
ANS: B x1
The practice of psychiatric nursing requires a different set of skills than medical–
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to hel
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
p patients with medical as well as mental health problems, reflecting the holistic perspectiv
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e these nurses must have. Nurse–
x1 x1 x1 x1 x1
patient ratios and workloads in psychiatric settings have increased, just like other specialties
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial pain a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nd suffering are as real as physical pain and suffering.
x1 x1 x1 x1 x1 x1 x1 x1 x1
2
, PTS: 1 x1 DIF: Cognitive Level: Apply (Application)
x1 x1 x1 x1
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed w
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ith mental illness, a group of nurses write letters to their elected representatives in opposit
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ion to the legislation. Which role have the nurses fulfilled?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice x1
ANS: C x1
An advocate defends or asserts another‘s cause, particularly when the other person lacks th
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e ability to do that for self. Examples of individual advocacy include helping patients unde
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
rstand their rights or make decisions. On a community scale, advocacy includes political acti
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
vity, public speaking, and publication in the interest of improving the human condition.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Since funding is necessary to deliver quality programming for persons with mental illness, t
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
he letter-x1
writing campaign advocates for that cause on behalf of patients who are unable to articulat
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e their own needs.
x1 x1 x1
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
x1 x1 x1 x1 x1 x1 x1 x1 x1
26 TOP: Nursing Process: Evaluation
x1 x1 x1 x1
MSC: Client Needs: Safe, Effective Care Environment
x1 x1 x1 x1 x1 x1
4. A family has a long history of conflicted relationships among the members. Which family
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
member‘s comment best reflects a mentally healthy perspective?
x1 x1 x1 x1 x1 x1 x1
a. ―I‘ve made mistakes but everyone else in this family has also.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. ―I remember joy and mutual respect from our early years together.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. ―I will make some changes in my behavior for the good of the family.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. ―It‘s best for me to move away from my family. Things will never change.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: C x1
The correct response demonstrates the best evidence of a healthy recognition of the import
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ance of relationships. Mental health includes rational thinking, communication skills, learni
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ng, emotional growth, resilience, and self-
x1 x1 x1 x1 x1
esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
higher level of mental health. The other incorrect responses show blaming and avoidance.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
x1 x1 x1 x1 x1
REF: Pages 1-2, 3, 32 (Figure 1-1)
x1 x1 x1 x1 x1 x1
TOP: Nursing Process: Assessment MSC x1 x1 x1 x1
: Client Needs: Psychosocial Integrity
x1 x1 x1 x1
5. Which assessment finding most clearly indicates that a patient may be experiencing a ment
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
al illness? The patient
x1 x1 x1
3
, a. reports occasional sleeplessness and anxiety.
x1 x1 x1 x1
b. reports a consistently sad, discouraged, and hopeless mood.
x1 x1 x1 x1 x1 x1 x1
c. is able to describe the difference between ―as if‖ and ―for real.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: B x1
The correct response describes a mood alteration, which reflects mental illness. The distra
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
cters describe behaviors that are mentally healthy or within the usual scope of human exper
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
x1 x1 x1 x1 x1
REF: Pages 1-2 to 4 x1 x1 x1 x1
TOP: Nursing Process: Assessment x1 x1 x1
x1 MSC: Client Needs: Psychosocial Integrity
x1 x1 x1 x1
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior‖ wa
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s achieved for an adult patient? The patient
x1 x1 x1 x1 x1 x1 x1
a. sees self as capable of achieving ideals and meeting demands.
x1 x1 x1 x1 x1 x1 x1 x1 x1
b. behaves without considering the consequences of personal actions.
x1 x1 x1 x1 x1 x1 x1
c. aggressively meets own needs without considering the rights of others.x1 x1 x1 x1 x1 x1 x1 x1 x1
d. seeks help from others when assuming responsibility for major areas of own life.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: A x1
The correct response describes an adaptive, healthy behavior. The distracters describe malad
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
aptive behaviors. x1
PTS: 1 DIF: Cognitive Level: Apply (Application)
x1 x1 x1 x1 x1
REF: Pages 1-2 to 4 x1 x1 x1 x1
TOP: Nursing Process: Evaluation x1 x1 x1
x1 MSC: Client Needs: Psychosocial Integrity
x1 x1 x1 x1
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient‘s admission form. W
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
hich resource should the nurse consult to determine criteria used to establish this diagnosis? a.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
International Statistical Classification of Diseases and Related Health Problem
x1 x1 x1 x1 x1 x1 x1 x1
s (ICD-10) x1
b. The ANA‟s Psychiatric-Mental Health Nursing Scope and Standards of Practice
x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
x1 x1 x1 x1 x1 x1 x1
d. A behavioral health reference manual
x1 x1 x1 x1
ANS: C x1
The DSM- x1
V gives the criteria used to diagnose each mental disorder. It is the official guideline for dia
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
4
,Chapter 01: Mental Health and Mental Illness
x1 x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanc
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ed practice nurse to perform which additional intervention? a.
x1 x1 x1 x1 x1 x1 x1 x1
Conduct mental health assess x1 x1 x1
ments.
b. Prescribe psychotropic medication. x1 x1
c. Establish therapeutic relationships. x1 x1
d. Individualize nursing care plans. x1 x1 x1
ANS: B x1
In most states, prescriptive privileges are granted to master‘s-
x1 x1 x1 x1 x1 x1 x1 x1
prepared nurse practitioners and clinical nurse specialists who have taken special courses on pres
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
cribing medication. The nurse prepared at the basic level is permitted to perform mental health
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
assessments, establish relationships, and provide individualized care planning.
x1 x1 x1 x1 x1 x1 x1
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
x1 x1 x1 x1 x1 x1 x1 x1 x1
23 TOP: Nursing Process: Implementation
x1 x1 x1 x1
MSC: Client Needs: Safe, Effective Care Environment
x1 x1 x1 x1 x1 x1
2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
skills.‖ Select the best response by the mental health nurse.
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
x1 x1 x1 x1 x1 x1 x1 x1 x1
patient ratios must be better because of the nature of the patients‘ problems.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to sol
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ve multidimensional problems. I am challenged by those situations.‖
x1 x1 x1 x1 x1 x1 x1 x1
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitorin
x1 x1 x1 x1 x1 x1 x1 x1 x1
g equipment and manage complex intravenous therapies.‖
x1 x1 x1 x1 x1 x1
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medica x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
l– surgical nurses do. That appeals to me.‖
x1 x1 x1 x1 x1 x1 x1
ANS: B x1
The practice of psychiatric nursing requires a different set of skills than medical–
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to hel
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
p patients with medical as well as mental health problems, reflecting the holistic perspectiv
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e these nurses must have. Nurse–
x1 x1 x1 x1 x1
patient ratios and workloads in psychiatric settings have increased, just like other specialties
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial pain a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nd suffering are as real as physical pain and suffering.
x1 x1 x1 x1 x1 x1 x1 x1 x1
2
, PTS: 1 x1 DIF: Cognitive Level: Apply (Application)
x1 x1 x1 x1
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed w
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ith mental illness, a group of nurses write letters to their elected representatives in opposit
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ion to the legislation. Which role have the nurses fulfilled?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice x1
ANS: C x1
An advocate defends or asserts another‘s cause, particularly when the other person lacks th
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e ability to do that for self. Examples of individual advocacy include helping patients unde
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
rstand their rights or make decisions. On a community scale, advocacy includes political acti
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
vity, public speaking, and publication in the interest of improving the human condition.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Since funding is necessary to deliver quality programming for persons with mental illness, t
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
he letter-x1
writing campaign advocates for that cause on behalf of patients who are unable to articulat
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e their own needs.
x1 x1 x1
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
x1 x1 x1 x1 x1 x1 x1 x1 x1
26 TOP: Nursing Process: Evaluation
x1 x1 x1 x1
MSC: Client Needs: Safe, Effective Care Environment
x1 x1 x1 x1 x1 x1
4. A family has a long history of conflicted relationships among the members. Which family
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
member‘s comment best reflects a mentally healthy perspective?
x1 x1 x1 x1 x1 x1 x1
a. ―I‘ve made mistakes but everyone else in this family has also.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. ―I remember joy and mutual respect from our early years together.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. ―I will make some changes in my behavior for the good of the family.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. ―It‘s best for me to move away from my family. Things will never change.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: C x1
The correct response demonstrates the best evidence of a healthy recognition of the import
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ance of relationships. Mental health includes rational thinking, communication skills, learni
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ng, emotional growth, resilience, and self-
x1 x1 x1 x1 x1
esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
higher level of mental health. The other incorrect responses show blaming and avoidance.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
x1 x1 x1 x1 x1
REF: Pages 1-2, 3, 32 (Figure 1-1)
x1 x1 x1 x1 x1 x1
TOP: Nursing Process: Assessment MSC x1 x1 x1 x1
: Client Needs: Psychosocial Integrity
x1 x1 x1 x1
5. Which assessment finding most clearly indicates that a patient may be experiencing a ment
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
al illness? The patient
x1 x1 x1
3
, a. reports occasional sleeplessness and anxiety.
x1 x1 x1 x1
b. reports a consistently sad, discouraged, and hopeless mood.
x1 x1 x1 x1 x1 x1 x1
c. is able to describe the difference between ―as if‖ and ―for real.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: B x1
The correct response describes a mood alteration, which reflects mental illness. The distra
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
cters describe behaviors that are mentally healthy or within the usual scope of human exper
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
x1 x1 x1 x1 x1
REF: Pages 1-2 to 4 x1 x1 x1 x1
TOP: Nursing Process: Assessment x1 x1 x1
x1 MSC: Client Needs: Psychosocial Integrity
x1 x1 x1 x1
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior‖ wa
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s achieved for an adult patient? The patient
x1 x1 x1 x1 x1 x1 x1
a. sees self as capable of achieving ideals and meeting demands.
x1 x1 x1 x1 x1 x1 x1 x1 x1
b. behaves without considering the consequences of personal actions.
x1 x1 x1 x1 x1 x1 x1
c. aggressively meets own needs without considering the rights of others.x1 x1 x1 x1 x1 x1 x1 x1 x1
d. seeks help from others when assuming responsibility for major areas of own life.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: A x1
The correct response describes an adaptive, healthy behavior. The distracters describe malad
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
aptive behaviors. x1
PTS: 1 DIF: Cognitive Level: Apply (Application)
x1 x1 x1 x1 x1
REF: Pages 1-2 to 4 x1 x1 x1 x1
TOP: Nursing Process: Evaluation x1 x1 x1
x1 MSC: Client Needs: Psychosocial Integrity
x1 x1 x1 x1
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient‘s admission form. W
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
hich resource should the nurse consult to determine criteria used to establish this diagnosis? a.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
International Statistical Classification of Diseases and Related Health Problem
x1 x1 x1 x1 x1 x1 x1 x1
s (ICD-10) x1
b. The ANA‟s Psychiatric-Mental Health Nursing Scope and Standards of Practice
x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
x1 x1 x1 x1 x1 x1 x1
d. A behavioral health reference manual
x1 x1 x1 x1
ANS: C x1
The DSM- x1
V gives the criteria used to diagnose each mental disorder. It is the official guideline for dia
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
4
