NURS 3000 Exam test queries and
answers graded A+
What is the relationship between the body and the mind? Are they connected? Provide examples on
how the body affects the mind and vice versa
- ANS✅✅The body and the mind are very much connected because the mind can influence things
that go on within the body. For example, when people are stressed the body reacts to the mental
stress and does things like increase blood pressure, increase heart rate
What are the three spheres of the mind? Give an example about incongruence or dissimilarity
between the content of thoughts and feelings.
- ANS✅✅- Intellect (cognition/mental process), affect/mood, behavior (They are connected)
- The way you think is the way you feel is the way you behave
- In congruence can indicate mental illness because the thoughts are not based on feelings
Explain the Diathesis Stress model. - ANS✅✅- Diathesis represents biological predisposition
- Stress represents environmental stress or trauma
- This model means most psychiatric disorders result from a combination of genetic vulnerability and
negative environmental stressors
Indicate which of the following situations best supports the Diathesis- Stress model of mental
illness?
a. The rate of suicide increases during times of national disaster and despair.
b. Four of five siblings in the Jones family developed bipolar disorder by the age of 30.
c. A man with no prior mental health problems experiences sadness after his divorce.
d. A man develops schizophrenia, but his identical twin remains free of mental illness. - ANS✅✅d.
A man develops schizophrenia, but his identical twin remains free of mental illness.
All human behaviors lie somewhere along a Continuum of Mental health and mental illness. Do you
agree or disagree? Give examples. - ANS✅✅- Agree. All illnesses can be different for different
people, so it falls on a spectrum depending on the person.
- People with depression can lean either to the MH or MI side of the spectrum depending on the
extent of their depression
,You are assessing new patients at the mental health clinic. Conclusions about current functioning
should be made based on:
a. The degree to which an individual is logical and rational.
b. The degree to which an individual is different and odd.
c. A continuum from healthy to psychotic.
d. The degree to which an individual conforms to societal norms - ANS✅✅c. A continuum from
healthy to psychotic.
What is the difference between DSM-5 and nursing diagnosis? - ANS✅✅- DSM-5: DSM-V does not
classify people but classifies disorders that people have. Collection of s/s that diagnose mental
illness.
- Nursing diagnosis: A clinical judgment about individual, family, or community responses to actual
or potential health problems and life processes. Specific problems based on mental illness.
Which statement best describes a major difference between a DSM-V diagnosis and a nursing
diagnosis?
a. There is no functional difference between the two. Both serve to identify a human deviance.
b. The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes culture into account.
c. The DSM-V is associated with present distress or disability, whereas a nursing diagnosis considers
past and present responses to actual mental health problems.
d. The DSM-V diagnosis impacts the choice of medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for phenomena a client is experiencing. -
ANS✅✅d. The DSM-V diagnosis impacts the choice of medical treatment, whereas the nursing
diagnosis offers a framework for identifying interventions for phenomena a client is experiencing.
The norms and the influence of culture must be considered in determining mental health and mental
illness. Why? - ANS✅✅- Mental illness is dependent on culture because based on interpretations
of what effective functioning is according to societal norm, so you must know a culture to know
what outside the societal norms is.
The nurse working with an Arab American client has noted that the client refuses to check hands
during their interaction. The nurse hypothesizes that the client has OCD and planned some nursing
interventions. After several weeks, no improvement was shown. Which is the most accurate
formulation of the problem?
,a. The client's shaking hands issues should have been more addressed directly and role playing
planned to increase comfort with shaking hands.
b. The nurse should have considered the client's culture during assessment and before planning.
c. The nurse should have considered consulting with the nurse manager to help the client to feel
more comfortable with hand shaking.
d. The nurse should have considered approaching the client's family to convince him about hand
shaking. - ANS✅✅b. The nurse should have considered the client's culture during assessment and
before planning.
Explain the resilience concept. - ANS✅✅"The process of coping with adversity, change, or
opportunity in a manner that results in the identification, fortification, and enrichment of resilient
qualities or protective factors"
A person has a high level of resilience. Which another characteristic would the nurse expect this
person to have?
a. Optimism
Addiction.
Aggressiveness
Depressed affect - ANS✅✅a. Optimism
Resilience, the capacity to rebound from stressors via adaptive coping, is associated with positive
mental health. Your friend has just been laid off from his job. Which of the following responses on
your part most likely contribute to enhanced resilience?
a. Using your connection to set up an interview with your employer.
b. Connecting him with a friend with the family who owns his own business.
c. Supporting him in arranging, preparing for, and completing multiple interviews.
d. Helping him to understand that the layoff resulted from troubles in the economy and is not his
fault. - ANS✅✅c. Supporting him in arranging, preparing for, and completing multiple interviews.
In face of adversity, some people were found to be falling apart, others are more resilient overtime.
Why and what are some of the factors that may affect mental health? Support your answers with life
examples - ANS✅✅- Available support, spirituality and religious influences, cultural and belief
values, personality traits, family influences
, - Health practices and beliefs, environmental experiences, inherited factors, chemical and biological
influences, demographic and geographic locations
- Support systems help overcome adversity
empathy - ANS✅✅means that one understands the ideas expressed, as well as the feelings that
are present in the other person
sympathy - ANS✅✅the actual sharing of another's feelings and consequently the experiencing of
the need to reduce one's own personal distress
Below are two different responses by two nurses. Which one is therapeutic? Why?
Nurse A: "I know exactly how you feel. My mother was hospitalized last year, and it was awful. I was
so depressed. I still get upset just thinking about it." You go on to tell your patient about the
incident.
Nurse B:
"This must be so upsetting for you. A similar situation happened to my mother last year and I had so
many mixed emotions. What thoughts and feelings are you having?" You continue to stay with your
patient and listen to his/her thoughts and feelings. - ANS✅✅- Nurse B is therapeutic because it
demonstrates empathy. It is connecting to the client's feelings and demonstrating understanding,
but not sharing personal feelings and making it about the nurse.
How do you communicate respect? - ANS✅✅attitudes and actions
attitudes - ANS✅✅The experience is not viewed as a job but rather an opportunity to work with
people to develop their own resources
actions - ANS✅✅o Attending (intensity of presence, being with the client).
o Suspending value judgements
o Helping clients to develop resources
transference - ANS✅✅o Clients reaction to the nurse
o It is the result of unresolved childhood experiences with significant others.
answers graded A+
What is the relationship between the body and the mind? Are they connected? Provide examples on
how the body affects the mind and vice versa
- ANS✅✅The body and the mind are very much connected because the mind can influence things
that go on within the body. For example, when people are stressed the body reacts to the mental
stress and does things like increase blood pressure, increase heart rate
What are the three spheres of the mind? Give an example about incongruence or dissimilarity
between the content of thoughts and feelings.
- ANS✅✅- Intellect (cognition/mental process), affect/mood, behavior (They are connected)
- The way you think is the way you feel is the way you behave
- In congruence can indicate mental illness because the thoughts are not based on feelings
Explain the Diathesis Stress model. - ANS✅✅- Diathesis represents biological predisposition
- Stress represents environmental stress or trauma
- This model means most psychiatric disorders result from a combination of genetic vulnerability and
negative environmental stressors
Indicate which of the following situations best supports the Diathesis- Stress model of mental
illness?
a. The rate of suicide increases during times of national disaster and despair.
b. Four of five siblings in the Jones family developed bipolar disorder by the age of 30.
c. A man with no prior mental health problems experiences sadness after his divorce.
d. A man develops schizophrenia, but his identical twin remains free of mental illness. - ANS✅✅d.
A man develops schizophrenia, but his identical twin remains free of mental illness.
All human behaviors lie somewhere along a Continuum of Mental health and mental illness. Do you
agree or disagree? Give examples. - ANS✅✅- Agree. All illnesses can be different for different
people, so it falls on a spectrum depending on the person.
- People with depression can lean either to the MH or MI side of the spectrum depending on the
extent of their depression
,You are assessing new patients at the mental health clinic. Conclusions about current functioning
should be made based on:
a. The degree to which an individual is logical and rational.
b. The degree to which an individual is different and odd.
c. A continuum from healthy to psychotic.
d. The degree to which an individual conforms to societal norms - ANS✅✅c. A continuum from
healthy to psychotic.
What is the difference between DSM-5 and nursing diagnosis? - ANS✅✅- DSM-5: DSM-V does not
classify people but classifies disorders that people have. Collection of s/s that diagnose mental
illness.
- Nursing diagnosis: A clinical judgment about individual, family, or community responses to actual
or potential health problems and life processes. Specific problems based on mental illness.
Which statement best describes a major difference between a DSM-V diagnosis and a nursing
diagnosis?
a. There is no functional difference between the two. Both serve to identify a human deviance.
b. The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes culture into account.
c. The DSM-V is associated with present distress or disability, whereas a nursing diagnosis considers
past and present responses to actual mental health problems.
d. The DSM-V diagnosis impacts the choice of medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for phenomena a client is experiencing. -
ANS✅✅d. The DSM-V diagnosis impacts the choice of medical treatment, whereas the nursing
diagnosis offers a framework for identifying interventions for phenomena a client is experiencing.
The norms and the influence of culture must be considered in determining mental health and mental
illness. Why? - ANS✅✅- Mental illness is dependent on culture because based on interpretations
of what effective functioning is according to societal norm, so you must know a culture to know
what outside the societal norms is.
The nurse working with an Arab American client has noted that the client refuses to check hands
during their interaction. The nurse hypothesizes that the client has OCD and planned some nursing
interventions. After several weeks, no improvement was shown. Which is the most accurate
formulation of the problem?
,a. The client's shaking hands issues should have been more addressed directly and role playing
planned to increase comfort with shaking hands.
b. The nurse should have considered the client's culture during assessment and before planning.
c. The nurse should have considered consulting with the nurse manager to help the client to feel
more comfortable with hand shaking.
d. The nurse should have considered approaching the client's family to convince him about hand
shaking. - ANS✅✅b. The nurse should have considered the client's culture during assessment and
before planning.
Explain the resilience concept. - ANS✅✅"The process of coping with adversity, change, or
opportunity in a manner that results in the identification, fortification, and enrichment of resilient
qualities or protective factors"
A person has a high level of resilience. Which another characteristic would the nurse expect this
person to have?
a. Optimism
Addiction.
Aggressiveness
Depressed affect - ANS✅✅a. Optimism
Resilience, the capacity to rebound from stressors via adaptive coping, is associated with positive
mental health. Your friend has just been laid off from his job. Which of the following responses on
your part most likely contribute to enhanced resilience?
a. Using your connection to set up an interview with your employer.
b. Connecting him with a friend with the family who owns his own business.
c. Supporting him in arranging, preparing for, and completing multiple interviews.
d. Helping him to understand that the layoff resulted from troubles in the economy and is not his
fault. - ANS✅✅c. Supporting him in arranging, preparing for, and completing multiple interviews.
In face of adversity, some people were found to be falling apart, others are more resilient overtime.
Why and what are some of the factors that may affect mental health? Support your answers with life
examples - ANS✅✅- Available support, spirituality and religious influences, cultural and belief
values, personality traits, family influences
, - Health practices and beliefs, environmental experiences, inherited factors, chemical and biological
influences, demographic and geographic locations
- Support systems help overcome adversity
empathy - ANS✅✅means that one understands the ideas expressed, as well as the feelings that
are present in the other person
sympathy - ANS✅✅the actual sharing of another's feelings and consequently the experiencing of
the need to reduce one's own personal distress
Below are two different responses by two nurses. Which one is therapeutic? Why?
Nurse A: "I know exactly how you feel. My mother was hospitalized last year, and it was awful. I was
so depressed. I still get upset just thinking about it." You go on to tell your patient about the
incident.
Nurse B:
"This must be so upsetting for you. A similar situation happened to my mother last year and I had so
many mixed emotions. What thoughts and feelings are you having?" You continue to stay with your
patient and listen to his/her thoughts and feelings. - ANS✅✅- Nurse B is therapeutic because it
demonstrates empathy. It is connecting to the client's feelings and demonstrating understanding,
but not sharing personal feelings and making it about the nurse.
How do you communicate respect? - ANS✅✅attitudes and actions
attitudes - ANS✅✅The experience is not viewed as a job but rather an opportunity to work with
people to develop their own resources
actions - ANS✅✅o Attending (intensity of presence, being with the client).
o Suspending value judgements
o Helping clients to develop resources
transference - ANS✅✅o Clients reaction to the nurse
o It is the result of unresolved childhood experiences with significant others.
