Mental Health Final (Other 33%)

196 Questions | By Krislott | Updated: Mar 22, 2022 | Attempts: 80

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1.

1. A new staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional interventions?
- A.
  
  Conduct mental health assessments
- B.
  
  Establish therapeutic relationships
- C.
  
  Individualize nursing care plans
- D.
  
  Prescribe psychotropic medication
2.

2. Two nursing students discuss their career plans after graduation. One student wants to enter psychiatric nursing. The other asks, “Why would you want to be a psychiatric nurse? The only thing they do is talk. You’ll lose all your skills.” Select the best response.
- A.
  
  “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients’ problems.”
- B.
  
  “Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations.”
- C.
  
  “I think I will be good in the mental health field. I did not like clinical rotations in school, so I do not want to continue them after I graduate.”
- D.
  
  “Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses do. That appeals to me.”
3.

3. A new bill introduced in Congress would reduce funding for care of persons with mental illness. Groups of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
- A.
  
  Advocacy
- B.
  
  Attending
- C.
  
  Recovery
- D.
  
  Evidence-based practice
4.

4. An informal group of patients discusses their perceptions of nursing care. Which comment best indicates a patient perceived the nurse was caring? “My nurse:
- A.
  
  Always asks me which type of juice I want to help me swallow my medication.”
- B.
  
  Explained my treatment plan to me and asked for my ideas about how to make it better.”
- C.
  
  Told me that if I take all the medicines the doctor prescribes, then I will get discharged soon.”
- D.
  
  Spends time listening to me talk about my problems. That helps me feel like I’m not alone.”
5.

5. Which finding best indicates that a patient has a mental illness? The patient:
- A.
  
  Responds to rules, routines, and customs of a group.
- B.
  
  Reports mood is consistently sad, discouraged, and hopeless.
- C.
  
  Performs tasks attempted within the limits set by own abilities.
- D.
  
  Answer option 4
6.

6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was achieved? A patient:
- A.
  
  Sees self as approaching ideals and capable of meeting demands.
- B.
  
  Seeks others to assume responsibility for major areas of own life. seeks others to assume responsibility for major areas of own life.
- C.
  
  Behaves without considering the consequences of personal actions.
- D.
  
  Aggressively meets own needs without considering the rights of others.
7.

5. Which finding best indicates that a patient has a mental illness? The patient:
- A.
  
  Responds to rules, routines, and customs of a group.
- B.
  
  Reports mood is consistently sad, discouraged, and hopeless.
- C.
  
  Performs tasks attempted within the limits set by own abilities.
- D.
  
  Is able to see the difference between the “as if” and the “for real.”
8.

7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form. To determine criteria used to establish this diagnosis, the nurse should consult which resource?
- A.
  
  Diagnostic and Statistical Manual of Mental Disorders
- B.
  
  A nursing diagnosis handbook
- C.
  
  A psychiatric nursing textbook
- D.
  
  A behavioral health reference manual
9.

8. Which documentation of diagnosis would a nurse expect in a psychiatric treatment setting?
- A.
  
  I Acute renal failure II 75 III Bipolar disorder I, mixed IV Loss of disability benefits 2 months ago V None
- B.
  
  I Schizophrenia, paranoid type II Death of spouse last year III 60 IV None V Diabetes, type 2
- C.
  
  I Polysubstance dependence II Narcissistic Personality Disorder III 90 IV Hyperlipidemia V Charges pending for assault
- D.
  
  I Major Depression II Avoidant Personality Disorder III Hypertension IV Home destroyed by hurricane last year V 80
10.

9. A nurse explains the multiaxial DSM-IV-TR to a psychiatric technician and includes information that it:
- A.
  
  Focuses on plans for treatment.
- B.
  
  Includes nursing and medical diagnoses.
- C.
  
  Classifies problems in multiple areas of functioning.
- D.
  
  Uses the framework of a specific biopsychosocial theory.
11.

10. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
- A.
  
  The ICD-10
- B.
  
  Nursing Outcomes Classification
- C.
  
  Diagnostic and Statistical Manual of Mental Disorders
- D.
  
  The ANA Psychiatric-Mental Health Nursing Scope and Standards of Practice
12.

15. The Diagnostic and Statistical Manual of Mental Disorders classifies:
- A.
  
  Deviant behaviors.
- B.
  
  People with mental disorders.
- C.
  
  Present disability or distress.
- D.
  
  Mental disorders people have.
13.

20. Which belief will best support a nurse’s efforts to provide patient advocacy during a multidisciplinary patient care planning session?
- A.
  
  All mental illnesses are culturally determined.
- B.
  
  Schizophrenia and bipolar disorder are cross-cultural disorders.
- C.
  
  Symptoms of mental disorders are unchanged from culture to culture.
- D.
  
  Assessment findings in mental disorders reflect a person’s cultural patterns.
14.

21. A nurse is part of a multidisciplinary team working with groups of depressed patients. Half the patients receive supportive interventions and antidepressant medication. The other half receives only medication. The team measures outcomes for each group. Which type of study is evident?
- A.
  
  Prevalence
- B.
  
  Clinical epidemiology
- C.
  
  Descriptive epidemiology
- D.
  
  Experimental epidemiology
15.

23. A 40-year-old who lives with parents and works at an unchallenging job says, “I’m as happy as anyone else, even though I don’t socialize much outside of work. My work is routine, but when new things come up, my boss explains things a few times to make sure I catch on. At home, my parents make decisions for me, and I go along with their ideas.” The nurse should identify interventions to improve this patient’s:
- A.
  
  Self-concept.
- B.
  
  Overall happiness.
- C.
  
  Appraisal of reality.
- D.
  
  Control over behavior.
16.

24. The psychiatric nurse addresses axis I of the DSM as the focus of treatment but must also consider physical health problems that may affect treatment. Which axis contains the desired information?
- A.
  
  II
- B.
  
  III
- C.
  
  IV
- D.
  
  V
17.

1. A patient asks, “What are neurotransmitters? The doctor said mine are imbalanced.” Select the nurse’s best response.
- A.
  
  “How do you feel about having imbalanced neurotransmitters?”
- B.
  
  “You must feel relieved to know that your problem has a physical basis.”
- C.
  
  “Neurotransmitters are substances we eat daily that influence memory and mood.”
- D.
  
  “Neurotransmitters are natural chemicals that pass messages between brain cells.”
18.

2. The parent of an adolescent with schizophrenia asks the nurse, “My child’s doctor ordered a PET. What kind of test is that?” Select the nurse’s best reply.
- A.
  
  “This test uses a magnetic field and gamma waves to identify problem areas in the brain. Does your teenager have any metal implants?”
- B.
  
  “PET means positron-emission tomography. An injection is given and images are taken. It shows blood flow and activity in the brain.”
- C.
  
  “A PET scan passes an electrical current through the brain and shows brain-wave activity. It can help diagnose seizures.”
- D.
  
  “It’s a special type of x-ray that shows structures of the brain and whether there has ever been a brain injury.”
19.

3. A patient with a long history of hypertension and diabetes now develops confusion. The health care provider wants to make a differential diagnosis between Alzheimer’s disease or multiple infarcts. Which diagnostic procedure should the nurse expect to prepare the patient for first?
- A.
  
  PET
- B.
  
  Skull X-ray
- C.
  
  CT
- D.
  
  SPECT
20.

6. The nurse administers a medication that potentiates the action of GABA. Which effect would be expected?
- A.
  
  Reduced anxiety
- B.
  
  Improved memory
- C.
  
  More organized thinking
- D.
  
  Fewer sensory perceptual alterations
21.

8. A patient has disorganized thinking associated with schizophrenia. Neuroimaging would most likely show dysfunction in which part of the brain?
- A.
  
  Hippocampus
- B.
  
  Frontal lobe
- C.
  
  Cerebellum
- D.
  
  Brainstem
22.

10. The therapeutic action of neurotransmitter inhibitors that block reuptake cause:
- A.
  
  Decreased concentration of the neurotransmitter in the central nervous system.
- B.
  
  Increased concentration of neurotransmitter in the synaptic gap.
- C.
  
  Destruction of receptor sites.
- D.
  
  Limbic system stimulation.
23.

11. A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. The nurse analyzes that these symptoms relate to which drug action?
- A.
  
  Anticholinergic effects
- B.
  
  Dopamine-blocking effects
- C.
  
  Endocrine-stimulating effects
- D.
  
  Ability to stimulate spinal nerves
24.

12. A nurse assesses that a patient has fear as well as increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?
- A.
  
  GABA
- B.
  
  Histamine
- C.
  
  Acetylcholine
- D.
  
  Norepinephrine
25.

13. A patient has acute anxiety related to an automobile accident 2 hours ago. The patient needs teaching about drugs from which group?
- A.
  
  Tricyclic antidepressants
- B.
  
  Antipsychotic drugs
- C.
  
  Antimanic drugs
- D.
  
  Benzodiazepines