Mental Health Mod 1 Chap Review

30 Questions | Total Attempts: 40

SettingsSettingsSettings
Please wait...
Mental Health Quizzes & Trivia

Questions and Answers
  • 1. 
    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 would most likely contribute to enhanced resilience?
    • A. 

      Using your connections to set up an interview with your employer

    • B. 

      Connecting him with a friend of the family who owns his own business

    • C. 

      Supporting him in arranging, preparing for, and completing multiple interviews

    • D. 

      Helping him understand that the layoff resluted from troubles in the economy and is not his fault.

  • 2. 
    Which of the following situations best supports the stressdiathesis model of mental illness development?
    • A. 

      The rate of suicide increased during times of national disaster and despair

    • B. 

      Four of five siblings in the Jones family develop 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 from mental illness.

  • 3. 
    Identify all of the following statements about mental illness which are correct
    • A. 

      In any given year, about 20% of adults experience a mental disorder

    • B. 

      Mental health is the best represented as a continuum of levels of functioning

    • C. 

      Mental disorders and diagnoses occur very consistently across cultures

    • D. 

      Most serious mental illnesses are psychological rather than biological in nature

    • E. 

      The Presidents New Freedom Commission highlighted significant gaps in care

    • F. 

      "Parity" refers to relating to mentally ill persons the same as to the non-mentally ill

  • 4. 
    Which of the following disorders would be included on Axis 1 of the DSM IV-TR?
    • A. 

      Major depression, dementia, and alcoholism

    • B. 

      Diabetes type 1 or 2, parkinsons or seizure disorders

    • C. 

      Narcissistic, borderline, and paranoid personality disorders

    • D. 

      Mental retardation and psychosocial stressors such as divorce

  • 5. 
    Which of the following actions represent the primary focus of psychiatric nursing for a basic leveL registered nurse?
    • A. 

      Determining a patient's diagnosis according to the DSM-IV-TR

    • B. 

      Ordering diagnostic tests such as EEGs or CT or MRI scans

    • C. 

      Identifying how a patient is coping with a symptom such as hallucinations

    • D. 

      Guiding a patient to learn and use a variety of stress-management techniques

    • E. 

      Helping a patient without transportation find a way to his treatment appointment s

  • 6. 
    The nurse is working with a patient who lacks the ability to problem solve and seeks ways to self-satisfy without regard for others. the nurse understands that which system of the patients personality is the most pronounced?
    • A. 

      Id

    • B. 

      Ego

    • C. 

      Conscience (superego)

    • D. 

      Ego ideal (superego)

  • 7. 
    Which behavior,  seen in a 30 year old patient, would alert the nurse to the fact that the patient is not in his appropriate developmental stage according to Erikson?
    • A. 

      States he is happily married

    • B. 

      Frequently requests to call his brother "just to check in"

    • C. 

      Looks forward to visits from a co-worker

    • D. 

      Says "im still trying to find myself"

  • 8. 
    A patient has difficulty sitting still and listening to others during group therapy.  The therapist plans to use operant conditioning as a form of behavioral modification to assist the patient. Which action would the nurse expect to see in group therapy?
    • A. 

      The therapist will act as a role model for the patient by sitting still and listening

    • B. 

      The patient will recieve a token from the therapist for each session in which she sits still and listens

    • C. 

      The patient will be required to sit in solitude for 30 minutes after each session in which she does not sit still or listen

    • D. 

      The therapist will ask that the patient sit still and listen for only two minutes at a time to begin and will increase the time incrementally until the patient can sit and listen for 10 minutes at a time

  • 9. 
    The nurse is planning care for a patient with anxiety who will be admitted to the unit shortly. Which nursing action is most important?
    • A. 

      Consider ways to assist the patient to feel valued during his stay on the unit

    • B. 

      Choose a roomate or the patient so that a friendship can develop

    • C. 

      Identify a room where the patient will have comfortable surroundings and order a balanced meal plan

    • D. 

      Plan methods of decreasing stimuli that could cause heightened anxiety in the patient

  • 10. 
    An experienced nurseis monotoring a new nurse. Which action of the new nurse would cause the experienced nurse to intervene? 
    • A. 

      Considering ways to decrease suicide risk of a suicidal patient

    • B. 

      Referring an abused patient to a shelter

    • C. 

      Providing a safe enviroment for a patient with Alzheimers disease

    • D. 

      Asking a patient to justify her behaviors

  • 11. 
    The nurse is assessing a new patient. Which patient statement would the nurse attribute to a neurobiological basis of mental  disease?
    • A. 

      "I like to eat all day long"

    • B. 

      "I sleep 7 hours nightly."

    • C. 

      "I have a number of close friends."

    • D. 

      "I enjoy solving world puzzles."

  • 12. 
    The physician has written orders for four patients. Which medication order would the nurse question?
    • A. 

      BuSpar take in the morning

    • B. 

      Restoril take at bedtime

    • C. 

      Ambien take early in the morning

    • D. 

      Rozerem take at bedtime

  • 13. 
    Which patient statement would require the nurse to provide further teaching? 
    • A. 

      "I should report any unusual bleeding when I take gingko biloba"

    • B. 

      "I should not take St Johns wart with Zoloft"

    • C. 

      "Herbal treatments are safe because they are made with all natural ingredients"

    • D. 

      "I will tell my doctor that I am taking an herbal supplement"

  • 14. 
    The nurse is caring for a patient who is taking lithium. Which adverse effect would the nurse anticipate? 
    • A. 

      Oliguria

    • B. 

      Confusion

    • C. 

      Constipation

    • D. 

      Hyperthyroidism

  • 15. 
    The nurse understands that norepinephrine is involved with the simulation of which bodily process?
    • A. 

      The "fight or flight" response to stress

    • B. 

      The hypothalamus to release hormones

    • C. 

      Involvement in the inflammatory response

    • D. 

      The parasympathetic nervous system

  • 16. 
    Which of the following actions best represents the basis or foundation of all other psychiatric nursing care? 
    • A. 

      The nurse assesses the patient at regular intervals

    • B. 

      The nurse administers psychotropic medications

    • C. 

      The nurse spends time sitting with a withdrawn patient

    • D. 

      The nurse participates in team meetings with other professionals

  • 17. 
    A male patient frequently inquires about the female student nurses boyfriend, social activities, and school experiences. Which of the following initial responses by the student best addresses the issue raised by the behavior? 
    • A. 

      The student requests assignment to a patient of the same gender as the student

    • B. 

      She points out to the patient that he is making social inquiries and explores this behavior

    • C. 

      She tells him that she cannot talk about her personal life and refocuses on his issues.

    • D. 

      She explains that if he persists in focusing on her she cannot work with him.

  • 18. 
    Which of the following statements would be appropriate during the orientation phase of the nurse-patient relationship?
    • A. 

      "My name is Sarah, and I am a student nurse here to learn about mental health"

    • B. 

      "I will be here each Thursday from 8am until 12 pm if you would like to talk. "

    • C. 

      "Tell me about what you think would best help you to cope with the loss of your wife"

    • D. 

      "Lets talk today about how our plan for improving your sleep has been working"

    • E. 

      "We will meet weekly for 1 hour, during which we will discuss how to meet your goals"

    • F. 

      "Being home alone while your wife was hospitalized must have been difficult for you"

  • 19. 
    A student exhibits the following behaviors or actions while interacting with her patient.  Which of these are appropriate as part of a therapeutic relationship?
    • A. 

      Sitting attentively in silence with a withdrawn patient until the patient chooses to speak

    • B. 

      Offering the patient advice on how he could cope more effectively with stress

    • C. 

      Controlling the pace of the relationship by selecting topics for each interaction

    • D. 

      Limiting the discussion of termination issues so as not to sadden the patient unduly.

  • 20. 
    You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
    • A. 

      "A new psychiatrist is a chance to start fresh; im sure it will go well for you"

    • B. 

      "You say you look forward to the meeting, but you appear anxious or unhappy"

    • C. 

      "I notice that you frowned and avoided eye contact just now; dont you feel well?"

    • D. 

      "I get the impression you dont really want to see your new psychiatrist-can you tell me why?"

  • 21. 
    Which student behavior is consistent with therapeutic communication?
    • A. 

      Offering your opinion when asked in order to convey support.

    • B. 

      Summarizing the essence of the patients comments in your own words

    • C. 

      Interrupting periods of silence before they come awkward for the patient

    • D. 

      Telling the patient he did well when you approve of his statements or actions

  • 22. 
    Which statement about nonverbal behavior is accurate? 
    • A. 

      A calm expression means that the patient is experiencing low levels of anxiety

    • B. 

      Patients respond more consistently to therapeutic touch than to verbal interventions

    • C. 

      The meaning on nonverbal behaviors varies with cultural and individual differences

    • D. 

      Eye contact is a realible measure of the patients degree of attentiveness and engagement

  • 23. 
    A nurse stops in to interview a patient on a medical unit and finds the patient laying supine in her bed with the hhead elevated 10 degrees. Which initial responses would would most enhance the chances of achieving a therapeutic interaction?  Select all that apply
    • A. 

      Apologize for the differential in height and proceed whike standing to avoid delay

    • B. 

      If permitted, raise the head of the bed and, with the patients permission, sit on the bed

    • C. 

      If permitted, raise the head of the bed to approximate the nurses height while standing

    • D. 

      Sit in whatever chair available in the room to convey informality and increase comfort

    • E. 

      Locate a chair or stool that would place the nurse at approximately level of the patient

    • F. 

      Remain standing and proceed so as not to create distraction by altering arrangements

  • 24. 
    A patient with Schizophrenia approaches staff arriving for day shift and anxiously reports , " last night demons came to my room and tried to rape me." Which response would be most therapeutic?
    • A. 

      "There are no such things as demons; what you saw were hallucinations"

    • B. 

      "It is not possible for anyone to enter your room at night; you are safe here"

    • C. 

      "You seem very upset; please tell me more about what you experienced last night"

    • D. 

      "That must have been very frightening, but we will check on you atnight and youll be safe"

  • 25. 
    The nurse is caring for a patient who is experiencing a crisis. Which symptoms would indicate that the patient is in the stage of alarm?
    • A. 

      Constricted pupils

    • B. 

      Dry mouth

    • C. 

      Decrease in heart rate

    • D. 

      Sudden drop in blood pressure