chapter 1

Question 1

1. When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics?
   a. The manic patient in room 234
   b. The patient in room 234 is a manic
   c. The patient in room 234 is possibly a manic
   d. The patient in room 234 is displaying manic behavior

Answer 1

d. The patient in room 234 is displaying manic behavior

Question 2

2. Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention?
   a. Including discussions on depression as part of school health classes
   b. Providing regular depression screening for adolescent and teenage students
   c. Increasing the number of community-based depression hotlines available to the public
   d. Encouraging senior centers to provide information on accessing community depression resources

Answer 2

b. Providing regular depression screening for adolescent and teenage students

Question 3

3. Which statement made by a patient demonstrates a healthy degree of resilience? Select all that apply.
   a. “I try to remember not to take other people’s bad moods personally.”
   b. “I know that if I get really mad I’ll end up being depressed.”
   c. “I really feel that sometimes bad things are meant to happen.”
   d. “I’ve learned to calm down before trying to defend my opinions.”
   e. “I know that discussing issues with my boss would help me get my point across.”

Answer 3

a. “I try to remember not to take other people’s bad moods personally.”

Question 4

4. Which statement demonstrates the nurse’s understanding of the effect of environmental factors on a patient’s mental health?
   a. “I’ll need to assess how the patient’s family views mental illness.”
   b. “There is a history of depression in the patient’s extended family.”
   c. “I’m not familiar with the patient’s Japanese’s cultural view on suicide.”
   d. “The patient’s ability to pay for mental health services needs to be assessed.”

Answer 4

c. “I’m not familiar with the patient’s Japanese’s cultural view on suicide.”

Question 5

When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse manager?

a. “Depression seems to be a real problem among the teenage population.”
b. “My experience has been that the Irish have a problem with alcohol use.”
c. “Women are at greater risk for developing suicidal thoughts then acting on them.”
d. “We’ve admitted several military veterans with posttraumatic stress disorder this month.

Answer 5

b. “My experience has been that the Irish have a problem with alcohol use.”

Question 6

A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:

a. Nursing Interventions Classification (NIC)
b. Nursing Outcomes Classification (NOC)
c. NANDA-I nursing diagnoses
d. DSM-5

Answer 6

d. DSM-5

Question 7

Epidemiological studies contribute to improvements in care for individuals with mental disorders by:

a. Providing information about effective nursing techniques.
b. Identifying risk factors that contribute to the development of a disorder.
c. Identifying individuals in the general population who will develop a specific disorder.
d. Identifying which individuals will respond favorably to a specific treatment.

Answer 7

b. Identifying risk factors that contribute to the development of a disorder.
d. Identifying which individuals will respond favorably to a specific treatment.

Question 8

Which of the following activities would be considered nursing care and appropriate to be performed by a basic level nurse for a patient suffering from mental illness?

a. Treating major depression
b. Teaching coping skills for a specific family dynamic
c. Conducting psychotherapy
d. Prescribing antidepressant medication

Answer 8

b. Teaching coping skills for a specific family dynamic

Question 9

Which statement about mental illness is true?

a. Mental illness is a matter of individual nonconformity with societal norms.
b. Mental illness is present when irrational and illogical behavior occurs.
c. Mental illness changes with culture, time in history, political systems, and the groups defining it.
d. Mental illness is evaluated solely by considering individual control over behavior and appraisal of reality.

Answer 9

c. Mental illness changes with culture, time in history, political systems, and the groups defining it.

Question 10

The World Health Organization describes health as “a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity.” Which statement is true in regards to overall health? Select all that apply.

a. There is no relationship between physical and mental health.
b. Poor physical health can lead to mental distress and disorders.
c. Poor mental health does not lead to physical illness.
d. There is a strong relationship between physical health and mental health.
e. Mental health needs take precedence over physical health needs.

Answer 10

b. Poor physical health can lead to mental distress and disorders.
d. There is a strong relationship between physical health and mental health.