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1


Which branch of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated with electroconvulsive therapy (ECT)?

experimental
descriptive
clinical Correct
analytic

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2


A client tells the mental health nurse “I am terribly frightened! I hear whispering that someone is going to kill me.” Which criterion of mental health can the nurse assess as lacking?

Control over behavior
Appraisal of reality Correct
Effectiveness in work
Healthy self-concept

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3


A 14-year-old belongs to a neighborhood gang, engages in sexually promiscuous behavior, and has a history of school truancy but reports that her parents are just old- fashioned and don’t understand her. The assessment data supports that the client

is displaying deviant behavior. Correct
cannot accurately appraise reality.
is seriously and persistently mentally ill.
should be considered for group home placement.

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4


The nurse planning care for a mentally ill client bases interventions on the concept that the client

has areas of strength on which to build. Correct
has right that must be respected.
comes with experiences that contribute to their problem.
share fears that are similar to those of all mentally healthy individuals.

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5


In order to best differentiate whether an Asian client is demonstrating a mental illness when attempting suicide is to

ask the client whether he views himself as being depressed.
identify his culture’s view regarding suicide. Correct
explain to him that suicide is often regarded as a desperate act.
assess the client for other examples of depressive behaviors.

One approach to differentiating mental health from mental illness is to consider what a particular culture regards as acceptable or unacceptable. In this view, the mentally ill are those who violate social norms and thus threaten (or make anxious) those observing them. For example, traditional Japanese may consider suicide to be an act of honor, and Middle Eastern “suicide bombers” are considered holy warriors or martyrs. Contrast these viewpoints with Western culture, where people who attempt or complete suicides are nearly always considered mentally ill.

6


An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his apartment. When neighbors ask him to stop his frequent outbursts of operatic arias, he acts outraged and tells them he must sing daily and will not promise to be quieter. This behavior supports that he is

demonstrating symptoms of bipolar disorder.
socially deviant.
egocentric.
not demonstrating any definitive signs of mental illness. Correct

One myth about mental illness is that to be mentally ill is to be different and odd. Another misconception is that to be healthy, a person must be logical and rational. Everyone dreams “irrational” dreams at night, and “irrational” emotions are universal human experiences and are essential to a fulfilling life. Some people who show extremely abnormal behavior and are characterized as mentally ill are far more like the rest of us than different from us. No obvious and consistent line between mental illness and mental health exists.

7


A nursing diagnosis for a client with a psychiatric disorder serves the purpose of

justifying the use of certain psychotropic medication.
providing data essential for insurance reimbursement.
providing a framework for selecting appropriate interventions. Correct
completing the medical diagnostic statement.

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8


Which of the following best demonstrates parity related to mental health care?

The client is admitted for a 72-hour mental hygiene evaluation.
Advance practice nurse can be certified as psychiatric nurse specialist.
A client’s mental health coverage is equal to his medical/surgical coverage. Correct
A client who has attempted sucide is hospitalized for a mental health evaluation.

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9


The mental health status of a particular client can best be assessed by considering

the degree of conformity of the individual to society’s norms.
the degree to which an individual is logical and rational.
placement on a continuum from health to illness. Correct
the rate of intellectual and emotional growth.

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10


The quantitative study of the distribution of mental disorders in human populations is called

mortality.
prevalence. Incorrect
epidemiology. Correct
clinical epidemiology.

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11


Which statement best describes the DSM-5?

It is a medical psychiatric assessment system. Correct
It is a compendium of treatment modalities.
It offers a complete list of nursing diagnoses.
It suggests common interventions for mental disorders.

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12


Current information suggests that the most disabling mental disorders are the result of

biological influences. Correct
psychological trauma.
learned ways of behaving.
faulty patterns of early nurturance.

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13


A nurse’s identification badge includes the term, “Psychiatric Mental Health Nurse.” A client with a history of paranoia asks, “What does that title mean?” The nurse responds best by answering:

“Don’t be afraid; it means I’m here to help, not hurt, you.”
“Psychiatric mental health nurses care for people with mental illnesses.” Incorrect
“We have the specialized skills needed to care for those with mental illnesses.” Correct
“The nurses who work in mental health facilities have that title.”

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14


Which statement about diagnosis of a mental disorder is true?

The symptoms of each disorder are common among all cultures.
Culture may cause variations in symptoms for each clinical disorder. Correct
All mental disorders listed in the DSM-5 are seen in all other cultures.
Psychiatric diagnoses are listed in separately from other physical disorders in a five axes system.

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15


The prevalence rate over a 12-month period for major depressive disorder is

lower than the prevalence rate for panic disorders. Incorrect
greater than the prevalence rate for psychotic disorders.
equal to the prevalence rate for psychotic disorders.
greater than the prevalence rate for generalized anxiety. Correct

tatistics show that the prevalence rate over a 12-month period for major depressive disorder is 6.7%, and the lifetime prevalence rate for generalized anxiety is 3.1%.

16


These severe mental illnesses are recognized across cultures:

antisocial and borderline personality disorders.
schizophrenia and bipolar disorder. Correct
bulimia and anorexia nervosa.
amok and social phobia.

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17

ccording to the DSM-5, there is evidence that symptoms and causes of mental illness are influenced by:

cultural and ethnic factors. Correct
occupation and status.
birth order.
sexual preference.

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18


You have graduated with your BSN degree and have taken your first job on a psychiatric unit after becoming a licensed Registered Nurse. You are providing teaching to Mason, a newly admitted patient on the psychiatric unit, regarding his daily schedule. Which of the following would NOT be an appropriate teaching statement?

“You will participate in unit activities and groups daily.”
“You will be given a schedule daily of the groups we would like you to attend.”
“You will attend a psychotherapy group that I lead.” Correct
“You will see your provider daily in a one-to-one session.”

basic level RNs cannot perform psychotherapy. The other options are all appropriate expectations of a patient’s schedule on a psychiatric unit

19


Which statement best clarifies the difference between the art and the science of nursing?

The art is the care, compassion, and advocacy component, and the science is the applied knowledge base. Correct
The art is the way in which knowledge is applied, and the science is the technological aspects of caregiving.
The art is the applied technology of practice, and the science is the problem-solving and teaching aspects of caregiving.
The art is the assessing and planning phases of the nursing process, and the science lies in implementing and evaluating.

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20


You have graduated with your BSN degree and have taken your first job on a psychiatric unit after becoming a licensed Registered Nurse. You are providing teaching to Mason, a newly admitted patient on the psychiatric unit, regarding his daily schedule. Which of the following would not be an appropriate teaching statement?

“You will participate in unit activities and groups daily.”
“You will be given a schedule daily of the groups we would like you to attend.”
“You will attend a psychotherapy group that I lead.” Correct
“You will see your provider daily in a one-to-one session.”

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21


Using the total environment, including the people, setting, and emotional climate, as therapy is called _____________ therapy.


Milieu

Milieu therapy uses the environment, including people, setting, emotional climate, and structure, for healing.

22


Sullivan’s term security operations and Freud’s term of defense mechanisms both reflect actions that serve to:

increase self-esteem.
reduce anxiety. Correct
increase self-awareness.
reduce cognitive distortions.

Both Sullivan and Freud coined terms to mean actions that individuals do that are an attempt to reduce anxiety. The terms to do not refer to activities that increase self-esteem. Security operations and defense mechanisms are not conscious and therefore do not increase self-awareness. These terms do not refer to reducing cognitive distortions

23


You and Jack are two of the nurses working on the psychiatric unit. Jack mentions to you that the biological model for mental illness is the one he embraces, and states “it’s the only one I really believe.” Which of the following statements is true regarding believing in only the biological model?

The biological model is the oldest and most reliable model for explaining mental illness.
The biological model does not explain every symptom of mental illness.
The biological model is the most popular theory among leading psychiatrists and therefore the one that should be fully embraced.
In believing only the biological model, other influences on mental health including cultural, environmental, social, and spiritual influences are not taken into account. Correct

n believing only in the biological model to the exclusion of other theories and perspectives, influences such as educational, social, spiritual, cultural, environmental, and economic are not considered, and these have also been proven to play a part in mental health and mental illness. The other options are untrue.

24


Lucas states, “I will always be alone because nobody could love me.” This is most likely an example of:

emotional consequence.
schema. Correct
actualization.
aversion.

Schemas are unique assumptions about ourselves, according to Beck’s theory. This statement is an example of a negative schema. Emotional consequence is the end result of negative thinking process, as described by Ellis. Actualization is a level of Maslow’s Hierarchy of Needs. Aversion is a therapy characterized by punishment.

25


You are caring for Alyssa, a 28-year-old patient with bipolar disorder who was admitted in a manic state. According to Maslow’s Hierarchy of Needs theory, which of the following symptoms needs to be the first priority in caring for this patient?

Rapid, pressured speech
Grandiose thoughts
Lack of sleep Correct
Hyperactive behavior

Based on Maslow’s theory, physiological needs such as food, water, air, sleep, etc., are the priority and must be taken care of first. The other options are symptoms of mania but not as critical as lack of sleep.

26


An important difference between the developmental theories of Freud and Erikson is

Freud considers the entire life span from birth to old age.
Freud focuses to a greater extent on cognitive development.
Erikson viewed individual growth in terms of social setting. Correct
Erikson focuses on the development of individual moral thinking.

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27


The premise underlying behavioral therapy is

Behavior is learned and can be modified. Correct
Behavior is a product of unconscious drives.
Motives must change before behavior changes.
Behavior is determined by cognitions; change in cognitions produces new behavior.

he premise underlying behavior therapy is that behavior is learned and can be modified. Behaviorists agree that behavior can be changed without insight into the underlying cause.

28


Which statement best clarifies the difference between the art and the science of nursing?

The art is the care, compassion, and advocacy component, and the science is the applied knowledge base. Correct
The art is the way in which knowledge is applied, and the science is the technological aspects of caregiving.
The art is the applied technology of practice, and the science is the problem-solving and teaching aspects of caregiving.
The art is the assessing and planning phases of the nursing process, and the science lies in implementing and evaluating.

;l

29


The nurse providing anticipatory guidance to the mother of a toddler should advise that childhood temper tantrums are best handled by

giving the child what he is asking for.
scolding the child when he displays tantrum behaviors.
spanking the child at the onset of the tantrum behaviors.
ignoring the tantrum and giving attention when the child acts appropriately. Correct

You got this!

30


Freud believed that individuals cope with anxiety by using

the superego.
defense mechanisms. Correct
security operations.
suppression

Your gonna graduate in May 2015