NUR 253/NUR253 Mental Health Exam 1: | Actual
Questions and Answers Latest Updated (Graded A+)-
Galen College of Nursing
Which assessment finding most clearly indicates that a client may be experiencing a mental illness?
A. reporting occasional sleeplessness and anxiety.
B. reporting a consistently sad, discouraged, and hopeless mood. Correct
C. being able to describe the difference between “as if” and “for real.”
D. experiencing difficulty making a decision about whether to change jobs.
A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form. Which
resource should the nurse consult to determine criteria used to establish this diagnosis?
A. International Statistical Classification of Diseases and Related Health Problems (ICD-
10)
B. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
C. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) Correct
D. A behavioral health reference manual
Which individual behavior demonstrates resilience?
A. Repress stressors associated with a divorce.
B. Continuing to grieve the death of a spouse for 5 years.
C. Continuing to live in a shelter for 2 years after the home is destroyed by fire.
D. Taking a temporary job to maintain financial stability after loss of a permanent
job. Correct
Which component of treatment of mental illness is specifically recognized by Quality and Safety
Education for Nurses (QSEN)?
A. All genomes are unique.
B. Care is centered on the client. Correct
C. Healthy development is vital to mental health.
D. Recovery occurs on a continuum from illness to health.
A 26-month-old displays negative behavior, refuses toilet training, and often says, “No!” Which
psychosocial crisis is evident? (2)
A. Trust versus mistrust
B. Initiative versus guilt
C. Industry versus inferiority
D. Autonomy versus shame and doubt Correct
A 4-year-old grabs toys from other children and says, “I want that now!” From a psychoanalytic
perspective, this behavior is a product of impulses originating in which system of the personality? (2)
A. Id Correct
, B. Ego
C. Superego
D. Preconscious
An adult says, “I never know the answers,” and “My opinion does not count.” Which psychosocial
crisis was unsuccessfully resolved for this adult? (2)
A. Initiative versus guilt
B. Trust versus mistrust
C. Autonomy versus shame and doubt Correct
D. Generativity versus self-absorption
A nurse listens to a group of recent retirees. One says, “I volunteer with Meals on Wheels, coach
teen sports, and do church visitation.” Another laughs and says, “I’m too busy taking care of myself
to volunteer to help others.” Which psychosocial developmental task do these statements contrast?
(2)
A. Trust and mistrust
B. Intimacy and isolation
C. Industry and inferiority
D. Generativity and self-absorption Correct
A nurse uses Maslow’s hierarchy of needs to plan care for a client diagnosed with mental illness.
Which problem will receive priority? (2)
A. Refusal to eat or bathe. Correct
B. Reporting feelings of alienation from family.
C. Reluctance to participate in unit social activities.
D. Being unaware of medication action and side effects.
A client says to the nurse, “My father has been dead for over 10 years but talking to you is almost as
comforting as the talks he and I had when I was a child.” Which term applies to the client’s
comment? (2)
A. Superego
B. Transference Correct
C. Reality testing
D. Countertransference
The nurse administers a medication that potentiates the action of ã-aminobutyric acid (GABA).
Which effect would be expected? (3)
A. Reduced anxiety Correct
B. Improved memory
C. More organized thinking
D. Fewer sensory perceptual alterations
A client has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach
the client about medication from which group? (2)
A. Tricyclic antidepressants
B. Antipsychotic drugs
C. Mood stabilizers
D. Benzodiazepines Correct
Questions and Answers Latest Updated (Graded A+)-
Galen College of Nursing
Which assessment finding most clearly indicates that a client may be experiencing a mental illness?
A. reporting occasional sleeplessness and anxiety.
B. reporting a consistently sad, discouraged, and hopeless mood. Correct
C. being able to describe the difference between “as if” and “for real.”
D. experiencing difficulty making a decision about whether to change jobs.
A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form. Which
resource should the nurse consult to determine criteria used to establish this diagnosis?
A. International Statistical Classification of Diseases and Related Health Problems (ICD-
10)
B. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
C. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) Correct
D. A behavioral health reference manual
Which individual behavior demonstrates resilience?
A. Repress stressors associated with a divorce.
B. Continuing to grieve the death of a spouse for 5 years.
C. Continuing to live in a shelter for 2 years after the home is destroyed by fire.
D. Taking a temporary job to maintain financial stability after loss of a permanent
job. Correct
Which component of treatment of mental illness is specifically recognized by Quality and Safety
Education for Nurses (QSEN)?
A. All genomes are unique.
B. Care is centered on the client. Correct
C. Healthy development is vital to mental health.
D. Recovery occurs on a continuum from illness to health.
A 26-month-old displays negative behavior, refuses toilet training, and often says, “No!” Which
psychosocial crisis is evident? (2)
A. Trust versus mistrust
B. Initiative versus guilt
C. Industry versus inferiority
D. Autonomy versus shame and doubt Correct
A 4-year-old grabs toys from other children and says, “I want that now!” From a psychoanalytic
perspective, this behavior is a product of impulses originating in which system of the personality? (2)
A. Id Correct
, B. Ego
C. Superego
D. Preconscious
An adult says, “I never know the answers,” and “My opinion does not count.” Which psychosocial
crisis was unsuccessfully resolved for this adult? (2)
A. Initiative versus guilt
B. Trust versus mistrust
C. Autonomy versus shame and doubt Correct
D. Generativity versus self-absorption
A nurse listens to a group of recent retirees. One says, “I volunteer with Meals on Wheels, coach
teen sports, and do church visitation.” Another laughs and says, “I’m too busy taking care of myself
to volunteer to help others.” Which psychosocial developmental task do these statements contrast?
(2)
A. Trust and mistrust
B. Intimacy and isolation
C. Industry and inferiority
D. Generativity and self-absorption Correct
A nurse uses Maslow’s hierarchy of needs to plan care for a client diagnosed with mental illness.
Which problem will receive priority? (2)
A. Refusal to eat or bathe. Correct
B. Reporting feelings of alienation from family.
C. Reluctance to participate in unit social activities.
D. Being unaware of medication action and side effects.
A client says to the nurse, “My father has been dead for over 10 years but talking to you is almost as
comforting as the talks he and I had when I was a child.” Which term applies to the client’s
comment? (2)
A. Superego
B. Transference Correct
C. Reality testing
D. Countertransference
The nurse administers a medication that potentiates the action of ã-aminobutyric acid (GABA).
Which effect would be expected? (3)
A. Reduced anxiety Correct
B. Improved memory
C. More organized thinking
D. Fewer sensory perceptual alterations
A client has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach
the client about medication from which group? (2)
A. Tricyclic antidepressants
B. Antipsychotic drugs
C. Mood stabilizers
D. Benzodiazepines Correct
