Mental Health Midterm Review ACTUAL
QUESTIONS AND CORRECT ANSWERS
Prescribe psychotropic medication - CORRECT ANSWER A staff nurse completes
orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform
which additional intervention?
"Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations." - CORRECT
ANSWER When a nursing student expresses concerns about how mental health nurses
"lose all their nursing skills," the best response by the mental health nurse is:
Advocacy - CORRECT ANSWER When a new bill introduced in Congress reduces
funding for care of persons with mental illness, a group of nurses writes letters to their
elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
spends time listening to me talk about my problems. That helps me feel like I am not alone." -
CORRECT ANSWER Which comment best indicates that a patient perceived the nurse
was caring? "My nurse:
reports a consistently sad, discouraged, and hopeless mood. - CORRECT
ANSWER Which assessment finding most clearly indicates that a patient may be
experiencing a mental illness? The patient:
sees self as capable of achieving ideals and meeting demands. - CORRECT
ANSWER Which finding best indicates that the goal "Demonstrate mentally healthy
behavior" was achieved? A patient:
Diagnostic and Statistical Manual of Mental Disorders (DSM-5) - CORRECT
ANSWER A nurse encounters an unfamiliar psychiatric disorder on a new patient's
admission form. Which resource should the nurse consult to determine criteria used to
establish this diagnosis?
,Diagnostic and Statistical Manual of Mental Disorders (DSM-5) - CORRECT
ANSWER A nurse wants to find a description of diagnostic criteria for anxiety
disorders. Which resource would have the most complete information?
takes a temporary job to maintain financial stability after loss of a permanent job. -
CORRECT ANSWER Which individual is demonstrating the highest level of
resilience? One who:
nursing actions - CORRECT ANSWER Complete this analogy. NANDA: clinical
judgment: NIC: _________________
5 - CORRECT ANSWER A college student said, "Most of the time I'm happy and feel
good about myself. I have learned that what I get out of something is proportional to the
effort I put into it." Which number on this mental health continuum should the nurse select?
Running amok - CORRECT ANSWER Which disorder is a culture-bound syndrome?
mental disorders people have. - CORRECT ANSWER The Diagnostic and Statistical
Manual of Mental Disorders (DSM-5) classifies:
Alzheimer's disease - CORRECT ANSWER A citizen at a community health fair asks
the nurse, "What is the most prevalent mental disorder in the United States?" Select the
nurse's best response.
describes hearing God's voice speaking. - CORRECT ANSWER In the majority culture
of the United States, which individual has the greatest risk to be labeled mentally ill? One
who:
Fulfilling relationships - CORRECT ANSWER A patient's relationships are intense and
unstable. The patient initially idealizes the significant other and then devalues him or her,
resulting in frequent feelings of emptiness. This patient will benefit from interventions to
develop which aspect of mental health?
,Assessment findings in mental disorders reflect a person's cultural patterns - CORRECT
ANSWER Which belief will best support a nurse's efforts to provide patient advocacy
during a multidisciplinary patient care planning session?
Clinical epidemiology - CORRECT ANSWER 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?
"Research shows that this condition more likely has a biological basis." - CORRECT
ANSWER The spouse of a patient diagnosed with schizophrenia says, "I don't
understand how events from childhood have anything to do with this disabling illness."
Which response by the nurse will best help the spouse understand the cause of this disorder?
Incidence - CORRECT ANSWER A category 5 tornado occurred in a community of
400 people resulting in destruction of many homes and businesses. In the 2 years after this
disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which
term best applies to these newly diagnosed cases?
Care is centered on the patient. - CORRECT ANSWER Which component of treatment
of mental illness is specifically recognized by Quality and Safety Education for Nurses
(QSEN)?
"The DSM-5 diagnosis guides medical treatment, whereas the nursing diagnosis offers a
framework for identifying interventions for issues a patient is experiencing." - CORRECT
ANSWER Select the best response for the nurse who receives a question from another
health professional seeking to understand the difference between a Diagnostic and Statistical
Manual of Mental Disorders (DSM-5) diagnosis and a nursing diagnosis.
Psychotherapy - CORRECT ANSWER Which nursing intervention below is part of the
scope of an advanced practice psychiatric/mental health nurse only?
The experienced nurse may have lost sight of patients' individuality, which may compromise
the integrity of practice.
, New research findings should be integrated continuously into a nurse's practice to provide the
most effective care. - CORRECT ANSWER An experienced nurse says to a new
graduate, "When you've practiced as long as I have, you instantly know how to take care of
psychotic patients." What information should the new graduate consider when analyzing this
comment? Select all that apply.
a. Says, "I have some weaknesses, but I feel I'm important to my family and friends."
d. Considers past experiences when deciding about the future.
e. Experiences feelings of conflict related to changing jobs. - CORRECT
ANSWER Which findings are signs of a person who is mentally healthy? Select all that
apply.
b. Appraisal of reality
c. Control over behavior
d. Effectiveness in work - CORRECT ANSWER A patient in the emergency
department says, "Voices say someone is stalking me. They want to kill me because I
developed a cure for cancer. I have a knife and will stab anyone who is a threat." Which
aspects of the patient's mental health have the greatest and most immediate concern to the
nurse? Select all that apply.
"This is normal for your child's age. The child is striving for independence." - CORRECT
ANSWER A parent says, "My 2-year-old child refuses toilet training and shouts 'No!'
when given directions. What do you think is wrong?" Select the nurse's best reply.
Anal - CORRECT ANSWER A 26-month-old displays negative behavior, refuses toilet
training, and often says, "No!" Which stage of psychosexual development is evident?
Autonomy versus shame and doubt - CORRECT ANSWER A 26-month-old displays
negative behavior, refuses toilet training, and often says, "No!" Which psychosocial crisis is
evident?
Id - CORRECT ANSWER A 4-year-old grabs toys from siblings and says, "I want that
now!" The siblings cry, and the child's parent becomes upset with the behavior. According to
QUESTIONS AND CORRECT ANSWERS
Prescribe psychotropic medication - CORRECT ANSWER A staff nurse completes
orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform
which additional intervention?
"Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations." - CORRECT
ANSWER When a nursing student expresses concerns about how mental health nurses
"lose all their nursing skills," the best response by the mental health nurse is:
Advocacy - CORRECT ANSWER When a new bill introduced in Congress reduces
funding for care of persons with mental illness, a group of nurses writes letters to their
elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
spends time listening to me talk about my problems. That helps me feel like I am not alone." -
CORRECT ANSWER Which comment best indicates that a patient perceived the nurse
was caring? "My nurse:
reports a consistently sad, discouraged, and hopeless mood. - CORRECT
ANSWER Which assessment finding most clearly indicates that a patient may be
experiencing a mental illness? The patient:
sees self as capable of achieving ideals and meeting demands. - CORRECT
ANSWER Which finding best indicates that the goal "Demonstrate mentally healthy
behavior" was achieved? A patient:
Diagnostic and Statistical Manual of Mental Disorders (DSM-5) - CORRECT
ANSWER A nurse encounters an unfamiliar psychiatric disorder on a new patient's
admission form. Which resource should the nurse consult to determine criteria used to
establish this diagnosis?
,Diagnostic and Statistical Manual of Mental Disorders (DSM-5) - CORRECT
ANSWER A nurse wants to find a description of diagnostic criteria for anxiety
disorders. Which resource would have the most complete information?
takes a temporary job to maintain financial stability after loss of a permanent job. -
CORRECT ANSWER Which individual is demonstrating the highest level of
resilience? One who:
nursing actions - CORRECT ANSWER Complete this analogy. NANDA: clinical
judgment: NIC: _________________
5 - CORRECT ANSWER A college student said, "Most of the time I'm happy and feel
good about myself. I have learned that what I get out of something is proportional to the
effort I put into it." Which number on this mental health continuum should the nurse select?
Running amok - CORRECT ANSWER Which disorder is a culture-bound syndrome?
mental disorders people have. - CORRECT ANSWER The Diagnostic and Statistical
Manual of Mental Disorders (DSM-5) classifies:
Alzheimer's disease - CORRECT ANSWER A citizen at a community health fair asks
the nurse, "What is the most prevalent mental disorder in the United States?" Select the
nurse's best response.
describes hearing God's voice speaking. - CORRECT ANSWER In the majority culture
of the United States, which individual has the greatest risk to be labeled mentally ill? One
who:
Fulfilling relationships - CORRECT ANSWER A patient's relationships are intense and
unstable. The patient initially idealizes the significant other and then devalues him or her,
resulting in frequent feelings of emptiness. This patient will benefit from interventions to
develop which aspect of mental health?
,Assessment findings in mental disorders reflect a person's cultural patterns - CORRECT
ANSWER Which belief will best support a nurse's efforts to provide patient advocacy
during a multidisciplinary patient care planning session?
Clinical epidemiology - CORRECT ANSWER 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?
"Research shows that this condition more likely has a biological basis." - CORRECT
ANSWER The spouse of a patient diagnosed with schizophrenia says, "I don't
understand how events from childhood have anything to do with this disabling illness."
Which response by the nurse will best help the spouse understand the cause of this disorder?
Incidence - CORRECT ANSWER A category 5 tornado occurred in a community of
400 people resulting in destruction of many homes and businesses. In the 2 years after this
disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which
term best applies to these newly diagnosed cases?
Care is centered on the patient. - CORRECT ANSWER Which component of treatment
of mental illness is specifically recognized by Quality and Safety Education for Nurses
(QSEN)?
"The DSM-5 diagnosis guides medical treatment, whereas the nursing diagnosis offers a
framework for identifying interventions for issues a patient is experiencing." - CORRECT
ANSWER Select the best response for the nurse who receives a question from another
health professional seeking to understand the difference between a Diagnostic and Statistical
Manual of Mental Disorders (DSM-5) diagnosis and a nursing diagnosis.
Psychotherapy - CORRECT ANSWER Which nursing intervention below is part of the
scope of an advanced practice psychiatric/mental health nurse only?
The experienced nurse may have lost sight of patients' individuality, which may compromise
the integrity of practice.
, New research findings should be integrated continuously into a nurse's practice to provide the
most effective care. - CORRECT ANSWER An experienced nurse says to a new
graduate, "When you've practiced as long as I have, you instantly know how to take care of
psychotic patients." What information should the new graduate consider when analyzing this
comment? Select all that apply.
a. Says, "I have some weaknesses, but I feel I'm important to my family and friends."
d. Considers past experiences when deciding about the future.
e. Experiences feelings of conflict related to changing jobs. - CORRECT
ANSWER Which findings are signs of a person who is mentally healthy? Select all that
apply.
b. Appraisal of reality
c. Control over behavior
d. Effectiveness in work - CORRECT ANSWER A patient in the emergency
department says, "Voices say someone is stalking me. They want to kill me because I
developed a cure for cancer. I have a knife and will stab anyone who is a threat." Which
aspects of the patient's mental health have the greatest and most immediate concern to the
nurse? Select all that apply.
"This is normal for your child's age. The child is striving for independence." - CORRECT
ANSWER A parent says, "My 2-year-old child refuses toilet training and shouts 'No!'
when given directions. What do you think is wrong?" Select the nurse's best reply.
Anal - CORRECT ANSWER A 26-month-old displays negative behavior, refuses toilet
training, and often says, "No!" Which stage of psychosexual development is evident?
Autonomy versus shame and doubt - CORRECT ANSWER A 26-month-old displays
negative behavior, refuses toilet training, and often says, "No!" Which psychosocial crisis is
evident?
Id - CORRECT ANSWER A 4-year-old grabs toys from siblings and says, "I want that
now!" The siblings cry, and the child's parent becomes upset with the behavior. According to
