1 Review Questions
QUESTIONS AND VERIFIED
CORRECT ANSWERS
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A client's relationships are intense and unstable. The client initially idealizes the significant other
and then devalues him or her, resulting in frequent feelings of emptiness. This client will benefit
from interventions to develop which aspect of mental health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships - CORRECT ANSWER-d. Fulfilling relationships
Which belief will best support a nurse's efforts to provide client advocacy during a
multidisciplinary client care planning session?
a. All mental illnesses are culturally determined.
b. Schizophrenia and bipolar disorder are cross-cultural disorders.
c. Symptoms of mental disorders are unchanged from culture to culture.
,d. Assessment findings in mental illness reflect a person's cultural patterns. - CORRECT
ANSWER-d. Assessment findings in mental illness reflect a person's cultural patterns.
A nurse is part of a multidisciplinary team working with groups of depressed clients. One group
of clients receives supportive interventions and antidepressant medication. The other group
receives only medication. The team measures outcomes for each group. Which type of study is
evident?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology - CORRECT ANSWER-d. Clinical epidemiology
The spouse of a client 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?
a. "Psychological stress is the basis of most mental disorders."
b. "This illness results from developmental factors rather than stress."
c. "Research shows that this condition more likely has a biological basis."
d. "It must be frustrating for you that your spouse is sick so much of the time." - CORRECT
ANSWER-c. "Research shows that this condition more likely has a biological basis."
A category 5 tornado occurred in a community of 400 people. Many homes and businesses
were destroyed. In the 2 years following the disaster, 140 individuals were diagnosed with post-
traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases?
a. Prevalence
b. Comorbidity
c. Incidence
,d. Parity - CORRECT ANSWER-c. Incidence
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.
c. Healthy development is vital to mental health.
d. Recovery occurs on a continuum from illness to health. - CORRECT ANSWER-b. Care is
centered on the client.
What is the best response for the nurse to provide to a question from another health
professional regarding the difference between a diagnosis in DSM-V and a nursing diagnosis.
a. "There is no functional difference between the two. Both identify human
disorders."
b. "The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes
culture into account."
c. "The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis
does not explore etiology."
d. "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for issues a client is experiencing." - CORRECT
ANSWER-d. "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for issues a client is experiencing."
Which nursing intervention below is part of the scope of an advanced practice
psychiatric/mental health nurse rather than a basic level registered nurse?
, a. Coordination of care
b. Health teaching
c. Milieu therapy
d. Psychotherapy - CORRECT ANSWER-d. Psychotherapy
An experienced nurse says to a new graduate, "When you've practiced as long as I have, you
automatically know how to take care of clients experiencing psychosis." Which factors should
the new graduate consider when analyzing this comment? (Select all that apply.)
a. The experienced nurse may have lost sight of clients' individuality, which may
compromise the integrity of practice.
b. New research findings should be integrated continuously into a nurse's practice to
provide the most effective care.
c. Experience provides mental health nurses with the essential tools and skills needed for
effective professional practice.
d. Experienced psychiatric nurses have learned the best ways to care for mentally ill clients
through trial and error.
e. An intuitive sense of clients' needs guides effective psychiatric nurses. - CORRECT ANSWER-a.
The experienced nurse may have lost sight of clients' individuality, which may
compromise the integrity of practice
b. New research findings should be integrated continuously into a nurse's practice to provide
the most effective care.
Which findings are signs of a person who is mentally healthy? (Select all that apply.)
a. Says, "I have some weaknesses, but I feel I'm important to my family and friends."
b. Adheres strictly to religious beliefs of parents and family of origin.
c. Spends all holidays alone watching old movies on television.
d. Considers past experiences when deciding about the future.