NUR 256 / NUR256 Exam 4– Concepts of Mental Health Nursing Guide (Latest 2026/2027 Update) | Galen | Complete Study Guide | Verified Questions & Answers | 100% Correct Solutions | Grade A

NUR 256 / NUR256 Exam 4– Concepts of Mental Health Nursing Guide (Latest 2026/2027 Update) | Galen | Complete Study Guide | Verified Questions & Answers | 100% Correct Solutions | Grade A When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics? The patient in room 234 is displaying manic behavior 3 multiple choice options Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention? Providing regular depression screening for adolescent and teenage students 3 multiple choice options 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." ADE 3 multiple choice options Which statement demonstrates the nurse's understanding of the effect of environmental factors on a patient's mental health? "I'm not familiar with the patient's cultural view on suicide." 3 multiple choice options When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse manager? "My experience has been that the Irish have a problem with alcohol use." 3 multiple choice options 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: DSM 3 multiple choice options Epidemiological studies contribute to improvements in care for individuals with mental disorders by: Select all that apply. 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. BD 3 multiple choice options 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? Teaching coping skills for a specific family dynamic 3 multiple choice options Which statement about mental illness is true? Mental illness changes with culture, time in history, political systems, and the groups defining it. 3 multiple choice options The World Health Organization describes health as "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity." Which statement is true in regard 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. BD 3 multiple choice options What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply. a. Ensuring that an individual's health information is protected b. Providing third-party players with access to patient's medical records c. Facilitating the movement of a patient's medical information to the interested parties d. Guaranteeing that all those in need of healthcare coverage have options to obtain it e. Allowing healthcare providers to obtain health information to provide high-quality healthcare. AE 3 multiple choice options Which intervention demonstrates a nurse's understanding of the initial action associated with the assessment of a patient's spiritual beliefs? Asking the patient what role spirituality plays in his daily life 3 multiple choice options Which nursing interventions best demonstrate an understanding of the Quality and Safety Education in Nursing (QSEN) competences? Select all that apply. a. Asking the patient what she expects from the treatment she is receiving b. Seeking recertification for cardiopulmonary resuscitation (CPR) c. Accessing the internet to monitor social media related to opinions on healthcare d. Consulting with a dietitian to discuss a patient's cultural food preferences and restrictions e. Reviewing the literature regarding the best way to monitor the patient for a fluid imbalance ABDE 3 multiple choice options Which disadvantage is inherent to the problem-oriented charting system (SOAPIE)? Documentation is not listed in chronological order 3 multiple choice options Which standardized rating scale will the nurse specifically include in the assessment of a newly admitted patient diagnosed with major depressive disorder? Beck Inventory 3 multiple choice options A 13-year-old boy is undergoing a mental health assessment. The nurse practitioner assures him that his medical records are protected and private. The nurse recognizes that this promise cannot be kept when the youth divulges: "My parents do not know that I hit my grandpa." 3 multiple choice options During an interview with a non-English-speaking middle-aged woman recently diagnosed with major depressive disorder, the patient's husband states, "She is happy now and doing very well." The patient, however, sits motionless, looking at the floor, and wringing her hands. A professional interpreter would provide better information due to the fact that a family member in the interpreter role may? Select all that apply. a. Be too close to accurately capture the meaning of the patient's mood b. Censor the patient's thoughts or words c. Avoid interpretation d. Leave out unsavory details B 3 multiple choice options A nurse identified a nursing diagnosis of self-mutilation for a female diagnosed with borderline personality disorder. The patient has multiple self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis? Patient will Identify triggers to self-mutilation 3 multiple choice options Medical records are considered legal documents. Proper documentation needs to reflect patient condition along with changes. It should also be based on professional standards designated by the state board of nursing, regulatory agencies, and reimbursement requirements. Proper documentation can be enhanced by: Using the nursing process as a guide 3 multiple choice options Amadi is a 40-year-old African national being treated in a psychiatric outpatient setting due to a court order. Amadi's medical record is limited in scope, so where can Renata, his registered nurse, obtain more data on Amadi's condition within legal parameters? Select all that apply. a. Emergency department records b. Police records related to the offense resulting in the court order for treatment c. Calling his family in Africa for details about Amadi's mental health d. Past medical records in the current facility ABD 3 multiple choice options Which of the following still prevents people from seeking care for mental illness? (Check all that apply.) A. Stigma B. Family support C. Lack of mental health professionals D. Health insurance ACD 3 multiple choice options What are risk factors for mental illness? Select all that apply A. Resilience B. The ability to problem solve. C. Feelings of anxiety or inadequacy D. Unsafe or unsanitary environments E. Cultural beliefs that lead to stress F. Parental modeling of inappropriate coping mechanisms. CDEF 3 multiple choice options Which of the following are true statements? (Check all that apply) A. Many healthcare professionals maintain the stigma associated with mental illness. B. Social settings and economic status have nothing to do with mental health C. Patients with psychiatric illnesses are not that different than people without psychiatric illnesses. D. The mental health continuum implies that you either are or are not mentally ill. E. Nature vs. Nurture implies that there is a genetic as well as an environmental component to mental health. ACE 3 multiple choice options Which of the following are examples of DSM-5 categories? Select all that apply A. Hematological disorders B. Bipolar and related disorders C. Neurodevelopmental disorders D. Somatic symptom disorders E. Immune system disorders F. Trauma and stressor related disorders BCDF 3 multiple choice options Mental illness is a continuum that ranges from highly functioning to severely disabled. True 3 multiple choice options Which statement made by either the nurse or the patient demonstrates an ineffective patient-nurse relationship? "Why do you think it's acceptable for you to be so disrespectful to staff?" 3 multiple choice options The patient expresses sadness at "being all alone with no one to share my life with." Which response by the nurse demonstrates the existence of a therapeutic relationship? "Loneliness can be a very painful and difficult emotion." 3 multiple choice options Which patient outcome is directly associated with the goals of a therapeutic nurse patient relationship? Patient will identify suicidal feelings to staff whenever they occur. 3 multiple choice options What is the greatest trigger for the development of a patient's nurse-focused transference? The degree of authority the nurse has over the patient 3 multiple choice options Which patient statement demonstrates a value held regarding children? "Nothing is more important to me than the safety of my children." 3 multiple choice options Mary is a 39-year-old attending a psychiatric outpatient clinic. Mary believes that her husband, sister, and son cause her problems. Listening to Mary describe the problems, the nurse displays therapeutic communication in which response? "I understand you are in a difficult situation." 3 multiple choice options A registered nurse is caring for an older male who reports depressive symptoms since his wife of 54 years died suddenly. He cries, maintains closed body posture, and avoids eye contact. Which nursing action describes attending behavior? Sitting with the patient and taking cues for when to talk or when to remain silent 3 multiple choice options A male patient frequently inquires about the female student nurse's boyfriend, social activities, and school experiences. Which is the best initial response by the student? She limits sharing personal information and stresses the patient-centered focus of the conversation. 3 multiple choice options Morgan is a third-year nursing student in her psychiatric clinical rotation. She is assigned to an 80-year-old widow admitted for major depressive disorder. The patient describes many losses and sadness. Morgan becomes teary and says meaningfully, "I am so sorry for you." Morgan's instructor overhears the conversation and says, "I understand that getting tearful is a human response. Yet, sympathy isn't helpful in this field." The instructor urges Morgan to focus on: "Using empathy to demonstrate respect and validation of the patient's feelings" 3 multiple choice options Emily is a 28-year-old nurse who works on a psychiatric unit. She is assigned to work with Jenna, a 27-year-old who was admitted with major depressive disorder. Emily and Jenna realize that they graduated from the same high school and each has a 2-year-old daughter. Emily and Jenna discuss getting together for a play date with their daughters after Jenna is discharged. This situation reflects: Boundary blurring 3 multiple choice options Which statement made by the nurse demonstrates the best understanding of nonverbal communication? "When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response." 3 multiple choice options Which nursing statement is an example of reflection? "You look sad." 3 multiple choice options When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient? Change of shift report 3 multiple choice options During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply. a. Auditory b. Visual c. Written d. Tactile e. Olfactory ABDE 3 multiple choice options What principle about nurse-patient communication should guide a nurse's fear about "saying the wrong thing" to a patient? Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation. 3 multiple choice options You have been working closely with a patient for the past month. Today, he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic? "You say you look forward to the meeting, but you appear anxious or unhappy." 3 multiple choice options Which student behavior is consistent with therapeutic communication? Summarizing the essence of the patient's comments in your own words. 3 multiple choice options James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for your day shift and anxiously reports, "Last night, demons came to my room and tried to rape me." Which response would be most therapeutic? "You seem upset. Please tell me more about what you experienced last night." 3 multiple choice options Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic? Asking "why" questions 3 multiple choice options Carolina is surprised when her patient does not show up for a regularly scheduled appointment. When contacted, the patient states, "I don't need to come see you anymore. I have found a therapy app on my phone that I love." How should Carolina respond to this news? "That sounds exciting, would you be willing to visit and show me the app?" Q: Risk factors for anorexia nervosa Answer Genetic predisposition; female gender; cognitive behavioral theorist; cultural influence Q: Addiction Answer Unable to consistently abstain from substance or activity Q: Intoxication Answer Under the influence; high Q: Tolerance Answer When a person no longer responds to the drug as they initially did Q: Withdrawal Answer Physiological symptoms that occur when a person stops using a substance; can be specific to the substance, mild-life threatening Q: Substance use disorders Answer Impaired control, social impairment, risky use, and physical effects Q: Prescription schedule I drugs Answer High potential for abuse; no acceptable medical use Q: Prescription schedule II drugs Answer High potential for abuse; considered dangerous and only available by prescription Q: Prescription schedule III drugs Answer Low to moderate potential for misuse; available only by prescription Q: Prescription schedule IV drugs Answer Low risk and available by prescription Q: Prescription schedule V drugs Answer Contain limited quantities of narcotics Q: Risk factors for substance abuse Answer Genetics, dopamine and GABA have been linked, environmental, sociocultural Q: Symptoms of opioid use disorder Answer Psychomotor retardation; drowsiness; slurred speech; altered mood; impaired memory; attention; pupillary constriction Q: Opioid withdrawals Answer Mood dysphoria; N/V; lacrimation; rhinorrhea; pupillary dilation; yawning; piloerection; muscle cramps; "pill sick" Q: Methadone Answer Used to decrease painful withdrawal sx; blocks euphoric effects Q: Buprenorphine Answer Helps reduce or quit use of opioids; opioid partial agonist; does produce euphoria or decreased respirations Q: Naltrexone Answer Prevention of relapse; blocks euphoric and sedative effects Q: Naltrexone SE Answer Weakness, tiredness, insomnia, increased thirst, anxiety, nervousness, restlessness, irritability, muscle and joint aches, decreased sex drive Q: Alcohol withdrawal sx 6-8 hours after cessation Answer Tremor; agitation; anorexia; increased HR, temp, & BP Q: Alcohol withdrawal sx 8-10 hours after cessation Answer Psychotic & perceptual distortion; psychosis = medical emergency Q: Alcohol withdrawal sx 12-24 hours after cessation Answer Withdrawal seizure Q: Alcohol withdrawal sx anytime 72 hours after cessation Answer Alcohol withdrawal delirium = emergency Tachycardia, diaphoresis, fever, HTN, visual/tactile hallucinations Q: Wernicke-Korsakoff encephalopathy Answer Short-term disturbance; acute and reversible Q: Wernicke-Korsakoff syndrome Answer Chronic, only 20 % recover Q: Medications used for alcohol abuse disorder Answer Disulfiram (antabuse) Naltrexone (vivitrol) Acamprosate calcium (camprel)