NSG 3450. MENTAL HEALTH EXAM 1 REVIEW QUESTIONS
AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+
A client states, "I'm starting cognitive-behavioral therapy. What can I expect from
the sessions?" Which responses by the nurse would be appropriate? (Select all that
apply.)
a. "The therapist will be active and questioning."
b. "You will be given some homework assignments."
c. "The therapist will ask you to describe your dreams."
d. "The therapist will help you look at your ideas and beliefs about yourself."
e. "The goal is to increase subjectivity about thoughts that govern your behavior." -
ANS... -a. "The therapist will be active and questioning."
b. "You will be given some homework assignments."
d. "The therapist will help you look at your ideas and beliefs about yourself."
Which comments by an elderly person best indicate successful completion of the
individual's psychosocial developmental task? (Select all that apply.)
a. "I am proud of my children's successes in life."
b. "I should have given to community charities more often."
c. "My relationship with my father made life more difficult for me."
d. "My experiences in the war helped me appreciate the meaning of life."
e. "I often wonder what would have happened if I had chosen a different career." -
ANS... -a. "I am proud of my children's successes in life."
d. "My experiences in the war helped me appreciate the meaning of life."
Which comments by an adult best indicate self-actualization? (Select all that
apply.)
a. "I am content with a good book."
b. "I often wonder if I chose the right career."
c. "Sometimes I think about how my parents would have handled problems."
d. "It's important for our country to provide basic health care services for
everyone."
e. "When I was lost at sea for 2 days, I gained an understanding of what is
important." - ANS... -a. "I am content with a good book."
,d. "It's important for our country to provide basic health care services for
everyone."
e. "When I was lost at sea for 2 days, I gained an understanding of what is
important."
Which activities represent the caring foundation of nursing? (Select all that apply.)
a. Administering medications on time to a group of clients
b. Listening to a new widow grieve her husband's death
c. Helping a client obtain groceries from a food bank
d. Teaching a client about a new medication
e. Holding the hand of a frightened client - ANS... -b. Listening to a new widow
grieve her husband's death
c. Helping a client obtain groceries from a food bank
e. Holding the hand of a frightened client
Which therapies involve electrical brain stimulation for treatment of mental
illness? (Select all that apply.)
a. Aversion therapy
b. Operant conditioning
c. Systematic desensitization
d. Electroconvulsive therapy (ECT)
e. Transcranial magnetic stimulation (TMS) - ANS... -d. Electroconvulsive therapy
(ECT)
e. Transcranial magnetic stimulation (TMS)
In-client hospitalization for persons with mental illness is generally reserved for
clients who demonstrate which characteristic?
a. present a clear danger to self or others.
b. are noncompliant with medication at home.
c. have limited support systems in the community.
d. develop new symptoms during the course of an illness. - ANS... -a. present a
clear danger to self or others.
A client was hospitalized for 24 hours after a reaction to a psychotropic
medication. While planning discharge, the case manager learned that the client
received a notice of eviction immediately prior to admission. What is the case
manager's most appropriate action?
,a. Postpone the client's discharge from the hospital.
b. Contact the landlord who evicted the client to further discuss the situation.
c. Arrange a temporary place for the client to stay until new housing can be
arranged.
d. Determine whether the adverse medication reaction was genuine because the
client had
nowhere to live. - ANS... -c. Arrange a temporary place for the client to stay until
new housing can be arranged.
What action is an example of tertiary prevention?
a. Helping a person diagnosed with a serious mental illness learn to manage money
b. Restraining an agitated client who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
d. Genetic counseling with a young couple expecting their first child - ANS... -a.
Helping a person diagnosed with a serious mental illness learn to manage money
A client diagnosed with schizophrenia had an exacerbation related to medication
nonadherence and was hospitalized for 5 days. The client's thoughts are now more
organized, and discharge is planned. The client's family says, "It's too soon for
discharge. We will just go through all this again." What action should the nurse
take?
a. ask the case manager to arrange a transfer to a long-term care facility.
b. notify hospital security to handle the disturbance and escort the family off the
unit.
c. explain that the client will continue to improve if the medication is taken
regularly.
d. contact the health care provider to meet with the family and explain the
discharge
rationale. - ANS... -c. explain that the client will continue to improve if the
medication is taken regularly.
The scope of practiced for an advanced nurse practitioner would include which
intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan. - ANS... -b. Prescribing psychotropic
medication.
, A nursing student expresses concerns that mental health nurses "lose all their
clinical
nursing skills." Select the best response by the mental health nurse.
a. "Psychiatric nurses practice in safer environments than other specialties. Nurse-
to client ratios must be better because of the nature of the clients' problems."
b. "Psychiatric nurses use complex communication skills as well as critical
thinking to solve multidimensional problems. I am challenged by those situations."
c. "That's a misconception. Psychiatric nurses frequently use high technology
monitoring
equipment and manage complex intravenous therapies."
d. "Psychiatric nurses do not have to deal with as much pain and suffering as
medical-
surgical nurses do. That appeals to me." - ANS... -b. "Psychiatric nurses use
complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations."
When a new bill introduced in Congress reduces funding for care of persons
diagnosed with mental illness, a group of nurses write letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice - ANS... -c. Advocacy
A family has a long history of conflicted relationships among the members. Which
family member's comment best reflects a mentally healthy perspective?
a. "I've made mistakes but everyone else in this family has also."
b. "I remember joy and mutual respect from our early years together."
c. "I will make some changes in my behavior for the good of the family."
d. "It's best for me to move away from my family. Things will never change." -
ANS... -c. "I will make some changes in my behavior for the good of the family."
Which assessment finding most clearly indicates that a client may be experiencing
a mental illness?
a. reporting occasional sleeplessness and anxiety.
AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+
A client states, "I'm starting cognitive-behavioral therapy. What can I expect from
the sessions?" Which responses by the nurse would be appropriate? (Select all that
apply.)
a. "The therapist will be active and questioning."
b. "You will be given some homework assignments."
c. "The therapist will ask you to describe your dreams."
d. "The therapist will help you look at your ideas and beliefs about yourself."
e. "The goal is to increase subjectivity about thoughts that govern your behavior." -
ANS... -a. "The therapist will be active and questioning."
b. "You will be given some homework assignments."
d. "The therapist will help you look at your ideas and beliefs about yourself."
Which comments by an elderly person best indicate successful completion of the
individual's psychosocial developmental task? (Select all that apply.)
a. "I am proud of my children's successes in life."
b. "I should have given to community charities more often."
c. "My relationship with my father made life more difficult for me."
d. "My experiences in the war helped me appreciate the meaning of life."
e. "I often wonder what would have happened if I had chosen a different career." -
ANS... -a. "I am proud of my children's successes in life."
d. "My experiences in the war helped me appreciate the meaning of life."
Which comments by an adult best indicate self-actualization? (Select all that
apply.)
a. "I am content with a good book."
b. "I often wonder if I chose the right career."
c. "Sometimes I think about how my parents would have handled problems."
d. "It's important for our country to provide basic health care services for
everyone."
e. "When I was lost at sea for 2 days, I gained an understanding of what is
important." - ANS... -a. "I am content with a good book."
,d. "It's important for our country to provide basic health care services for
everyone."
e. "When I was lost at sea for 2 days, I gained an understanding of what is
important."
Which activities represent the caring foundation of nursing? (Select all that apply.)
a. Administering medications on time to a group of clients
b. Listening to a new widow grieve her husband's death
c. Helping a client obtain groceries from a food bank
d. Teaching a client about a new medication
e. Holding the hand of a frightened client - ANS... -b. Listening to a new widow
grieve her husband's death
c. Helping a client obtain groceries from a food bank
e. Holding the hand of a frightened client
Which therapies involve electrical brain stimulation for treatment of mental
illness? (Select all that apply.)
a. Aversion therapy
b. Operant conditioning
c. Systematic desensitization
d. Electroconvulsive therapy (ECT)
e. Transcranial magnetic stimulation (TMS) - ANS... -d. Electroconvulsive therapy
(ECT)
e. Transcranial magnetic stimulation (TMS)
In-client hospitalization for persons with mental illness is generally reserved for
clients who demonstrate which characteristic?
a. present a clear danger to self or others.
b. are noncompliant with medication at home.
c. have limited support systems in the community.
d. develop new symptoms during the course of an illness. - ANS... -a. present a
clear danger to self or others.
A client was hospitalized for 24 hours after a reaction to a psychotropic
medication. While planning discharge, the case manager learned that the client
received a notice of eviction immediately prior to admission. What is the case
manager's most appropriate action?
,a. Postpone the client's discharge from the hospital.
b. Contact the landlord who evicted the client to further discuss the situation.
c. Arrange a temporary place for the client to stay until new housing can be
arranged.
d. Determine whether the adverse medication reaction was genuine because the
client had
nowhere to live. - ANS... -c. Arrange a temporary place for the client to stay until
new housing can be arranged.
What action is an example of tertiary prevention?
a. Helping a person diagnosed with a serious mental illness learn to manage money
b. Restraining an agitated client who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
d. Genetic counseling with a young couple expecting their first child - ANS... -a.
Helping a person diagnosed with a serious mental illness learn to manage money
A client diagnosed with schizophrenia had an exacerbation related to medication
nonadherence and was hospitalized for 5 days. The client's thoughts are now more
organized, and discharge is planned. The client's family says, "It's too soon for
discharge. We will just go through all this again." What action should the nurse
take?
a. ask the case manager to arrange a transfer to a long-term care facility.
b. notify hospital security to handle the disturbance and escort the family off the
unit.
c. explain that the client will continue to improve if the medication is taken
regularly.
d. contact the health care provider to meet with the family and explain the
discharge
rationale. - ANS... -c. explain that the client will continue to improve if the
medication is taken regularly.
The scope of practiced for an advanced nurse practitioner would include which
intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan. - ANS... -b. Prescribing psychotropic
medication.
, A nursing student expresses concerns that mental health nurses "lose all their
clinical
nursing skills." Select the best response by the mental health nurse.
a. "Psychiatric nurses practice in safer environments than other specialties. Nurse-
to client ratios must be better because of the nature of the clients' problems."
b. "Psychiatric nurses use complex communication skills as well as critical
thinking to solve multidimensional problems. I am challenged by those situations."
c. "That's a misconception. Psychiatric nurses frequently use high technology
monitoring
equipment and manage complex intravenous therapies."
d. "Psychiatric nurses do not have to deal with as much pain and suffering as
medical-
surgical nurses do. That appeals to me." - ANS... -b. "Psychiatric nurses use
complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations."
When a new bill introduced in Congress reduces funding for care of persons
diagnosed with mental illness, a group of nurses write letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice - ANS... -c. Advocacy
A family has a long history of conflicted relationships among the members. Which
family member's comment best reflects a mentally healthy perspective?
a. "I've made mistakes but everyone else in this family has also."
b. "I remember joy and mutual respect from our early years together."
c. "I will make some changes in my behavior for the good of the family."
d. "It's best for me to move away from my family. Things will never change." -
ANS... -c. "I will make some changes in my behavior for the good of the family."
Which assessment finding most clearly indicates that a client may be experiencing
a mental illness?
a. reporting occasional sleeplessness and anxiety.
