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NUR 513 WEEK 6 QUIZ

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MENTAL HESI EXAM QUESTIONS & ANSWERS Practice exam 1. A 30-year-old sales manager tells the nurse, "I am thinking about a job change. I don't feel like I am living up to my potential." Which of Maslow's developmental stages is the sales manager attempting to achieve? A. Self-Actualization. Correct B. Loving and Belonging. C. Basic Needs. D. Safety and Security. Self-actualization is the highest level of Maslow's development stages, which is an attempt to fulfill one's full potential (C). (B) is identifying support systems. (C) is the first level of Maslow's developmental stages and is the foundation upon which higher needs rest. Individuals who feel safe and secure (D) in their environment perceive themselves as having physical safety and lack fear of harm. 2. The nurse observes a client who is admitted to the mental health unit and identifies that the client is talking continuously, using words that rhyme but that have no context or relationship with one topic to the next in the conversation. This client's behavior and thought processes are consistent with which syndrome? A. Dementia. B. Depression. C. Schizophrenia. Correct D. Chronic brain syndrome. The client is demonstrating symptoms of schizophrenia (C), such as disorganized speech that may include word salad (communication that includes both real and imaginary words in no logical order), incoherent speech, and clanging (rhyming). Dementia (A) is a global impairment of intellectual (cognitive) functions that may be progressive, such as Alzheimer's or organic brain syndrome (D). Depression (C) is typified by psychomotor retardation, and the client appears to be slowed down in movement, in speech, and would appear listless and disheveled. 3. A homeless person who is in the manic phase of bipolar disorder is admitted to the mental health unit. Which laboratory finding obtained on admission is most important for the nurse to report to the healthcare provider? A. Decreased thyroid stimulating hormone level. Correct B. Elevated liver function profile. C. Increased white blood cell count. D. Decreased hematocrit and hemoglobin levels. Hyperthyroidism causes an increased level of serum thyroid hormones (T3 and T4), which inhibit the release of TSH (A), so the client's manic behavior may be related to an endocrine disorder. (B, C, and D) are abnormal findings that are commonly found in the homeless population because of poor sanitation, poor nutrition, and the prevalence of substance abuse. 4. An adult male client who was admitted to the mental health unit yesterday tells the nurse that microchips were planted in his head for military surveillance of his every move. Which response is best for the nurse to provide? A. You are in the hospital, and I am the nurse caring for you. B. It must be difficult for you to control your anxious feelings. C. Go to occupational therapy and start a project. Correct D. You are not in a war area now; this is the United States. Delusions often generate fear and isolation, so the nurse should help the client participate in activities that avoid focusing on the false belief and encourage interaction with others (C). Delusions are often well-fixed, and though (A) reinforces reality, it is argumentative and dismisses the client's fears. It is often difficult for the client to recognize the relationship between delusions and anxiety (B), and the nurse should reassure the client that he is in a safe place. Dismissing delusional thinking (D) is unrealistic because neurochemical imbalances that cause positive symptoms of schizophrenia require antipsychotic drug therapy. 5. The nurse is assessing a client's intelligence. Which factor should the nurse remember during this part of the mental status exam? A. Acute psychiatric illnesses impair intelligence. B. Intelligence is influenced by social and cultural beliefs. Correct C. Poor concentration skills suggests limited intelligence. D. The inability to think abstractly indicates limited intelligence. Social and cultural beliefs (B) have significant impact on intelligence. Chronic psychiatric illness may impair intelligence (A), especially if it remains untreated. Limited concentration does not suggest limited intelligence (C). Difficulties with abstractions are suggestive of psychotic thinking (D), not limited intelligence.

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NUR 513 WEEK 6 QUIZ
The correct way to present the information for a book title
in an APA reference page is:
Robbins, S. P., & Judge, T. A. (2010). Essentials of
organizational behavior (10th ed.). Danvers, MA: Prentice Hall.
Robbins, S. P., & Judge, T. A. (2010). Essentials of
Organizational Behavior (10th ed.). Danvers, MA: Prentice
Hall.
Robbins, S. P., et al. (2010). Essentials of Organizational
Behavior (10th edition). Danvers, MA: Prentice Hall.
Robbins, S. P., & Judge, T. A. (2010). Essentials of
Organizational Behavior (10th edition). Danvers, MA: Prentice Hall.
2
Where can you find APA resources in the GCU
Library’s Nursing & Health Sciences Library Guide?
Find Books
Agencies & Associations
Citing Sources
Contact the Library
3
Use the “Find Journals by Title” function to find
the 2014 Nurse Leader article “Using Evidence-Based Advocacy to Improve
the Nation’s Health.” According to the article abstract, which
organization uses evidence-based advocacy to “positively impact the
nation’s health and advance the nursing profession”?
American Academy of Nursing
Commission on Collegiate Nursing
Education Arizona Academy of Nursing
American Nurses
Association 4

,Caldwell and Hayes published an excellent paper in the 2007
issue of the Journal of Management Development and you would like to summarize
a claim from this resource. Which of the following represents the correct APA
in-text citation format?
Great leaders achieve their success because they understand
who they are.
Great leaders achieve their success because they understand
who they are (Journal of Management Development, 2007).
Great leaders achieve their success because they understand
who they are (2007).
Great leaders achieve their success because they understand
who they are (Caldwell & Hayes, 2007).
5
On page 263 of Caldwell and Hayes’ paper published in 2007,
they talked about some ideas they took from Likert’s work. This is the
original excerpt from their paper: “Relationship development behaviors
encompass a people-centered focus on leadership (Likert, 1961).” Which of
the below
best represents how this sentence should be quoted in an APA-formatted student
paper?
“Relationship development behaviors encompass a
people-centered focus on leadership (Likert,
1961)”.
“Relationship development behaviors encompass a
people-centered focus on leadership” (Caldwell & Hayes, 2007).
“Relationship development behaviors encompass a
people-centered focus on leadership” (Likert, 1961, p. 263).
“Relationship development behaviors encompass a
people-centered focus on leadership” (Likert as cited in Caldwell &
Hayes, 2007, p. 263).
6
When a reference material has three or more authors (for
example, a 2008 article by Smith, Jones, and Johnson):

, Use (Smith, Jones, & Johnson, 2008) in-text.
Use (Smith et al., 2008) all the time in the paper and
on the reference list.
Use (Smith et al., 2008) all the time in the paper, but list
all of the authors on the reference list Smith, Jones, & Johnson, 2008).
Use all the authors on the reference list: Smith, A., Jones,
F., & Johnson, J. (2008). Use all the authors when citing for the first
time in the body of the paper (Smith, Jones, & Johnson, 2008). After that,
you can use (Smith et al., 2008) in the body of the paper.
7
The Nursing & Health Science LibGuides page does not
offer which of the following resources?
A list of prescreened articles that are perfectly
appropriate for every assignment
Recommended databases for subject-specific article searches
A printable resource guide with quick tips for conducting
research
Contact information for the LibGuides’
Librarian 8
You are writing an essay and would like to direct the reader
to a specific article. The article is in the 86th volume of Journal of
Counseling and Development, written by Glenn W. Lambie, Shari M. Sias, Keith M.
Davis, Gerald Lawson, and Patrick Akos. It was called “A Scholarly Writing
Resource for Counselor Educators and Their Students.” It is an article
that came out in the Winter 2008 issue (the journal’s first issue of that
year), on pages 18-25. The information in the article should be presented
on the reference page as:
Lambie, G. et al. (2008). A Scholarly Writing Resource for
Counselor Educators and Their Students. Journal of Counseling and Development,
86(1), 18-25.

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