NURSING 2230 MH Final stuff.
1. Common initial biological responses to stress and anxiety
A patient presents in the Emergency Department immediately following a shooting incident in a school where she
has been teaching. There is no evidence of physical injury, but she appears very hyperactive and talkative. Which of
these symptoms manifested by the patient are common initial biological responses to stress? Select all that apply.
A. Constricted pupils
B. Watery eyes
C. Unusual food cravings
D. Increased heart rate
E. Increased
respirations
2. Be able to recognize accurate statements regarding cultural aspects of mental illness
Which of the following are cultural aspects of mental illness? Select all that apply.
A. Local or cultural norms define pathological behavior.
B. The higher the social class the greater the recognition of mental illness behaviors.
C. Psychiatrists typically see patients when the family can no longer deny the illness.
D. The greater the cultural distance from the mainstream of society, the greater the likelihood that the
illness will be treated with sensitivity and compassion.
3. Behaviors that indicate the client is experiencing moderate anxiety
A nurse is assessing a client who appears to be experiencing moderate anxiety during questioning. Which symptoms
might the client demonstrate? Select all that apply.
A. Fidgeting
B. Laughing inappropriately
C. Palpitations
D. Nail biting
E. Extremely limited attention span
4. Know what is determined by the degree to which thoughts, feelings, and behaviors
interfere with an individual’s functioning
At what point should the nurse determine that a client is at risk for developing a mental disorder?
A. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria
B. When maladaptive responses to stress are coupled with interference in daily functioning
C. When the client communicates significant distress
D. When the client uses defense mechanisms as ego protection
, Which of the following is determined by the degree to which thoughts, feelings, and behaviors interfere
with an individual’s functioning?
a. Anxiety
b. Defense mechanisms
c. Mental health
d. Adaption
5. Know the terms, *Anticipatory grief, Bereavement, *Depression, and Resolution
A stockbroker commits suicide after being convicted of insider trading. In speaking with the family, which
statement by the nurse demonstrates accurate and appropriate sharing of information?
A. Your grieving will subside within 1 year; until then I recommend antidepressants.
B. Support groups are available specifically for survivors of suicide, and I would be glad to help
you locate one in this area.
C. The only way to deal effectively with this kind of grief is to write a letter to the brokerage firm
to express your anger with them.
D. Since stigmatization often occurs in these situations, it would be best if you avoid discussing
the suicide with anyone.
Bereavement following suicide is complicated by the complex psychological impact of the act on those
close to the victim. Support groups for survivors can provide a meaningful resource for grief work.
A nurse should recognize that a decrease in norepinephrine levels would play a significant role in which mental
illness?
A. Mania
B. Schizophrenia
C. Anxiety
D. Depression
A client requests information on several medications in order to make an informed choice about management
of depression. A nurse should provide this information to facilitate which ethical principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
A depressed client reports to a nurse a history of divorce, job loss, family estrangement, and cocaine abuse.
According to learning theory, what is the cause of this clients symptoms?
A. Depression is a result of anger turned inward.
B. Depression is a result of abandonment.
C. Depression is a result of repeated failures.
D. Depression is a result of negative thinking.
Learning theory describes a model of learned helplessness in which multiple life failures cause the client to
abandon future attempts to succeed.
What is the priority reason for a nurse to perform a full physical health assessment on a client admitted with a
, diagnosis of major depressive disorder?
A. The attention during the assessment is beneficial in decreasing social isolation.
B. Depression is a symptom of several medical conditions.
C. Physical health complications are likely to arise from antidepressant therapy.
D. Depressed clients avoid addressing physical health and ignore medical problems.
Medical conditions such as hormone disturbances, electrolyte disturbances, and nutritional deficiencies may
produce symptoms of depression. These are a priority to identify and treat, since they may be the cause of the
depressive symptoms and represent physiological needs.
A client diagnosed with generalized anxiety states, I know the best thing for me to do now is to just forget my
worries. How should the nurse evaluate this statement?
A. The client is developing insight.
B. The clients coping skills are improving.
C. The client has a distorted perception of problem resolution.
D. The client is meeting outcomes and moving toward discharge.
What is the main goal of the working phase of the nurse client therapeutic relationship?
A. Role modeling to improve interaction with others
B. Resolution of the clients problems
C. Using therapeutic communication to clarify perceptions
D. Helping the client access outpatient treatment
6. Know when to administer a drug prescribed as “prn for EPS.”
The nurse manager on the psychiatric unit was explaining to the new staff the differences between
typical and atypical antipsychotics. The nurse correctly states that atypical antipsychotics:
A. Remain in the system longer
B. Act more quickly to reduce delusions
C. Produce fewer extrapyramidal effects
D. Are risk free for neuroleptic malignant syndrome
(NMS) By which mechanism do SSRI medications improve
a. Destroying increased amounts of serotonin
depression?
b. Making more serotonin available at the synaptic gap
c. Increasing production of acetylcholine and dopamine
d. Blocking muscarinic and á1 norepinephrine receptors
Depression is thought to be related to lowered availability of the neurotransmitter serotonin. SSRIs act by
blocking reuptake of serotonin, leaving a higher concentration available at the synaptic cleft. SSRIs prevent
, destruction of serotonin. SSRIs have little or no effect on acetylcholine and dopamine production. SSRIs do not
1. Common initial biological responses to stress and anxiety
A patient presents in the Emergency Department immediately following a shooting incident in a school where she
has been teaching. There is no evidence of physical injury, but she appears very hyperactive and talkative. Which of
these symptoms manifested by the patient are common initial biological responses to stress? Select all that apply.
A. Constricted pupils
B. Watery eyes
C. Unusual food cravings
D. Increased heart rate
E. Increased
respirations
2. Be able to recognize accurate statements regarding cultural aspects of mental illness
Which of the following are cultural aspects of mental illness? Select all that apply.
A. Local or cultural norms define pathological behavior.
B. The higher the social class the greater the recognition of mental illness behaviors.
C. Psychiatrists typically see patients when the family can no longer deny the illness.
D. The greater the cultural distance from the mainstream of society, the greater the likelihood that the
illness will be treated with sensitivity and compassion.
3. Behaviors that indicate the client is experiencing moderate anxiety
A nurse is assessing a client who appears to be experiencing moderate anxiety during questioning. Which symptoms
might the client demonstrate? Select all that apply.
A. Fidgeting
B. Laughing inappropriately
C. Palpitations
D. Nail biting
E. Extremely limited attention span
4. Know what is determined by the degree to which thoughts, feelings, and behaviors
interfere with an individual’s functioning
At what point should the nurse determine that a client is at risk for developing a mental disorder?
A. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria
B. When maladaptive responses to stress are coupled with interference in daily functioning
C. When the client communicates significant distress
D. When the client uses defense mechanisms as ego protection
, Which of the following is determined by the degree to which thoughts, feelings, and behaviors interfere
with an individual’s functioning?
a. Anxiety
b. Defense mechanisms
c. Mental health
d. Adaption
5. Know the terms, *Anticipatory grief, Bereavement, *Depression, and Resolution
A stockbroker commits suicide after being convicted of insider trading. In speaking with the family, which
statement by the nurse demonstrates accurate and appropriate sharing of information?
A. Your grieving will subside within 1 year; until then I recommend antidepressants.
B. Support groups are available specifically for survivors of suicide, and I would be glad to help
you locate one in this area.
C. The only way to deal effectively with this kind of grief is to write a letter to the brokerage firm
to express your anger with them.
D. Since stigmatization often occurs in these situations, it would be best if you avoid discussing
the suicide with anyone.
Bereavement following suicide is complicated by the complex psychological impact of the act on those
close to the victim. Support groups for survivors can provide a meaningful resource for grief work.
A nurse should recognize that a decrease in norepinephrine levels would play a significant role in which mental
illness?
A. Mania
B. Schizophrenia
C. Anxiety
D. Depression
A client requests information on several medications in order to make an informed choice about management
of depression. A nurse should provide this information to facilitate which ethical principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
A depressed client reports to a nurse a history of divorce, job loss, family estrangement, and cocaine abuse.
According to learning theory, what is the cause of this clients symptoms?
A. Depression is a result of anger turned inward.
B. Depression is a result of abandonment.
C. Depression is a result of repeated failures.
D. Depression is a result of negative thinking.
Learning theory describes a model of learned helplessness in which multiple life failures cause the client to
abandon future attempts to succeed.
What is the priority reason for a nurse to perform a full physical health assessment on a client admitted with a
, diagnosis of major depressive disorder?
A. The attention during the assessment is beneficial in decreasing social isolation.
B. Depression is a symptom of several medical conditions.
C. Physical health complications are likely to arise from antidepressant therapy.
D. Depressed clients avoid addressing physical health and ignore medical problems.
Medical conditions such as hormone disturbances, electrolyte disturbances, and nutritional deficiencies may
produce symptoms of depression. These are a priority to identify and treat, since they may be the cause of the
depressive symptoms and represent physiological needs.
A client diagnosed with generalized anxiety states, I know the best thing for me to do now is to just forget my
worries. How should the nurse evaluate this statement?
A. The client is developing insight.
B. The clients coping skills are improving.
C. The client has a distorted perception of problem resolution.
D. The client is meeting outcomes and moving toward discharge.
What is the main goal of the working phase of the nurse client therapeutic relationship?
A. Role modeling to improve interaction with others
B. Resolution of the clients problems
C. Using therapeutic communication to clarify perceptions
D. Helping the client access outpatient treatment
6. Know when to administer a drug prescribed as “prn for EPS.”
The nurse manager on the psychiatric unit was explaining to the new staff the differences between
typical and atypical antipsychotics. The nurse correctly states that atypical antipsychotics:
A. Remain in the system longer
B. Act more quickly to reduce delusions
C. Produce fewer extrapyramidal effects
D. Are risk free for neuroleptic malignant syndrome
(NMS) By which mechanism do SSRI medications improve
a. Destroying increased amounts of serotonin
depression?
b. Making more serotonin available at the synaptic gap
c. Increasing production of acetylcholine and dopamine
d. Blocking muscarinic and á1 norepinephrine receptors
Depression is thought to be related to lowered availability of the neurotransmitter serotonin. SSRIs act by
blocking reuptake of serotonin, leaving a higher concentration available at the synaptic cleft. SSRIs prevent
, destruction of serotonin. SSRIs have little or no effect on acetylcholine and dopamine production. SSRIs do not
