EXAM 1 mental health questions and answers

healthcare




EXAM 1
Answer Key
Question 1
Which is true regarding mental health and mental illness?
Correct response:

 In most cases, mental health is a state of emotional, psychological, and
social wellness evidenced by satisfying interpersonal relationships, effective
behavior and coping, positive self-concept, and emotional stability.

Question 2
Until the onset of the Renaissance, the general population held which belief
regarding the presence of sickness?
Correct response:

 It was punishment for sins and wrongdoing.

Question 3
The goal of the deinstitutionalization movement was to achieve which outcome?
Correct response:

 Move psychiatric clients out of the hospitals and into the community in an
effort to provide a better quality of life for them.

Question 4
Which problems can arise during the working phase of a nurse-client relationship
that serve to impair the therapeutic work? Select all that apply.
Correct response:

 The client struggles with expressing feelings
 The client demonstrates dependence on the group
 The nurse demonstrates evidence of countertransference

,Question 5
A psychiatric-mental health nurse is engaging in active listening with a client. Which
technique would the nurse most likely use? Select all that apply.
Correct response:

 Responding indirectly to statements
 Using open-ended statements
 Concentrating fully on what the client says

Question 6
Which is an example of an open group? Select all that apply.
Correct response:

 Support
 Psychoeducation

Question 7
A psychiatric-mental health nurse is working with several clients and decides to use
silence during the interaction. In which situation would it be therapeutically
appropriate to use silence? Select all that apply.
Correct response:

 Client who is experiencing depression
 Client who is lost in own thoughts
 Client who is constructing a response
 Client who is pondering the question

Question 8
A client with a psychiatric illness is being discharged from the hospital. What does
the nurse include in the discharge teaching to help prevent relapse in the client?
Select all that apply.
Correct response:

 Symptoms of the psychiatric illness
 Establishment of a daily routine for the client
 Schedule for follow-up treatment

,Question 9
Which concept(s) can the nurse utilize in development of a positive nurse-client
relationship? Select all that apply.
Correct response:

 empathic linkage
 unconditional positive regard
 caritas processes

Question 10
When the client asks the nurse how long it will take before the selective serotonin
reuptake inhibitor (SSRI) antidepressant medication will be effective, which reply
is most accurate and therapeutic?
Correct response:

 “You will have gradual improvement in symptoms over the next few weeks,
but the changes may be so subtle that you may not notice them for a while. It
is important for you to keep taking the medication.”

Question 11
The client tells the nurse, "I'm frightened about my surgery tomorrow." What
response by the nurse is best?
Correct response:

 "Can you tell me what frightens you?"

Question 12
While working on the unit, a nurse overhears another nurse colleague talking with
several staff members about a client who is of Asian descent. During the
conversation, the nurse says, "Asians are always so intelligent." The observing nurse
interprets this statement as what?
Correct response:

 Stereotyping

Question 13

, What is meant by the term "revolving door effect" in mental health care?
Correct response:

 Shorter and more frequent hospital stays for persons with severe and
persistent mental illness

Question 14
Chlorpromazine is a drug in which classification?
Correct response:

 Antipsychotic

Question 15
A nurse is studying the positron emission tomography (PET) report of a client with
Alzheimer’s disease. What findings should the nurse expect to find in the report?
Select all that apply.
Correct response:

 Decreased blood flow to the brain
 Presence of amyloid plaques and tangles
 Decreased glucose metabolism in the brain

Question 16
Which antidepressant is potentially lethal in overdose?
Correct response:

 Phenelzine

Question 17
A nurse is preparing a continuing education presentation about various
psychopharmacologic agents for a group of psychiatric–mental health nurses. The
nurse is planning to discuss selective serotonin reuptake inhibitors. Which agents
would the nurse include in this group? Select all that apply.
Correct response:

 fluoxetine
 sertraline