Test Bank For The Psychiatric Interview 4th Edition Carlat |
9781496327710
What's the DSM-5? - ANSWER: It's a publication from the APA - the official guidelines in diagnosing
psychiatric disorders
- Serves as a medical psychiatric assessment system.
- Outlines clinical criteria for 157 disorders.
- Influenced by clinical mental health epidemiology studies & includes statistics.
- Ordered developmentally
What two mental disorders are found throughout the world and across different cultures? - ANSWER:
Schizophrenia
Bipolar Disorder
Current information suggests that the most disabling mental disorders are the result of
_______________ influences. - ANSWER: biological
A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A client with a
history of paranoia asks, "What does that title mean?" The nurse responds best by answering:
A. "Don't be afraid; it means I'm here to help, not hurt, you."
B. "Psychiatric mental health nurses care for people with mental illnesses."
C. "We have the specialized skills needed to care for those with mental illnesses."
D. "The nurses who work in mental health facilities have that title." - ANSWER: C. "We have the
specialized skills needed to care for those with mental illnesses."
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cultures.
B. Culture may cause variations in symptoms for each clinical disorder.
C. All mental disorders listed in the DSM-5 are seen in all other cultures.
D. Psychiatric diagnoses are listed in separately from other physical disorders in a five axes system. -
ANSWER: B. Culture may cause variations in symptoms for each clinical disorder.
Rate the prevalence over last twelve months of these disorders from most prevalent to least:
Generalized Anxiety Disorder
Major Depressive Disorder
Panic Disorder
Schizophrenia
OCD
PTSD
Bipolar Disorder
Social Phobia
All Specific Phobias
All Personality Disorders
Anxiety Disorders
substance abuse
Alcohol Dependance - ANSWER: 18.1% All Anxiety Disorders
9.5% All Personality Disorders
9.4% substance abuse
6.8% Social Phobia
6.7% Major Depressive Disorder
6.3% Alcohol Dependance
3.5% PTSD
,3.1% Generalized Anxiety Disorder
2.7% Panic Disorder
2.6% Bipolar Disorder
1.1% Schizophrenia
1.0% OCD
A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is
going to kill me." The nurse assesses that this patient is lacking in appraisal of ____________. -
ANSWER: reality
A 14-year-old belongs to a neighborhood gang, engages in sexually promiscuous behavior, and has a
history of school truancy but reports that her parents are just old- fashioned and don't understand
her. The assessment data supports that the client is displaying what type of behavior? - ANSWER:
deviant
What's the most important concept to remember when the nurse is evaluating and planning care and
interventions for a mentally ill client? - ANSWER: The client has areas of strength on which to build.
Evaluate for strengths and areas of highest functioning.
How would a nurse differentiate whether an Asian client is demonstrating a mental illness when
attempting suicide? - ANSWER: Examine his culture and how his or her specific culture views suicide.
An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his
apartment. When neighbors ask him to stop his frequent outbursts of operatic arias, he acts outraged
and tells them he must sing daily and will not promise to be quieter. This behavior supports that he is
A. demonstrating symptoms of bipolar disorder.
B. socially deviant.
C. egocentric.
D. not demonstrating any definitive signs of mental illness. - ANSWER: D. not demonstrating any
definitive signs of mental illness.
What's the purpose of a nurse selecting a nursing diagnosis for a client with a psychiatric disorder? -
ANSWER: Framework and guidance for appropriate interventions
What is parity? - ANSWER: equivalence
- requires insurers who provide mental health coverage to offer annual and lifetime benefits at the
same level provided for medical/surgical coverage
How should the nurse visualize the mental health status of a particular client? - ANSWER: Along a
continuum from health to illness
One characteristic of mental health that allows people to adapt to tragedies, trauma, and loss is
_______________. - ANSWER: resilience
There is evidence that symptoms and causes of mental illness are influenced by what factors? -
ANSWER: Cultural, ethnic
What seems to have a large effect on some of the most debilitating mental disorders? - ANSWER:
Biology
You have graduated with your BSN degree and have taken your first job on a psychiatric unit after
becoming a licensed Registered Nurse. You are providing teaching to Mason, a newly admitted patient
on the psychiatric unit, regarding his daily schedule. Which of the following would not be an
appropriate teaching statement?
A. "You will participate in unit activities and groups daily."
,B. "You will be given a schedule daily of the groups we would like you to attend."
C. "You will attend a psychotherapy group that I lead."
D. "You will see your provider daily in a one-to-one session." - ANSWER: C. "You will attend a
psychotherapy group that I lead."
Mental health nurses that affect treatment for mental illness on a legislative level aim to reduce
____________ of mental illness and advocate for _____________ in treatment. - ANSWER: stigma
equality
Epidemiological studies of mental health and disorder help to identify what? - ANSWER: Individuals
and populations that will likely develop a specific disorder
What's the difference between a DSM-5 diagnosis and a nursing diagnosis? - ANSWER: The DSM-5
diagnosis focuses on present symptoms
The nursing diagnosis focuses on past, present, & potential responses to the patient's present mental
health problems
According to Freud, the id operates under the ___________ principle and lacks control over
_______________, the ego is the _______________ _________________, and the superego
represents the _______________ and seeks _____________. - ANSWER: pleasure
impulses
reality tester OR problem solver
ideal
perfection
According to Freud, the ego wards off anxiety with ___________ ____________, which prevent
conscious awareness of threatening feelings. - ANSWER: defense mechanisms
Comparing Freud and Erikson, who:
Considers the entire lifespan from birth to old age?
Focuses more on unconscious development & influence?
Views individual growth in terms of social setting?
Places greater emphasis on the role of the ego?
Believes personality is based on mother-father triangle?
Believes personality has great cultural/societal influences?
Believes root causes of suffering are related to conscious & unconscious influences? - ANSWER:
Erikson
Freud
Erikson
Erikson
Freud
Erikson
Freud
Maslow's theory of humanistic psychology has provided nursing with what type of approach? -
ANSWER: Holistic
The premise underlying behavior therapy is that behavior is _____________ and can be ___________.
Behaviorists agree that behavior can be changed without insight into the _____________
___________. - ANSWER: Learned
Modified
Underlying cause
The nurse planning care for a 14-year-old needs to take into account that the developmental task of
adolescence is - ANSWER: Identity vs. Role confusion
, Which of Erikson's Psychosocial Crisis Stages goes with each developmental age?
Infancy
Early Childhood
Preschool
School Age
Adolesence
Early Adulthood
Middle Adulthood
Later Years - ANSWER: Trust v. Mistrust
Autonomy v. Shame & Doubt
Initiative v. Guilt
Industry v. Inferiority
Identity v. Role Confusion
Intimacy v. Isolation
Generativity v. Stagnation & Self-Absorption
Integrity v. Despair
Sullivan viewed anxiety as what?
What did he call the measures we take to reduce anxiety?
What did Sullivan contribute to today's mental health nursing atmosphere? - ANSWER: Any painful
feeling or emotion arising from social insecurity.
Security operations.
Psychotherapeutic environment.
The art of nursing is the _________, _____________, & ____________ component, and the science is
the applied ____________ ________. - ANSWER: Care, compassion, advocacy
Knowledge base
Interpersonal therapy is considered to be effective in resolving problems of what 4 things? - ANSWER:
grief
role disputes
role transition
interpersonal deficit
The nurse providing anticipatory guidance to the mother of a toddler should advise that childhood
temper tantrums are best handled by - ANSWER: Ignoring the tantrum and giving the child attention
when they behave appropriately
How did Freud believe we cope with anxiety? - ANSWER: Defense mechanisms
Which part of the mind is considered the tip of the iceberg according to Freud? It contains all the
material a person is _______ of at any one time. - ANSWER: The conscious, the ego
Aware
The nurse is working with a client experiencing both post-partum depression and very low self-
esteem. The client is distrustful of unit staff and "just wants to go home." Initially the nurse's priority
is to
A. establish trust with the client.
B. teach the client effective mothering skills.
C. identify positive traits the client possesses.
D. focus on preparing for a speedy discharge - ANSWER: A. establish trust with the client.
9781496327710
What's the DSM-5? - ANSWER: It's a publication from the APA - the official guidelines in diagnosing
psychiatric disorders
- Serves as a medical psychiatric assessment system.
- Outlines clinical criteria for 157 disorders.
- Influenced by clinical mental health epidemiology studies & includes statistics.
- Ordered developmentally
What two mental disorders are found throughout the world and across different cultures? - ANSWER:
Schizophrenia
Bipolar Disorder
Current information suggests that the most disabling mental disorders are the result of
_______________ influences. - ANSWER: biological
A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A client with a
history of paranoia asks, "What does that title mean?" The nurse responds best by answering:
A. "Don't be afraid; it means I'm here to help, not hurt, you."
B. "Psychiatric mental health nurses care for people with mental illnesses."
C. "We have the specialized skills needed to care for those with mental illnesses."
D. "The nurses who work in mental health facilities have that title." - ANSWER: C. "We have the
specialized skills needed to care for those with mental illnesses."
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cultures.
B. Culture may cause variations in symptoms for each clinical disorder.
C. All mental disorders listed in the DSM-5 are seen in all other cultures.
D. Psychiatric diagnoses are listed in separately from other physical disorders in a five axes system. -
ANSWER: B. Culture may cause variations in symptoms for each clinical disorder.
Rate the prevalence over last twelve months of these disorders from most prevalent to least:
Generalized Anxiety Disorder
Major Depressive Disorder
Panic Disorder
Schizophrenia
OCD
PTSD
Bipolar Disorder
Social Phobia
All Specific Phobias
All Personality Disorders
Anxiety Disorders
substance abuse
Alcohol Dependance - ANSWER: 18.1% All Anxiety Disorders
9.5% All Personality Disorders
9.4% substance abuse
6.8% Social Phobia
6.7% Major Depressive Disorder
6.3% Alcohol Dependance
3.5% PTSD
,3.1% Generalized Anxiety Disorder
2.7% Panic Disorder
2.6% Bipolar Disorder
1.1% Schizophrenia
1.0% OCD
A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is
going to kill me." The nurse assesses that this patient is lacking in appraisal of ____________. -
ANSWER: reality
A 14-year-old belongs to a neighborhood gang, engages in sexually promiscuous behavior, and has a
history of school truancy but reports that her parents are just old- fashioned and don't understand
her. The assessment data supports that the client is displaying what type of behavior? - ANSWER:
deviant
What's the most important concept to remember when the nurse is evaluating and planning care and
interventions for a mentally ill client? - ANSWER: The client has areas of strength on which to build.
Evaluate for strengths and areas of highest functioning.
How would a nurse differentiate whether an Asian client is demonstrating a mental illness when
attempting suicide? - ANSWER: Examine his culture and how his or her specific culture views suicide.
An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his
apartment. When neighbors ask him to stop his frequent outbursts of operatic arias, he acts outraged
and tells them he must sing daily and will not promise to be quieter. This behavior supports that he is
A. demonstrating symptoms of bipolar disorder.
B. socially deviant.
C. egocentric.
D. not demonstrating any definitive signs of mental illness. - ANSWER: D. not demonstrating any
definitive signs of mental illness.
What's the purpose of a nurse selecting a nursing diagnosis for a client with a psychiatric disorder? -
ANSWER: Framework and guidance for appropriate interventions
What is parity? - ANSWER: equivalence
- requires insurers who provide mental health coverage to offer annual and lifetime benefits at the
same level provided for medical/surgical coverage
How should the nurse visualize the mental health status of a particular client? - ANSWER: Along a
continuum from health to illness
One characteristic of mental health that allows people to adapt to tragedies, trauma, and loss is
_______________. - ANSWER: resilience
There is evidence that symptoms and causes of mental illness are influenced by what factors? -
ANSWER: Cultural, ethnic
What seems to have a large effect on some of the most debilitating mental disorders? - ANSWER:
Biology
You have graduated with your BSN degree and have taken your first job on a psychiatric unit after
becoming a licensed Registered Nurse. You are providing teaching to Mason, a newly admitted patient
on the psychiatric unit, regarding his daily schedule. Which of the following would not be an
appropriate teaching statement?
A. "You will participate in unit activities and groups daily."
,B. "You will be given a schedule daily of the groups we would like you to attend."
C. "You will attend a psychotherapy group that I lead."
D. "You will see your provider daily in a one-to-one session." - ANSWER: C. "You will attend a
psychotherapy group that I lead."
Mental health nurses that affect treatment for mental illness on a legislative level aim to reduce
____________ of mental illness and advocate for _____________ in treatment. - ANSWER: stigma
equality
Epidemiological studies of mental health and disorder help to identify what? - ANSWER: Individuals
and populations that will likely develop a specific disorder
What's the difference between a DSM-5 diagnosis and a nursing diagnosis? - ANSWER: The DSM-5
diagnosis focuses on present symptoms
The nursing diagnosis focuses on past, present, & potential responses to the patient's present mental
health problems
According to Freud, the id operates under the ___________ principle and lacks control over
_______________, the ego is the _______________ _________________, and the superego
represents the _______________ and seeks _____________. - ANSWER: pleasure
impulses
reality tester OR problem solver
ideal
perfection
According to Freud, the ego wards off anxiety with ___________ ____________, which prevent
conscious awareness of threatening feelings. - ANSWER: defense mechanisms
Comparing Freud and Erikson, who:
Considers the entire lifespan from birth to old age?
Focuses more on unconscious development & influence?
Views individual growth in terms of social setting?
Places greater emphasis on the role of the ego?
Believes personality is based on mother-father triangle?
Believes personality has great cultural/societal influences?
Believes root causes of suffering are related to conscious & unconscious influences? - ANSWER:
Erikson
Freud
Erikson
Erikson
Freud
Erikson
Freud
Maslow's theory of humanistic psychology has provided nursing with what type of approach? -
ANSWER: Holistic
The premise underlying behavior therapy is that behavior is _____________ and can be ___________.
Behaviorists agree that behavior can be changed without insight into the _____________
___________. - ANSWER: Learned
Modified
Underlying cause
The nurse planning care for a 14-year-old needs to take into account that the developmental task of
adolescence is - ANSWER: Identity vs. Role confusion
, Which of Erikson's Psychosocial Crisis Stages goes with each developmental age?
Infancy
Early Childhood
Preschool
School Age
Adolesence
Early Adulthood
Middle Adulthood
Later Years - ANSWER: Trust v. Mistrust
Autonomy v. Shame & Doubt
Initiative v. Guilt
Industry v. Inferiority
Identity v. Role Confusion
Intimacy v. Isolation
Generativity v. Stagnation & Self-Absorption
Integrity v. Despair
Sullivan viewed anxiety as what?
What did he call the measures we take to reduce anxiety?
What did Sullivan contribute to today's mental health nursing atmosphere? - ANSWER: Any painful
feeling or emotion arising from social insecurity.
Security operations.
Psychotherapeutic environment.
The art of nursing is the _________, _____________, & ____________ component, and the science is
the applied ____________ ________. - ANSWER: Care, compassion, advocacy
Knowledge base
Interpersonal therapy is considered to be effective in resolving problems of what 4 things? - ANSWER:
grief
role disputes
role transition
interpersonal deficit
The nurse providing anticipatory guidance to the mother of a toddler should advise that childhood
temper tantrums are best handled by - ANSWER: Ignoring the tantrum and giving the child attention
when they behave appropriately
How did Freud believe we cope with anxiety? - ANSWER: Defense mechanisms
Which part of the mind is considered the tip of the iceberg according to Freud? It contains all the
material a person is _______ of at any one time. - ANSWER: The conscious, the ego
Aware
The nurse is working with a client experiencing both post-partum depression and very low self-
esteem. The client is distrustful of unit staff and "just wants to go home." Initially the nurse's priority
is to
A. establish trust with the client.
B. teach the client effective mothering skills.
C. identify positive traits the client possesses.
D. focus on preparing for a speedy discharge - ANSWER: A. establish trust with the client.
