Textbook of Psychiatry 10th Edition by Benjamin J.
Sadock, Virginia A. Sadock, Pedro Ruiz
When a nursing student expresses concerns about how mental health nurses
lose all their nursing skills, the best response by the mental health nurse is:
a. Psychiatric nurses practice in safer environments than other specialties.
nurse-to-patient ratios must be better because of the nature of the patient's
problems.
b. Psychiatric nurses use complex communication skills as well as critical
thinking to solve multi-dimensional 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. - b. Psychiatric nurses use
complex communication skills as well as critical thinking to solve multi-
dimensional problems. I am challenged by those situations.
A staff nurse completes orientation to a psychiatric unit. This nurse may expect
an advanced practice nurse to perform which additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans. - b. Prescribe psychotropic medication.
When a new bill introduced in Congress reduces funding for care of persons
with mental illness, a group of nurses writes 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 - c. advocacy
Which comment best indicates that a patient perceived the nurse was caring?
My nurse:
a. always asks me which type of juice I want to help me swallow my medication.
b. explained my treatment plan to me and asked for my ideas about how to make
it better.
c. spends time listening to me talk about my problems. That helps me feel like I
am not alone.
d. told me that if I take all the medicines the doctor prescribes, then I will get
discharged sooner. - c. spends time listening to me talk about my problems. That
helps me feel like I am not alone.
Which assessment finding most clearly indicates that a patient may be
experiencing a mental illness? The patient:
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between as if and for real.
d. perceives difficulty making a decision about whether to change jobs. - b.
reports a consistently sad, discouraged, and hopeless mood.
Which finding best indicates that the goal Demonstrate mentally healthy
behavior was achieved? A patient:
a. sees self as capable of achieving ideals and meeting demands.
b. behaves without considering the consequences of personal actions.
c. aggressively meets own needs without considering the rights of others.
,d. seeks help from others when assuming responsibility for major areas of own
life. - b. behaves without considering the consequences of personal actions.
A nurse encounters an unfamiliar psychiatric disorder on a new patients
admission form. Which resource should the nurse consult to determine criteria
used to establish this diagnosis?
a. International Statistical Classification of Diseases and Related Health
Problems (ICD-10)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. A behavioral health reference manual
d. Wikipedia - b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
A nurse wants to find a description of diagnostic criteria for anxiety disorders.
Which resource would have the most complete information?
a. Nursing Outcomes Classification (NOC)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. The ANAs Psychiatric-Mental Health Nursing Scope and Standards of
Practice
d. International Statistical Classification of Diseases and Related Health
Problems (ICD-10) - b. Diagnostic and Statistical Manual of Mental Disorders
(DSM-5)
Which individual is demonstrating the highest level of resilience? One who:
a. is able to repress stressors.
b. becomes depressed after the death of a spouse.
c. lives in a shelter for two years after the home is destroyed by fire.
d. takes a temporary job to maintain financial stability after loss of a permanent
job. - d. takes a temporary job to maintain financial stability after loss of a
permanent job.
, 10. Complete this analogy. NANDA: clinical judgment: NIC: _________________
a. patient outcomes
b. nursing actions
c. diagnosis
d. symptoms -
A college student said, Most of the time Im happy and feel good about myself. I
have learned that what I get out of something is proportional to the effort I put
into it. Which number on this mental health continuum should the nurse select:
a. 1
b. 2
c. 3
d. 4
e. 5 - e. 5
Which disorder is a culture-bound syndrome?
a. epilepsy
b. schizophrenia
c. running amok
d. major depression - c. running amok
13. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies:
a. deviant behaviors
b. present disability or distress
c. people with mental disorders