©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NUR 384 Exam 4 Practice Questions and
Answers
Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesses - Ans:✔✔-Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resource to
understand the reason for the admission and to begin building knowledge about the nature of
psychiatric illnesses. Identifying the medical diagnosis, treating, and evaluating treatments are not a part
of the nursing process.
A new graduate nurse has accepted a staff position at an inpatient mental health facility. The graduate
nurse can expect to be responsible for basic-level functions, including
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A) providing clinical supervision.
B) using effective communication skills.
C) adjusting client medications.
D) directing program development. - Ans:✔✔-Ans: B
Feedback:
Basic-level functions include counseling, milieu therapy, self-care activities, psychobiologic interventions,
health teaching, case management, and health promotion and maintenance. Advanced-level functions
include psychotherapy, prescriptive authority for drugs, consultation and liaison, evaluation, program
development and management, and clinical supervision.
The nursing student understands correctly when identifying which objective is appropriate for all clients
with anxiety disorders?
A) The client will experience reduced anxiety and accept the fact that underlying conflicts cannot be
treated.
B) The client will experience reduced anxiety and develop alternative responses to anxiety-provoking
situations.
C) The client will experience reduced anxiety and learn to control primitive impulses.
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D) The client will experience reduced anxiety and strive for insight through psychoanalysis - Ans:✔✔-Ans:
B
Feedback:
A primary client outcome is improved adaptive coping skills.
The nursing student correctly identifies which of the following statements are true of the etiology of
OCD? Select all that apply.
A) The cognitive model for OCD etiology focuses on childhood and environmental experiences of
growing up.
B) The etiology of OCD is not definitively explained at this time.
C) OCD is caused by immune dysfunction.
D) The primary etiology of OCD is genetics. E) Cognitive models may partially explain why people develop
OCD - Ans:✔✔-Ans: A, B, E
Feedback:
Different studies of the etiology of OCD show promise, but have yet to definitively explain how or why
people develop OCD. Cognitive models of OCD have been long accepted as a partial explanation for OCD.
The cognitive model focuses on childhood and environmental experiences of growing up. Heritable,
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
genetic factors are a significant influence on thinking, and environmental influences are not solely
responsible. Immune dysfunction may play a role in the etiology of OCD.
Which of the following are features of the thinking of a person who has OCD according to the cognitive
model? Select all that apply.
A) The person with OCD employs a minimalist approach to all aspects of his or her life.
B) The person with OCD believes one's thoughts are overly important and has a need to control those
thoughts as they overestimate the threat posed by their thoughts.
C) The person with OCD is always aware that his or her behavior is related to OCD.
D) The person with OCD is concerned with perfectionism and has an intolerance of uncertainty.
E) The person with OCD has an inflated personal responsibility - Ans:✔✔-Ans: B, D, E
Feedback:
The cognitive model describes the person's thinking as (1) believing one's thoughts are overly important;
that is, If I think it, it will happen, and therefore having a need to control those thoughts; (2)
perfectionism and the intolerance of uncertainty; and (3) inflated personal responsibility (from a strict
moral or religious upbringing) and overestimation of the threat posed by one's thoughts. The person
with OCD would not employ a minimalist approach to all aspects of his or her lifelore or she is likely to
perform some tasks at extreme levels. The persons with OCD may not always be aware that their
behavior is related to OCD.
Page 4/93
FIRST PUBLISH OCTOBER 2024
NUR 384 Exam 4 Practice Questions and
Answers
Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesses - Ans:✔✔-Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resource to
understand the reason for the admission and to begin building knowledge about the nature of
psychiatric illnesses. Identifying the medical diagnosis, treating, and evaluating treatments are not a part
of the nursing process.
A new graduate nurse has accepted a staff position at an inpatient mental health facility. The graduate
nurse can expect to be responsible for basic-level functions, including
Page 1/93
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A) providing clinical supervision.
B) using effective communication skills.
C) adjusting client medications.
D) directing program development. - Ans:✔✔-Ans: B
Feedback:
Basic-level functions include counseling, milieu therapy, self-care activities, psychobiologic interventions,
health teaching, case management, and health promotion and maintenance. Advanced-level functions
include psychotherapy, prescriptive authority for drugs, consultation and liaison, evaluation, program
development and management, and clinical supervision.
The nursing student understands correctly when identifying which objective is appropriate for all clients
with anxiety disorders?
A) The client will experience reduced anxiety and accept the fact that underlying conflicts cannot be
treated.
B) The client will experience reduced anxiety and develop alternative responses to anxiety-provoking
situations.
C) The client will experience reduced anxiety and learn to control primitive impulses.
Page 2/93
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
D) The client will experience reduced anxiety and strive for insight through psychoanalysis - Ans:✔✔-Ans:
B
Feedback:
A primary client outcome is improved adaptive coping skills.
The nursing student correctly identifies which of the following statements are true of the etiology of
OCD? Select all that apply.
A) The cognitive model for OCD etiology focuses on childhood and environmental experiences of
growing up.
B) The etiology of OCD is not definitively explained at this time.
C) OCD is caused by immune dysfunction.
D) The primary etiology of OCD is genetics. E) Cognitive models may partially explain why people develop
OCD - Ans:✔✔-Ans: A, B, E
Feedback:
Different studies of the etiology of OCD show promise, but have yet to definitively explain how or why
people develop OCD. Cognitive models of OCD have been long accepted as a partial explanation for OCD.
The cognitive model focuses on childhood and environmental experiences of growing up. Heritable,
Page 3/93
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
genetic factors are a significant influence on thinking, and environmental influences are not solely
responsible. Immune dysfunction may play a role in the etiology of OCD.
Which of the following are features of the thinking of a person who has OCD according to the cognitive
model? Select all that apply.
A) The person with OCD employs a minimalist approach to all aspects of his or her life.
B) The person with OCD believes one's thoughts are overly important and has a need to control those
thoughts as they overestimate the threat posed by their thoughts.
C) The person with OCD is always aware that his or her behavior is related to OCD.
D) The person with OCD is concerned with perfectionism and has an intolerance of uncertainty.
E) The person with OCD has an inflated personal responsibility - Ans:✔✔-Ans: B, D, E
Feedback:
The cognitive model describes the person's thinking as (1) believing one's thoughts are overly important;
that is, If I think it, it will happen, and therefore having a need to control those thoughts; (2)
perfectionism and the intolerance of uncertainty; and (3) inflated personal responsibility (from a strict
moral or religious upbringing) and overestimation of the threat posed by one's thoughts. The person
with OCD would not employ a minimalist approach to all aspects of his or her lifelore or she is likely to
perform some tasks at extreme levels. The persons with OCD may not always be aware that their
behavior is related to OCD.
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