Mental Health Final Exam
1. In which scenario is it most urgent for the nurse to act as a patient
advocate?
a.An adult cries and experiences anxiety after a near-miss automobile
accident on the way to work.
b.A homeless adult diagnosed with schizophrenia lives in a community
expecting a category 5 hurricane.
c.A 14-year-old girl's grades decline because she consistently
focuses on her appearance and social networking.
d.The parents allow the prescription to lapse for 1 day for their 8-year-old
child's medication for attention-deficit/hyperactivity disorder. correct
answersAnswer: b. Although all of the scenarios present opportunities for a
nurse to intervene, the correct response presents an imminent danger to
the patient's safety and well-being.
2.The nurse interacts with a veteran of World War II. The veteran says,
"Veterans of modern wars whine and complain all the time. Back when I
was in service, you kept your feelings to yourself." Select the nurse's best
response.
a. "American society in the 1940s expected World War II soldiers to be
strong."
b."World War II was fought in a traditional way, but the enemy is
more difficult to identify in today's wars."
c."We now have a better understanding of how trauma affects
people and the importance of research-based, compassionate care."
d."Intermittent explosive devices (IEDs), which were not in use during
World War II, produce traumatic brain injuries that must be treated."
correct answersAnswer: c. Trauma occurs in many forms, including
physical, sexual, and emotional abuse; war; natural disasters; and other
harmful experiences. Trauma-informed care provides guidelines for
integrating an understanding of how trauma affects patients into clinical
programming.
3.A patient reports sleeplessness, fatigue, and sadness to the primary
care provider. In our current health care climate, what is the most likely
treatment approach that will be offered to the patient?
a. Group therapy
b. Individual psychotherapy
c. Complementary therapy
d.Psychopharmacological treatment correct answersAnswer: d. The
patient's report suggests that depression is occurring. With the increased
understanding of the biology of psychiatric illnesses, treatment approaches
have evolved rapidly into more scientifically grounded methods, particularly
psychopharmacology.
4. The nurse prepares outcomes to the plan of care for an adult diagnosed
with mental illness. Which strategy recognizes the current focus of
treatment services for this population?
, a. The patient's diagnoses are confirmed using advanced neuroimaging
techniques.
b.The nurse confers with the treatment team to verify the patient's
most significant disability.
c.The nurse prioritizes the patient's problems in accordance with Maslow's
hierarchy of needs.
d.The patient and family participate actively in establishing priorities and
selecting interventions. correct answersAnswer: d. The correct response
recognizes the recovery model, which has the following tenets: Mental
health care is consumer and family driven, with patients being partners in
all aspects of care; care must focus on increasing the consumer's success in
coping with life's challenges and building resilience; and an individualized
care plan is at the core of consumer-centered recovery.
5. Which scenario best demonstrates empathic caring?
a. A nurse provides comfort to a colleague after an error of medication
administration.
b. A nurse works a fourth extra shift in 1 week to maintain adequate unit
staffing.
c.A nurse identifies a violation of confidentiality and makes a report to
an agency's privacy officer.
d.A nurse conscientiously reads current literature to stay aware of new
evidence-based practices. correct answersAnswer: a. Caring is evidenced by
empathic understanding, actions, and patience on another's behalf; actions,
words, and presence that lead to happiness and touch the heart; and giving
of self while preserving the importance of self. Comforting is a part of
caring, which includes social, emotional, physical, and spiritual support.
A mentally ill gunman opens fire in a crowded movie theater, killing six
people and injuring others. Which comment about this event by a member
of the community most clearly shows the stigma of mental illness?
a. "Gun control laws are inadequate in our country."
b. "It's frightening to feel that it is not safe to go to a movie theater."
c. "All these people with mental illness are violent and should be locked
up."
d."These events happen because American families no longer go to
church together." correct answersAnswer: c. Stigma refers to the array of
negative attitudes and beliefs regarding mental illness. Bias, prejudice,
fear, and misinformation contribute to stigma
The nurse presents a class about mental health and mental illness to a
group of fourth graders. One student asks, "Why do people get mentally
ill?" Select the nurse's best response
. a. "There are many reasons why mental illness occurs."
b. "The cause of mental illness is complicated and very hard to understand."
c."Sometimes a person's brain does not work correctly because
something bad happens or he or she inherits a brain problem."
d."Most mental illnesses result from genetically transmitted abnormalities
in cerebral structure; however, some are a consequence of traumatic life
experiences." correct answersAnswer: c. In the correct response, the nurse
answers rather than evades the question, provides accurate information,
and uses terminology a 9- or 10-year-old child
1. In which scenario is it most urgent for the nurse to act as a patient
advocate?
a.An adult cries and experiences anxiety after a near-miss automobile
accident on the way to work.
b.A homeless adult diagnosed with schizophrenia lives in a community
expecting a category 5 hurricane.
c.A 14-year-old girl's grades decline because she consistently
focuses on her appearance and social networking.
d.The parents allow the prescription to lapse for 1 day for their 8-year-old
child's medication for attention-deficit/hyperactivity disorder. correct
answersAnswer: b. Although all of the scenarios present opportunities for a
nurse to intervene, the correct response presents an imminent danger to
the patient's safety and well-being.
2.The nurse interacts with a veteran of World War II. The veteran says,
"Veterans of modern wars whine and complain all the time. Back when I
was in service, you kept your feelings to yourself." Select the nurse's best
response.
a. "American society in the 1940s expected World War II soldiers to be
strong."
b."World War II was fought in a traditional way, but the enemy is
more difficult to identify in today's wars."
c."We now have a better understanding of how trauma affects
people and the importance of research-based, compassionate care."
d."Intermittent explosive devices (IEDs), which were not in use during
World War II, produce traumatic brain injuries that must be treated."
correct answersAnswer: c. Trauma occurs in many forms, including
physical, sexual, and emotional abuse; war; natural disasters; and other
harmful experiences. Trauma-informed care provides guidelines for
integrating an understanding of how trauma affects patients into clinical
programming.
3.A patient reports sleeplessness, fatigue, and sadness to the primary
care provider. In our current health care climate, what is the most likely
treatment approach that will be offered to the patient?
a. Group therapy
b. Individual psychotherapy
c. Complementary therapy
d.Psychopharmacological treatment correct answersAnswer: d. The
patient's report suggests that depression is occurring. With the increased
understanding of the biology of psychiatric illnesses, treatment approaches
have evolved rapidly into more scientifically grounded methods, particularly
psychopharmacology.
4. The nurse prepares outcomes to the plan of care for an adult diagnosed
with mental illness. Which strategy recognizes the current focus of
treatment services for this population?
, a. The patient's diagnoses are confirmed using advanced neuroimaging
techniques.
b.The nurse confers with the treatment team to verify the patient's
most significant disability.
c.The nurse prioritizes the patient's problems in accordance with Maslow's
hierarchy of needs.
d.The patient and family participate actively in establishing priorities and
selecting interventions. correct answersAnswer: d. The correct response
recognizes the recovery model, which has the following tenets: Mental
health care is consumer and family driven, with patients being partners in
all aspects of care; care must focus on increasing the consumer's success in
coping with life's challenges and building resilience; and an individualized
care plan is at the core of consumer-centered recovery.
5. Which scenario best demonstrates empathic caring?
a. A nurse provides comfort to a colleague after an error of medication
administration.
b. A nurse works a fourth extra shift in 1 week to maintain adequate unit
staffing.
c.A nurse identifies a violation of confidentiality and makes a report to
an agency's privacy officer.
d.A nurse conscientiously reads current literature to stay aware of new
evidence-based practices. correct answersAnswer: a. Caring is evidenced by
empathic understanding, actions, and patience on another's behalf; actions,
words, and presence that lead to happiness and touch the heart; and giving
of self while preserving the importance of self. Comforting is a part of
caring, which includes social, emotional, physical, and spiritual support.
A mentally ill gunman opens fire in a crowded movie theater, killing six
people and injuring others. Which comment about this event by a member
of the community most clearly shows the stigma of mental illness?
a. "Gun control laws are inadequate in our country."
b. "It's frightening to feel that it is not safe to go to a movie theater."
c. "All these people with mental illness are violent and should be locked
up."
d."These events happen because American families no longer go to
church together." correct answersAnswer: c. Stigma refers to the array of
negative attitudes and beliefs regarding mental illness. Bias, prejudice,
fear, and misinformation contribute to stigma
The nurse presents a class about mental health and mental illness to a
group of fourth graders. One student asks, "Why do people get mentally
ill?" Select the nurse's best response
. a. "There are many reasons why mental illness occurs."
b. "The cause of mental illness is complicated and very hard to understand."
c."Sometimes a person's brain does not work correctly because
something bad happens or he or she inherits a brain problem."
d."Most mental illnesses result from genetically transmitted abnormalities
in cerebral structure; however, some are a consequence of traumatic life
experiences." correct answersAnswer: c. In the correct response, the nurse
answers rather than evades the question, provides accurate information,
and uses terminology a 9- or 10-year-old child
