NUR 384 EXAM 4 EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
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 -
CORRECT-ANSWERSAns: 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
A) providing clinical supervision.
B) using effective communication skills.
C) adjusting client medications.
D) directing program development. - CORRECT-ANSWERSAns: 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.
D) The client will experience reduced anxiety and strive for insight through
psychoanalysis - CORRECT-ANSWERSAns: 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 - CORRECT-ANSWERSAns: 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, 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 - CORRECT-
ANSWERSAns: 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.
The nurse correctly identifies that which of OCDs self-soothing behaviors may involve
self-destruction of the body of a person who has OCD? Select all that apply.
A) Dermatillomania
B) Trichotillomania
C) Onychophagia
D) Kleptomania
E) Oniomania - CORRECT-ANSWERSAns: A, B, C
Feedback:
Dermatillomania, or skin-picking, is a self-soothing behavior; that is, the behavior is
an attempt of people to soothe or comfort themselves, not that picking itself is
necessarily a positive sensation. Trichotillomania, or chronic, repetitive hair pulling, is
a self-soothing behavior that can cause distress and functional impairment.
Onychophagia, or nail biting, is a self-soothing behavior. Kleptomania, or compulsive
stealing, and oniomania, or compulsive buying, are reward-seeking behaviors.
CORRECT QUESTIONS AND ANSWERS
2025
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 -
CORRECT-ANSWERSAns: 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
A) providing clinical supervision.
B) using effective communication skills.
C) adjusting client medications.
D) directing program development. - CORRECT-ANSWERSAns: 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.
D) The client will experience reduced anxiety and strive for insight through
psychoanalysis - CORRECT-ANSWERSAns: 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 - CORRECT-ANSWERSAns: 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, 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 - CORRECT-
ANSWERSAns: 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.
The nurse correctly identifies that which of OCDs self-soothing behaviors may involve
self-destruction of the body of a person who has OCD? Select all that apply.
A) Dermatillomania
B) Trichotillomania
C) Onychophagia
D) Kleptomania
E) Oniomania - CORRECT-ANSWERSAns: A, B, C
Feedback:
Dermatillomania, or skin-picking, is a self-soothing behavior; that is, the behavior is
an attempt of people to soothe or comfort themselves, not that picking itself is
necessarily a positive sensation. Trichotillomania, or chronic, repetitive hair pulling, is
a self-soothing behavior that can cause distress and functional impairment.
Onychophagia, or nail biting, is a self-soothing behavior. Kleptomania, or compulsive
stealing, and oniomania, or compulsive buying, are reward-seeking behaviors.
