Mental health nursing final exam
questions well answered
A) The nurse terminates employment without referring a seriously mentally ill patient for
aftercare.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further
action. - correct answer ✔✔ Which situations qualify as abandonment on the part of a nurse?
(Select all that apply.)
A) The nurse terminates employment without referring a seriously mentally ill patient for
aftercare.
B) The nurse asks another nurse to provide a patient's care because of concerns about
countertransference.
C) The nurse calls police to bring a suicidal patient to the hospital after a suicide attempt.
D) The nurse refers a patient with persistent paranoid schizophrenia to community treatment.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further
action.
B) patient will identify healthy coping behaviors in response to stressful events - correct answer
✔✔ The goal for a patient is to increase resiliency. Which outcome should the nurse add to the
plan of care to be achieved within three days?
A) patient will describe feelings associated with loss and stress
B) patient will identify healthy coping behaviors in response to stressful events
C) patient will allow others to assume responsibility for major areas of own life
D) patient will meet own needs before considering the rights of others
D) are you concerned others don't experience the same challenges as you - correct answer ✔✔
A patient tells a nurse, "I have psychiatric problems and am in and out of hospitals all the time.
Not one of my friends or relatives has these problems." What is the nurse's best response?
,A) "comparing yourself with others has no real advantages."
B) "mental illness affects 50% of the adult population in any given year"
C) "why do you blame yourself for having a psychiatric illness?"
D) "are you concerned that others don't experience the same challenges as you?"
B) "the DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a
framework to identify interventions for problems a patient has or may experience" - correct
answer ✔✔ A critical care nurse asks a psychiatric nurse about the difference between a
diagnosis in the Diagnostic and Statistical manual of Mental disorders (DSM-5) and a nursing
diagnosis. What is the psychiatric nurse's best response?
A) "the DSM-5 diagnosis disregards culture, whereas the nursing diagnosis includes cultural
variables"
B) " the DSM-5 diagnosis influences the medical treatment, the nursing diagnosis offers a
framework to identify interventions for problems a patient may experience."
C) "no functional difference exists between the two diagnoses. both serve to identify a human
deviance"
D) "the DSM-5 diagnosis profiles present distress or disability, whereas a nursing diagnosis
considers past and present responses to actual mental health problems"
A) maintaining relationships - correct answer ✔✔ A patient's history shows intense and
unstable relationships with others. The patient initially idealizes an individual and then devalues
the person when the patient's needs are not met. Which aspect of mental health is a problem
for this patient?
A) maintaining relationships
B) communication skills
C) effectiveness in work
D) productive activities
- correct answer ✔✔ In the majority culture of the United States, which individual is at greatest
risk to be incorrectly labeled mentally ill?
,A) person who expresses strong beliefs about the existence of alien abductions.
B) Wealthy person who gives $20 bills to needy individuals in the community
C) person who is usually pessimistic but strives to meet personal goals
D) person with an optimistic viewpoint about getting his or her own needs met
A) "this is normal for you child's age. the child is striving for independence" - correct answer
✔✔ A 26-month-old child displays negative behaviors. The parent says, "My child refuses toilet
training and shouts, 'No!' when given direction. What do you think is wrong?" Select the nurse's
best reply.
A) "this is normal for your child's age. the child is striving for independence."
B) "some undesirable attitudes are developing. a child psychologist can help you develop a
remedial plan."
C) "the child needs firmer control. punish the child for disobedience and say "no"."
D) "there may be developmental problems. most children are toilet trained by age 2 years."
B) autonomy versus shame and doubt - correct answer ✔✔ A 26-month-old child displays
negative behavior, refuses toilet training, and often shouts, "No!" when given direction. The
nurse's counseling with the parent should be based on the premise that the child is engaged in
which of Erikson's psychosocial crises?
A) trust versus mistrust
B) autonomy versus shame and doubt
C) initiative versus guilt
D) industry versus inferiority
A) id - correct answer ✔✔ A 4-year-old child grabs toys from siblings, saying, "I want that toy
now!" The siblings cry, and the child's parent becomes upset with the behavior. Using the
Freudian theory, a nurse can interpret the child's behavior as a product of impulses originating
in the:
A) id
, B) superego
C) ego
D) preconscious
D) superego - correct answer ✔✔ The parent of a 4 year old rewards and praises the child for
helping a younger sibling, being polite, and using good manners. A nurse supports the use of
praise because, according to the Freudian theory, these qualities will likely be internalized and
become what part of the child's personality?
A) preconscious
B) id
C) ego
D) superego
B) oral - correct answer ✔✔ A nurse assesses that a patient is suspicious and frequently
manipulates others. Using the Freudian theory, these traits are related to which psychosexual
stage?
A) anal
B) oral
C) genital
D) phallic
D) generativity vs self-absorption - correct answer ✔✔ A nurse listens to a group of recent
retirees. One says, "I volunteer with Meals on Wheels, coach teen sports, and do church
visitation." Another laughs and says, "I'm too busy taking care of myself to volunteer. I don't
have time to help others." These comments contrast which developmental tasks?
A) trust vs mistrust
B) industry vs inferiority
C) intimacy vs isolation
D) generativity vs self-absorption
questions well answered
A) The nurse terminates employment without referring a seriously mentally ill patient for
aftercare.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further
action. - correct answer ✔✔ Which situations qualify as abandonment on the part of a nurse?
(Select all that apply.)
A) The nurse terminates employment without referring a seriously mentally ill patient for
aftercare.
B) The nurse asks another nurse to provide a patient's care because of concerns about
countertransference.
C) The nurse calls police to bring a suicidal patient to the hospital after a suicide attempt.
D) The nurse refers a patient with persistent paranoid schizophrenia to community treatment.
E) The nurse allows a patient with acute mania to refuse hospitalization without taking further
action.
B) patient will identify healthy coping behaviors in response to stressful events - correct answer
✔✔ The goal for a patient is to increase resiliency. Which outcome should the nurse add to the
plan of care to be achieved within three days?
A) patient will describe feelings associated with loss and stress
B) patient will identify healthy coping behaviors in response to stressful events
C) patient will allow others to assume responsibility for major areas of own life
D) patient will meet own needs before considering the rights of others
D) are you concerned others don't experience the same challenges as you - correct answer ✔✔
A patient tells a nurse, "I have psychiatric problems and am in and out of hospitals all the time.
Not one of my friends or relatives has these problems." What is the nurse's best response?
,A) "comparing yourself with others has no real advantages."
B) "mental illness affects 50% of the adult population in any given year"
C) "why do you blame yourself for having a psychiatric illness?"
D) "are you concerned that others don't experience the same challenges as you?"
B) "the DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a
framework to identify interventions for problems a patient has or may experience" - correct
answer ✔✔ A critical care nurse asks a psychiatric nurse about the difference between a
diagnosis in the Diagnostic and Statistical manual of Mental disorders (DSM-5) and a nursing
diagnosis. What is the psychiatric nurse's best response?
A) "the DSM-5 diagnosis disregards culture, whereas the nursing diagnosis includes cultural
variables"
B) " the DSM-5 diagnosis influences the medical treatment, the nursing diagnosis offers a
framework to identify interventions for problems a patient may experience."
C) "no functional difference exists between the two diagnoses. both serve to identify a human
deviance"
D) "the DSM-5 diagnosis profiles present distress or disability, whereas a nursing diagnosis
considers past and present responses to actual mental health problems"
A) maintaining relationships - correct answer ✔✔ A patient's history shows intense and
unstable relationships with others. The patient initially idealizes an individual and then devalues
the person when the patient's needs are not met. Which aspect of mental health is a problem
for this patient?
A) maintaining relationships
B) communication skills
C) effectiveness in work
D) productive activities
- correct answer ✔✔ In the majority culture of the United States, which individual is at greatest
risk to be incorrectly labeled mentally ill?
,A) person who expresses strong beliefs about the existence of alien abductions.
B) Wealthy person who gives $20 bills to needy individuals in the community
C) person who is usually pessimistic but strives to meet personal goals
D) person with an optimistic viewpoint about getting his or her own needs met
A) "this is normal for you child's age. the child is striving for independence" - correct answer
✔✔ A 26-month-old child displays negative behaviors. The parent says, "My child refuses toilet
training and shouts, 'No!' when given direction. What do you think is wrong?" Select the nurse's
best reply.
A) "this is normal for your child's age. the child is striving for independence."
B) "some undesirable attitudes are developing. a child psychologist can help you develop a
remedial plan."
C) "the child needs firmer control. punish the child for disobedience and say "no"."
D) "there may be developmental problems. most children are toilet trained by age 2 years."
B) autonomy versus shame and doubt - correct answer ✔✔ A 26-month-old child displays
negative behavior, refuses toilet training, and often shouts, "No!" when given direction. The
nurse's counseling with the parent should be based on the premise that the child is engaged in
which of Erikson's psychosocial crises?
A) trust versus mistrust
B) autonomy versus shame and doubt
C) initiative versus guilt
D) industry versus inferiority
A) id - correct answer ✔✔ A 4-year-old child grabs toys from siblings, saying, "I want that toy
now!" The siblings cry, and the child's parent becomes upset with the behavior. Using the
Freudian theory, a nurse can interpret the child's behavior as a product of impulses originating
in the:
A) id
, B) superego
C) ego
D) preconscious
D) superego - correct answer ✔✔ The parent of a 4 year old rewards and praises the child for
helping a younger sibling, being polite, and using good manners. A nurse supports the use of
praise because, according to the Freudian theory, these qualities will likely be internalized and
become what part of the child's personality?
A) preconscious
B) id
C) ego
D) superego
B) oral - correct answer ✔✔ A nurse assesses that a patient is suspicious and frequently
manipulates others. Using the Freudian theory, these traits are related to which psychosexual
stage?
A) anal
B) oral
C) genital
D) phallic
D) generativity vs self-absorption - correct answer ✔✔ A nurse listens to a group of recent
retirees. One says, "I volunteer with Meals on Wheels, coach teen sports, and do church
visitation." Another laughs and says, "I'm too busy taking care of myself to volunteer. I don't
have time to help others." These comments contrast which developmental tasks?
A) trust vs mistrust
B) industry vs inferiority
C) intimacy vs isolation
D) generativity vs self-absorption
