MENTAL HEALTH NURSING EXAM NEWEST ACTUAL EXAM TEST
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A nurse's identification badge includes the term, Psychiatric Mental Health Nurse.
A patient with a history of paranoia asks, "What does that title mean?" The nurse
responds best by answering with which of the following?
a. "Don't be afraid; it means I'm here to help, not hurt, you."
b. "Psychiatric mental health nurses care for people with mental illnesses."
c. "We have the specialized skills needed to care for people with mental illnesses."
d. "The nurses who work in mental health facilities have that title." - Correct
Answer-c. "We have the specialized skills needed to care for people with mental
illnesses."
A psychiatric mental health nurse has specialized nursing skills and implements
the nursing process to manage and deliver nursing care to mentally ill people.
The remaining options either do not effectively answer the patient's question or
assume that the question is the result of the patient's paranoia.
Which statement about diagnosis of a mental disorder is true?
a. The symptoms of each disorder are common among all cultures.
b. Culture may cause variations in symptoms for each clinical disorder.
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c. All mental disorders listed in the DSM-5 are seen in all cultures.
d. Psychiatric diagnoses are listed separately from other physical disorders in a
five-axes system. - Correct Answer-b. Culture may cause variations in symptoms
for each clinical disorder.
Every society has its own view of health and illness and the types of behaviour
categorized as mental illness. Culture also influences the symptoms of a
particular disorder. For example, individuals of certain cultures are more likely to
express depression through somatic symptoms than through affect and feeling
tone. The five-axes system was abandoned in this edition of the DSM-5.
The prevalence rate over a 12-month period for major depressive disorder is
which of the following?
a. Lower than the prevalence rate for panic disorder
b. Greater than the prevalence rate for social phobia
c. Equal to the prevalence rate for schizophrenia
d. Greater than the prevalence rate for generalized anxiety - Correct Answer-d.
Greater than the prevalence rate for generalized anxiety
The prevalence rate over a 12-month period for major depressive disorder is 4.1-
4.6%; for panic disorder: 0.7%; social phobia: 7%; schizophrenia: 1%; and for
generalized anxiety: 1.1%.
Which of the following severe mental illnesses are recognized across cultures?
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a. Antisocial and borderline personality disorders
b. Schizophrenia and bipolar disorder
c. Bulimia and anorexia nervosa
d. Amok and social phobia - Correct Answer-b. Schizophrenia and bipolar disorder
Worldwide studies indicate that both schizophrenia and bipolar disorder are
recognized cross-culturally.
Which field of epidemiology is the nurse involved in when seeking outcomes for
patients whose depression was treated with electroconvulsive therapy (ECT)?
a. Experimental
b. Descriptive
c. Clinical
d. Analytic - Correct Answer-d. Clinical
Clinical epidemiology represents a broad field that addresses what happens to
people with illnesses who are seen by providers of clinical care. Studies use
traditional epidemiological methods and are conducted in groups that are
usually defined by illness or symptoms or by diagnostic procedures or
treatments given for the illness or symptoms.
A patient tells the mental health nurse, "I am terribly frightened! I hear whispering
that someone is going to kill me." Which criterion of mental health can the nurse
assess as lacking?
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a. Control over behaviour
b. Accurate appraisal of reality
c. Effectiveness in work
d. Healthy self-concept - Correct Answer-b. Accurate appraisal of reality
The appraisal of reality is lacking for this patient. The patient does not have a
picture of what is happening around himself or herself.
A 14-year-old belongs to a gang that bullies and punishes other teens, engages in
sexually promiscuous behaviour, attends school infrequently and argues with her
parents, claiming they are just old-fashioned and don't understand her. What does
the assessment data support about the patient?
a. That she is exhibiting problems related to conduct and behaviour
b. That she cannot accurately appraise reality
c. That she is seriously and persistently mentally ill
d. That she should be considered for group home placement - Correct Answer-a.
That she is exhibiting problems related to conduct and behaviour
This patient is demonstrating disturbed conduct and behaviour. This patient
demonstrates undersocialized, aggressive behaviour such as a repetitive and
persistent pattern of aggressive conduct in which the basic rights of others are
violated.
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