Question: A 40-year-old adult living with parents states, “I’m happy but I don’t socialize much. My work is routine. When new things come up, my boss explains them a few times to make sure I understand. At home, my parents make decisions for me, and I go along with them.” A nurse should identify interventions to improve which patient characteristic?
Answer Options: Self-concept Overall happiness Appraisal of reality Control over behavior Correct Answer: Self-concept
Question: 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?
Answer Options: “Comparing yourself with others has no real advantages.” “Why do you blame yourself for having a psychiatric illness?” “Mental illness affects 50% of the adult population in any given year.” “Are you concerned that others don’t experience the same challenges as you.” Correct Answer: “Are you concerned that others don’t experience the same challenges as you.”
Question: 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?
Answer Options: “No functional difference exists between the two diagnoses. Both serve to identify The DSM-5 gives the criteria used to diagnose each mental disorder. The NANDA-I focuses on nursing diagnoses. A psychiatric nursing textbook or behavioral health reference manual may not contain diagnostic criteria.” Correct Answer: The DSM-5 gives the criteria used to diagnose each mental disorder. The NANDA-I focuses on nursing diagnoses. A psychiatric nursing textbook or behavioral health reference manual may not contain diagnostic criteria.
Question: The partner of a patient diagnosed with schizophrenia says, “I don’t understand why childhood experiences have anything to do with this disabling illness.” Which nurse’s response will best help the partner understand this condition?
Answer Options: “Psychological stress is actually at the root of most mental disorders.” “We now know that all mental illnesses are the result of genetic factors.” “It must be frustrating for you that your spouse is sick so much of the time.” “Research has shown schizophrenia has a biological rather than psychological origin.” Correct Answer: “Research has shown schizophrenia has a biological rather than psychological origin.”
Question: Which belief by a nurse supports the highest degree of patient advocacy during a multidisciplinary patient care planning session?
Answer Options: All mental illnesses are culturally determined. Schizophrenia and bipolar disorder are cross-cultural disorders. Symptoms of mental disorders are constant from culture to culture. Some symptoms of mental disorders may reflect a person’s cultural patterns. Correct Answer: Some symptoms of mental disorders may reflect a person’s cultural patterns.
Question: 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?
Answer Options: Effectiveness in work Communication skills Productive activities Maintaining relationships Correct Answer: Maintaining relationships
Question: In the majority culture of the United States, which individual is at greatest risk to be incorrectly labeled mentally ill?
Answer Options: Person who is usually pessimistic but strives to meet personal goals. Wealthy person who gives $20 bills to needy individuals in the community. Person who is open about getting his or her own needs met. Person who expresses strong beliefs about the existence of alien abductions. Correct Answer: Person who expresses strong beliefs about the existence of alien abductions.
Question: A participant at a community education conference asks, “What is the most prevalent type of mental disorder in the United States?” What is the nurse’s best response?
Answer Options: “Why do you ask?” “Schizophrenia” “Affective disorders” “Anxiety disorders” Correct Answer: “Anxiety disorders”
Question: A nurse wants to find a description of diagnostic criteria for a person diagnosed with schizophrenia. Which resource should the nurse consult?
Answer Options: U.S. Department of Health and Human Services Journal of the American Psychiatric Association North American Nursing Diagnosis Association International (NANDA-I) Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Correct Answer: Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Question: A patient in the emergency department reports, “I hear voices saying someone is stalking me. They want to kill me because I found the cure for cancer. I will stab anyone that threatens me.” Which aspects of mental health have the greatest immediate concern to a nurse? (Select all that apply.)
Answer Options: Happiness Appraisal of reality Control over behavior Effectiveness in work Healthy self-concept Correct Answer: Appraisal of reality Control over behavior
Question: Which statements most clearly reflect the stigma of mental illness? (Select all that apply.)
Answer Options: “Many mental illnesses are hereditary.” “Mental illness can be evidence of a brain disorder.” “People claim mental illness, so they can qualify for disability.” “If people with mental illness went to church, they would be fine.” “Mental illness is a result of the breakdown of the American family.” Correct Answer: “People claim mental illness, so they can qualify for disability.” “If people with mental illness went to church, they would be fine.” “Mental illness is a result of the breakdown of the American family.”
Question: 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.
Answer Options: “This is normal for your child’s age. The child is striving for independence.” “The child needs firmer control. Punish the child for disobedience and say, ‘No.'” “There may be developmental problems. Most children are toilet trained by age 2 years.” “Some undesirable attitudes are developing. A child psychologist can help you develop a remedial plan.” Correct Answer: “This is normal for your child’s age. The child is striving for independence.”
Question: A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, “No!” when given direction. Using Freud’s stages of psychosexual development, a nurse assesses the child’s behavior is based on which stage?
Answer Options: Oral Anal Phallic Genital Correct Answer: Anal
Question: 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?
Answer Options: Trust versus Mistrust Initiative versus Guilt Industry versus Inferiority Autonomy versus Shame and Doubt Correct Answer: Autonomy versus Shame and Doubt
Question: 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:
Answer Options: id ego superego preconscious Correct Answer: id
Question: The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being polite, and using good manners. Such praise fosters the use of praise because, according to the Freudian theory, it strengthens which part of the personality?
Answer Options: Id Ego Superego Preconscious Correct Answer: Superego
Question: A nurse supports parental praise of a child who is behaving in a helpful way. When the individual behaves with politeness and helpfulness in adulthood, which ego ideal will most likely result?
Answer Options: Curiosity Awareness Honesty Self-esteem Correct Answer: Self-esteem
Question: A patient comments, “I never know the right answer” and “My opinion is not important.” Using Erikson’s theory, which psychosocial crisis did the patient have difficulty resolving?
Answer Options: Initiative versus Guilt Trust versus Mistrust Autonomy versus Shame and Doubt Generativity versus Self-Absorption Correct Answer: Autonomy versus Shame and Doubt