Answer Options:
a. “Send a picture of yourself to school to keep with the child.”
b. “Arrange with the teacher to let the child call home at playtime.”
c. “Talk with the school about withdrawing the child until maturity increases.”
d. “Talk with your health care provider about a referral to a mental health professional.”
Answer: d. “Talk with your health care provider about a referral to a mental health professional.”
Question: What is an example of a lack of parity in health care delivery today?
Answer Options:
a. Payment for psychiatric health care is not equal to that of physical health care.
b. Medicare is provided for only those 65 years of age and older.
c. There is a sufficient need for mental health care providers.
d. Most psychiatric care is provided on an outpatient basis.
Answer: a. Payment for psychiatric health care is not equal to that of physical health care.
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:
a. id
b. ego
c. superego
d. preconscious
Answer: a. id
Question: A nurse counsels a patient diagnosed with serious and persistent mental illness. The patient lives at home with family. Which resource could the nurse suggest assisting the patient and family to cope with the stigma of mental illness as well as provide support and education?
Answer Options:
a. American Psychiatric Association (APA)
b. National Alliance on Mental Illness (NAMI)
c. Community Mental Health Centers (CMHCs)
d. Programs of Assertive Community Treatment (PACT)
Answer: b. National Alliance on Mental Illness (NAMI)
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:
a. Trust versus Mistrust
b. Initiative versus Guilt
c. Industry versus Inferiority
d. Autonomy versus Shame and Doubt
Answer: d. Autonomy versus Shame and Doubt
Question: Operant conditioning will be used to encourage speech in a child who is nearly mute. Which technique would a nurse include in the treatment plan?
Answer Options:
a. Ignore the child for not using speech.
b. Give the child a sweet treat when the child uses speech.
c. Have the child observe others talking.
d. Teach the child relaxation techniques, then coax speech.
Answer: b. Give the child a sweet treat when the child uses speech.
Question: An adult expresses the wish to be taken care of and often behaves in a helpless fashion. This adult has needs related to which of Freud’s stages of psychosexual development?
Answer Options:
a. Latency
b. Phallic
c. Anal
d. Oral
Answer: d. Oral
Question: A patient’s partner, who is a chemist, asks a nurse how serotonin reuptake inhibitors (SSRIs) lift depression. What response will the nurse provide?
Answer Options:
a. Destroys increased amounts of neurotransmitters.
b. Makes more serotonin available at the synaptic gap.
c. Increases production of acetylcholine and dopamine.
d. Blocks muscarinic and α1-norepinephrine receptors.
Answer: b. Makes more serotonin available at the synaptic gap.
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:
a. Curiosity
b. Awareness
c. Honesty
d. Self-esteem
Answer: d. Self-esteem
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:
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Maintaining relationships
Answer: d. Maintaining relationships
Question: To provide comprehensive care to patients, which competency is more important for a nurse who works in a community mental health center than a psychiatric nurse who works in an inpatient unit?
Answer Options:
a. Problem-solving skills
b. Calm and caring manner
c. Ability to cross service systems
d. Knowledge of psychopharmacology
Answer: c. Ability to cross service systems
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:
a. “No functional difference exists between the two diagnoses. Both serve to identify a human deviance.”
b. “The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis includes cultural variables.”
c. “The DSM-5 diagnosis profiles present distress or disability, whereas a nursing diagnosis considers past and present responses to actual mental health problems.”
d. “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.”
Answer: d. “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.”
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:
a. Happiness
b. Appraisal of reality
c. Control over behavior
d. Effectiveness in work
e. Healthy self-concept
Answer: b Appraisal of reality
c. Control over behavior
Question: A student nurse tells the instructor, “I don’t need to interact with my patients. I learn what I need to know by observation.” The instructor can best interpret the nursing implications of Sullivan’s theory by providing what response?
Answer Options:
a. “Nurses cannot be isolated. We must interact to provide patients with opportunities to practice interpersonal skills.”
b. “Observing patient interactions can help you formulate priority nursing diagnoses and appropriate interventions.”
c. “I would hope accurate your assessment of the patient’s needs can be if you do not interact with the patient.”
d. “Noting patient behavior changes is important because these may indicate changes in personality.”
Answer: a. “Nurses cannot be isolated. We must interact to provide patients with opportunities to practice interpersonal skills.”
Question: A nurse must assess several new patients at a community mental health center. Conclusions concerning current functioning should be made on the basis of what factor?
Answer Options:
a. The degree of conformity of the individual to society’s norms.
b. The degree to which an individual appears logical and rational.
c. A continuum from mentally healthy to mentally unhealthy.
d. The rate of their intellectual and emotional growth.
Answer: c. A continuum from mentally healthy to mentally unhealthy.
Second Image
Question: A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian theory, these traits are related to which psychosexual stage?
Answer Options:
a. Oral
b. Anal
c. Phallic
d. Genital
Answer: c. Phallic
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, the nurse would assess the child’s behavior is based on which stage?
Answer Options:
a. Oral
b. Anal
c. Phallic
d. Genital
Answer: b. Anal