Answer Options:
a. “Things will look brighter soon. Everyone feels down once in a while.”
b. “The staff here cares about you and wants to try to help you get better.”
c. “It is difficult for others to care about you when you repeatedly say negative things about yourself.”
d. “I’ll sit with you for 10 minutes now and return for 10 minutes at lunchtime and again at 2:30 this afternoon.”
Answer: D. “I’ll sit with you for 10 minutes now and return for 10 minutes at lunchtime and again at 2:30 this afternoon.”
Question: In the majority culture of the United States, which individual is at greatest risk to be incorrectly labeled mentally ill?
Answer Options:
a. Person who is usually pessimistic but strives to meet personal goals.
b. Wealthy person who gives $20 bills to needy individuals in the community.
c. Person with an optimistic viewpoint about giving to others or their own needs met.
d. Person who expresses strong beliefs about the existence of extraterrestrial life.
Answer: d. Person who expresses strong beliefs about the existence of extraterrestrial life.
Question: A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient’s insurance form. Which resource should the nurse consult to learn more about the diagnosis?
Answer Options:
a. Psychiatric Nursing Care Plans
b. NANDA International (NANDA-I)
c. A behavioral health reference manual
d. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Answer: d. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Question: Which action by a nurse best supports a patient’s right to self-determination?
Answer Options:
a. Respect personal identification by addressing the patient by title and surname.
b. Consistently addressing a patient by title and surname without considering the patient’s own preference.
c. Strongly encouraging a patient to participate in the unit milieu against their will.
d. Discussing a patient’s condition with the treatment team outside of the patient’s presence.
Answer: a. Respect personal identification by addressing the patient by title and surname.
Question: An adult diagnosed with conversion (functional neurological symptom) disorder says, “Our family has gotten along over the years by working together. My partner cooks and the children clean house.” Understanding of this disorder will provide what rationalization for this statement?
Answer Options:
a. Patient is receiving secondary gains from the symptoms.
b. Patient has problems with sexual identity and satisfaction.
c. Patient will be resistant to developing a trusting relationship.
d. Patient will benefit from confrontation about physical complaints.
Answer: A. Patient is receiving secondary gains from the symptoms.
Question: Others describe a worker as very shy and lacking in self-confidence. This worker stays in an office cubicle all day and seldom comes out for breaks or lunch. Which term best describes this behavior?
Answer Options:
a. Avoidant
Answer: A. Avoidant
Question: A patient with severe depression states, “God is punishing me for my past sins.” What is the nurse’s best response?
Answer Options:
a. “Why do you think that?”
b. “Could you spend less about this.”
c. “You believe God is punishing you for your sins?”
d. “If you feel this way, you should talk to a member of your clergy.”
Answer: A. “Why do you think that?”
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:
a. Self-concept
b. Overall happiness
c. Appraisal of reality
d. Control over behavior
Answer: a. Self-concept
Question: A nurse assessing a new patient asks, “What is meant by the saying, ‘You can’t judge a book by looking at the cover’?” Which aspect of cognition is the nurse assessing?
Answer Options:
a. Mood
b. Attention
c. Orientation
d. Abstraction
Answer: D. Abstraction
Question: The goal for a patient is to increase resiliency. Which outcome should a nurse add to the plan of care to be achieved within 3 days?
Answer Options:
a. Patient describes feelings associated with loss and stress.
b. Patient meet own needs before considering the rights of others.
c. Patient will identify healthy coping behaviors in response to stressful events.
d. Patient will allow others to assume responsibility for major areas of own life.
Answer: c. Patient will identify healthy coping behaviors in response to stressful events.
Question: Which statements most clearly reflect the stigma of mental illness? (Select all that apply.)
Answer Options:
a. “Many mental illnesses are hereditary.”
b. “Mental illness can be evidence of a brain disorder.”
c. “People claim mental illness, so they can qualify for disability.”
d. “If people with mental illness went to church, they would be fine.”
e. “Mental illness is a result of the breakdown of the American family.”
Answer: c. “People claim mental illness, so they can qualify for disability.”
d. “If people with mental illness went to church, they would be fine.”
e. “Mental illness is a result of the breakdown of the American family.”
Question: Which statements most clearly indicate that the speaker views mental illness with stigma? (Select all that apply.)
Answer Options:
a. “Everyone is a little bit crazy.”
b. “If people with mental illness would go to church, their problems would be solved with faith.”
c. “Many mental illnesses are genetically transmitted. It is no one’s fault that the illness occurs.”
d. “Anyone can have a mental illness. War or natural disasters can be too stressful for healthy people.”
e. “People with mental illness are lazy. They expect the government to take care of everything they need.”
Answer: a. “Everyone is a little bit crazy.”
b. “If people with mental illness would go to church, their problems would be solved with faith.”
e. “People with mental illness are lazy. They expect the government to take care of everything they need.”
Question: A person diagnosed with severe and persistent mental illness enters a shelter for the homeless. Which intervention should be the nurse’s initial priority?
Answer Options:
a. Develop a relationship.
b. Find supported employment.
c. Administer prescribed medication.
d. Teach appropriate health care practices.
Answer: a. Develop a relationship.
Question: A nurse talks with a person whose spouse died suddenly while jogging. Which is the appropriate statement for the nurse?
Answer Options:
a. “At least your spouse did not suffer.”
b. “It’s better to go quickly as your spouse did.”
c. “The loss of your spouse must be very painful for you.”
d. “You’ll begin to feel better after you get over the shock.”
Answer: c. “The loss of your spouse must be very painful for you.”
Question: A nurse should assess a patient taking a medication with anticholinergic properties for inhibition of what function?
Answer Options:
a. Parasympathetic nervous system
b. Sympathetic nervous system
c. Reticular activating system
d. Medulla oblongata
Answer: a. Parasympathetic nervous system
Question: A community psychiatric nurse facilitates medication adherence for a patient by having the health care provider prescribe medications by injection every 3 weeks at the clinic. For this plan to be successful, which factor will be of critical importance?
Answer Options:
a. Attitude of significant others toward the patient
b. Nutritional services in the patient’s neighborhood
c. Level of trust between the patient and the nurse
d. Availability of transportation to the clinic
Answer: d. Availability of transportation to the clinic
Question: A nurse wants to reinforce positive self-esteem for a patient diagnosed with major depressive disorder. Today, the patient is wearing a new shirt and has neat, clean hair. Which remark is most appropriate?
Answer Options:
a. “You look nice this morning.”
b. “You are wearing a new shirt.”
c. “I like the shirt you’re wearing.”
d. “You must be feeling better today.”
Answer: B. “You are wearing a new shirt.”
Question: Select the most appropriate label to complete this nursing diagnosis: __________, related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.
Answer Options:
a. Deficient knowledge
b. Ineffective coping
c. Powerlessness
d. Social isolation
Answer: D. Social isolation