NUR 316 Nursing Concepts for Psychiatric Exam 1 Questions and Correct Answers
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Course
NUR 316
Institution
NUR 316
The primary impact that the development and use of psychotropic drugs had on nursing's role in the care of clients with mental health disorders was: A. The availability of mental health therapies as an outpatient service. B. The expansion of the role assumed by professionally trained nurses. C. Nur...
NUR 316 Nursing Concepts for
Psychiatric Exam 1 Questions and
Correct Answers
The primary impact that the development and use of psychotropic drugs had on
nursing's role in the care of clients with mental health disorders was:
A. The availability of mental health therapies as an outpatient service.
B. The expansion of the role assumed by professionally trained nurses.
C. Nurses were needed to fill the gap created by a lack of medical personnel.
D. More nurses were required to address the needs of the now treatable mental health
clients. ✅B. The expansion of the role assumed by professionally trained nurses.
Which nursing activity demonstrates the role of a professional psychiatric nurse as
identified by Hildegard Peplau?
A. Managing the milieu
B. Caring for the client's physiological needs
C. Providing counseling
D. Documenting client behaviors ✅C. Providing counseling
Which nursing activity is a direct result of the Community Mental Health Centers Act of
1963?
A. Being a member of a client's multidisciplinary treatment team
B. Performing an extensive admissions assessment for each hospitalized client
C. Using physical restraints as only the last resort when client safety requires it
D. Educating a client on the role of neurotransmitters in chronic depression ✅A. Being
a member of a client's multidisciplinary treatment team
What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH) from the
Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN-PMH)?
A. Only the APRN-PMH is responsible for milieu management.
B. The APRN-PMH exercises a greater degree of autonomy when providing care.
C. Only the RN-PMH provides medication education to the client.
D. The RN-PMH has less experience working with the mentally ill. ✅B. The APRN-
PMH exercises a greater degree of autonomy when providing care.
In order to become political advocates for the mentally ill, psychiatric nurses must first:
A. Be willing to learn the legislative and regulatory processes at both the federal and
state levels.
B. Recognize the need to work in partnership with the American Medical Association.
C. Be willing to put aside differences and unite for a common mental health cause.
D. Recognize the value of their understanding of the needs of the mentally ill. ✅D.
Recognize the value of their understanding of the needs of the mentally ill.
,The nurse demonstrates an understanding of the first assumption of Stuart's Stress
Adaptation Model when:
A. Encouraging a client's adult children to accompany their parent to family group
therapy sessions.
B. Discussing with a client's health team which interventions should be included in the
plan of care.
C. Planning interventions based on a particular nursing theory that is relevant to the
client's problem.
D. Identifying community resources that will help a mentally ill client live in his own
home. ✅A. Encouraging a client's adult children to accompany their parent to family
group therapy sessions.
A young adult tells the nurse at the local free clinic that he is currently living in his car
and panhandling for money. The nurse asks the individual the reason for his decision to
live as he does. Which response will the nurse follow up on to determine if the individual
is experiencing mental health issues?
A. "I'll live in a house and get a job when the government gives everyone those
opportunities."
B. "I live like this for 3 months each year just to remind myself how much I really have."
C. "This way they can't find me and if they can't find me they can't hurt me."
D. "The law says I can live any way I want to as long as I'm not hurting anyone." ✅C.
"This way they can't find me and if they can't find me they can't hurt me."
Which statement by an older adult who has recently had hip replacement surgery
supports that her positive attitude is contributing to her mental health wellness?
A. "I know I can't go hiking like I did, but I really miss it so much."
B. "I can't go hiking, but I still enjoy walking in the park in the afternoon."
C. "If I work really hard in rehab, I think I'll be able to hike again next spring."
D. "Hiking gave me such pleasure, but if I can't hike, I'll just have to get used to it." ✅B.
"I can't go hiking, but I still enjoy walking in the park in the afternoon."
Which statement made by a teenager indicates an increased risk for poor stress
management as a result of a psychosocial factor?
A. "I couldn't survive if my boyfriend left me."
B. "My father tried to kill himself when I was 10 years old."
C. "Our religion does not accept homosexuality as a lifestyle choice."
D. "In my culture mental illness is thought of as a punishment not a sickness." ✅A. "I
couldn't survive if my boyfriend left me."
What is the long-term benefit of successfully implementing a constructive coping
mechanism?
A. Similar stressors will no longer have a negative affect in the future.
B. One's ability to avoid stressors in the future is greatly improved.
C. Stress is no longer viewed as a barrier to future happiness and success.
,D. Confidence in one's ability to manage stress in the future is reinforced. ✅D.
Confidence in one's ability to manage stress in the future is reinforced.
The client's chart indicates that she has experienced trauma to the cerebral cortex as a
result of injuries sustained during an attempted suicide. Which observation is most likely
the result of this injury?
A. Client is often found crying into her pillow.
B. Client demonstrates involuntary twitching of facial muscles.
C. Client states, "What do you mean 'it's raining cats and dogs'?"
D. Client asks, "Can you address this letter to my mom; I forget her address?" ✅C.
Client states, "What do you mean 'it's raining cats and dogs'?"
A client suspected of being schizophrenic is scheduled for a computed tomography
(CT). The nurse informs the client that the diagnostic test will:
A. Confirm the diagnosis of schizophrenia.
B. Trace the flow of blood through his brain.
C. Allow the doctors to view the structures of his brain.
D. Help determine the areas of his brain that are overreacting. ✅C. Allow the doctors
to view the structures of his brain.
A client diagnosed with depression has reported fatigue and poor concentration. When
she is told that the results of her sleep study show that she has excessive REM sleep
cycles, the client asks the nurse to explain what those results mean. The nurse best
answers the client's concerns by replying:
A. "It means that you are sleep deprived."
B. "REM sleep stands for rapid eye movement sleep."
C. "Too much REM sleep deprives you of deep restoring sleep."
D. "Depressed individuals generally experience prolonged periods of REM sleep." ✅C.
"Too much REM sleep deprives you of deep restoring sleep."
The greatest benefit derived from current work being done related to pharmacogenetics
is that:
A. The cost of medication manufacturing will be drastically reduced.
B. Research and development of new drugs will be much less costly.
C. Medications will be designed so that they do not cause unwanted side effects.
D. Medications will be formulated so that only one dose per day will be required. ✅C.
Medications will be designed so that they do not cause unwanted side effects.
The psychiatric nurse best demonstrates an understanding of the general health
challenges facing a mentally ill client who reports auditory hallucinations when asking:
A. "When did you first start hearing voices?"
B. "What did you have to eat last night for supper?"
C. "May I have your permission to take your blood pressure?"
D. "Do you understand why you need to take your medication?" ✅C. "May I have your
permission to take your blood pressure?"
, The mental health nurse is about to conduct an admissions interview with an older adult
being admitted for depression. Which action demonstrates an understanding of the
appropriate integration of the mental health status examination into an assessment
interview?
A. Conducting the interview in a quiet, private location
B. Informing the client that his mental health status will be assessed
C. Asking the mental health assessment questions at the beginning of the interview
D. Including mental health questions among the general assessment interview
questions ✅D. Including mental health questions among the general assessment
interview questions
During an assessment interview with a newly admitted client, the nurse identifies a
sense of anger developing in response to the client's defiant statements. In order to
maintain a therapeutic environment, the nurse:
A. Asks that another nurse continue the assessment.
B. Identifies for the client the inappropriateness of his statements.
C. Shares with the client that he appears angry about being admitted.
D. Postpones the remainder of the interview until the client is more cooperative. ✅C.
Shares with the client that he appears angry about being admitted.
A client diagnosed with chronic depression appears sad and joyless when arriving at the
mental health clinic for a scheduled appointment. The nurse best assesses the client's
mood by:
A. Observing the client's posture, dress, and hygiene in detail.
B. Asking, "You seem very sad and forlorn; are you depressed today?"
C. Asking, "On a scale of 0 to 10 with 10 being as happy as you can ever remember
being, how do you feel today?"
D. Observing the way the client interacts with other staff to determine whether the client
is demonstrating signs of depression. ✅C. Asking, "On a scale of 0 to 10 with 10 being
as happy as you can ever remember being, how do you feel today?"
The Mini Mental State Exam is most appropriately used when the:
A. Focus of the exam is the client's cognitive function.
B. Interview must be completed in 10 minutes or less.
C. Client is agitated and unwilling to complete the full version.
D. Test is meant to establish a client's mood at the time of admission. ✅A. Focus of
the exam is the client's cognitive function.
Which statement demonstrates an understanding of the value of using rating scales
when assessing and documenting client responses?
A. "Documentation is standardized for all depressed clients when you use the
depression rating scale."
B. "The depression rating scale makes tracing a client's response to antidepressant
medication much more reliable."
C. "Clients seem to be able to assign a number to their feelings of depression better
than describing them verbally."
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