A category 5 tornado occurred in a community of 400 people. Many homes and businesses
were destroyed. In the 2 years following the disaster, 140 individuals were diagnosed with
posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed
cases?
a. Prevalence
b. Comorbidity
c. Incidence
d. Parity
c. Incidence
Which component of treatment of mental illness is specifically recognized by Quality and
Safety Education for Nurses (QSEN)?
a. All genomes are unique.
b. Care is centered on the client.
c. Healthy development is vital to mental health.
d. Recovery occurs on a continuum from illness to health.
b. Care is centered on the client.
What is the best response for the nurse to provide to a question from another health
professional regarding the difference between a diagnosis in DSM-V and a nursing
diagnosis.
a. "There is no functional difference between the two. Both identify human disorders."
b. "The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes culture
into account."
c. "The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis does
not explore etiology."
,d. "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis offers a
framework for identifying interventions for issues a client is experiencing."
d. "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis offers a
framework for identifying interventions for issues a client is experiencing."
Which nursing intervention below is part of the scope of an advanced practice
psychiatric/mental health nurse rather than a basic level registered nurse?
a. Coordination of care
b. Health teaching
c. Milieu therapy
d. Psychotherapy
d. Psychotherapy
An experienced new nurse says to a new graduate, "When you've practiced as long as I
have you automatically know how to take care of clients experiencing psychosis." Which
factors should the new graduate consider when analyzing this comment? SATA
a. the experienced nurse may have lost sight of clients' individuality, which may
compromise the integrity of practice.
b. new research findings should be integrated continuously into a nurse's practice to
provide the most effective care.
c. experience provides mental health nurses with the essential tools and skills needed for
effective professional practice.
d. experienced psychiatric nurses have learned the best ways to care for mentally ill
clients through trial and error.
e. an intuitive sense of clients' needs guides effective psychiatric nurses.
a. the experienced nurse may have lost sight of clients' individuality, which may compromise
the integrity of practice.
b. new research findings should be integrated continuously into a nurse's practice to provide
the most effective care.
Which findings are signs of a person who is mentally healthy? (Select all that apply.)
a. Says, "I have some weaknesses, but I feel I'm important to my family and friends."
,b. Adheres strictly to religious beliefs of parents and family of origin.
c. Spends all holidays alone watching old movies on television.
d. Considers past experiences when deciding about the future.
e. Experiences feelings of conflict related to changing jobs.
a. Says, "I have some weaknesses, but I feel I'm important to my family and friends."
d. Considers past experiences when deciding about the future.
e. Experiences feelings of conflict related to changing jobs.
A client in the emergency department says, "Voices say someone is stalking me. They
want to kill me because I developed a cure for cancer. I have a knife and will stab anyone
who is a threat." Which aspects of the client's mental health have the greatest and most
immediate concern to the nurse? SATA
a. happiness
b. appraisal of reality
c. control over behavior
d. effectiveness in work
e. healthy self-concept
b. appraisal of reality
c. control over behavior
e. healthy self-concept
A parent says, "My 2-year-old child refuses toilet training and shouts 'No!' when given
directions. What do you think is wrong?" Select the nurse's best reply.
a. "Your child needs firmer control. It is important to set limits now."
b. "This is normal for your child's age. The child is striving for independence."
c. "There may be developmental problems. Most children are toilet trained by age 2."
d. "Some undesirable attitudes are developing. A child psychologist can help you develop
a plan."
b. "This is normal for your child's age. The child is striving for independence."
, A nurse wants to find information on current evidence-based research, programs, and
practices regarding mental illness and addictions. Which resource should the nurse
consult?
a. American psychiatric association
b. American psychological association
c. clinician's quick guide to interpersonal psychotherapy
d. substance abuse and mental health services administration
d. substance abuse and mental health services administration
A 26-month-old displays negative behavior, refuses toilet training, and often says "NO!"
Which psychosocial crisis is evident?
a. trust vs mistrust
b. initiative vs guilt
c. industry vs inferiority
d. autonomy vs shame and doubt
d. autonomy vs shame and doubt
A 4-year-old grabs toys from other children and says "I want that now!". From a
psychoanalytic perspective, this behavior is a product of impulses originating in which
system of the personality?
a. Id
b. Ego
c. Superego
d. Preconscious
a. Id
The parent of a 4-year-old rewards and praises the child for helping a younger sibling,
being polite, and using good manners. The nurse supports this use of praise related to
these behaviors. These qualities are likely to be internalized and become part of which
system of the personality?
a. Id
b. Ego
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