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Test Bank for Psychiatric Mental Health Nursing 8th Edition Wanda Mohr
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lOMoAR cPSD| 11700591Test Bank for
Psychiatric Mental Health Nursing 8th Edition Wanda Mohr
Chapter 01- Introduction to Psychiatric-Mental Health Nursing
1. A 48-year-old independent, successful woman is recovering from a modified radical
mastectomy. She states she was grateful that during the first few weeks after surgery her mother
stayed with her and did “everything” for her. Which element of mental health does this reflect?
A) Reality orientation
B) Mastery of the environment
C) Self-governance
D) Tolerance of the unknown
1. Why is the document Mental Health: A Report of the Surgeon General (1999) most
significant?
A) Because it states clearly that there are effective treatments for mental illness
B) Because it allocates research money to psychiatric facilities
C) Because it sets new guidelines for use of restraints
D) Because it establishes reimbursement guidelines for third-party payers
1. While a nurse is performing an admission assessment for a mental health client, the client
states that all of his problems have been caused by his parents. The nurse knows that
psychological factors that can influence mental health include which of the following?
A) Neuroanatomy
B) Emotional developmental level
C) Values and beliefs
D) Religion
1. What is the primary purpose of the five-axis system used in the fourth edition of
theDiagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision(DSM- IV-TR)?
A) To separate the various mental disorders into five related categories
B) To give a comprehensive picture of client functioning
C) To improve prognostic ability
D) To provide a decision-making algorithm for pharmacologic treatment
1. One limitation of the DSM relates to diagnostic labels given to children. The most
problematic issue caused by applying adult categories to children is which of the following?
A) It prevents the proper treatment of childhood disorders.
B) The criteria for diagnosis of a disorder are flexible for an adult, but not for children.
C) Categories are based on manifestations of adult disorders, not research in children.
D) The DSM was written before childhood psychological conditions were recognized.
1. Which of the following represents a problem complicating the treatment of people with
mental illness?
A) Insurers' reimbursement decisions
B) Increased responsibility for care by state mental hospitals
C) Overuse of the well-coordinated mental health care system
D) Lack of effective treatments
1. Julie, a 47-year-old woman, missed 1 week of work when she was hospitalized with
bipolar disorder. She was placed on medication and was able to return to work. When asked
about her absence, Julie informed coworkers that she was suffering from influenza. What is the
most likely reason Julie lied about her illness?
A) This is a sign that the medication is not effectively treating her illness.
B) Fear of rejection, isolation, and discrimination based on her mental health diagnosis
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C) Due to workplace policies that encourage the firing of those with mental illnesses
D) To avoid eliciting sympathy among her coworkers
1. A 22-year-old man with a history of a recent suicide attempt is being treated for
depression. Prior to becoming depressed, the client attended a prestigious art school and enjoyed
many social and leisure activities. Of the following long-term goals for this client, which is
consistent with an overarching recovery goal for all clients with mental disorders?
A) The client will not injure himself.
B) The client's symptoms will be reduced.
C) The client will show interest in social and leisure activities.
D) The client will resume pre-illness functioning.
1. Which of the following approaches to care best reflects cultural competence?
A) Always assign nurses of a specific ethnic background to clients with the same ethnic
background.
B) Learn the behaviors and values associated with people of specific ethnic backgrounds.
C) Assess the culturally mediated beliefs of each client.
D) Believe that people are more alike than they are different.
Chapter 02- Neuroscience-Biology and Behavior
1. The basic units of structure and function in the nervous system are called which of the
following?
A) Glial cells
B) Neurons
C) Axons
D) Dendrites
1. The structure and function of a neuron form the basis for the overall function of the
nervous system. What are the components of a neuron?
A) A glial cell, nucleus, organelles, dendrites, and axons
B) A glial cell, nucleus, dendrites, and synapses
C) A cell body, nucleus, organelles, dendrites, and axons
D) A cell body, nucleus, axon, and synapses
1. A patient has researched the role of neurotransmitters in her mental illness. What is the
role of neurotransmitters?
A) Excite the receptor cell located inside the synaptic cleft.
B) Inhibit the receptor cell found inside of glial cells.
C) Communicate information within the receptor cell.
D) Communicate information from one cell or cell group to another.
1. Because neurotransmitters are responsible for immediately transmitting impulses between
nerve cells, they are known as which of the following?
A) First messengers
B) Second messengers
C) Receptors
D) Synapses
1. A nurse is caring for a patient who is addicted to alcohol and drugs and is discussing the
pathway of the brain responsible for this behavior. The nurse should know that the pathway of the
brain thought to be involved in pleasurable sensations and the euphoria resulting from use of
drugs is called the:
A) Tuberinfundibular dopamine pathway
B) Nigrostriatal dopamine pathway
C) Mesocortical dopamine pathway
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D) Mesolimbic dopamine pathway
1. A client lives with acquired deficits in emotional control, memory, and learning. What part
of this client's brain is most likely affected?
A) Basal ganglia
B) Brainstem
C) Limbic system
D) Cerebellum
1. You are caring for a mental health client who has developed difficulty with balance and
muscle tone after a car accident that involved a head injury. Based on this information, what area
of the brain was most likely injured in the accident?
A) Diencephalon
B) Brainstem
C) Cerebellum
D) Pons
1. A client who experiences dysfunction in the hypothalamus is most likely to have
A) Maintaining homeostasis
B) Processing sensory input
C) Secreting melatonin
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D) Integrating motor activities
1. Sensory deprivation in infancy and childhood has adversely affected a boy's brain
development. Which characteristic of the brain was most directly involved in this process?
A) Neuroplasticity
B) Reactive plasticity
C) Adaptive plasticity
D) Synaptic plasticity
1. Rather than being 100%, concordance rates for schizophrenia in monozygotic twins are
only 50%. Which of the following statements best explains this phenomenon?
A) Genetic predisposition to disease is frequently overstated.
B) One twin is inherently more vulnerable in every case.
C) Environmental experiences affect gene expression.
D) The genetic pathway responsible for vulnerability is unrelated to being a twin.
Chapter 03- Conceptual Frameworks and Theories
1. A psychiatric–mental health nurse is aware of the importance of theories in the
development and delivery of care. Which of the following is the best definition of a theory?
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