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Exam 1 Mental Health/65 Questions and Answers 2024
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Exam 1 Mental Health/65 Questions andAnswers 2024
Which statement about mental illness is true? - -Mental illness changes with
culture, time in history, political systems, and the groups defining it.
-A nursing student new to psychiatric mental health nursing asks a peer
what resources he can use to figure out which symptoms are present in a
psychiatric disorder. The best answer would be: - -DSM - 5
-Epidemiological studies contribute to improvements in care for individuals
with mental disorders by: - -Identifying who in the general population will
develop a specific disorder
-Which statement best describes a major difference between a DSM - 5
diagnosis and a nursing diagnosis - -The DSM-5 is associated with present
symptoms, whereas a nursing diagnosis considers past, present, and
potential responses to actual mental health problems.
-The intervention that can be practiced by an advanced practice registered
nurse in psychiatric mental health but cannot be practiced by a basic level
registered nurse is - -Psychotherapy
-Which contribution to modern psychiatric mental health nursing practice
was made by Freud? - -The theory of personality structure and levels of
awareness
-The theory of interpersonal relationships developed by Hildegard Peplau is
based on the foundation provided by which early theorist? - -Sullivan
-The concepts at the heart of Sullivan's theory of personality are - -Needs
and anxiety
-The premise that an individual's behavior and affect are largely determined
by his or her attitudes and assumptions about the world underlies: - -
Cognitive-behavioral therapy
-Providing a safe environment for patients with impaired cognition, planning
unit activities to stimulate thinking, and including patients and staff in unit
meetings are all part of: - -Milieu therapy
-A nurse administering a benzodiazepine should understand that the
therapeutic effect of benzodiazepines results from potentiating the
neurotransmitter: - -GABA
, -Venlafaxine (Effexor) exerts its antidepressant effect by selectively blocking
the reuptake of: - -Serotonin and norepinephrine
-The nurse administers each of the following drugs to various patients. The
patient who should be most carefully assessed for fluid and electrolyte
imbalances is the one receiving - -lithium
-Which drug group calls for nursing assessment for development of
abnormal movement disorders among individuals who take therapeutic
dosages - -antipsychotics
-Blockage of dopamine transmission can lead to increased pituitary
secretions of prolactin. In women, this hyperprolactinemia can result in - -
amenorrhea
-Which of the following factors contribute to the movement of patients out of
large state institutions and into community-based mental health treatment -
-a. States desire to save money by moving the patients to the community,
where the federal government would pick up more of the cost,
c. A system of coordinated and accessible community care was developed by
forward-thinking communities and offered more effective treatment, the
Community Mental Health
d. Centers Act of 1963 required states to develop and offer care in
community-based treatment programs,
e. Patient advocates exposed deficiencies of state hospitals and took legal
actions, leading to the identification of a right to treatment in the least
restrictive setting,
f. New psychotropic medications controlled symptoms more effectively,
allowing many patient to live and receive care in less restrictive settings
-Levels of prevention strategies prominent in outpatient psychiatric care
consist of primary prevention, secondary prevention, and ________
prevention. - -tertiary
-Anna, a patient at the community mental health center, tends to stop
taking her medications at intervals, usually leading to decompensation.
Which of the following interventions would most likely improve her
adherence to her medications? - -Help Anna to understand her illness and
share in decisions about her care.
-A friend recognizes that his depression has returned and tells you he is
suicidal and afraid he will harm himself. He wishes to be hospitalized but
does not have health insurance. Which of the following responses best meets
his immediate care needs and reflects the options for care a person in his
position typically has? - -Assist him in obtaining an outpatient counseling
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