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Mental Health: Exam 1: NCLEX Review Questions from EVOLVE website
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Mental Health: Exam 1: NCLEX ReviewQuestions from EVOLVE website
According to the DSM-5, there is evidence that symptoms and causes of
mental illness are influenced by:
A) cultural and ethnic factors. Correct
B) occupation and status.
C) birth order.
D) sexual preference. - -cultural and ethnic factors
The DSM-5 states there is evidence to suggest that mental illness is
influenced by cultural and ethnic factors. The DSM-5 does not state that
there is evidence that occupation, birth order, or sexual preference affect
mental illness.
-One characteristic of mental health that allows people to adapt to
tragedies, trauma, and loss is:
A) dependence.
B) resilience. Correct
C) pessimism.
D) altruism. - -B) resilience
Resilience is a characteristic that helps individuals cope with loss and trauma
that may occur in life. Dependence is described as being dependent on
others for decision making and care. Pessimism is a life philosophy that
things are more likely to go wrong than right. Altruism is described as putting
others before yourself.
-You are caring for Kiley, a 29-year-old female patient who is being admitted
following a suicide attempt. Which of the following illustrates the concept of
patient advocacy?
A) "Dr. Raye, I notice you ordered Prozac for Kiley. She has stated to me that
she does not want to take Prozac because she had adverse effects when it
was previously prescribed."
B) "Dr. Raye, during her admissions interview Kiley stated that she has had
three other suicide attempts in the past."
C) "Kiley, can you tell me more about your depression and your suicide
attempt?"
D) "Kiley, I will take you on a tour of the unit and orient you to the rules." - -
A) "Dr. Raye, I notice you ordered Prozac for Kiley. She has stated to me that
she does not want to take Prozac because she had adverse effects when it
was previously prescribed."
,By letting the provider know that the patient does not want the treatment
the provider is prescribing, you have advocated for the patient and her right
to make decisions regarding her treatment. The other selections do not
describe patient advocacy.
-You have graduated with your BSN degree and have taken your first job on
a psychiatric unit after becoming a licensed Registered Nurse. You are
providing teaching to Mason, a newly admitted patient on the psychiatric
unit, regarding his daily schedule. Which of the following would not be an
appropriate teaching statement?
A) "You will participate in unit activities and groups daily."
B) "You will be given a schedule daily of the groups we would like you to
attend."
C) "You will attend a psychotherapy group that I lead."
D) "You will see your provider daily in a one-to-one session." - -C) "You will
attend a psychotherapy group that I lead."
Basic level RNs cannot perform psychotherapy. The other options are all
appropriate expectations of a patient's schedule on a psychiatric unit.
-A nurse who is active in local consumer mental health groups and in local
and state mental health associations and who keeps aware of state and
national legislation affecting mental illness treatment may positively affect
the climate for treatment by:
A) becoming active in politics leading to a potential political career.
B) reducing the stigma of mental illness and advocating for equality in
treatment.
C) encouraging laws that would make the involuntary long-term commitment
process easier and faster for caregivers of mentally ill persons.
D) advocating for reduced mental health insurance benefits to discourage
abuse of the system by inappropriate psychiatric admissions. - -B) reducing
the stigma of mental illness and advocating for equality in treatment.
Nurses who are aware of legislative concerns and who are active in
organizations that promote mental health awareness and appropriate and
equal treatment for mental illness help achieve the goal of parity, or equality
of treatment for mentally ill individuals. Becoming active in politics may be a
personal goal but does not directly or necessarily reduce stigma or
encourage treatment equality. The other options are undesirable outcomes.
-You are caring for Alyssa, a 28-year-old patient with bipolar disorder who
was admitted in a manic state. According to Maslow's Hierarchy of Needs
, theory, which of the following symptoms needs to be the first priority in
caring for this patient?
A) Rapid, pressured speech
B) Grandiose thoughts
C) Lack of sleep
D) Hyperactive behavior - -C) Lack of sleep
Based on Maslow's theory, physiological needs such as food, water, air,
sleep, etc., are the priority and must be taken care of first. The other options
are symptoms of mania but not as critical as lack of sleep.
-Lucas states, "I will always be alone because nobody could love me." This is
most likely an example of:
A) emotional consequence.
B) schema
C) actualization.
D) aversion. - -B) schema
Schemas are unique assumptions about ourselves, according to Beck's
theory. This statement is an example of a negative schema. Emotional
consequence is the end result of negative thinking process, as described by
Ellis. Actualization is a level of Maslow's Hierarchy of Needs. Aversion is a
therapy characterized by punishment.
-You and Jack are two of the nurses working on the psychiatric unit. Jack
mentions to you that the biological model for mental illness is the one he
embraces, and states "it's the only one I really believe." Which of the
following statements is true regarding believing in only the biological model?
A) The biological model is the oldest and most reliable model for explaining
mental illness.
B) The biological model does not explain every symptom of mental illness.
C) The biological model is the most popular theory among leading
psychiatrists and therefore the one that should be fully embraced.
D) In believing only the biological model, other influences on mental health
including cultural, environmental, social, and spiritual influences are not
taken into account. - -D) In believing only the biological model, other
influences on mental health including cultural, environmental, social, and
spiritual influences are not taken into account.
In believing only in the biological model to the exclusion of other theories
and perspectives, influences such as educational, social, spiritual, cultural,
environmental, and economic are not considered, and these have also been
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