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MENTAL & BEHAVIORAL HEALTH NURSING TEST EXAM QUESTIONS AND ANSWERS 2024/2025
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MENTAL & BEHAVIORAL HEALTH NURSING TEST EXAM QUESTIONS AND ANSWERS 2024/2025
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MENTAL & BEHAVIORAL HEALTH NURSING TEST EXAM(QUESTIONS AND ANSWERS 2024/2025)
Resilience, the capacity to rebound from stressors via adaptive coping, is associated
with positive mental health. Your friend has just been laid off from his job. Which of
the following responses on your part would most likely contribute to his enhanced
resilience?
a. using your connections to set up an interview with your employer
b. connecting him with a friend of the family who owns his own business
c. supporting him in arranging, preparing for, and completing multiple interviews
d. helping him to understand that the layoff resulted from troubles in the economy
and is not his fault (CORRECT ANSWER) c. supporting him in arranging, preparing
for, and completing multiple interviews;
Resilience develops from the process of resolving distress through adaptive coping.
It is enhanced when people experience success as a result of their own efforts,
increasing their sense of control or mastery over stressful events. Supporting your
friend in his efforts to obtain and succeed in interviews for a replacement job
contributes to his enhanced resilience.
You are helping your friend deal with his situation and find a replacement job but not
in a manner that leads him to experience success via his own efforts. As a result of
using your connections to set up an interview with your employer, your friend does
not have an opportunity to experience a sense of mastery over stress, so this action
is less likely to contribute to increased resilience. You are helping your friend deal
with his situation and find a replacement job but not in a manner that leads him to
experience success via his own efforts. As a result of connecting him with a friend of
the family who owns his own business, your friend does not have an opportunity to
experience a sense of mastery over stress, so this action is less likely to contribute
to increased resilience. Helping him to understand that the layoff resulted from
troubles in the economy and is not his fault does not provide your friend with an
opportunity to experience a sense of mastery over stress, so this action is less likely
to contribute to increased resilience.
Which of the following situations best supports the diathesis-stress model of mental
illness development?
a. the rate of suicide increases during times of national disaster and despair
b. a woman feels mildly anxious when asked to speak to a large group
c. a man with no prior mental health problems experiences sadness after his divorce
d. a man develops schizophrenia, but his identical twin remains free of mental illness
(CORRECT ANSWER) d. a man develops schizophrenia, but his identical twin
remains free of mental illness;
The diathesis-stress theory states that some persons are born with a biological
predisposition to mental illness but that mental illness does not necessarily develop
unless those susceptible persons are exposed to stressors that trigger the illness.
Thus, two persons may have the same genetic profile, but one might develop a
mental illness due to stressful life experiences whereas the other, despite having the
same genetic makeup, has a different life experience and fails to develop the illness.
,Although the rate of suicide may increase during times of national disaster and
despair, there is not a biological predisposition for an increase in suicides. Speaking
to a large group of people may be stressful, so mild anxiety would be considered a
normal reaction. Experiencing sadness after a stressful environmental event does
not indicate a mental illness.
Of the following statements about mental illness, identify all of the correct ones:
a. about 20% of Canadians experience a mental disorder during their lifetime
b. mental disorders and diagnoses occur very consistently across cultures
c. most serious mental illness are psychological rather than biological in nature
d. the MHC report *Changing Directions, Changing Lives* outlines the mental health
strategy for Canada (CORRECT ANSWER) a & d;
One in five Canadians will develop a mental illness in their lifetime. The Mental
Health Commission report Changing Directions, Changing Lives outlines the 2012
Mental Health Strategy for Canada, highlighting six strategic directions: promotion
and prevention; recovery and rights; access to services; disparities and diversity;
First Nations, Inuit and Métis; and leadership and collaboration.
Which of the following actions represent the primary focus of psychiatric nursing for a
basic-level registered nurse?
a. determining a pt diagnosis according to the DSM-5
b. ordering diagnostic tests
c. identify how a pt is coping wit ha symptom such as hallucinations
d. guiding a patient to learn and use a variety of stress management techniques
e. helping a pt without personal transport find a way to his/her treatment appts.
f. collecting petition signatures seeking the removal of stigmatizing images on
television (CORRECT ANSWER) c, d, e & f;
The focus of psychiatric nursing involves using the nursing process to promote
mental health and to facilitate constructive responses to mental health problems or
psychiatric disorders. Identifying how a patient is coping with a symptom such as
hallucinations, guiding a patient to learn stress-management techniques, helping a
patient find transportation to treatment appointments, and collecting petition
signatures seeking the removal of stigmatizing images on television are all roles of
nurses working in psychiatry.
The quantitative study of the distribution of mental disorders in human populations is
called which of the following?
a. mortality
b. prevalence
c. epidemiology
d. clinical epidemiology (CORRECT ANSWER) c. epidemiology
Epidemiology is the quantitative study of the distribution of mental disorders in
human populations. Mortality refers to deaths. Prevalence refers to the proportion of
,a population with a mental disorder at a given time. Clinical epidemiology deals with
what happens to people with illnesses who are seen by providers of care.
Which statement best describes the DSM-5?
a. It is a medical psychiatric assessment system.
b. It is a compendium of treatment modalities.
c. It offers a complete list of nursing diagnoses.
d. It suggests common interventions for mental disorders. (CORRECT ANSWER) a.
it is a medical psychiatric assessment system
The DSM-5 is a classification of mental disorders that includes descriptions and
criteria of diagnoses.
Current information suggests that the most disabling mental disorders are the result
of which of the following?
a. Biological influences
b. Psychological trauma
c. Learned ways of behaving
d. Faulty patterns of early nurturance (CORRECT ANSWER) a. Biological
influences
The biologically influenced illnesses include schizophrenia, bipolar disorder, major
depression, obsessive-compulsive and panic disorders, post-traumatic stress
disorder, and autism. Therefore, many (but not all) of the most prevalent and
disabling mental disorders have been found to have strong biological influences.
Psychological trauma, learned behaviours, and faulty patterns of nurturance may
contribute to some forms of mental illness, but they are not major factors in most
disabling mental disorders.
A nurse's identification badge includes the term, Psychiatric Mental Health Nurse. A
patient with a history of paranoia asks, "What does that title mean?" The nurse
responds best by answering with which of the following?
a. "Don't be afraid; it means I'm here to help, not hurt, you."
b. "Psychiatric mental health nurses care for people with mental illnesses."
c. "We have the specialized skills needed to care for people with mental illnesses."
d. "The nurses who work in mental health facilities have that title." (CORRECT
ANSWER) c. "We have the specialized skills needed to care for people with mental
illnesses."
A psychiatric mental health nurse has specialized nursing skills and implements the
nursing process to manage and deliver nursing care to mentally ill people. The
remaining options either do not effectively answer the patient's question or assume
that the question is the result of the patient's paranoia.
Which statement about diagnosis of a mental disorder is true?
a. The symptoms of each disorder are common among all cultures.
, b. Culture may cause variations in symptoms for each clinical disorder.
c. All mental disorders listed in the DSM-5 are seen in all cultures.
d. Psychiatric diagnoses are listed separately from other physical disorders in a five-
axes system. (CORRECT ANSWER) b. Culture may cause variations in symptoms
for each clinical disorder.
Every society has its own view of health and illness and the types of behaviour
categorized as mental illness. Culture also influences the symptoms of a particular
disorder. For example, individuals of certain cultures are more likely to express
depression through somatic symptoms than through affect and feeling tone. The five-
axes system was abandoned in this edition of the DSM-5.
The prevalence rate over a 12-month period for major depressive disorder is which
of the following?
a. Lower than the prevalence rate for panic disorder
b. Greater than the prevalence rate for social phobia
c. Equal to the prevalence rate for schizophrenia
d. Greater than the prevalence rate for generalized anxiety (CORRECT ANSWER)
d. Greater than the prevalence rate for generalized anxiety
The prevalence rate over a 12-month period for major depressive disorder is 4.1-
4.6%; for panic disorder: 0.7%; social phobia: 7%; schizophrenia: 1%; and for
generalized anxiety: 1.1%.
Which of the following severe mental illnesses are recognized across cultures?
a. Antisocial and borderline personality disorders
b. Schizophrenia and bipolar disorder
c. Bulimia and anorexia nervosa
d. Amok and social phobia (CORRECT ANSWER) b. Schizophrenia and bipolar
disorder
Worldwide studies indicate that both schizophrenia and bipolar disorder are
recognized cross-culturally.
Which field of epidemiology is the nurse involved in when seeking outcomes for
patients whose depression was treated with electroconvulsive therapy (ECT)?
a. Experimental
b. Descriptive
c. Clinical
d. Analytic (CORRECT ANSWER) d. Clinical
Clinical epidemiology represents a broad field that addresses what happens to
people with illnesses who are seen by providers of clinical care. Studies use
traditional epidemiological methods and are conducted in groups that are usually
defined by illness or symptoms or by diagnostic procedures or treatments given for
the illness or symptoms.
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