Deck 1: Framework of Psychiatric-Mental Health Nursing

Question 1

What is the standardized source for classifying psychiatric diagnoses?

A) DSM-III
B) DSM-5
C) ICD-9
D) WHO Disability Schedule

Answer 1

DSM-5

Question 2

A psychiatric nurse wants to comply with the recommendation of the Institute of Medicine (IOM) Future of Nursing report that nurses take part in expanded opportunities to lead and share in collaborative improvement efforts. What activity would accomplish this?

A) Taking a course on nursing diagnoses
B) Becoming a nurse-mentor
C) Leading an interdisciplinary team focused on improving patient outcomes
D) Volunteering for extra shifts

Answer 2

Leading an interdisciplinary team focused on improving patient outcomes

Question 3

A nurse is providing mental health services to a 45-year-old homeless man who is diagnosed with bipolar disorder. Based on a wellness model, which services could broaden the patient's base of social supports?

A) Medication monitoring
B) Housing assistance
C) Nutritional counseling
D) Individual psychotherapy

Answer 3

Housing assistance

Question 4

A nurse is a member of a committee assigned to review the roles and responsibilities of the nurses on the psychiatric unit. Which publication will the nurse bring to the first meeting?

A) Diagnostic and Statistical Manual of Mental Disorders
B) American Nurses Credentialing Center certification requirements
C) American Nurses Association, Code of Ethics
D) Psychiatric-Mental Health Nursing Standards of Practice

Question 5

What evaluative tool is most important in assessing a patient's mental condition?

A) Beck Depression Inventory
B) Mental Status Exam
C) CAT scan
D) WAIS

Question 6

A nurse educator is teaching a group of students about the traits of a mentally healthy individual. Which concepts provide information regarding psychological, emotional, and social health? Select all that apply.

A) Behavior
B) Intrapersonal relationships
C) Gender
D) Age
E) Interpersonal relationships

Question 7

A student nurse tells her mentor that adolescents are too young to be treated for depression. What information should her mentor provide to help the student understand the epidemiology and treatment of mental health disorders?

A) In 2012, more than two million individuals ages 12 to 17 had a major depressive episode (MDE).
B) Adolescents do not usually receive mental health treatment.
C) All depression in adolescents is connected to illicit drug use.
D) Men are the most likely group to experience depression.

Question 8

What are some of the professional organizations that contribute to psychiatric-mental health nursing? Select all that apply.

A) The American Nurses Association (ANA)
B) The American Psychiatric Nurses Association (APNA)
C) The American Psychiatric Association (APA)
D) The North American Nursing Diagnosis Association International
E) The American Psychological Association (APA)

Question 9

The nurse is teaching the patient about the concept of mental disorders. When instructing the patient, what areas should be covered when explaining what impacts the determination of a mental disorder? Select all that apply.

A) Social conditions
B) Biochemistry
C) Mother-child interactions
D) Brain structure
E) Culture

Question 10

A nurse is teaching a class on psychiatric-mental health nursing. She asks her class to identify the most challenging part of this practice. What response would let her know that a student understands the difficulties in providing psychiatric-mental health nursing?

A) "The most difficult part is making correct diagnoses."
B) "The most difficult part is providing advocacy."
C) "The most difficult part is development of the therapeutic relationship and the corresponding therapeutic use of self."
D) "The most difficult part is involving the patient in treatment planning."

Question 11

The parents of a 22-year-old male who is hospitalized for depression ask the nurse what they should be doing to help. What is the most appropriate response the nurse can make?

A) Refuse to talk with family members because of confidentiality restrictions.
B) Provide the family with education, information, and referral resources.
C) Tell the family members that their son is too old for them to be involved in his care.
D) Inform the family that only the psychiatrist can discuss their son's care.

Question 12

A nursing assistant tells the psychiatric nurse that normal people do not have mental disorders. What action by the nurse is most appropriate?

A) Instruct the nursing assistant that anyone can have a mental health disorder.
B) Alert the nursing manager of the nursing assistant's remark.
C) Refer the nursing assistant back to the psychiatric orientation materials.
D) Disregard the comment because the nurse has no responsibility in this situation.

Question 13

A nurse is caring for a patient who likely has obsessive-compulsive disorder. The nurse is not familiar with the assessment data and behaviors associated this disorder. What action would be most appropriate for the nurse to take?

A) Document all subjective and objective data provided by the client.
B) Ask the primary health provider to identify needed subjective and objective assessment data.
C) Research obsessive-compulsive disorder in the medical dictionary.
D) Consult the Diagnostic and Statistical Manual of Mental Disorders for diagnostic criteria.

Question 14

The mental health nursing student is preparing to attend a meeting of the mental health care team to discuss possible updates to clients' diagnoses. When preparing for this meeting, the nursing student will consult which reference?

A) Standards of Psychiatric Nursing Practice
B) Psychiatric nursing care plan manual
C) Diagnostic and Statistical Manual of Mental Disorders
D) Dictionary of common mental disorders

Question 15

A nursing student is doing a research paper on how to improve psychiatric nursing outcomes for serious mental illness. Which types of research would be most useful? Select all that apply.

A) Nursing
B) Psychosocial
C) Educational
D) Economic
E) Neurobiological

Question 16

The nurse obtains a new position as a psychiatric-mental health nurse at the generalist level of practice. Based on the Psychiatric-Mental Health Nursing Standards of Practice (ANA, APNA, ISPN), in which areas might the nurse plan programs and intervention to fulfill employment expectations? Select all that apply.

A) Stress management strategies
B) Early diagnosis of psychiatric disorders
C) Parenting classes for new parents
D) Family and group psychotherapy
E) Medication teaching for anti-anxiety medications

Question 17

A nurse is preparing a presentation on serious mental illness. Which conditions should be included? Select all that apply.

A) Major depression
B) Schizophrenia
C) Adjustment reaction
D) Bipolar disorder
E) Social phobia

Question 18

Which tools and guidelines are included in the DSM-5? Select all that apply.

A) Cultural formulation interview
B) Guidelines for forming a multi-axial diagnosis
C) Directions for use of the manual
D) Suggestions for future research
E) Global assessment functioning scale

Question 19

A nurse institutes an exercise program at an inpatient mental health facility. Which wellness domain does this type of program address?

A) Psychological
B) Sociological
C) Biological
D) Cultural

Question 20

According to the Murphy-Moller wellness model, which elements occur within the sociological domain? Select all that apply.

A) Environment
B) Kinship
C) Religious faith
D) Moral development
E) Nutrition

Question 21

A 14-year-old female patient tells the school nurse that she frequently cuts herself. The nurse is very upset by this information. What is the best action by the nurse?

A) Report the problem to the principal.
B) Call the girl's parents and suggest a psychiatric evaluation.
C) Reflect on her own reactions and focus on responding to the patient's needs.
D) Shift the conversation to the girl's academic performance.

Question 22

A new nurse is discouraged because a patient with whom she has been working for four months recently refused to continue group therapy. The nurse tells her supervisor that she doubts the patient will ever have an effective recovery. What is an appropriate response from her supervisor?

A) "Recovery is probably unlikely for this patient."
B) "The patient is experiencing a setback, not an end to recovery."
C) "The patient should be told that group therapy is her only route to recovery."
D) "The patient should be punished for her refusal to participate."

Question 23

Which is a fundamental principle of mental health recovery?

A) Recovery is culturally unrelated.
B) Recovery is holistic.
C) Recovery begins with despair.
D) Recovery is solitary.

Question 24

During the shift report, a nurse describes a patient as "crazy." Which approach by the charge nurse would be best?

A) Ask the staff what terminology they wish to use.
B) Disregard the staff member's comment.
C) Suggest that staff use the term "mentally ill."
D) Role model using the term "nervous breakdown."

Question 25

A group of student nurses were discussing how to promote resilience in their patients and realized that it is a concept they also want to promote in themselves. How might student nurses foster their own resilience?

A) By avoiding challenges
B) By using reflection
C) Through self-reliance
D) Through expecting the worst

Question 26

A 72-year-old patient tells the nurse that she is unable to take her antidepressant medication regularly because her granddaughter forgets to go to the drugstore for her. What perception of life events does this explanation demonstrate?

A) Resilience
B) External locus of control
C) Internal locus of control
D) Primary appraisal

Question 27

Which dimension is not commonly affected by suffering experienced by cancer patients?

A) Physical
B) Geographical
C) Psychological
D) Social well-being

Question 28

A patient presents to the emergency department. Her husband, who drove her, explains that the patient has a history of depression and told him she intends to take sleeping pills and "just end it all." What stage in the Murphy-Moller wellness model is the patient demonstrating?

A) Recovery
B) Restoration
C) Rehabilitation
D) Relapse

Question 29

A nurse is providing services at a shelter established for tornado survivors. The nurse is wondering what she is accomplishing just by listening to the disaster victims. Why is it important for the nurse to use active listening when caring for these patients?

A) It assists patients through suffering.
B) It assists patients to receive therapy.
C) It assists patients on focusing on the present issue.
D) It assists patients to recall events.

Question 30

A nurse is making a presentation to her administration on the need for a room that is comfortable, light, and calming that a patient can use during times of stress. What is the best argument for encouraging implementation at this facility?

A) It has been proven effective.
B) It is required for accreditation.
C) It will be liked by the patients.
D) It presents a more up-to-date care image.

Question 31

The nurse is caring for a patient with anxiety and depression who tells the nurse, "I am always stressed out." Which factors inform the nurse's understanding of stress? Select all that apply.

A) It relates to an individual's perception of demands being made on him or her.
B) It relates to the individual's perception of his or her ability to meet the demands being made on him or her.
C) It is often a precipitant of anxiety.
D) It is often caused by anxiety.
E) It relates to an individual's perception of others.

Question 32

A 20-year-old college student recently diagnosed with schizophrenia is taking antipsychotic medication to control his hallucinations. Which are appropriate activities for level 2 of wellness that could be included in this patient's treatment? Select all that apply.

A) Referral to a job training program
B) Medication management education
C) Group therapy
D) Inpatient admission
E) Family support group

Question 33

What are some of the goals of trauma-informed care? Select all that apply.

A) Understand symptoms as attempts to cope.
B) Provide regular medication education and monitoring.
C) Collaborate between provider and consumer at all phases of service delivery.
D) Protect patients with a history of trauma from physical harm and re-traumatization.
E) Focus on what has happened to the person rather than what is wrong with the person.

Question 34

A patient ready to leave a substance abuse rehabilitation facility tells the nurse that he understands that he must avoid his former associates and join Nar-Anon in order to find new connections. What stage of hope is this patient exhibiting?

A) Bracing for negative outcomes
B) Continuously evaluating signs to reinforce selected goals and the revision of these goals
C) Developing a realistic appraisal of personal resources and external conditions and resources
D) Making a realistic appraisal of an event and the threat to self

Question 35

A nurse, newly assigned to a 55-year-old Native American patient diagnosed with major depression, is concerned about the patient's reliance on certain totemic objects for comfort. What should the nurse do in order to address her concern?

A) Tell the patient that he needs to learn to rely upon himself.
B) Ask the patient to explain the significance of these objects.
C) Inform the patient that superstitions will interfere with his recovery.
D) Request a psychiatric consult to help determine if the patient is delusional.

Question 36

A novice nurse is working with a preceptor on a medical-surgical unit. After assessment of a patient, the novice nurse states to the preceptor, "This patient has many odd ideas about several common health practices. He seems like a deviant to me." What concept will guide the preceptor's response?

A) A definition of deviance that covers all clinical situations.
B) The knowledge that beliefs and behaviors are only deviant if the patient thinks there is a problem.
C) The knowledge that beliefs and behaviors vary according to cultural and social considerations.
D) The need for further assessment to determine the duration of the beliefs and actions.