Question 1

Complete this analogy. NANDA: clinical judgement; NIC: _________________

Accepted Answer

A)  Patient outcomes 
B)  Nursing actions 
C)  Diagnoses 
D)  Symptoms 
A)  Patient outcomes 
B)  Nursing actions 
C)  Diagnoses 
D)  Symptoms B

Question 2

A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?

Accepted Answer

A)  International Statistical Classification of Diseases and Related Health Problems (ICD-10) 
B)  Diagnostic and Statistical Manual of Mental Disorders (DSM-5) 
C)  A behavioural health reference manual 
D)  NurseOne online 
A)  International Statistical Classification of Diseases and Related Health Problems (ICD-10) 
B)  Diagnostic and Statistical Manual of Mental Disorders (DSM-5) 
C)  A behavioural health reference manual 
D)  NurseOne online B

Question 3

A visitor at a community health fair asks the nurse, "What is the most prevalent mental disorder in Canada?" Select the nurse's best response.

Accepted Answer

A)  Schizophrenia 
B)  Bipolar disorder 
C)  Generalized anxiety disorder 
D)  Major depression 
A)  Schizophrenia 
B)  Bipolar disorder 
C)  Generalized anxiety disorder 
D)  Major depression D

Question 4

The spouse of a patient diagnosed with schizophrenia says, "I don't understand how events from childhood have anything to do with this disabling illness." Which response by the nurse will best help the spouse understand the cause of this disorder?

Accepted Answer

A)  "Psychological stress is the basis of most mental disorders." 
B)  "This illness results from developmental factors rather than stress." 
C)  "Research suggests that this condition more likely has a biological basis." 
D)  "It must be frustrating for you that your spouse is sick so much of the time." 
A)  "Psychological stress is the basis of most mental disorders." 
B)  "This illness results from developmental factors rather than stress." 
C)  "Research suggests that this condition more likely has a biological basis." 
D)  "It must be frustrating for you that your spouse is sick so much of the time."

Question 5

Which of the following represents an outcome domain of the Nursing Outcomes Classification (NOS)?

Accepted Answer

A)  Mental health 
B)  Perceived health 
C)  Chronic illness 
D)  Mental illness 
A)  Mental health 
B)  Perceived health 
C)  Chronic illness 
D)  Mental illness

Question 6

A staff nurse completes orientation to a psychiatric unit. Which of the following would the nurse expect as an advanced practice intervention?

Accepted Answer

A)  Conduct mental health assessments 
B)  Prescribe psychotropic medication 
C)  Establish therapeutic relationships 
D)  Individualize nursing care plans 
A)  Conduct mental health assessments 
B)  Prescribe psychotropic medication 
C)  Establish therapeutic relationships 
D)  Individualize nursing care plans

Question 7

A nurse is part of a multidisciplinary team working with groups of depressed patients. Half the patients receive supportive interventions and antidepressant medication. The other half receives only medication. The team measures outcomes for each group. Which type of study is evident?

Accepted Answer

A)  Incidence 
B)  Prevalence 
C)  Comorbidity 
D)  Clinical epidemiology 
A)  Incidence 
B)  Prevalence 
C)  Comorbidity 
D)  Clinical epidemiology

Question 8

Which of the following has been identified as a significant trend that will affect the future of psychiatric mental health nursing in Canada?

Accepted Answer

A)  Decrease in the aging population 
B)  Increase in cultural diversity 
C)  Role of the advanced-practice nurse 
D)  Shortage of physicians in rural and urban areas 
A)  Decrease in the aging population 
B)  Increase in cultural diversity 
C)  Role of the advanced-practice nurse 
D)  Shortage of physicians in rural and urban areas

Question 9

A college student said, "Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it." According to the Epp classification, which quadrant outcome should the nurse select?

Accepted Answer

A)  Optimal mental health with mental illness 
B)  Poor mental health with mental illness 
C)  Optimal mental health without mental illness 
D)  Poor mental health without mental illness 
A)  Optimal mental health with mental illness 
B)  Poor mental health with mental illness 
C)  Optimal mental health without mental illness 
D)  Poor mental health without mental illness

Question 10

When a new bill introduced in Parliament reduces funding for care of people with mental illness, a group of people with mild mental illness write letters to their elected representatives in opposition to the legislation for all people with mental illness. Which role does this action portray?

Accepted Answer

A)  Recovery 
B)  Self-care 
C)  Advocacy 
D)  Social action 
A)  Recovery 
B)  Self-care 
C)  Advocacy 
D)  Social action

Question 11

A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?

Accepted Answer

A)  Effectiveness in work 
B)  Communication skills 
C)  Productive activities 
D)  Fulfilling relationships 
A)  Effectiveness in work 
B)  Communication skills 
C)  Productive activities 
D)  Fulfilling relationships

Question 12

Most psychiatric disorders are the result of which of the following?

Accepted Answer

A)  Childhood trauma 
B)  Adverse life events 
C)  Multiple defective genes 
D)  Chronic medical conditions 
A)  Childhood trauma 
B)  Adverse life events 
C)  Multiple defective genes 
D)  Chronic medical conditions

Question 13

Which findings are signs of a person who is mentally healthy?

Accepted Answer

A)  Says, "I have some weaknesses, but I feel I'm important to my family and friends." 
B)  Adheres strictly to religious beliefs of parents and family of origin 
C)  Spends all holidays alone watching old movies on television 
D)  Considers past experiences when deciding about the future 
E)  Experiences feelings of conflict related to changing jobs 
A)  Says, "I have some weaknesses, but I feel I'm important to my family and friends." 
B)  Adheres strictly to religious beliefs of parents and family of origin 
C)  Spends all holidays alone watching old movies on television 
D)  Considers past experiences when deciding about the future 
E)  Experiences feelings of conflict related to changing jobs

Question 14

An experienced nurse says to a new graduate, "When you've practiced as long as I have, you instantly know how to take care of psychotic patients." What information should the new graduate consider when analyzing this comment?

Accepted Answer

A)  The experienced nurse may need to be reminded of the importance of standardized classifications. 
B)  New research findings should be integrated continuously into a nurse's practice to provide the most effective care. 
C)  Experience provides mental health nurses with the essential tools and skills needed for effective professional practice. 
D)  Experienced psychiatric nurses have learned the best ways to care for mentally ill patients through trial and error. 
E)  An intuitive sense of patients' needs guides effective psychiatric nurses. 
A)  The experienced nurse may need to be reminded of the importance of standardized classifications. 
B)  New research findings should be integrated continuously into a nurse's practice to provide the most effective care. 
C)  Experience provides mental health nurses with the essential tools and skills needed for effective professional practice. 
D)  Experienced psychiatric nurses have learned the best ways to care for mentally ill patients through trial and error. 
E)  An intuitive sense of patients' needs guides effective psychiatric nurses.

Question 15

Which finding best indicates that the goal "Demonstrates mentally healthy behaviour" was achieved?

Accepted Answer

A)  A patient sees self as capable of achieving ideals and meeting demands. 
B)  A patient behaves without considering the consequences of personal actions. 
C)  A patient aggressively meets own needs without considering the rights of others. 
D)  A patient seeks help from others when assuming responsibility for major areas of own life. 
A)  A patient sees self as capable of achieving ideals and meeting demands. 
B)  A patient behaves without considering the consequences of personal actions. 
C)  A patient aggressively meets own needs without considering the rights of others. 
D)  A patient seeks help from others when assuming responsibility for major areas of own life.

Question 16

Which individual is demonstrating the highest level of resilience?

Accepted Answer

A)  One who is able to repress stressors. 
B)  One who becomes depressed after the death of a spouse. 
C)  One who lives in a shelter for 2 years after his or her home is destroyed by fire. 
D)  One who is able to connect with their support systems and secure the resources they need to be well. 
A)  One who is able to repress stressors. 
B)  One who becomes depressed after the death of a spouse. 
C)  One who lives in a shelter for 2 years after his or her home is destroyed by fire. 
D)  One who is able to connect with their support systems and secure the resources they need to be well.

Question 17

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness?

Accepted Answer

A)  The patient reports occasional sleeplessness and anxiety. 
B)  The patient reports a consistently sad, discouraged, and hopeless mood. 
C)  The patient is able to describe the difference between "as if" and "for real." 
D)  The patient perceives difficulty making a decision about whether to change jobs. 
A)  The patient reports occasional sleeplessness and anxiety. 
B)  The patient reports a consistently sad, discouraged, and hopeless mood. 
C)  The patient is able to describe the difference between "as if" and "for real." 
D)  The patient perceives difficulty making a decision about whether to change jobs.

Question 18

Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?

Accepted Answer

A)  All mental illnesses are culturally determined. 
B)  Schizophrenia and bipolar disorder are cross-cultural disorders. 
C)  Symptoms of mental disorders are unchanged from culture to culture. 
D)  Assessment findings in mental disorders reflect a person's cultural patterns. 
A)  All mental illnesses are culturally determined. 
B)  Schizophrenia and bipolar disorder are cross-cultural disorders. 
C)  Symptoms of mental disorders are unchanged from culture to culture. 
D)  Assessment findings in mental disorders reflect a person's cultural patterns.

Question 19

A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?

Accepted Answer

A)  Nursing Outcomes Classification (NO
C)  
B)  Diagnostic and Statistical Manual of Mental Disorders (DSM-5) 
C)  The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice 
D)  International Statistical Classification of Diseases and Related Health Problems (ICD-10) 
A)  Nursing Outcomes Classification (NO
C)  
B)  Diagnostic and Statistical Manual of Mental Disorders (DSM-5) 
C)  The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice 
D)  International Statistical Classification of Diseases and Related Health Problems (ICD-10)

Question 20

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies which of the following?

Accepted Answer

A)  Deviant behaviours 
B)  Present disability or distress 
C)  People with mental disorders 
D)  Mental disorders people have 
A)  Deviant behaviours 
B)  Present disability or distress 
C)  People with mental disorders 
D)  Mental disorders people have

Exam 1: Mental Health and Mental Illness

Complete this analogy. NANDA: clinical judgement; NIC: _________________

A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?

A visitor at a community health fair asks the nurse, "What is the most prevalent mental disorder in Canada?" Select the nurse's best response.

The spouse of a patient diagnosed with schizophrenia says, "I don't understand how events from childhood have anything to do with this disabling illness." Which response by the nurse will best help the spouse understand the cause of this disorder?

Which of the following represents an outcome domain of the Nursing Outcomes Classification (NOS)?

A staff nurse completes orientation to a psychiatric unit. Which of the following would the nurse expect as an advanced practice intervention?

A nurse is part of a multidisciplinary team working with groups of depressed patients. Half the patients receive supportive interventions and antidepressant medication. The other half receives only medication. The team measures outcomes for each group. Which type of study is evident?

Which of the following has been identified as a significant trend that will affect the future of psychiatric mental health nursing in Canada?

A college student said, "Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it." According to the Epp classification, which quadrant outcome should the nurse select?

When a new bill introduced in Parliament reduces funding for care of people with mental illness, a group of people with mild mental illness write letters to their elected representatives in opposition to the legislation for all people with mental illness. Which role does this action portray?

A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?

Most psychiatric disorders are the result of which of the following?

Which findings are signs of a person who is mentally healthy?

An experienced nurse says to a new graduate, "When you've practiced as long as I have, you instantly know how to take care of psychotic patients." What information should the new graduate consider when analyzing this comment?

Which finding best indicates that the goal "Demonstrates mentally healthy behaviour" was achieved?

Which individual is demonstrating the highest level of resilience?

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness?

Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?

A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies which of the following?

Historical Overview of Psychiatric Mental Health Nursing

Overview of Psychiatric Mental Health Nursing Care Within Various Settings

Relevant Theories and Therapies for Nursing Practice

Understanding Responses to Stress

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice

Cultural Considerations for Psychiatric Mental Health Nursing

Therapeutic Relationships

Communication and the Clinical Interview

Psychotropic Drugs

Anxiety and Related Disorders

Depressive Disorders

Bipolar Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Eating and Feeding Disorders

Neurocognitive Disorders

Psychoactive Substance Use and Treatment

Personality Disorders

Sleepwake Disorders

Crisis and Disaster

Suicide and Nonsuicidal Self-Injury

Anger, Aggression, and Violence

Interpersonal Violence: Child, Older Adult, and Intimate Partner Abuse

Sexual Assault

Sexuality and Gender

Disorders of Children and Adolescents

Psychosocial Needs of the Older Adult

Living With Recurrent and Persistent Mental Illness

Psychological Needs of Patients With Medical Conditions

Care for the Dying and for Those Who Grieve

Forensic Psychiatric Nursing

Therapeutic Groups

Family Interventions

Integrative and Complimentary Therapies

Filters