Question 1

How does a multiaxial diagnostic and classification tool contribute to successful treatment of persons with mental illness?

Accepted Answer

A)  It provides for consistency and continuity in formulation of diagnoses. 
B)  It assesses more dimensions of illness than simply the medical diagnosis. 
C)  It establishes prevalence rates for psychiatric disorders across various cultural groups. 
D)  It provides treatment algorithms for psychotherapeutic management of persons with mental illness. 
A)  It provides for consistency and continuity in formulation of diagnoses. 
B)  It assesses more dimensions of illness than simply the medical diagnosis. 
C)  It establishes prevalence rates for psychiatric disorders across various cultural groups. 
D)  It provides treatment algorithms for psychotherapeutic management of persons with mental illness. B

Question 2

Which assessment finding should be documented as subjective information?

Accepted Answer

A)  Flushed face 
B)  White blood cell (WB
C)  count 12,000 cells/$\mu  $L 
C)  Lithium level 1.2 mEq/L 
D)  Reports of abdominal pain 
A)  Flushed face 
B)  White blood cell (WB
C)  count 12,000 cells/$\mu  $L 
C)  Lithium level 1.2 mEq/L 
D)  Reports of abdominal pain D

Question 3

A patient who has taken antipsychotic medication for a year presents with these signs and symptoms: jaundice, headache, pruritus, and abdominal discomfort.Which finding should be documented as objective data?

Accepted Answer

A)  Pruritus 
B)  Jaundice 
C)  Headache 
D)  Abdominal discomfort 
A)  Pruritus 
B)  Jaundice 
C)  Headache 
D)  Abdominal discomfort B

Question 4

What general psychotherapeutic management guideline should nurses apply when caring for all patients?

Accepted Answer

A)  Strengthen patients' self-esteem. 
B)  Keep reality testing to a minimum. 
C)  Ignore hostile behavior when possible. 
D)  Provide unrestricted opportunities for self-expression. 
A)  Strengthen patients' self-esteem. 
B)  Keep reality testing to a minimum. 
C)  Ignore hostile behavior when possible. 
D)  Provide unrestricted opportunities for self-expression.

Question 5

Which argument effectively supports the importance of funding services for persons with mental illness in the United States?

Accepted Answer

A)  During any given year 25% of adult Americans are affected by mental disorders. 
B)  Increasing toxins in the environment are increasing the incidence of mental illness. 
C)  The high prevalence of mental illness is directly linked to increasing violence in the media. 
D)  The incidence of mental illness is increasing because of deterioration of the American family. 
A)  During any given year 25% of adult Americans are affected by mental disorders. 
B)  Increasing toxins in the environment are increasing the incidence of mental illness. 
C)  The high prevalence of mental illness is directly linked to increasing violence in the media. 
D)  The incidence of mental illness is increasing because of deterioration of the American family.

Question 6

Which adjective best describes a therapeutic psychiatric nurse?

Accepted Answer

A)  Holistic 
B)  Organized 
C)  Diplomatic 
D)  Compassionate 
A)  Holistic 
B)  Organized 
C)  Diplomatic 
D)  Compassionate

Question 7

Which assessment finding should be documented as objective information?

Accepted Answer

A)  Rated anxiety 8 on a scale of 10 
B)  Reported depressed mood 
C)  Reports of headache 
D)  Wore layered clothing 
A)  Rated anxiety 8 on a scale of 10 
B)  Reported depressed mood 
C)  Reports of headache 
D)  Wore layered clothing

Question 8

What is the purpose of the DSM-V?

Accepted Answer

A)  It provides a detailed list of clinical psychiatric disorders. 
B)  It details data and statistics about mental disorders in the United States. 
C)  It serves as the official American resource manual detailing diagnostic criteria of psychiatric disorders. 
D)  It acts as a compendium of the international demographics of substance abuse and mental disorders. 
A)  It provides a detailed list of clinical psychiatric disorders. 
B)  It details data and statistics about mental disorders in the United States. 
C)  It serves as the official American resource manual detailing diagnostic criteria of psychiatric disorders. 
D)  It acts as a compendium of the international demographics of substance abuse and mental disorders.

Question 9

A patient's areas of strength are documented in which part of the plan of care?

Accepted Answer

A)  Assessment 
B)  Diagnosis 
C)  Outcome identification 
D)  Interventions 
E)  Evaluation 
A)  Assessment 
B)  Diagnosis 
C)  Outcome identification 
D)  Interventions 
E)  Evaluation

Question 10

A nurse reads this information in a patient's record: suffered anoxia at birth; foster home placement at age 3; taunted by peers during childhood; low self-esteem since adolescence.Which item would be classified as a biologic factor associated with the patient's mental illness?

Accepted Answer

A)  Anoxia at birth 
B)  Low self-esteem 
C)  Taunted by peers 
D)  Trauma caused by parental death 
A)  Anoxia at birth 
B)  Low self-esteem 
C)  Taunted by peers 
D)  Trauma caused by parental death

Question 11

A patient with low self-esteem and feelings of failure would benefit most from which activity?

Accepted Answer

A)  Attending a dance 
B)  Playing board games 
C)  Leading the chorus for a party 
D)  Helping make favors for a party 
A)  Attending a dance 
B)  Playing board games 
C)  Leading the chorus for a party 
D)  Helping make favors for a party

Question 12

Long- and short-term goals are documented in which part of the plan of care?

Accepted Answer

A)  Assessment 
B)  Diagnosis 
C)  Outcomes 
D)  Interventions 
E)  Evaluation 
A)  Assessment 
B)  Diagnosis 
C)  Outcomes 
D)  Interventions 
E)  Evaluation

Question 13

How do prevalence rates for substance abuse disorders in the United States currently present?

Accepted Answer

A)  Higher for men 
B)  Higher for women 
C)  Equal for both genders 
D)  Higher than anxiety disorders 
A)  Higher for men 
B)  Higher for women 
C)  Equal for both genders 
D)  Higher than anxiety disorders

Question 14

What is the most prevalent psychopathologic condition diagnosed in the United States?

Accepted Answer

A)  Schizophrenia 
B)  Mood disorder 
C)  Anxiety disorder 
D)  Alcohol dependency 
A)  Schizophrenia 
B)  Mood disorder 
C)  Anxiety disorder 
D)  Alcohol dependency

Question 15

Which guidelines should be included by the nurse who will provide staff development training to unlicensed assistive personnel about psychotherapeutic management? (Select all that apply.)

Accepted Answer

A)  Support should be minimal to prevent development of dependence. 
B)  Norms and limits are more important than individual needs. 
C)  Hostility should run its course without staff interference. 
D)  Plan opportunities to strengthen patients' self-esteem. 
E)  Provide encouragement for patients in distress. 
A)  Support should be minimal to prevent development of dependence. 
B)  Norms and limits are more important than individual needs. 
C)  Hostility should run its course without staff interference. 
D)  Plan opportunities to strengthen patients' self-esteem. 
E)  Provide encouragement for patients in distress.

Question 16

Which principle is applicable to nursing care of patients with all types of psychopathology?

Accepted Answer

A)  Avoid competitive situations. 
B)  Treat patients as individuals. 
C)  Confront patients with consequences of behavior. 
D)  Assume that patients will make self-enhancing decisions. 
A)  Avoid competitive situations. 
B)  Treat patients as individuals. 
C)  Confront patients with consequences of behavior. 
D)  Assume that patients will make self-enhancing decisions.

Question 17

The nurse reads this information in a patient's record: history of agranulocytosis from antipsychotic medication; victim of childhood sexual abuse; weight loss of 27 lb in 3 months; parent diagnosed with bipolar disorder.Which item would be classified as a psychodynamic factor associated with the patient's mental illness?

Accepted Answer

A)  History of agranulocytosis from antipsychotic medication 
B)  Parent diagnosed with bipolar disorder 
C)  Weight loss of 27 lb in 3 months 
D)  Victim of childhood sexual abuse 
A)  History of agranulocytosis from antipsychotic medication 
B)  Parent diagnosed with bipolar disorder 
C)  Weight loss of 27 lb in 3 months 
D)  Victim of childhood sexual abuse

Exam 23: Introduction to Psychopathology

How does a multiaxial diagnostic and classification tool contribute to successful treatment of persons with mental illness?

Which assessment finding should be documented as subjective information?

A patient who has taken antipsychotic medication for a year presents with these signs and symptoms: jaundice, headache, pruritus, and abdominal discomfort.Which finding should be documented as objective data?

What general psychotherapeutic management guideline should nurses apply when caring for all patients?

Which argument effectively supports the importance of funding services for persons with mental illness in the United States?

Which adjective best describes a therapeutic psychiatric nurse?

Which assessment finding should be documented as objective information?

What is the purpose of the DSM-V?

A patient's areas of strength are documented in which part of the plan of care?

A nurse reads this information in a patient's record: suffered anoxia at birth; foster home placement at age 3; taunted by peers during childhood; low self-esteem since adolescence.Which item would be classified as a biologic factor associated with the patient's mental illness?

A patient with low self-esteem and feelings of failure would benefit most from which activity?

Long- and short-term goals are documented in which part of the plan of care?

How do prevalence rates for substance abuse disorders in the United States currently present?

What is the most prevalent psychopathologic condition diagnosed in the United States?

Which guidelines should be included by the nurse who will provide staff development training to unlicensed assistive personnel about psychotherapeutic management? (Select all that apply.)

Which principle is applicable to nursing care of patients with all types of psychopathology?

Med, Meds, Milieu

Historical Issues

Legal Issues

Psychobiologic Bases of Behavior

Cultural Issues

Spiritual Issues

Models for Working With Psychiatric Patients

Learning to Communicate Professionally

Working With an Individual Patient

Working With Groups of Patients

Working With the Family

Introduction to Psychotropic Drugs

Antiparkinsonian Drugs

Antipsychotic Drugs

Antidepressant Drugs

Antimanic Drugs

Antianxiety Drugs

Antidementia Drugs

Over-The-Counter Drugs

Introduction to Milieu Management

Variables Affecting the Therapeutic Environment: Violence and Suicide

Therapeutic Environment in Various Treatment Settings

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar Disorders

Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and Dissociative Disorders

Cognitive Disorders

Personality Disorders

Sexual Disorders

Substance Abuse Disorders

Eating Disorders

Survivors of Violence and Trauma

Children and Adolescents

Older Adults

Soldiers and Veterans

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