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 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)  Co-morbidity 
D)  Clinical epidemiology 
A)  Incidence 
B)  Prevalence 
C)  Co-morbidity 
D)  Clinical epidemiology D

Question 3

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 B

Question 4

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 5

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

Question 6

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 7

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 8

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 9

When a nursing student expresses concerns about how mental health nurses "lose all their nursing skills," which of the following is the best response by the mental health nurse?

Accepted Answer

A)  "Psychiatric nurses practise in safer environments than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients' problems." 
B)  "Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations." 
C)  "That's a misconception. Psychiatric nurses frequently use high technology monitoring equipment and manage complex intravenous therapies." 
D)  "Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses do. That appeals to me." 
A)  "Psychiatric nurses practise in safer environments than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients' problems." 
B)  "Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations." 
C)  "That's a misconception. Psychiatric nurses frequently use high technology monitoring equipment and manage complex intravenous therapies." 
D)  "Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses do. That appeals to me."

Question 10

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 11

Select the best response for the nurse who receives a question from another health professional seeking to understand the difference between a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis and a nursing diagnosis.

Accepted Answer

A)  "There is no functional difference between the two. Both identify human disorders." 
B)  "The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis takes culture into account." 
C)  "The DSM-5 diagnosis describes causes of disorders, whereas a nursing diagnosis does not explore etiology." 
D)  "The DSM-5 diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a patient is experiencing." 
A)  "There is no functional difference between the two. Both identify human disorders." 
B)  "The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis takes culture into account." 
C)  "The DSM-5 diagnosis describes causes of disorders, whereas a nursing diagnosis does not explore etiology." 
D)  "The DSM-5 diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a patient is experiencing."

Question 12

Which findings are signs of a person who is mentally healthy? Select all that apply.

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 13

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 14

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 15

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 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 two years after his or her home is destroyed by fire. 
D)  One who takes a temporary job after loss of a permanent job. 
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 two years after his or her home is destroyed by fire. 
D)  One who takes a temporary job after loss of a permanent job.

Question 17

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 18

Which disorder is a culture-bound syndrome?

Accepted Answer

A)  Epilepsy 
B)  Schizophrenia 
C)  Running amok 
D)  Major depression 
A)  Epilepsy 
B)  Schizophrenia 
C)  Running amok 
D)  Major depression

Question 19

A category 5 tornado occurred in a community of 400 people, resulting in destruction of many homes and businesses. In the 2 years after this disaster, 140 individuals were diagnosed with post-traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases?

Accepted Answer

A)  Prevalence 
B)  Co-morbidity 
C)  Incidence 
D)  Clinical epidemiology 
A)  Prevalence 
B)  Co-morbidity 
C)  Incidence 
D)  Clinical epidemiology

Question 20

Which nursing intervention below is part of the scope of an advanced-practice psychiatric mental health nurse only?

Accepted Answer

A)  Coordination of care 
B)  Health teaching 
C)  Milieu therapy 
D)  Psychotherapy 
A)  Coordination of care 
B)  Health teaching 
C)  Milieu therapy 
D)  Psychotherapy

Exam 1: Mental Health and Mental Illness

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

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

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

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

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?

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

When a nursing student expresses concerns about how mental health nurses "lose all their nursing skills," which of the following is the best response by the mental health nurse?

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?

Select the best response for the nurse who receives a question from another health professional seeking to understand the difference between a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis and a nursing diagnosis.

Which findings are signs of a person who is mentally healthy? Select all that apply.

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?

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

Which individual is demonstrating the highest level of resilience?

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

Which disorder is a culture-bound syndrome?

A category 5 tornado occurred in a community of 400 people, resulting in destruction of many homes and businesses. In the 2 years after this disaster, 140 individuals were diagnosed with post-traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases?

Which nursing intervention below is part of the scope of an advanced-practice psychiatric mental health nurse only?

Historical Overview of Psychiatric Mental Health Nursing

Relevant Theories and Therapies for Nursing Practice

Psychotropic Drugs

Psychiatric Mental Health Nursing in Acute Care Settings

Psychiatric Mental Health Nursing in Community Settings

Cultural Implications for Psychiatric Mental Health Nursing

Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice

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

Therapeutic Relationships

Communication and the Clinical Interview

Understanding Responses to Stress

Anxiety, Obsessive-Compulsive, and Related Disorders

Depressive Disorders

Bipolar Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Eating Disorders

Cognitive Disorders

Substance Use and Addictive Disorders

Personality Disorders

Sleep–Wake Disorders

Sexual Dysfunction, Gender Dysphoria, and Paraphilias

Somatic Symptom Disorders and Dissociative Disorders

Crisis and Disaster

Suicide

Anger, Aggression, and Violence

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

Sexual Assault

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 Care

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