The quantitative study of the distribution of mental disorders in human populations is called which of the following?
A. Mortality
B.
... [Show More] Prevalence
C.Epidemiology
D.Clinical epidemiology
C.Epidemiology
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.
A.It is a medical psychiatric assessment system.
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
A.Biological influences
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."
C."We have the specialized skills needed to care for people with mental illnesses."
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.
B.Culture may cause variations in symptoms for each clinical disorder.
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
D.Greater than the prevalence rate for generalized anxiety
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
B.Schizophrenia and bipolar disorder
Providing a large group of patients minimal care through assistance with tasks such as bathing, eating, and toileting was historically referred to as what form of care?
A.Structural
B.Moral treatment
C.Custodial
D.Asylum
C.Custodial
Asylum-based training programs began in the late 1800s in Canada. What was the rationale for initiating psychiatric nursing training?
A.There were greater needs for custodial care
B.Changes in treatment approaches meant greater needs for nursing care and assistance
C.The early feminist movement advocated for career training for women and girls
D.The moral treatment era meant that early psychotherapy strategies were desired in asylum settings
B.Changes in treatment approaches meant greater needs for nursing care and assistance
Which of the following is the major distinction between fear and anxiety?
A.Fear is a universal experience; anxiety is neurotic.
B.Fear enables constructive action; anxiety is dysfunctional.
C.Fear is a psychological experience; anxiety is a physiological experience.
D.Fear is a response to a specific danger; anxiety is a response to an unknown danger.
D.Fear is a response to a specific danger; anxiety is a response to an unknown danger.
Which of the following is the initial nursing action for a newly admitted anxious patient?
A.Assess the patient's use of defence mechanisms
B.Assess the patient's level of anxiety
C.Limit environmental stimuli
D.Provide antianxiety medication
B.Assess the patient's level of anxiety
Selective inattention is first noted when experiencing which level of anxiety?
A.Mild
B.Moderate
C.Severe
D.Panic
B.Moderate
Delusionary thinking is a characteristic of which of the following?
A.Chronic anxiety
B.Acute anxiety
C.Severe anxiety
D.Panic level anxiety
D.Panic level anxiety
Which of the following is generally true about ego defence mechanisms?
A.They often involve some degree of self-deception.
B.They are rarely used by mentally healthy people.
C.They seldom make the person more comfortable.
D.They are usually effective in resolving conflicts.
A.They often involve some degree of self-deception.
A 20-year-old man was sexually molested at age 10, but he can no longer remember the incident. Which ego defence mechanism is in use?
A.Projection
B.Repression
C.Displacement
D.Reaction formation
B.Repression
The defence mechanisms that can be used in only healthy ways include which of the following?
A.Suppression and humour
B.Altruism and sublimation
C.Idealization and splitting
D.Reaction formation and denial
B.Altruism and sublimation
Which behaviour would be characteristic of an individual who is displacing anger?
A.Lying
B.Stealing
C.Slapping
D.Procrastinating
D.Procrastinating
A person recently gave up smoking and now talks constantly about how smoking fouls the air, causes cancer, and "burns" money that could be better spent to feed the poor. This person is demonstrating which of the following defence mechanisms?
A.Projection
B.Rationalization
C.Reaction formation
D.Undoing
C.Reaction formation
A man continues to speak of his wife as though she were still alive, 3 years after her death. This behaviour suggests the use of which of the following defence mechanisms?
A.Altruism
B.Denial
C.Undoing
D.Suppression
B.Denial
What can be said about the comorbidity of anxiety disorders?
A.Anxiety disorders generally exist alone.
B.A second anxiety disorder may coexist with the first.
C.Anxiety disorders virtually never coexist with mood disorders.
D.Substance abuse disorders rarely coexist with anxiety disorders.
B.A second anxiety disorder may coexist with the first.
Studies of patients diagnosed with post-traumatic stress disorder suggest that the stress response of which of the following is considered abnormal?
A. Brain Stem
B. Hypothalamus-pituitary-adrenal system
C. Frontal Lobe
D. Limbic system
B. Hypothalamus-pituitary-adrenal system
An obsession is defined as which of the following?
A.Thinking of an action and immediately taking the action.
B.A recurrent, persistent thought or impulse.
C.An intense irrational fear of an object or situation.
D.A recurrent behaviour performed in the same manner.
B.A recurrent, persistent thought or impulse.
Which of the following is a symptom commonly associated with panic attacks?
A.Obsessions
B.Apathy
C.Fever
D.Fear of impending doom
D.Fear of impending doom
Working to help the patient view an occurrence in a more positive light is called which of the following?
A.Flooding
B.Desensitization
C.Response prevention
D.Cognitive restructuring
D.Cognitive restructuring
Which of the following is the primary purpose of performing a physical examination before beginning treatment for any anxiety disorder?
A.Protect the nurse legally
B.Establish the nursing diagnosis of priority
C.Obtain information about the patient's psychosocial background
D.Determine whether the anxiety is primary or secondary in origin
D.Determine whether the anxiety is primary or secondary in origin
Which of the following is an important question to ask during the assessment of a patient diagnosed with anxiety disorder?
A."How often do you hear voices?"
B."Have you ever considered suicide?"
C."How long has your memory been bad?"
D."Do your thoughts always seem jumbled?"
B."Have you ever considered suicide?"
Which of the following is a possible outcome criterion for a patient diagnosed with anxiety disorder?
A.Patient demonstrates effective coping strategies
B.Patient reports reduced hallucinations
C.Patient reports feelings of tension and fatigue
D.Patient demonstrates persistent avoidance behaviours
A.Patient demonstrates effective coping strategies
Inability to leave one's home because of avoidance of severe anxiety suggests which of the following anxiety disorders?
A.Panic attacks with agoraphobia
B.Obsessive-compulsive disorder
C.Post-traumatic stress response
D.Generalized anxiety disorder
A.Panic attacks with agoraphobia
A new psychiatric nursing assistant mentions to the nurse, "Depression seems to be a disorder of old people. All the depressed patients on the unit are older than 60 years." Which of the following replies by the nurse clarifies the prevalence of this disorder?
A."That is a good observation. Depression does mostly strike people older than 50 years."
B."Depression is seen in people of all ages, from childhood to old age."
C."Depression is most often seen among the middle adult age group."
D."The age of onset for most depressive episodes is given as 18 years."
B."Depression is seen in people of all ages, from childhood to old age."
Which of the following statements about the co-morbidity of depression is accurate?
A.Depression most often exists in an individual as a single entity.
B.Depression is commonly seen in individuals with medical disorders.
C.Substance abuse and depression are seldom seen as co-morbid disorders.
D.Depression may coexist with other disorders but is rarely seen with schizophrenia.
B.Depression is commonly seen in individuals with medical disorders. [Show Less]