Test Bank for Psychiatric Mental Health Nursing, 8th Edition Wanda Mohr
Chapter 01- Introduction to Psychiatric-Mental Health Nursing
1. A nurse is
... [Show More] giving a presentation about preventing mental illness to college freshmen. A student asks, “What does it mean to be mentally healthy?” Which of the following potential responses by the nurse is best?
A) B) “Mental health is difficult to define and depends on cultural norms.” “Mental health is marked by productivity, fulfilling relationships, and adaptability.” C) D) “Mental health is characterized by the absence of mental illness.” “Mental health is the performance of behavior that is accepted as normal.”
1. A 48-year-old independent, successful woman is recovering from a modified radical mastectomy. She states she was grateful that during the first few weeks after surgery her mother stayed with her and did “everything” for her. Which element of mental health does this reflect?
A) B) C) D) 1 | P a g e Reality orientation Mastery of the environment Self-governance Tolerance of the unknown1. Why is the document Mental Health: A Report of the Surgeon General (1999) most
significant?
A)
B)
C)
D)
Because it states clearly that there are effective treatments for mental illness
Because it allocates research money to psychiatric facilities
Because it sets new guidelines for use of restraints
Because it establishes reimbursement guidelines for third-party payers
1. While a nurse is performing an admission assessment for a mental health client, the
client states that all of his problems have been caused by his parents. The nurse knows
that psychological factors that can influence mental health include which of the
following?
A)
B)
C)
D)
Neuroanatomy
Emotional developmental level
Values and beliefs
Religion
1. What is the primary purpose of the five-axis system used in the fourth edition of
theDiagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision(DSM- IV-
TR)?
A)
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To separate the various mental disorders into five related categoriesB)
C)
D)
To give a comprehensive picture of client functioning
To improve prognostic ability
To provide a decision-making algorithm for pharmacologic treatment
1. One limitation of the DSM relates to diagnostic labels given to children. The most
problematic issue caused by applying adult categories to children is which of the
following?
A)
B)
children.
C)
D)
Categories are based on manifestations of adult disorders, not research in children.
The DSM was written before childhood psychological conditions were
recognized.
1. Which of the following represents a problem complicating the treatment of people with
mental illness?
A)
B)
C)
D)
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Insurers' reimbursement decisions
Increased responsibility for care by state mental hospitals
Overuse of the well-coordinated mental health care system
Lack of effective treatments
1. Julie, a 47-year-old woman, missed 1 week of work when she was hospitalized with
bipolar disorder. She was placed on medication and was able to return to work. When
It prevents the proper treatment of childhood disorders.
The criteria for diagnosis of a disorder are flexible for an adult, but not forasked about her absence, Julie informed coworkers that she was suffering from
influenza. What is the most likely reason Julie lied about her illness?
A)
B)
diagnosis
This is a sign that the medication is not effectively treating her illness.
Fear of rejection, isolation, and discrimination based on her mental health
C)
illnesses
D)
To avoid eliciting sympathy among her coworkers
1. A 22-year-old man with a history of a recent suicide attempt is being treated for
depression. Prior to becoming depressed, the client attended a prestigious art school
and enjoyed many social and leisure activities. Of the following long-term goals for this
client, which is consistent with an overarching recovery goal for all clients with mental
disorders?
A)
B)
C)
D)
The client will not injure himself.
The client's symptoms will be reduced.
The client will show interest in social and leisure activities.
The client will resume pre-illness functioning.
1. Which of the following approaches to care best reflects cultural competence?
A)
Always assign nurses of a specific ethnic background to clients with the same ethnic
background.
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Due to workplace policies that encourage the firing of those with mentalB)
Learn the behaviors and values associated with people of specific ethnic
backgrounds.
C)
D)
Assess the culturally mediated beliefs of each client.
Believe that people are more alike than they are different.
Chapter 02- Neuroscience-Biology and Behavior
1. The basic units of structure and function in the nervous system are called which of the
following?
A)
B)
C)
D)
Glial cells
Neurons
Axons
Dendrites
1. The structure and function of a neuron form the basis for the overall function of the
nervous system. What are the components of a neuron?
A)
B)
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A glial cell, nucleus, organelles, dendrites, and axons
A glial cell, nucleus, dendrites, and synapsesC)
D)
A cell body, nucleus, organelles, dendrites, and axons
A cell body, nucleus, axon, and synapses
1. A patient has researched the role of neurotransmitters in her mental illness. What is the
role of neurotransmitters?
A)
B)
C)
D)
Excite the receptor cell located inside the synaptic cleft.
Inhibit the receptor cell found inside of glial cells.
Communicate information within the receptor cell.
Communicate information from one cell or cell group to another.
1. Because neurotransmitters are responsible for immediately transmitting impulses
between nerve cells, they are known as which of the following?
A)
B)
C)
D)
First messengers
Second messengers
Receptors
Synapses
1. A nurse is caring for a patient who is addicted to alcohol and drugs and is discussing the
pathway of the brain responsible for this behavior. The nurse should know that the
pathway of the brain thought to be involved in pleasurable sensations and the euphoria
6 | P a g eresulting from use of drugs is called the:
A)
B)
C)
D)
Tuberinfundibular dopamine pathway
Nigrostriatal dopamine pathway
Mesocortical dopamine pathway
Mesolimbic dopamine pathway
1. A client lives with acquired deficits in emotional control, memory, and learning. What part
of this client's brain is most likely affected?
A)
B)
C)
D)
Basal ganglia
Brainstem
Limbic system
Cerebellum
1. You are caring for a mental health client who has developed difficulty with balance and
muscle tone after a car accident that involved a head injury. Based on this information,
what area of the brain was most likely injured in the accident?
A)
B)
C)
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Diencephalon
Brainstem
CerebellumD)
Pons
A)
B)
C)
D)
1. A client who experiences dysfunction in the hypothalamus is most likely to have
Maintaining homeostasis
Processing sensory input
Secreting melatonin
Integrating motor activities
1. Sensory deprivation in infancy and childhood has adversely affected a boy's brain
development. Which characteristic of the brain was most directly involved in this
process?
A)
B)
C)
D)
Neuroplasticity
Reactive plasticity
Adaptive plasticity
Synaptic plasticity
1. Rather than being 100%, concordance rates for schizophrenia in monozygotic twins are
only 50%. Which of the following statements best explains this phenomenon?
A)
B)
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Genetic predisposition to disease is frequently overstated.
One twin is inherently more vulnerable in every case.C)
D)
Environmental experiences affect gene expression.
The genetic pathway responsible for vulnerability is unrelated to being a twin.
Chapter 03- Conceptual Frameworks and Theories
1. A psychiatric–mental health nurse is aware of the importance of theories in the
development and delivery of care. Which of the following is the best definition of a
theory?
A)
B)
C)
D)
A group of related concepts or ideas
A person's or group's beliefs about how something happens or works
A prediction about two or more concepts
A researchable question related to health care
1. Which of the following explains why theories are important to psychiatric–mental health
nursing?
A)
B)
C)
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Theories provide more treatment options for clients.
Theories add professionalism to health care.
Theories simplify treatment decisions for most clients.D)
Theories lead to the expansion of knowledge.
1. A client has been told by a psychologist that memories in his unconscious are
contributing to his depression. This reasoning implies that the psychologist ascribes to
what theory?
A)
B)
C)
D)
Psychoanalytic theory
Behavior theory
Cognitive–behavioral theory
The humanistic perspective
1. A client's current plan of care includes interventions that are rooted in the concepts of
reinforcement. Which theory of human behavior is being prioritized during this
client's care?
A)
B)
C)
D)
Humanistic theory
Sociocultural theory
Behavioral theory
Psychoanalytic theory
1. A client and her therapist have been discussing the notion that her psychopathology
results from the blocking or distortion of personal growth, excessive stress, and
unfavorable social conditions. This discussion is congruent with what theory?
10 | P a g eA)
B)
C)
D)
Humanistic theory
Interpersonal theory
Biophysiological theory
Sociocultural theory
1. During marital counseling, a man complains that his wife often “bombards” him with
problems as soon as he settles down at home after work, which results in a prolonged
argument. The wife admits that she does this but states she feels neglected and that her
husband does not take the family problems seriously. She doesn't want her marriage to
turn out like her parents' marriage. The wife admits that she sometimes provokes an
argument in order to gain her husband's attention. How would a behaviorist most likely
explain the wife's actions?
A)
She has repressed painful memories about her emotionally distant father and is
working out her anger at the parent in the marital relationship.
B)
behavior.
C)
D)
She has an underlying anxiety disorder.
The long argument in which she and her husband participate positively
reinforces her behavior.
1. An adult man recalls that he was teased as a child about his inability to participate in
sports. He began to avoid situations in which others might evaluate his behavior. He seeks
treatment now because he is an accomplished musician but cannot perform for an
audience. According to behavioral theory, his behavior is an example of which of the
following concepts?
A)
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Discrimination
Her thoughts about her parents' unhappy marriage are a justification for herB)
C)
D)
Modeling
Generalization
Shaping
1. The nurse is working with a client who admits to having low self-esteem. The care team
has determined that cognitive restructuring will likely enhance the client's self-esteem.
Which of the following best describes the goals of this intervention?
A)
B)
C)
D)
Avoid negative self-talk
Replace negative self-talk with positive statements
Change distorted thinking and the subsequent behaviors
Use adaptive defense mechanisms
1. A 55-year-old woman is being treated for narcissistic personality disorder. The therapist
demonstrates caring and appropriate regard for the client. The therapist's behavior is an
example of which concept of behavior theory?
A)
B)
C)
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Shaping
Discrimination
ModelingD)
Conditioning
1. In a group therapy session, group members confront a 35-year-old woman about her
abuse of prescription pain medications. The woman states that, because a physician has
prescribed her medication, she is not a drug addict. The nurse identifies this as an
example of which of the following defense mechanisms?
A)
B)
C)
D)
Regression
Projection
Denial
Sublimation
Chapter 04- Evidence-Based Practice
1. The nurse demonstrates a commitment to the health, safety, and welfare of people by
providing evidence-based practice. What does the term “evidence-based practice”
mean?
A)
Care that integrates research and clinical expertise with the client's
characteristics, culture, and preferences
B)
C)
D)
Care that bases decision making on established clinical protocols
Care based on prior outcomes from the nurse's practice
Care based on outcomes and research conducted by the practitioner
1. Many pseudoscientific practitioners function openly and market themselves as
13 | P a g emainstream “therapists.” Why does the public often respond favorably to unconventional therapies? A) therapies. B) Further advancements can be made in effective pseudoscientific treatments with continued practice. C) Malpractice is minimized because pseudoscientific treatments are not empirically supported. Pseudoscientific therapies are frequently more effective than conventional D) Some clients and families are disenchanted with the outcomes of professionally approved treatments.
1. Nursing is both an art and a science. Which statement best [Show Less]