ALL PPT QUESTIONS (MH final)
Is the following statement true or false? Body language is important when engaging in therapeutic communication
True. (Body language mirrors or enhances verbal messages and is an important aspect in therapeutic communication.)
Is the following statement true or false? Delirium refers to a condition in which cognitive impairment occurs acutely.
True. (Delirium refers to an acute cognitive impairment that can arise from multiple causes.)
The PMHRN is assessing a new patient. Which finding would cause the nurse to suspect the patient has OCD? A.Running every morning for at least 30 minutes B.Insists the house be clean and spotless before going to bed at night C.Spends 15 to 30 minutes each day reading a best-seller book D.Uses mega-doses of vitamin supplements
A (Rituals, such as excessive cleaning is a sign of an obsession and should be investigated further in the assessment. Actions which take longer than an hour are considered obsessions. Spending 30 minutes running each day and reading a best seller book would be healthy activities. Medication is not considered a factor to cause obsessions.)
Which of the following would the nurse assess as part of the biologic domain for a patient experiencing crisis? A.Changes in health practices B.Emotions C.Coping strengths D.Individual's ability to respond
A (The nurse would assess changes in health practices as part of the biologic domain. Assessing emotions and coping strengths are part of the emotional and behavioral responses. Assessing an individual's ability to respond would be part of the social functioning and support.)
Which of the following reflects a biologic theory of aggression and violence? A.Monoamine oxidase A gene affects neurotransmitters B.Person and situation factors are involved in an ongoing social interaction C.Aggression is a learned response to a stimulus D.Expression of aggression is rewarded
A (An aggression-related gene (monoamine oxidase A) that affects norepinephrine, serotonin, and dopamine reflects a biologic theory for aggression and violence. Person and situation factors, aggression as a learned response, and rewarding of aggression expression reflect psychological theories for aggression and violence.)
A nurse is engaged in case finding. Which activity would be involved? A.Identifying those at risk B.Assessing for suicidal ideation C.Ascertaining for a suicide plan D.Determining the severity of the intent
A (Case finding involves identifying people at who are at risk for suicide to initiate proper treatment. Identifying suicidal ideation, ascertaining a suicidal plan, and determining the severity of the intent are activities involved in risk assessment.)
The psychiatric mental-health nurse is preparing a care plan for a patient who is being discharged from the hospital after a bout of severe depression. Which individual should the nurse ensure is included in the interprofessional team for this individual? A.Primary care provider B.Insurance representative C.Psychiatrist on call D.The staff nurse
A (Depression is often treated by the PCP with medication. Any care plan should include the PCP to ensure the interprofessional team is providing the best care possible for this individual. The insurance representative, psychiatrist on call, and staff nurse would not be included in the outpatient treatment for this individual.)
A group is in the honeymoon stage of development. Which action would most likely occur? A.Testing of members B.Sharing of ideas C.Forming a group personality D.Realizing the group's purpose
A (During the beginning or honeymoon stage, the members begin to test whether they can trust one another and the leader. Sharing of ideas, forming a group personality, and realizing the group's purpose occur during the working stage of the group.)
The PMHRN is preparing the care plan for a patient who has been ordered an SSRI to address the patient's behavioral issues. Which medication should the nurse expect to see in the orders? A.Escitalopram B.Venlafaxine C.Duloxetine D.Bupropion
A (Escitalopram is an example of an SSRI. Venlafaxine and duloxetine are examples of SNRIs. Bupropion is an example of an NDRI.)
A patient with PTSD startles easily and reacts irritably to small annoyances. The nurse interprets this as which of the following? A.Hyperarousal B.Intrusion C.Avoidance D.Numbing
A (Hyperarousal is manifested by being hypervigilant for signs of danger, becoming easily startled, reacting irritably to small annoyances and sleeping poorly. Intrusion refers to the individual continually experiencing the event through flashbacks and nightmares. Avoidance and numbing reflect complete powerlessness by the individual.)
The nurse is working with a 29-year-old female who is a victim of IPV. Which factor must the nurse prioritize when providing care to this patient? A.Remain nonjudgmental throughout the process B.Convince the individual to make changes C.Refuse to continue working with the survivor D.Press charges against the abuser
A (It's vitally important for the nurse to always remain nonjudgmental throughout the process, especially if the survivor is an adult and competent. The other choices are not within the scope of practice for the nurse. Insisting the survivor makes changes she does not want to is removing autonomy from her, which is also illegal. Refusing to continue working with the survivor would be unethical. It would not be legal for the nurse to press charges against the abuser, however, the nurse must report to the appropriate authorities the suspicion of abuse and they will make the determination of pressing charges.)
The psychiatric-mental health nurse is assessing a new client who was just admitted to the inpatient psychiatric unit in a manic episode. Which assessment should the nurse prioritize? A.Possible past history of antidepressant use B.Family history of psychiatric disorders C.Dates of any prior hospitalizations D.Identify the possible trigger for this episode
A (Many are treated in the primary care setting initially and are misdiagnosed as being depressed. The use of antidepressants can precipitate a manic episode. The nurse should determine if the client has taken any antidepressants first so proper treatment can be initiated. The other choices should be assessed as the nurse continues the complete assessment.)
Which type of crime is rape considered? A. Violence B. Intimidation C. Power D. Anger
A (Rape is considered a crime of violence. Stalking is a crime of intimidation. Power and anger may be involved with rape, but they are not considered a crime.)
Which agent would a nurse likely expect to administer as a first-line medication to a patient experiencing mild panic disorder? Select all that apply A.Fluoxetine B.Sertraline C.Paroxetine D.Alprazolam
A B C (Fluoxetine, sertraline, and paroxetine are SSRIs and are used to treat panic disorder. Alprazolam is a benzodiazepine used, in combination with SSRIs, to treat a severely distressed patient.)
A patient diagnosed with a dissociative disorder should also be assessed regularly for which of the following? Select all that apply. A.Substance abuse B.Mood disorders C.Posttraumatic stress disorder D.Personality disorders E.Social engagement disorder
A B C D (Persons with dissociative disorders may also have comorbid substance abuse, mood disorders, personality disorders, or PTSD.)
Which primary factors should the nurse evaluate when assessing the patient to determine the risk of barriers to recovery from a mental disorder? Select all that apply. A.Employment B.Living arrangements C.Amount of income D.Health insurance E.Previous medical care
A B C D (Various barriers that can interfere with the patient's recovery from a mental disorder include lack of employment, adequate housing, income, and health insurance. Previous medical care may play a part in the recovery process, but it is not a primary factor.)
Is the following statement true or false? A small group is typically more cohesive than a large group.
True. (A small group, because of its size, typically provides a more cohesive group because the leader and members can get to know each other very well.)
The PMH-RN utilizes psychodynamic treatment with clients seeking help for depression. Which areas should the nurse prioritize in the assessment? (Select all that apply) A.Examine topics the client avoids B.Determine unmet needs of the client C.Explore dreams of the client D.Discover if anxiety is repressing desires E.Relationships with others
A, C, E (Psychodynamic therapists will examine topics clients will try to avoid, explore the dreams of the clients and determine the client's relationships with others. Maslow's hierarchy of needs is utilized when determining if the needs of the client are or have been met. Gestalt therapy will assist the PMH-RN in determining the amount of anxiety which may be contributing to repression of the client's desires.)
Which activity occurs during the orientation phase of the nurse-patient relationship? A.Testing the relationship B.Resolving the problem C.Engaging in problem solving D.Identifying problems
A. (During the orientation phase, the relationship is tested. Identifying the problems and engaging in problem solving occur during the working phase. The relationship terminates during the resolution phase.)
Which structures are found in the cerebrum? A. Hemispheres B. Basal ganglia C. Hippocampus D. Amygdala
A. (The cerebrum is made up of the right and left hemispheres and four lobes. The basal ganglia is a subcortical structure. The hippocampus and amygdala are part of the limbic system.)
As a RN prepares to complete training as a PMH-RN, which tool will be the most important for the nurse to develop? A.Self B.Clinical reasoning C.Reflection D.Interdisciplinary collaboration
A. (The most important tool of psychiatric nursing is self. Through relationship building, clients learn to trust the nurse who then guides, teaches, and advocates for quality care and treatment. Clinical reasoning, reflection, and collaboration with other professionals are also important tools which the psychiatric nurse will utilize to provide care to the clients in his or her care but without self, it will be difficult to implement these other tools.)
Which term is used to describe the number of cases of depression in a population that is occurring out of the entire population? A.Rate B.Prevalence C.Point prevalence D. Incidence
A. (Rate refers to the number of cases in a population divided by the total number in the population (cases and noncases). Prevalence refers to the number of persons with the disorder in a population at a specified time. Point prevalence refers to the number of cases at a specified time out of the population at that time. Incidence refers to the rate of only new cases occurring during a specific time period.)
Which characteristic would the nurse anticipate observing in a person with type B personality? A.Aggressiveness B.Easygoing C.Introverted D.Pessimistic
B (A person with a type B personality is relaxed and easygoing. A person with a type A personality is aggressive and competitive. A person with a type C personality is introverted. A person with a type D personality is pessimistic.)
Which of the following would the nurse expect to assess in a patient experiencing akathisia? A.Resting tremor B.Motor restlessness C.Mask-like face D.Shuffling gait
B (Akathisia is manifested by obvious motor restlessness such as rocking, pacing, or shifting from foot to foot. Resting tremor, mask-like face, and a shuffling gait would characterize Parkinsonism.)
Which agent would most commonly be prescribed for a patient with bipolar I disorder? A.Lamotrigine B.Lithium C.Carbamazepine D.Divalproex
B (Although divalproex, carbamazepine, and lamotrigine may be used as mood stabilizers, lithium is the most widely used mood stabilizer.)
Which intervention reflects the psychological domain when providing care to a patient who has attempted suicide? A.Providing care for the self-inflicted injury B.Challenging the patient's suicidal mindset C.Providing social skills training D.Administering medications
B (Challenging the patient's suicidal mindset would be an intervention addressing the patient's psychological domain. Providing care for the self-inflicted injury and administering medications reflect the biologic domain. Providing social skills training reflects the social domain.)
When applying the stages of the bereavement process, which response would most likely be witnessed by the nurse in the conservation stage? A.Separation anxiety B.Social withdrawal C.Disbelief D.Acceptance of the loss
B (During the conservation-withdrawal phase, social withdrawal occurs. Disbelief occurs during the shock stage. Acceptance of the loss occurs during healing. Separation anxiety predominates in the awareness of loss stage.)
According to Masters' and Johnson's theoretical model, which of the following occurs first? A.Orgasm B.Excitement C.Resolution D.Plateau
B (Masters and Johnson identified four phases of the sexual response beginning with excitement and then followed by plateau, orgasm, and finally resolution.)
The PMHRN is preparing a care plan for a client who presents with depression that appears to be worse during the winter. Which therapy would the nurse be prepared to discuss with the patient to possibly address this depression? A.ECT B.Phototherapy C.Melatonin regimen D.rTMS
B (Phototherapy exposes the individual to a very bright, full-spectrum light, which has been shown to improve and relieve symptoms of depression for significant numbers of seasonally depressed individuals. ECT is used to treat severe depression which is unresponsive to other methods. Melatonin is used to treat insomnia and prevent "jet lag". rTMS is similar to ECT but without its side effects. It is used for treating depression.)
Which factor should a nurse prioritize assessing in a survivor of violence? A. Social support B. Lethality C. Mental status D. Dependency in the relationship
B (The priority assessment for a survivor of violence is a lethality assessment to ascertain if the survivor is in danger for his or her life. If so, then the nurse must take immediate steps to ensure the survivor's safety. Social support, mental status, and dependency in the relationship would be assessed after the individual's safety is ensured.)
The PMH-RN is preparing a nursing care plan for a client which will utilize reinforcement of positive behavior. Which theorist should the nurse prioritize for developing this care plan? A.Gilligan B.Thorndike C.Erikson D.Miller
B (Thorndike believed that reinforcement of positive behavior was important to learning. Gilligan presented the theory that males and females developed differently and these factors should be taken into account when caring for clients. Erikson presented a model for growth and development based on the age of the client. Miller conceptualized female development within the context of experiences and relationships.)
Which of the following statements is true about Tourette syndrome? A.Phonic tics usually precede the development of motor tics B.The syndrome has periods of waxing and waning C.Girls are affected more often than boys D.Antidepressants may be used to treat the disorder
B (Tourette syndrome is characterized by motor and phonic tics that wax and wane. Motor tics usually occur before phonic tics. Boys are more often affected, and antipsychotics may be used for treatment.)
The PMHRN is evaluating a patient's response to a psychiatric medication. Which factor is the nurse evaluating when determining if the drug is producing the desired response? A.Potency B.Efficacy C.Tolerance D.Therapeutic index
B. (Efficacy refers to a drug's ability to produce a response. Potency refers to the drug dose needed for an effect. Tolerance refers to a gradual decrease in drug action. Therapeutic index refers to the ratio of the maximum nontoxic dose to the minimum effective dose.)
Which action should the nurse prioritize when providing care to a patient with delirium? A.Keep the environment brightly lit B.Carefully supervise the patient C.Withhold fluids D.Apply restraints
B. (For the patient with delirium, the nurse should maintain a safe environment and carefully supervise the patient. The room should have adequate lighting but not necessarily bright lighting. Fluids are necessary to restore and maintain fluid balance. De-escalation techniques, not restraints, are appropriate.)
Which theorist introduced the concept of the nurse-client relationship? A. Orlando B. Peplau C. Parse D. Orem
B. (Peplau, in her book, Interpersonal Relations in Nursing, introduced the concept of the nurse-client relationship. Orlando helped nurses to focus on the whole client rather than the disease or institutional demands. Parse views humans as indivisible, unpredictable, ever-changing coauthors, and experts about their lives. Orem's theory focuses on self-care.)
A part of a patient's life that is not governed by society's laws and government intrusion is referred to as: A.Confidentiality B.Privacy C.Informed consent D.Competency
B. (Privacy refers to that part of an individual's personal life that is not governed by society's laws and government intrusion. Confidentiality is an ethical duty of nondisclosure. Informed consent is a legal procedure to ensure that a patient knows the benefits and costs of treatment. Competency refers to the patient's cognitive ability to process information at a specific time.)
Which technique would be least effective in promoting therapeutic communication? A. Silence B. Reassurance C. Confrontation D. Observation
B. (Reassurance blocks communication and therefore would be least effective. Silence, confrontation, and observation are therapeutic verbal communication techniques.)
Which goal should the nurse prioritize to assist an individual recovering from a mental health issue? A.Social support B.Employment C.Education about disorder D.Family support
B. (Employment is one of the most important factors impacting mental health recovery. It gives the individual a sense of purpose and reason to get up in the morning. Because mental health issues frequently interfere with employment, to finally reach the point in the individual's recovery where he or she can once again be gainfully employed marks completion of an important goal. The other choices are also important and can contribute to the overall goal of becoming employed.)
The PMHRN is assessing a new patient who has recently been admitted to the inpatient psychiatric unit. Which factor should alert the nurse to the possibility this patient has experienced chronic stress? A.Decreased WBC count B.Apparent inactive HPA axis C.History of multiple infections D.Decreased hormone levels
C (Chronic stress will suppress the immune system, which will increase the possibility of the patient developing multiple infections, with some being of a chronic nature, such as Epstein--Barr. Chronic stress increases hormone secretion, especially cortisol; increases the activity of the HPA axis; and will lead to the elevation of WBC counts.)
The nurse would teach a patient receiving treatment for anorexia nervosa about which SSRI ? A.Fluvoxamine B.Paroxetine C.Fluoxetine D.Citalopram
C (Fluoxetine is the SSRI approved for use in treating patients with anorexia nervosa. Fluvoxamine, paroxetine, and citalopram have not been approved for this use.)
Which of the following is considered a task role? A.Compromiser B.Group observer C.Elaborator D.Encourager
C (The elaborator is a task role. The compromiser, group observer, and elaborator are maintenance roles.)
The PMH-RN is preparing to meet with a new patient. Which action should the nurse prioritize when developing a therapeutic relationship with this patient? A.Sympathy B.Compassion C.Empathy D.Kindness
C (The use of empathy in a therapeutic relationship is central to psychiatric-mental health nursing. Empathy is sometimes confused with sympathy, which is the expression of compassion and kindness. Empathy is the ability to experience, in the present, a situation as another did at some time in the past.)
Which factor should the nurse prioritize when admitting a patient diagnosed with BPD to the in-patient psychiatric unit? A.Medication adherence B.Nutritional needs C.Patient safety D.Therapeutic relationship
C (These individuals may be extremely volatile emotionally, presenting with a high risk for self-harm and suicide, as well as potential abuse towards staff and other patients. Medication adherence and nutritional needs will also need to be addressed after the situation is deemed safe. It is difficult to establish a therapeutic relationship with these individuals due to their lack of trust in others. The nurse will need to work on this over the course of the hospitalization.)
Is the following statement true or false? Hallucinations are considered positive symptoms, but delusions are considered negative symptoms.
False. (Hallucinations and delusions are considered positive symptoms.)
Which of the following best describes the cultural beliefs of African Americans related to mental illness? A.Use all other resources before seeking help B.Help usually through church counseling C.Support sought from extensive family networks D.Evidence of several culture-bound syndromes
C. (African Americans commonly use extensive family networks for support. Hispanic Americans are more likely to use all other resources before seeking help from mental health professionals, with many seeking help through supportive home care and counseling from the church. Culture-bound syndromes are found in the Asian American culture.)
Which theorist is associated with object relations and identification? A. Adler B. Jung C. Freud D. Horney
C. (Freud identified the concept of object relations and identification. Adler identified an intolerable sense of inferiority as the motivating force in life. Jung described personalities as extroverted or introverted. Horney rejected the traditional psychoanalytic belief that women felt disadvantaged because of their genital organs.)
Which neurotransmitter is inhibitory in action? A.Acetylcholine B.Dopamine C.Gamma-aminobutyric acid D.Serotonin
C. (Gamma-aminobutyric acid (GABA) is an inhibitory neurotransmitter. Acetylcholine, dopamine, and serotonin are excitatory neurotransmitters.)
Which of the following is used to treat a patient with an overdose of heroin? A.Methadone B.L-acetyl-a-methadol C.Naloxone D.Buprenorphine
C. (Naloxone is used to treat a heroin (opioid) overdose. Methadone is typically used as maintenance therapy. Other drugs used for maintenance treatment include L-acetyl-a-methadol and buprenorphine.)
Which intervention addresses the biologic domain? A.Bibliotherapy B.Psychoeducation C.Pain management D.Conflict resolution
C. (Pain management addresses the biologic domain. Bibliotherapy, psychoeducation, and conflict resolution address the psychologic domain.)
Which of the following would be a component of the standards of professional performance? A.Diagnosis B.Evaluation C.Education D.Outcome identification
C. (Standards of Professional Performance include education. Diagnosis, evaluation, and outcome identification are components of the standards of practice.)
When assessing a patient with somatic symptom disorder, which complaint would the nurse most likely expect to hear? A.Diarrhea B.Muscle weakness C.Menstrual irregularity D.Pain
D (Although gastrointestinal, pseudoneurologic, and reproductive problems may be verbalized, pain is the most common complaint in patients with somatic symptom disorder.)
Which of the following would the nurse be alert for in a patient receiving fluoxetine? A.Hypertensive crisis B.Sedation C.Weight gain D.Serotonin syndrome
D (Fluoxetine is an SSRI and may lead to the development of serotonin syndrome. Tricyclic antidepressants are commonly associated with sedation and weight gain. Hypertensive crisis occurs with MAOIs if they are coadministered with food or other substances containing tyramine.)
Various theories have been formulated to explain suicide. Which theory uses the three basic factors of hopelessness, helplessness, and worthlessness to explain why suicide happens? A.Three-step theory B.Emotional factor theory C.Biological theory D.Cognitive theory
D (The cognitive theory presents the cognitive triad of helplessness, hopelessness, and worthlessness as the basis for suicide. The Three-Step theory is a psychological theory which stresses: (1) emotional pain, (2) thoughts of suicide, (3) actual attempt. The emotional factor theory is also a psychological theory which indicates factors such as shame, guilt, despair, emotion-focused coping, loss, grief, and emotional distress are responsible for suicide. Biologic theories point out that various chemical malfunctions and genetics play a part in suicide.)
Which of the following would the nurse be least likely to assess in a patient experiencing neuroleptic malignant syndrome? A.Diaphoresis B.Muscle rigidity C.Incontinence D.Unreactive dilated pupils
D (Unreactive dilated pupils would suggest anticholinergic crisis. Diaphoresis, muscle rigidity, and incontinence would be associated with neuroleptic malignant syndrome.)
When applying the ABCs of psychological first aid, the nurse addresses which action with cognition? A.Decreasing excitement B.Providing for safety C.Assisting to function more effectively D.Providing reality testing
D (When applying the "C" of the ABCs, the nurse would perform reality testing and provide clear information. Decreasing excitement occurs with "A," arousal. Providing for safety and assisting the person to function more effectively occurs with "B," behavior.)
When an individual experiences cocaine intoxication, which of the following occurs first? A.Depression B.Anxiety C.Craving D.Mental alertness
D. (Initially, the person experiences CNS stimulation with a sudden burst of mental alertness and energy. After 10 to 20 minutes, the individual then experiences an intense let-down effect with irritability and depression. Anxiety and craving occur with withdrawal.)
Which area should the nurse prioritize during the mental status examination? A.Body image B.Stress level C.Coping patterns D.Insight
D. (Insight is part of the mental status examination. Body image is evaluated when assessing the patient's self-concept. Stress level and coping patterns are additional areas evaluated when assessing the psychological domain.)
Which of the following characterizes the cultural beliefs of Native Americans toward mental illness? A.Conflicting feelings B.Difficulty in role adjustments C.Denial of mental illness D. Reliance on healing ceremonies
D. (Native American culture focuses on healers and healing treatments through the use of herbal medicines, healing ceremonies, and feasts. Minority women often experience greater conflicting feelings and psychological stressors than men and have difficulty adjusting to roles within the culture and those of the larger society. Asian Americans, Polynesians, and Pacific Islanders may deny or disguise the existence of mental illness.)
A mental health nurse provides care in a long-term care facility for patients who have some form of dementia. Which factor should the nurse prioritize when providing care? A.Medication adherence B.Family involvement C.Effective social interaction D.Patient and staff safety
D. (Patient and staff safety should always be a constant factor for the nurse to consider. The patient is at an increased risk for self-injury depending on the specific etiology of the disorder. If the patient becomes combative, then the staff is at risk of injury. The other factors are important, but not every patient will have these needs.)
Is the following statement true or false? in factitious disorder, the intentional production of symptoms is in others, usually children.
False. (In factitious disorder, physical or psychological symptoms (or both) are fabricated to assume the sick role. In factitious disorder imposed on another, the intentional production of symptoms is in others, usually children.)
True or False: Everyone who experiences a traumatic event sustains an emotional injury.
False (All of us experience stress in our daily lives, but our responses vary from person to person. One person may develop a severe emotional reaction (strong agitation of feelings) and another resilient individual is hardly aware of a traumatic event. Not everyone who experiences a traumatic event will be emotionally injured.)
Is the following statement true or false? An individual suspected of having a personality disorder recognizes he or she has a problem and seeks help.
False (An individual suspected of having a personality disorder refuses to acknowledge he or she has any mental problems. If seeking medical help, it is usually for a comorbid medical condition.)
Is the following statement true or false? Confidence and awe are considered positive emotions.
False (Confidence and awe are emotional reactions that are too ambiguous to fit into the categories of positive, negative, or borderline emotions and are thus classified as nonemotions.)
True or False: IPV is not considered a risk for individuals in the highest socioeconomic levels.
False (IPV occurs across all demographics and socioeconomic levels. Within any type of relationship, frequent conflicts, jealousy, and possessiveness are associated with an increased risk of violence. It is a significant public health problem which needs to be addressed.)
Is the following statement true or false? Methylphenidate acts as a sedative-hypnotic agent.
False (Methylphenidate is a stimulant agent.)
Is the following statement true or false? Acculturation occurs when an individual begins to share common aspects of his or her culture with others.
False. (Acculturation is a socialization process in which a person begins to learn and adopt certain aspects of the dominant culture.)
Is the following statement true or false? Autism and Asperger syndrome are two different disorders identified by characteristic manifestations that are distinct for each disorder.
False. (Although previously diagnosed as two separate disorders, the DSM-5 no longer considers them separate due to the many overlapping symptoms. The DSM-5 does indicate two different types: language or intellectual impairment.)
Is the following statement true or false? An expansive mood is characterized by euphoria.
False. (An expansive mood is one involving a lack of restraint in expression and overvalued self-importance. An elevated mood is characterized as euphoria.)
Is the following statement true or false? A patient with depression is at greatest risk for suicide when his or her mood is at the lowest point.
False. (As patients begin to feel better and have increased energy, they may be at greater risk for suicide.)
Is the following statement true or false? A patient with somatic symptom disorder often displays an altered mental status.
False. (Assessment of a patient with somatic symptom disorder usually will reveal that the patient's mental status is intact.)
Is the following statement true or false? Atomoxetine is often prescribed for individuals who have comorbid substance abuse issues.
False. (Atomoxetine is a noradrenergic reuptake inhibitor and is often used for those who have comorbid substance abuse issues.)
Is the following statement true or false? The two fundamental ethical concepts are justice and veracity.
False. (Autonomy and beneficence are the two fundamental concepts. Justice and veracity are among other ethical principles used to guide mental health care)
Is the following statement true or false? Biosexual identity refers to the belief of belonging to the male or female gender.
False. (Biosexual identity refers to the anatomy and physiology of being male or female. Gender identity refers to the conviction of belonging to the male or female gender.)
Is the following statement true or false? Inwardly directed anger causes more problems than outwardly directed anger.
False. (Both outwardly directed and inwardly directed anger produce adverse consequences.)
Is the following statement true or false? Dystonia is a chronic medication-related movement disorder.
False. (Dystonia occurs typically within a few days of initiating antipsychotic therapy. Tardive dyskinesia is a chronic syndrome.)
Is the following statement true or false? Insanity pleas are commonly invoked for the mentally ill patient accused of a crime.
False. (In reality, the insanity defense is extremely difficult to use even in the cases of severely ill individuals. As a result, despite popular belief, the insanity defense is used in fewer than 1% of criminal cases.)
Is the following statement true or false? Inhalants are considered a central nervous system stimulant.
False. (Inhalants depress the central nervous system and thus are considered central nervous system depressants.)
Is the following statement true or false? A person with obsessive-compulsive personality disorder experiences obsessions and compulsions just as a person with obsessive-compulsive disorder (OCD).
False. (OCPD is different from OCD. OCD is a disorder of anxiety not personality. The person with OCPD does not experience compulsions and obsessions but does experience an intense preoccupation with orderliness, perfectionism, and control.)
Is the following statement true or false? Panic is considered abnormal regardless of the situation and degree of threat.
False. (Panic is considered normal during periods of threat; it is considered abnormal when it is continuously experienced in situations of no real physical or psychological threat present.)
Is the following statement true or false? The aim of parasuicide is death.
False. (Parasuicide refers to a voluntary, apparent attempt at suicide in which the aim is not death.)
Is the following statement true or false? Neurotransmitter receptors are static and not subject to change.
False. (Receptors exhibit receptor sensitivity indicating that they have the capacity to change. This change is most commonly caused by the effect of a drug on a receptor site or a disease that affects the normal functioning of a receptor site.)
Is the following statement true or false? Religiousness implies a connection to life and a way of interpreting life events.
False. (Religiousness refers to a participation in a community of people gathering around common ways of worshipping. Spirituality involves a connection to life and a way of interpreting life events.)
True or false: A person with schizoaffective disorder experiences the symptoms of schizophrenia and an anxiety disorder.
False. (Schizoaffective disorder has symptoms of both schizophrenia and mood disorders.)
Is the following statement true or false? Self-awareness is achieved primarily from feedback from others.
False. (Self-awareness develops through introspection and self-examination. Feedback from others is important to avoid bias.)
Is the following statement true or false? The American Psychiatric Nurses Association is involved primarily in advocating for psychiatric-mental health nursing at national and state levels.
False. (The American Nurses Association supports psychiatric-mental health nursing practice through liaison activities such as advocating for psychiatric-mental health nursing at the national and state levels.)
Is the following statement true or false? The Patient Self-Determination Act ensures that a person with a mental illness is not discriminated against in the workplace.
False. (The Patient Self-Determination Act requires that agencies receiving Medicare and Medicaid reimbursement to inform patients at the time of admission of their right to be a central part of any and all health care decisions made about them or for them.)
is the following statement true or false? Marijuana is the most commonly abused substance.
False. (The most commonly abused substance is alcohol. Marijuana is the second most commonly abused substance.)
Is this statement true or false? During the second phase of the cycle of violence, the perpetrator experiences a period of intense upset after the violent incident occurs.
False. (The perpetrator of a violent act typically experiences a period of relative calm after the violent incident.)
Is the following statement true or false? The disaster event marks the first phase of a disaster.
False. (The prewarning of the disaster is considered the first phase of a disaster. This is followed by the disaster event and finally recuperative efforts.)
Is the following statement true or false? To meet the diagnostic criteria, a person with GAD must experience excessive worry and anxiety for a minimum of 3 months.
False. (To be diagnosed with GAD, a person must experience excessive worry and anxiety for at least 6 months.)
Is the following statement true or false? The first step of the patient interview is to use open-ended statements to gather data.
False. (When conducting a patient interview, the nurse should first clearly state the purpose of the interview.)
Is the following statement true or false? Individuals with somatic symptom disorder experiences symptoms that remain consistent but increase in severity with time.
False. (With somatic symptom disorder, symptoms are changeable, diffuse, complex, and highly variable, often moving from one body system to another.)
Is the following statement true or false? Early-onset Alzheimer disease is more common and less progressive than late-onset Alzheimer disease.
False. (early onset is more progressive than late-onset Alzheimer disease; late-onset Alzheimer disease is more common.)
Is the following statement true or false. When conducting a follow-up assessment on a patient with Alzheimer disease, the nurse should include an assessment on the primary caregiver as well.
True (The primary caregiver should also be questioned as he or she is often considered a "copatient." Caring for a family member with AD can be very stressful and tiring. The family member may also be dealing with the stress and guilt of recognizing it is time to place the patient in a care facility but are unwilling to take that step. The nurse can assist the patient and family better as they move through this difficult process by knowing where each individual is in the process.)
Is the following statement true or false? Individuals with anorexia nervosa experience a significant disturbance in body image.
True. (A disturbance in body image is one of the key diagnostic characteristics for anorexia nervosa)
Is the following statement true or false? To be considered healthy, a person also must be mentally healthy.
True. (A person cannot be healthy without being mentally healthy.)
Is the following statement true or false? Protecting the patient from self-harm is crucial during a manic phase.
True. (During mania, patients usually violate others' boundaries, and they may miss the cues indicating anger and aggression from others. Thus, protecting the patient from self-harm as well as harm from others is important.)
Is the following statement true or false? A person with a histrionic personality demonstrates an air of superiority and self-centeredness.
True. (Histrionic personality is characterized by grandiosity and an inexhaustible need for attention as well as feelings of superiority and self-centeredness.)
Is the following statement true or false? Individuals with bulimia nervosa often display cognitive distortions.
True. (Individuals often engage in dietary restraint, binge eating, and purging that results from their distorted thinking process.)
Is the following statement true or false? Involuntary commitment requires a court order.
True. (Involuntary commitment is the confined hospitalization of a person without the person's consent but with a court order.)
Is the following statement true or false? Mental health recovery is the single most important goal for the mental health delivery system.
True. (Mental health recovery is the single most important goal for the mental health delivery system.)
Is the following statement true or false? Nursing document is guided by practice standards and agency policies.
True. (Nursing documentation is guided by practice standards and policies of the agency.)
Is the following statement true or false? Poor family response to disorder can be a factor in the development of schizophrenia in children.
True. (Poor family response to disorder can be a contributing factor to the development of schizophrenia in children.)
Is the following statement true or false? A lithium blood level of 1.0 mEq/L is considered therapeutic.
True. (Therapeutic lithium blood levels range from 0.8 to 1.4 mEq/L during the acute phase; 0.4 to 1 mEq/L during the maintenance phase. A level of 1.0 mEq/L is within the therapeutic range.)
Is the following statement true or false? A person with antisocial disorder typically must be older than the age of 18 years and have shown some evidence of a conduct disorder.
True. (To be diagnosed with antisocial personality disorder, a person must be older than age 18 years and have a history of one or more of the characteristics of conduct disorder before the age of 15 years.)
Which factor should the nurse prioritize when assessing a client for the possibility of purging? A.Daily nutritional intake B.OTC medication use C.Use of supplements D.Eating habits
b (Individuals who are purging may be using laxatives, diuretics, or emetics. Assessing the client's use of OTC would help the nurse determine if any of these products are being used incorrectly. The nurse would also assess daily nutritional intake, the use of supplements, and eating habits; however, these would not necessarily indicate the possibility of purging.)
Is the following statement true or false? A nerve impulse originates in the synaptic cleft.
false (A nerve impulse originates in the neuron and is carried across the synaptic cleft during transmission.)
Is the following statement true or false? The terms "aggression" and "violence" can be used interchangeably, depending on the situation and outcome.
false (All violence is aggression but not all aggression is violence. Violence is the most severe form of aggression. Some aggression is impulsive and occurs in situations of anger and anxiety when the individual lashes out.)
Is the following statement true or false? Groupthink is a common occurrence in psychoeducation groups
false (Groupthink commonly occurs in a decision-making group when group members form opinions consistent with the group consensus rather than critically evaluating the situation. Psychoeducation groups are formally planned, and members are purposefully selected.)
Is the following statement true or false? A crisis is an event that typically occurs over a prolonged period of time and is associated with negative outcomes.
false. (A crisis is a time-limited event that triggers adaptive or maladaptive responses in which the outcomes can be positive or negative.)
Is the following statement true or false? Children experiencing depression commonly exhibit an irritable mood.
true (Children commonly exhibit an irritable mood rather than a sad mood with depression.)
True or False: The family member is the best individual for the nurse to question about any changes in a patient's compulsive actions.
true (Family members can offer a perspective on the severity of the individual's illness. They are experts in the patient's rituals and may observe subtle changes.)
True or False: Treatment of separation anxiety and OCD may include medication, behavioral therapy, or a combination of these treatments.
true (Separation anxiety is relatively common in school-aged children. OCD becomes more common in adolescents. Treatment of separation anxiety and OCD may include medication, behavioral therapy, or a combination of these treatments.)
True or False: A patient diagnosed with hoarding has an increased risk for injury related to the associated clutter.
true (The associated clutter leads to risk of fires, falls, and vermin infestations as well as respiratory and skin infections.)
Is the following statement true or false? A key intervention for promoting safety and preventing violence is the development of the nurse-patient relationship.
true (When working with aggressive and violent patients, promoting safety and preventing violence are the major goals. To achieve these goals, the nurse works to establish the therapeutic nurse-patient relationship and create a therapeutic milieu.)
