mental health exam 1 - practice questions

A client hates her mother because of childhood neglect. The nurse determines which client statement represents the use of the defense mechanism of reaction formation?

A. "I don't like to talk about my relationship with my mother."

B. "My mother hates me."

C. "I have a very wonderful mother whom I love very much."

D. "My mom always loved my sister more than she loved me."

C

A widow of 23 years has not removed any of her husband's possessions including his slippers beside their bed. Which pathological grief response is being exhibited by this client?

A. Inhibited grief response

B. Prolonged grief response

C. Delayed grief response

D. Distorted grief response

B

A nurse is conducting an assertiveness training class. Which of the following characteristics of assertive behavior should the nurse include?

A. Eye contact should be steady and continuous.

B. Invasion of intimate space can be interpreted as assertive behavior.

C. While interacting, individuals should turn slightly away from the other person.

D. The facial expression is congruent with the verbal message.

D

Two clients disagree on what movie to watch during free activity time. One client says to the other, "I would like to watch the comedy instead of the murder mystery." The nurse recognizes this as which form of communication response pattern?

A. Nonassertive

B. Assertive

C. Aggressive

D. Passive-Aggressive

B

The unit manager needs to meet with a client who is exhibiting escalating hostility. Which would be the most appropriate location for the nurse to meet with this client?

A.The client's room with the door shut

B. A quiet corner of the day room

C. The nurse's station

D. The unit's treatment room

B

As the move-out date to leave the shelter gets closer, a battered wife states, "I'm afraid to leave here. I'm afraid for my safety and the safety of my children." Which nursing statement is most supportive?

A. "This is a difficult transition. Let's formulate a plan to keep you all safe in the community."

B. "It's the policy that clients can only live here 30 days. Maybe we can ask for more time."

C. "You've had a month to come up with a plan for keeping you and your family safe."

D. "Hopefully, your husband has been in counseling. I'm sure this will work out fine."

A

The nurse is performing an initial assessment on a newly admitted client who is oriented times four. Which of the following communication techniques would best facilitate obtaining accurate and complete client data?

A. Closed-ended questions

B. Requesting an explanation

C. Open-ended questions

D. Interpreting

C

Which of the following best describes the role of the psychiatric social worker as a member of the interdisciplinary treatment team?

A. Provides ongoing assessment of client's mental and physical condition

B. Functions under the supervision of the psychiatric nurse

C. Serves as the leader of the treatment team

D. Conducts individual, group, and family therapy

D

A client, diagnosed with borderline personality disorder, approaches the nursing station often with various requests. The nurse intervenes by stating, "You may approach the nurse's station only once an hour." Which nursing intervention has been employed?

A. Providing reality orientation

B. Ensuring physical need fulfillment

C. Setting limits on behavior

D. Providing client education

C

A client expresses a desire to begin attending the self-help group Alcoholics Anonymous (AA). Which nursing response gives the client pertinent information about this type of group?

A. "In this type of group, membership is always within a fixed time frame."

B. "Group members receive comfort and advice from others undergoing similar experiences."

C. "The purpose of this type of group is to convey information to a number of individuals."

D. "The function of this type of group is to accomplish a specific outcome."

B

After a supportive-therapeutic group, a nurse hears one client say to another, "I never thought that other people had the same problems that I have." The nurse ascertains that this statement represents which curative factors described by Yalom?

A. Catharsis

B. Group cohesiveness

C. Universality

D. Imitative behavior

C

During a group meeting, a client raises the concern that noise at the nurses' station keeps him awake at night. The nurse, present in the meeting, interrupts, stating, "I'll handle this matter. We need to move on." The nurse is demonstrating which type of leadership style?

A. Democratic

B. Autocratic

C. Laissez-faire

D. Surrogate

B

A client, diagnosed with depression, tells the nurse that marriage and children were chosen over law school. The client states, "My mother was furious with my decision." The nurse recognizes this as an example of which maladaptive family behavior?

A. Avoiding

B. Demanding proof of love

C. Attacking

D. Ignoring individuality

D

In assessing a family, which behavior would the nurse identify as a functional family interaction  pattern?

A. Triangling

B. Differentiation of self

C. Family projection process

D. Scapegoating family members

B

Which contemporary family therapy emphasizes the role of the stories people construct about their experiences?

A. Narrative therapy

B. Feminist family therapy

C. Social constructionist therapy

D. Psychoeducational family therapy

A

A college student is hospitalized after suicide attempt. During an interview, the father reveals that his ex-wife was punitive and scolded his daughter during toilet training. Freud would describe this student as fixated in which stage of psychosexual development?

A. Oral

B. Anal

C. Phallic

D. Latency

b

A 40-year-old man is estranged from his children and states, "I'm the only one I can count on to meet my needs. The kids just want my money." Using Erikson's theory, with which developmental conflict is this client struggling?

A. Industry versus inferiority

B. Intimacy versus isolation

C. Ego integrity versus despair

D. Generativity versus stagnation

D

Which psychiatric diagnosis is common within the Native American culture?

Schizophrenia

Alcohol use disorder

Posttraumatic stress disorder

Impulse control disorder

B

According to the American Nurses Association (ANA) standards of practice for psychiatric mental health nurses, which specific intervention can be implemented by any psychiatric mental health nurse generalist?

A. Milieu therapy

B. Psychotherapy

C. Consultation

D. Prescriptive authority

A

Which nursing diagnosis is written correctly?

A. Risk for social isolation related to low self-esteem evidenced by staying in room during the day.

B. Low self-esteem related to major depressive disorder evidenced by childhood abuse.

C. Imbalanced nutrition: less than body requirements related to suspiciousness evidenced by 20 lbs weight loss.

D. Conduct disorder related to childhood sexual abuse evidenced by hostile and aggressive behaviors.

C

Which charting entry is an example of the documentation of a subjective symptom?

A. Temperature 101.4o F

B. No muscle rigidity or drooling noted

C. Client is hypervigilant and scanning the environment.

D. Client states, "I'm seeing green men in my room."

D

A client threatens to kill himself, his wife, and their children if the wife follows through with divorce proceedings. During the preinteraction phase of the nurse-patient relationship, which interaction should the nurse employ?

A. Acknowledging the client's actions and encouraging alternative behaviors.

B. Establishing rapport and developing treatment goals.

C. Providing community resources on aggression management.

D. Exploring personal thoughts and feelings that may adversely impact the provision of care.

D

Which is the primary nursing goal when establishing a therapeutic relationship with a client?

A. To promote client growth

B. To develop the nurse's personal identity

C. To establish a purposeful social interaction

D. To develop communication skills

A

A client's husband died 1 year ago. She has recently started dating a gentleman from her grief support group. This behavior is indicative of which of the grief tasks described by Worden?

Task I: accepting the reality of the loss

Task II: processing the pain of grief

Task III: adjusting to a world without the lost entity

Task IV: finding an enduring connection with the lost entity in the midst of embarking on a new life

D

Which statement would indicate to the nurse that a widow is nearing the end of the grief process? 

A. "My husband left me so quickly. I'm furious that he is not here for me!"

B. "My husband was often grumpy, but I know he loved me unconditionally."

C. "I feel so guilty that I was out with my girlfriend when he had his heart attack."

D."My husband was the best husband in the world."

B

Which would the nurse identify as a maladaptive grieving response?

An individual thought she saw her dead husband when she was out shopping.

A client is experiencing marked feelings of worthlessness and low self-esteem.

A woman has not cried since the death of her husband.

A year after his death, a wife maintains all of her husband's belongings.

b

Elderly individuals often experience a convergence of losses, the timing of which makes it impossible for the aging individual to complete the grief process in response to one loss before another occurs. What term is used to describe this situation? 

Prolonged grieving

Distorted grief response

Bereavement overload

Delayed grief response

c

Who is prone to mental illness?

Everyone

Two months ago, Ms. T was sexually assaulted while jogging in an isolated park. She is hospitalized for suicidal ideation at this time. She awakens in the middle of the night screaming about having nightmares of the incident. Which of the following is the most appropriate initial nursing intervention?

Call the doctor to report the incident.

Stay with Ms. T until the anxiety has subsided.

Administer prn alprazolam.

Allow her some privacy to work through the emotions.

B

Which of the following medications is considered to be a first-line medication of choice in the treatment of PTSD?

A. Alprazolam

B. Propranolol

C. Carbamazepine

D. Paroxetine

D

A nursing student is learning about the human limbic system. Which student statement demonstrates that teaching about the function of the limbic system has been effective?

A. "The limbic system helps stabilize emotional behavior."

B. "The limbic system functions to assist with symbolic thinking."

C. "The limbic system aids in analytical thinking."

D. "The limbic system helps modulate motor coordination."

A

Based on the public health model of primary level of prevention, which services would the community nurse provide? 

A. Teaching recovering clients daily living skills and encouraging independence

B. Monitoring effectiveness of aftercare services through home health visits

C. Care of a client hospitalized for a suicidal attempt

D. Teaching parenting skills and child development to prospective new parents

D

Which homebound status criteria must be validated before an individual can receive home health care?

A. Client takes fluphenazine (Prolixin) PO for schizophrenia.

B. Client is unable to leave home without assistance.

C. Client does not have available family support.

D. Client has been diagnosed with major depression.

B

The assessment portion of the community health plan would include which of the following factors regarding the homeless population?

A. More women than men are homeless.

B. About one-half of the homeless population suffers from some form of mental illness.

C. There is more HIV disease among the homeless than in the general population.

D.The majority of the homeless population are African American.

C

o Writing false and malicious information about an individual

libel

o The unconsented touching of another person

battery

o Law enacted by legislative bodies

statutory law

o Verbalizing false and malicious information about a person

slander

o Law that protects the private and property rights of individuals

civil law

Holds anger inside -

clinical depression

feeling of depression related to specific loss -

greiving

self esteem is not affect - normal greiving process or depression?

- greieving

Feelings of hopelessness, social isolation, self care deficit -

depression

o A society's way of living that is passed down form generation to generation

culture

o Identification with a group because of shared heritage

ethnicity

o Assuming that all individuals who share a culture or ethnic group are the same

stereotype

o In this culture, the primary social organizations are family and tribe

Native American

o Can the client demonstrate the ability to delay gratification? Does the client verbalize symptoms of tension preceding unacceptable behavior? Does the client verbalize the unacceptable or maladaptive behavior

impulse control disorder

o This level of anxiety prepares people for action

mild anxiet

o Attention span is limited, there is physical and emotional symptoms

severe andxiety

o There is misperceptions and loss of contact with reality. There could be hallucinations. Similar symptoms as MI

panic attack

o Client is less alert to events occurring in the environment attention span and concentration decreases

moderate anxiety

o ___ with grief is major primary psychological response pattern to stress

anxiety

o Leadership style that allows the group to do what they please

Laissez-faire

o Initiated when there is a threat to biological or psychological integrity, controlled by the id and deal with primary urges. Superego does not have need for them

components of defense mechanism

o Anxiety is relieved by the support and understating of others in the group who share experiences

universality

o Client is exhibiting a flight from reality and unaware of any psychological problems

psychosis

o At this phase of group coming together: rules and goals are established

initial orientation phase

o Nursing actions are conducted during the assessment phase are means of data gathering. This list includes

observing the client's interaction with family,

consult team members,

review clients medical records