PN3003 MIDTERM

Diagnosed with Obsessive-compulsive disorder

persistent unwanted thought

Demonstrates signs of anxiety

**anticipatory** 

After a session of ECT

reorientate the patient to time place and location

Someone with mania is walking back and forth

**Fruits and sandwich** 

Portraying lip smacking

tardive dyskinesia

Histrionic disorder exhibiting manipulating behavior

set limits

Someone with GAD, may exhibit stomach pain

true or false

true

Hallucinations negative symptoms for someone with schizophrenia

true or false

false

Personality disorders are often chronic and can be difficult to treat

true or false

true

All mood disorders are chronic and lead to long-term disabilities

true or false

false

The person remains in one position until changed but another person. What type of position is this

waxy position

When taking a health disorder somatoform disorder, what are you going to look for

**pattern of repeated complaints** 

Patient suddenly can’t remember their family members what is the likely cause

dissociative disorder

The client recently diagnosed with WK disorder, which info should be included in the education

progressive memory loss

Which assessment would describe binge—eating disorder

 **overweight at a young age** 

8th grade education about sex education

 sexual attraction

Person with a somatic disorder is attention seeking attention should be ignored

true or false

false

When working with some wit DID the nurse would engage with them by taking about positive memories

true or false

true

Altered oral receptors due to eating disorder which make them self- vomit

true or false

true

According to the World Health Organization (WHO), mental health is defined as

a) The absence of any psychological, biological, or developmental disturbances

b) The ability to cope with abnormal stresses of life.

c) The state of well-being where an individual realizes their own abilities and makes a contribution to their community.

d) A clinically significant disturbance in cognition, emotion regulation, or behaviour.

c) The state of well-being where an individual realizes their own abilities and makes a contribution to their community.

Which of the following is used by healthcare professionals for diagnosing mental illnesses?

a) ICD-10 b) DSM-V-TR

b) DSM-V-TR

c) APA Guidelines

d) WHO Mental Health Manual

b) DSM-V-TR

The multi-axial system used in the DSM-V is utilized for:

a) Public health statistics.

b) Insurance reimbursement.

c) Treatment planning.

d) All of the above.

d) All of the above.

Which of the following is an example of a defence mechanism?

a) Stress

b) Anxiety

c) Rationalization

d) Coping mechanism

c) Rationalization 

Coping mechanisms differ from defence mechanisms in that they are:

a) Unconscious and involuntary patterns of response.

b) Based on cognition and conscious decision-making.

c) Mainly used to diagnose mental illnesses.

d) Characterized by the fight-or-flight response.

b) Based on cognition and conscious decision-making. 

Distress is described as:

a) A positive and motivating stress.

b) Ongoing, continuous stress.

c) A negative stress demanding exhaustive energy.

d) A feeling of apprehension or uncertainty.

c) A negative stress demanding exhaustive energy. 

Chronic anxiety is typically associated with:

a) Short-term experiences of uneasiness.

b) Enhancing one's sense of well-being.

c) Impaired concentration and work performance.

d) An automatic, unconscious biological response.

c) Impaired concentration and work performance. 

What are the stages of grief proposed by Dr. Elisabeth Kubler-Ross?

a) Denial, acceptance, recovery, reintegration, hope

b) Anger, bargaining, depression, acceptance, renewal

c) Denial, anger, bargaining, depression, acceptance

d) Shock, anger, sadness, acceptance, healing

c) Denial, anger, bargaining, depression, acceptance 

Anticipatory grief refers to:

a) Grief experienced following a loss.

b) Grief resulting from unresolved symptoms.

c) The emotional process of coping with loss.

d) Expecting a major loss in the near future.

d) Expecting a major loss in the near future.

Dysfunctional grief is characterized by:

a) Successful coping with loss.

b) A failure to complete the grieving process.

c) Natural and healing responses to loss.

d) Incomplete grief process resulting in maladaptive symptoms.

b) A failure to complete the grieving process.

Mental illness does not discriminate means that:

a) Mental illness affects everyone equally.

b) Certain population groups may face unique legal and ethical issues.

c) Mental illness is unrelated to cultural or religious influences.

d) Mental illness only affects individuals with pre-existing conditions.

b) Certain population groups may face unique legal and ethical issues. 

What are the contributing factors to stress and anxiety?

a) Cultural variances and elimination strategies.

b) Defense mechanisms and adaptive coping strategies.

c) External stressors and internal stressors.

d) Magic and traditional medicines.

c) External stressors and internal stressors. 

Subjective data in the nursing process refers to:

a) Measurable information observed by the nurse

b) Data collected through standardized assessments

c) The client's perception and opinion

d) Data gathered by others familiar with the client

c) The client's perception and opinion 

Nursing diagnosis involves:

a) Prioritizing client problems

b) Implementing nursing interventions

c) Gathering subjective and objective data

d) Analyzing collected data to identify nursing problems

d) Analyzing collected data to identify nursing problems

Short-term goals in the planning phase of the nursing process are focused on:

a) Achieving maximal health at discharge

b) Addressing immediate unmet client needs

c) Improving communication strategies

d) Rechanneling energies in constructive ways

b) Addressing immediate unmet client needs 

Evaluation in the nursing process involves:

a) Observing client behaviours and symptoms

b) Writing a comprehensive nursing care plan

c) Analyzing causative factors of nursing problems

d) Determining the success of nursing interventions in meeting expected outcomes

d) Determining the success of nursing interventions in meeting expected outcomes

Which of the following characteristics are important for establishing a nurse-client relationship?

a) Medical expertise; clinical skills

b) Empathy; caring

c) Authority; power

d) Professional detachment

b) Empathy; caring 

During which phase of a therapeutic relationship is the nurse getting to know the client?

a) Orientation

b) Working stage

c) Termination

d) Transference

a) Orientation 

What is one of the key aspects of maintaining professional boundaries in the nurse-client relationship?

a) Sharing personal experiences with the client

b) Secrecy and confidentiality

c) Controlling and directing the client's behaviour

d) Role reversal in the relationship

b) Secrecy and confidentiality 

How should a nurse respond to difficult client behaviours?

a) Over-helping and providing instant gratification

b) Ignoring and avoiding the behaviours

c) Observing and anticipating behaviours for a directed response

d) Reacting with aggression and violence

c) Observing and anticipating behaviours for a directed response 

What is the basic feeling experienced by a client with an altered thought process?

a) Fear and mistrust

b) Happiness and contentment

c) Excitement and enthusiasm

d) Indifference and apathy

a) Fear and mistrust 

How should a nurse respond to sexually inappropriate behaviours or aggression from a client?

a) Establish limits and directly inform the client of the unacceptability

‘b) Ignore the behaviours and focus on other aspects of care

c) Encourage and reinforce the behaviours to provide a sense of control

d) Terminate the session immediately without further discussion

a) Establish limits and directly inform the client of the unacceptability 

What should a nurse do in an unmanageable situation with a client?

a) Consult with a supervisor or colleague for guidance

b) Use physical force to restrain the client's actions

c) Immediately terminate the therapeutic encounter

d) Engage in aggressive confrontation with the client

a) Consult with a supervisor or colleague for guidance 

Which precautionary measures should a nurse take in response to violence or aggression from a client?

a) Disregard the safety of others nearby and focus solely on the client

b) Use de-escalation techniques to defuse the behaviour

c) Encourage other clients to intervene and diffuse the situation

d) React with equal force and aggression to establish control

b) Use de-escalation techniques to defuse the behaviour 

Which of the following best describes a therapeutic milieu

a) A structured environment for recreational activities

b) A safe and supportive environment for therapeutic interaction

c) An environment that encourages aggressive behaviour

d) A place where clients receive pharmacological treatment

b) A safe and supportive environment for therapeutic interaction 

What is the primary role of a nurse in establishing a therapeutic milieu?

a) Enforcing strict rules and regulations

b) Maintaining the dignity and acceptance of clients

c) Providing pharmacological interventions

d) Conducting psychological testing

b) Maintaining the dignity and acceptance of clients 

What are some important characteristics for establishing a nurse-client relationship?

a) Empathy, trust, and honesty

b) Enforcing strict boundaries and limitations

c) Controlling and directing the client's behaviours

d) Maintaining secrecy and avoiding personal disclosure

a) Empathy, trust, and honesty 

What is the role of a psychiatrist in the treatment team?

a) Administering and interpreting psychological tests

b) Providing counselling and therapy to clients

c) Assisting with the physical and hygiene needs of clients

d) Evaluating, diagnosing, and treating mental illnesses

d) Evaluating, diagnosing, and treating mental illnesses

What is the primary role of a nurse as a counsellor in the therapeutic milieu?

a) Encouraging client participation and expressing feelings

b) Observing behaviours and documenting information

c) Performing nursing interventions and providing feedback

d) Assisting clients with physical and hygiene needs

a) Encouraging client participation and expressing feelings 

What is the goal of psychotherapy?

a) Reducing symptoms of emotional disturbance

b) Administering psychotropic medications

c) Conducting psychological testing

d) Providing recreational activities for clients

a) Reducing symptoms of emotional disturbance 

Which type of therapy focuses on identifying and correcting distorted thinking patterns?

a) Behavioral therapy

b) Cognitive-behavioral therapy

c) Group therapy

d) Couples therapy

b) Cognitive-behavioral therapy

What is the purpose of administering psychological testing?

a) Evaluating the efficacy of pharmacological interventions

b) Identifying the cause of mental disorders

c) Measuring intelligence and cognitive functioning

d) Monitoring the progress of psychotherapy

c) Measuring intelligence and cognitive functioning 

What are the common symptom categories of psychiatric disorders?

a) Mood alterations, altered thought processes, and impaired communication patterns

b) Excessive socialization, phobias, and obsessions

c) Aggression, physical violence, and foul language

d) Disorientation, confusion, and catastrophic reactions

a) Mood alterations, altered thought processes, and impaired communication patterns 

What is the main indication for using antianxiety agents?

a) Treatment of depression and bipolar disorder

b) Control of tics and vocal disturbances

c) Acute alcohol withdrawal and anxiety disorders

d) Manic episodes associated with bipolar disorder

c) Acute alcohol withdrawal and anxiety disorders 

Which category of psychotropic drugs is commonly used to treat schizophrenia?

a) Antidepressants

b) Antianxiety agents

c) Antipsychotic agents

d) Antimanic agents

c) Antipsychotic agents 

What is the primary indication for using mood-stabilizing agents?

a) Treatment of anxiety and panic disorders

b) Management of dementia-related aggression

c) Control of extrapyramidal side effects

d) Manic episodes associated with bipolar disorder

d) Manic episodes associated with bipolar disorder

Which group of psychotropic drug agents has an impact on neurotransmitters in the brain?

a) Antianxiety agents

b) Antidepressants

c) Antipsychotic agents

d) Antiparkinson agents

b) Antidepressants 

What is the purpose of antiparkinson agents in psychiatric treatment?

a) Controlling aggression and violent behaviour

b) Managing intractable hiccups

c) Treating dementia-induced psychosis

d) Alleviating extrapyramidal side effects

d) Alleviating extrapyramidal side effects

What is the role of case managers in providing support to complex clients?

a) Developing therapeutic relationships

b) Providing housing options

c) Conducting outpatient clinics

d) Offering addiction services

a) Developing therapeutic relationships 

Supported housing for individuals with mental health needs can range from:

a) Outpatient clinics

b) Mental health programs

c) Apartments with resident managers

d) Addiction support services

c) Apartments with resident managers 

Public Health Nurses (PHNs) in rural areas often serve as the primary source of community mental health outreach. What type of services might they provide in urban areas?

a) Housing support

b) Addiction treatment

c) Prevention programs

d) Outpatient clinics

c) Prevention programs 

What is a common challenge faced by individuals with mental health and addiction problems in healthcare environments?

a) Stigma and discrimination

b) Lack of community support

c) Inadequate treatment options

d) Insufficient funding

a) Stigma and discrimination 

How can nurses contribute to the prevention of mental illness?

a) Providing addiction services

b) Conducting workshops and education

c) Offering case management services

d) Operating community mental health centers

b) Conducting workshops and education 

Why is it important for nurses to be informed about the perspectives of mental health consumers and survivor groups?

a) To enhance cultural competence

b) To improve treatment outcomes

c) To advocate for policy changes

d) To provide housing support

b) To improve treatment outcomes 

What is the primary characteristic of anxiety disorders?

a) Excessive worry and anxiety

b) Recurrent panic attacks

c) Uncontrolled thoughts and behaviours

d) Inability to finish tasks

a) Excessive worry and anxiety

Which of the following is NOT a manifestation of anxiety?

a) Thoughts

b) Feelings

c) Behavior

d) Physical pain

d) Physical pain

Which of the following is an example of an automatic relief behaviour?

a) Increased urinary frequency

b) Restlessness

c) Hyperventilation

d) Subtle unconscious behaviours that are aimed at relieving the anxiety

d) Subtle unconscious behaviours that are aimed at relieving the anxiety

Generalized anxiety disorder is characterized by:

a) Recurrent panic attacks

b) Excessive worry and anxiety over various situations

c) Avoidance of specific places or situations

d) Fear of specific objects or situations

b) Excessive worry and anxiety over various situations 

Which of the following is a common symptom of generalized anxiety disorder?

a) Chest pain

b) Fear of open spaces

c) Intense feeling of terror

d) Recurrent panic attacks

a) Chest pain 

Panic attacks are characterized by:

a) Intense fear or terror occurring suddenly and intermittently

b) Excessive worry and anxiety over various situations

c) Avoidance of specific places or situations

d) Recurrent unwanted thoughts or images

a) Intense fear or terror occurring suddenly and intermittently 

Agoraphobia is characterized by:

a) Excessive fear of any social situations

b) Avoidance of specific places or situations that trigger panic attacks

c) Fear of specific objects or situations

d) Recurrent panic attacks

b) Avoidance of specific places or situations that trigger panic attacks 

What is the most common type of anxiety disorder?

a) Generalized anxiety disorder

b) Panic disorder

c) Agoraphobia

d) Social anxiety disorder

a) Generalized anxiety disorder 

Which of the following is a symptom of posttraumatic stress disorder (PTSD)?

a) Recurrent panic attacks

b) Excessive fear of social situations

c) Intense feeling of fear or dread with mental reruns of an event

d) Fear of specific objects or situations

c) Intense feeling of fear or dread with mental reruns of an event 

What is the primary characteristic of specific phobias?

a) Recurrent panic attacks

b) Excessive worry and anxiety

c) Fear of specific objects or situations

d) Uncontrolled thoughts and behaviours

c) Fear of specific objects or situations 

Which of the following is an example of a specific phobia?

a) Fear of heights

b) Fear of enclosed spaces

c) Fear of leaving a safe place

d) Fear of snakes

e.) all of the above

e.) all of the above

Which of the following disorders is characterized by recurrent, unwanted thoughts causing intense anxiety?

a) Panic disorder

b) Obsessive-compulsive disorder

c) Generalized anxiety disorder

d) Social anxiety disorder

b) Obsessive-compulsive disorder 

What is the primary characteristic of compulsions in obsessive-compulsive disorder?

a) Repetitive behaviour to reduce anxiety

b) Recurrent panic attacks

c) Fear of specific objects or situations

d) Intense feeling of fear or terror

a) Repetitive behaviour to reduce anxiety 

Which of the following is a common symptom of obsessive-compulsive disorder?

a) Increased urinary frequency

b) Restlessness

c) Inability to finish tasks

d) Fear of snakes

c) Inability to finish tasks 

In obsessive-compulsive disorder, the intrusive thoughts are often related to:

a) Contamination and cleanliness

b) Social embarrassment

c) Death and illness

d) Enclosed spaces

a) Contamination and cleanliness 

Which of the following best describes bipolar and related disorders?

a) Stable mood and energy levels

b) Abnormal, erratic shifts in mood and energy

c) Chronic periods of depression

d) Delusional thinking and hallucinations

b) Abnormal, erratic shifts in mood and energy 

How long does a full-blown manic episode typically last?

a) Less than 4 days

b) 4 to 7 days

c) 1 to 2 weeks

d) More than 2 weeks

c) 1 to 2 weeks 

What is the term for chronic mood disturbance with fluctuating periods of hypomanic symptoms and periods of depression?

a) Rapid cycling disorder

b) Bipolar disorder

c) Cyclothymic disorder

d) Major depressive disorder

c) Cyclothymic disorder 

Which of the following treatment options is ineffective for the long-term treatment of depressive disorders when used alone? select all that apply.

a) Antidepressants

b) Mood-stabilizing drugs

c) Psychotherapy

d) Electroconvulsive therapy (ECT)

a) Antidepressants 

b) Mood-stabilizing drugs 

Which type of medication is the most commonly used to elevate mood and balance mood in depressive disorders?

a) Monoamine oxidase inhibitors (MAOIs)

b) Tricyclic antidepressants (TCAs)

c) Selective serotonin reuptake inhibitors (SSRIs)

d) Antipsychotics

c) Selective serotonin reuptake inhibitors (SSRIs) 

What is the drug of choice for the treatment of mania in bipolar and related disorders?

a) Lithium carbonate

b) Antidepressants

c) Anticonvulsants

d) Mood-stabilizing agents

a) Lithium carbonate 

When assessing a suicidal client, which of the following should be evaluated?

a) Social withdrawal

b) Talking about death

c) Giving away possessions

d) All of the above

d) All of the above

Which of the following is NOT one of the warning signs of suicide?

a) Drug and/or alcohol abuse

b) Personality changes

c) Increased physical activity

d) Previously failed attempts

c) Increased physical activity 

What is the primary goal of interventions for a suicidal client?

a) Assess risk factors

b) Provide active listening and convey a sense of caring

c) Administer medication

d) Implement suicide precautions

a) Assess risk factors

Psychosis is characterized by:

a) Stable mental processes

b) Disorganization in mental processes

c) Intense emotional responses

d) Increased contact with reality

b) Disorganization in mental processes 

Which of the following is an example of a perceptual disturbance in psychotic disorders?

a) Delusions

b) Hallucinations

c) Flat affect

d) Lack of motivation

b) Hallucinations 

Delusions in psychotic disorders refer to:

a) False sensory perceptions

b) Misinterpretation of sensory stimuli

c) Fixed, false ideas or beliefs

d) Agitated and aggressive behaviour

c) Fixed, false ideas or beliefs 

Catatonic behaviours in psychotic disorders are characterized by:

a) Waxy flexibility

b) Inappropriate affect

c) Unpredictable motor activity

d) Lack of motivation

a) Waxy flexibility 

Schizophrenia is a form of psychosis characterized by:

a) Emotional stability

b) Disorganized thoughts and perceptual alterations

c) Increased emotional response

d) Enhanced connection with reality

b) Disorganized thoughts and perceptual alterations 

The prodromal phase of schizophrenia is characterized by:

a) Hallucinations and delusions

b) Flat affect and lack of motivation

c) Paranoia and deteriorating relationships

d) Blunt or flat affect and avolition

c) Paranoia and deteriorating relationships 

Positive symptoms of schizophrenia include:

a) Blunt affect and avolition

b) Flat affect and anhedonia

c) Delusions and hallucinations

d) Lack of energy and lack of pleasure

c) Delusions and hallucinations 

Negative symptoms in psychotic disorders develop slowly over time and include:

a) Blunt or flat affect and avolition

b) Hallucinations and delusions

c) Inappropriate affect and decreased emotional response

d) Increased motor activity and frenzied behavior

a) Blunt or flat affect and avolition 

The residual phase of psychotic disorders is characterized by:

a) Prominent hallucinations and delusions

b) Flat affect and lack of emotion

c) Lingering negative symptoms and social withdrawal

d) Disorganized speech and bizarre behaviour

c) Lingering negative symptoms and social withdrawal 

What is the primary goal of treatment for psychotic disorders?

a) Complete cure of symptoms

b) Management of symptoms

c) Hospitalization for stabilization

d) Exaggeration of illness

b) Management of symptoms 

Antipsychotic drugs are primarily used for the treatment of:

a) Depression and anxiety disorders

b) Substance abuse and violence

c) Bipolar affective disorder and schizophrenia

d) Autism and obsessive-compulsive disorder

c) Bipolar affective disorder and schizophrenia 

Extrapyramidal side effects (EPS) of antipsychotic drugs can include all of the following EXCEPT:

a) Akathisia

b) Dystonia

c) Tardive dyskinesia

d) Neuropathy

d) Neuropathy

Personality disorders are characterized by deeply ingrained, inflexible, and maladaptive patterns of behaviour exhibited in which aspects?

a) Thought processes and emotional reactivity

b) Interpersonal relationships and self-control

c) All of the above

c) All of the above