MENTAL HEALTH FINAL EXAM QUESTIONS AND ANSWERS | LATEST UPDATED 2024 | WITH 200 QUESTIONS, Exams of Nursing

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MENTAL HEALTH FINAL EXAM

QUESTIONS AND ANSWERS | LATEST

UPDATED 2024 | WITH 200 QUESTIONS AND

EXPERT VERIFIED ANSWERS FOR A

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Three years ago, Anna's dog Lucky, whom she had for 16 years, was run over by a car and killed. Anna's daughter reports that since that time Anna doesn't do a thing for herself anymore. She has lost weight, rarely leaves her home, and just sits and talks about Lucky. Anna's behavior would be considered maladaptive because: a) it has been more than 3 years since lucky died b) her grief is too intense over just the loss of a dog c) her grief is interfering with her functioning d) people in this culture would not comprehend such behavior over the loss of a pet c) her grief is interfering with her functioning Based on the information about Anna and her dog Lucky, Anna's grieving behavior would most likely be considered to be: a) delayed b) inhibited c) prolonged d) distorted c) prolonged Anna, who is 72 years old, is of the age when she may have experienced many losses coming close together: what is this called? a) bereavement overload b) normal mourning c) isolation d) cultural relativity a) bereavement overload Anna is diagnosed with Major Depressive Disorder. She is most likely fixed in which stage of the grief process? a) denial

b) anger c) depression d) anger b) anger Anna, age 72, has been grieving the death of her dog, Lucky, for 3 years. She is not able to take care of her activities of daily living, and wants only to make daily visits to Lucky's grave. Her daughter has likely put off seeking help for Anna because: a) women are less likely than men to seek help from emotional problems b) relatives often try to "normalize" the behavior rather than label it as mental illness c) she knows that all older people are expected to be a little depressed d) she is afraid that the neighbors "will think her mother is crazy" b) relatives often try to "normalize" the behavior rather than label it as mental illness Anna's dog lucky got away from her while they were taking a walk. He ran into the street and was hit by a car. Anna cannot remember any of these circumstances of his death. This is an example of what defense mechanism? a) rationalization b) suppression c) denial d) repression d) repression Lucky sometimes refused to obey Anna, and indeed did not come back to her when she called to him on the day he was killed. But Anna continues to insist "He was the very best dog. He always minded me. He always did everything I told him to do." This represents the defense mechanism of: a) sublimation b) compensation c) reaction formation d) undoing c) reaction formation Anna has been a widow for 20 years. Her maladaptive grief response to the loss of her dog may be attributed to which of the following? Select all that apply. a) unresolved grief over loss of her husband b) loss of several relatives and friends over the last few years c) repressed feelings of guilt over the way in which Lucky died d) inability to prepare in advance for the loss

a) unresolved grief over loss of her husband b) loss of several relatives and friends over the last few years c) repressed feelings of guilt over the way in which Lucky died d) inability to prepare in advance for the loss For what reason would Anna's illness be considered neurosis rather than psychosis? a) she is unaware that her behavior is maladaptive b) she exhibits inappropriate affect c) she experiences no loss of contact with reality d) she tells the nurse, "There is nothing wrong with me!" c) she experiences no loss of contact with reality Which of the following statements by Anna might suggest that she is achieving resolution of her grief over Lucky's death? a) "I don't cry anymore when I think about Lucky." b) "It's true. Lucky didn't always mind me. Sometimes he ignored my commands." c) "I remember how it happened now. I should have held tighter to his leash!" d) "I won't ever have another dog. It's just too painful to lose them." b) "It's true. Lucky didn't always mind me. Sometimes he ignored my commands." John is on the Alcohol Treatment Unit. He walks into the dayroom where other clients are watching a program on TV. He picks up the remote and changes the channel and says, "That's a stupid program! I want to watch something else!" In what stage of development is John fixed according to Sullivan's interpersonal theory? a) Juvenile. He is learning to form satisfactory peer relationships. b) Childhood. He has not learned to delay gratification. c) Early adolescence. He is struggling to form an identity. d) Late adolescence. He is working to develop a lasting relationship. b) Childhood. He has not learned to delay gratification. Adam has antisocial personality disorder. He says to the nurse, "I'm not crazy. I'm just fun-loving. I believe in looking out for myself. Who cares what anyone thinks? If it feels good, do it!" Which of the following describes the psychoanalytical structure of Adam's personality? a) Weak id, strong ego, weak superego b) Strong id, weak ego, weak superego

c) Weak id, weak ego, punitive superego d) Strong id, weak ego, punitive superego b) Strong id, weak ego, weak superego Larry, who has antisocial personality disorder, feels no guilt about violating the rights of others. He does as he pleases without thought to possible consequences. In which of Peplau's stages of development would you place Larry? a) Learning to count on others b)Learning to delay gratification c) Identifying oneself d) Developing skills in participation b) Learning to delay gratification Danny has been diagnosed with schizophrenia. On the unit he appears very anxious, paces back and forth, and darts his head from side to side in a continuous scanning of the area. He has refused to eat, making some barely audible comment related to "being poisoned." In planning care for Danny, which of the following would be the primary focus for nursing? a) To decrease anxiety and develop trust b) To set limits on his behavior c) To ensure that he gets to group therapy d) To attend to his hygiene needs a) To decrease anxiety and develop trust The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, "Please tell me what it was like when you were growing up." Which nursing role described by Peplau is the nurse fulfilling in this instance? a) Surrogate b) Resource person c) Counselor d) Technical Expert c) Counselor

The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, "What questions do you have about being here on the unit?" Which nursing role described by Peplau is the nurse fulfilling in this instance? a) Resource person b) Counselor c) Surrogate d) Technical Expert a) Resource person The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, "Some changes will have to be made in your behavior. I care about what happens to you." Which nursing role described by Peplau is the nurse fulfilling in this instance? a) Counselor b) Surrogate c) Technical Expert d) Resource Person b) Surrogate Which of the following parts of the brain is associated with multiple feelings and behaviors and is sometimes referred to as the "emotional brain?" a. Frontal lobe b. Thalamus c. Hypothalamus d. Limbic system d) Limbic system Which of the following parts of the brain is concerned with visual reception and interpretation? a. Frontal lobe b. Parietal lobe c. Temporal lobe d. Occipital lobe d) Occipital lobe

Which of the following parts of the brain is associated with voluntary body movement, thinking and judgement, and expression of feeling? a. Frontal lobe b. Parietal lobe c. Temporal lobe d. Occipital lobe a) Frontal lobe Which of the following parts of the brain integrates all sensory input (except smell) on the way to the cortex? a. Temporal lobe b. Thalamus c. Limbic system d. Hypothalamus b) Thalamus Which of the following parts of the brain deals with sensory perception and interpretation? a. Hypothalamus b. Cerebellum c. Parietal lobe d. Hippocampus c) Parietal lobe Which of the following parts of the brain is concerned with hearing, short-term memory, and sense of smell? a. Temporal lobe b. Parietal lobe c. Cerebellum d. Hypothalamus a) Temporal lobe Which of the following parts of the brain has control over the pituitary gland and autonomic nervous system? It also regulates appetite and temperature. a. Temporal lobe b. Parietal lobe c. Cerebellum d. Hypothalamus d) Hypothalamus

At a synapse, the determination of further impulse transmission is accomplished by means of a. potassium ions b. interneurons c. neurotransmitters d. the myelin sheath c) neurotransmitters A decrease in which of the following neurotransmitters has been implicated in depression? a. GABA, acetylcholine, and aspartate b. Norepinephrine, serotonin, and dopamine c. Somatostatin, substance P, and glycine d. Glutamate, histamine, and opioid peptides b) Norepinephrine, serotonin, and dopamine Which of the following hormones has been implicated in the etiology of mood disorder with seasonal pattern? a. Increased levels of melatonin b. Decreased levels of oxytocin c. Decreased levels of prolactin d. Increased levels of thyrotropin a) Increased levels of melatonin Psychotropic medications that block the reuptake of serotonin may result in which of the following side effects? a. Dry mouth b. Constipation c. Blurred vision d. Sexual dysfunction d) Sexual dysfunction Psychotropic medications that block the acetylcholine receptor may result in which of the following side effects? a. Dry mouth b. Sexual dysfunction c. Nausea d. Priapism a) Dry mouth

Psychotropic medications that are strong blockers of the D2 receptor may result in which of the following side effects? a. Sedation b. Urinary retention c. Extrapyramidal symptoms d. Hypertensive Crisis c) Extrapyramidal symptoms Nurse Jones decides to go against family wishes and tell the client of his terminal status because that is what she would want if she were the client. Which of the following ethical theories is considering this decision? a) Kantianism b) Christian ethics c) Natural law theories d) Ethical egoism b) Christian ethics Nurse Jones decides to respect family wishes and not to the client of his terminal status because that would bring the most happiness to the most people. With the following ethical theories is considered in this decision? a) Utilitarianism b) Kantianism c) Christian ethics d) Ethical egoism a) Utilitarianism Nurse Jones decides to tell the client of his terminal status because she believes it is her duty to do so. Which of the following at the clip the reasons considered in this decision? a) Natural law theories b) Ethical egoism c) Kantianism d) Utilitarianism c) Kantianism The nurse assists the physician with electroconvulsive therapy on his client who has refuse to give consent. With which of the following legal actions might the nurse be charged because of this nursing action? a) Assault b) Battery

c) False imprisonment d) Breach of confidentiality b) Battery A competent, voluntary client has stated he wants to leave the hospital. The nurse hides his close in an effort to keep them from leaving. With which of the following legal actions might the nurse be charged because of this nursing action? a) Assault b) Battery c) False imprisonment d) Breach of confidentiality c) False imprisonment Joe is very restless and is pacing a lot. The nurse says to Joe, "If you don't sit down in the chair and be still, I'm going to put you in restraints!" With which of the following legal actions might the nurse be charged because of this nursing action? a) Defamation of character b) Battery c) Breach of confidentiality d) Assault d) Assault An individual may be considered gravely disabled for which of the following reasons? Select all that apply. a) person, because of mental illness, cannot fulfill basic needs. b) A mentally ill person is in danger of physical harm based on inability to care for self. c) A mentally ill person lacks the resources to provide the necessities of life. d) A mentally ill person is unable to make use of available resources to meet daily living requirements a) person, because of mental illness, cannot fulfill basic needs. b) A mentally ill person is in danger of physical harm based on inability to care for self. d) A mentally ill person is unable to make use of available resources to meet daily living requirements Which of the following statements is (are) correct regarding the use of restraints? Select all that apply. a) Restraints may never be initiated without a physicians order. b) Orders for restraints must be be issued by physician every two hours for children and adolescents. c) Client in restraints must be observed and assessed every hour for issues regarding

circulation, nutrition, respiration, hydration, and elimination. d) An in-person evaluation must be conducted within one hour of initiating restraints b) Orders for restraints must be be issued by physician every two hours for children and adolescents. d) An in-person evaluation must be conducted within one hour of initiating restraints Guidelines relating to "duty to warn" states that a therapist should consider taking action to warn a third party when his or her client (select all that apply): a) Threatens violence toward another individual. b) Identifies a specific intended victim. c) Has command hallucinations. d) Reveals paranoid delusions about another individual. a) Threatens violence toward another individual. b) Identifies a specific intended victim. Attempting to calm an angry client by using "talk therapy" is an example which of the following clients rights? a) The right to privacy b) The right to refuse medication c) The right to the least restrictive treatment alternative d) The right to confidentiality c) The right to the least restrictive treatment alternative Nurse Mary has been providing care for Tom during his hospital stay. On Tom's day of discharge, his wife brings a bouquet of flowers and box of chocolates to his room. He presents these gifts to Nurse Mary saying, "Thank you for taking care of me." What is a correct response by the nurse? a) "I don't accept gifts from patients." b) "Thank you so much! It is so nice to be appreciated." c) "Thank you. I will share these with the rest of the staff." d) "Hospital policy forbids me to accept gifts from patients." c) "Thank you. I will share these with the rest of the staff." Nancy says to the nurse, "I worked as a secretary to put my husband through college, and as soon as he graduated, he left me. I hate him! I hate all men!" Which is an empathetic response by the nurse? a) "You are very angry now. This is a normal response to your loss." b) "I know what you mean. Men can be very insensitive."

c) "I understand completely. My husband divorced me, too." d) "You are depressed now, but you will feel better in time." a) "You are very angry now. This is a normal response to your loss." Which of the following behaviors suggest a possible breach of professional boundaries? (Select all that apply.) a) The nurse repeatedly requests to be assigned to a specific client. b) The nurse shares the details of her divorce with the client. c) The nurse makes arrangements to meet the client outside of the therapeutic environment. d) The nurse shares how she dealt with a similar difficult situation. a) The nurse repeatedly requests to be assigned to a specific client. b) The nurse shares the details of her divorce with the client. c) The nurse makes arrangements to meet the client outside of the therapeutic environment. Which of the following tasks are associated with the orientation phase of relationship development? (Select all that apply.) a) Promoting the client's insight and perception of reality. b) Creating an environment for the establishment of trust and rapport. c) Using the problem-solving model toward goal fulfillment. d) Obtaining available information about the client from various sources. e) Formulating nursing diagnoses and setting goals. b) Creating an environment for the establishment of trust and rapport. e) Formulating nursing diagnoses and setting goals. A client states: "I refuse to shower in this room. I must be very cautious. The FBI has placed a camera in here to monitor my every move." Which of the following is the therapeutic response? a) "That's not true." b) "I have a hard time believing that is true." c) "Surely you don't really believe that." d) "I will help you search this room so that you can see there is no camera." b) "I have a hard time believing that is true." Nancy, a depressed client who has been unkept and untidy for weeks, today comes to group therapy wearing makeup and a clean dress and having washed and combed her hair. Which of the following responses by the nurse is most appropriate? a) "Nancy, I see you have put on a clean dress and combed your hair." b) "Nancy, you look wonderful today!" c) "Nancy, I'm sure everyone will appreciate that you have cleaned up for the group

today." d) "Now that you see how important it is, I hope you will do this every day." a) "Nancy, I see you have put on a clean dress and combed your hair." Dorothy was involved in an automobile accident while under the influence of alcohol. She swerved her car into a tree and narrowly missed hitting a child on a bicycle. She is in the hospital with multiple abrasions and contusions. She is talking about the accident with the nurse. Which of the following statements by the nurse is most appropriate? a) "Now that you know what can happen when you drink and drive, I'm sure you won't let it happen again." b) "You know that was a terrible thing you did. That child could have been killed." c) "I'm sure everything is going to be okay now that you understand the possible consequence of such behavior." d) "How are you feeling about what happened?" d) "How are you feeling about what happened?" Judy has been in the hospital for 3 weeks. She has used Valium "to settle my nerves" for the past 15 years. She was admitted by her psychiatrist for safe withdrawal from the drug. She has passed the physical symptoms of withdrawal at this time, but states to the nurse, "I don't know if I will be able to make it without Valium after I go home. I'm already starting to feel nervous. I have so many personal problems." Which is the most appropriate response by the nurse? a) "Why do you think you have to have drugs to deal with your problems?" b) "Everybody has problems, but not everybody uses drugs to deal with them. You'll just have to do the best that you can." c) "We will just have to think about some things that you can do to decrease your anxiety without resorting to drugs." d) "Just hang in there. I'm sure everything is going to be okay." c) "We will just have to think about some things that you can do to decrease your anxiety without resorting to drugs." Mrs. S. asks the nurse, "Do you think I should tell my husband about my affair with my boss?" Which is the most appropriate response by the nurse? a) "What do you think would be best for you to do?" b) "Of course you should. Marriage has to be based on truth." c) "Of course not. That would only make things worse." d) "I can't tell you what to do. You have to decide for yourself." a) "What do you think would be best for you to do?"

Carol, an adolescent, just returned from group therapy and is crying. She says to the nurse, "All the other kids laughed at me! I try to fit in, but I always seem to say the wrong thing. I've never had a close friend. I guess I never will." Which is the most appropriate response by the nurse? a) "What makes you think you will never have any friends?" b) "You're feeling pretty down on yourself right now." c) "I'm sure they didn't mean to hurt your feelings." d) "Why do you feel this way about yourself?" b) "You're feeling pretty down on yourself right now." The nurse is using the nursing process to care for a suicidal client. Which of the following nursing actions is a part of the assessment step of the nursing process? a) Identifies nursing diagnosis: Risk for suicide. b) Notes client's family reports recent suicide attempt. c) Prioritizes the necessity for maintaining a safe environment for the client. d) Obtains a short-term contract from the client to seek out staff if feeling suicidal. b) Notes client's family reports recent suicide attempt. The nurse is using the nursing process to care for a suicidal client. Which of the following nursing actions is a part of the diagnosis step of the nursing process? a) Identifies nursing diagnosis: Risk for suicide. b) Notes client's family reports recent suicide attempt. c) Prioritizes the necessity for maintaining a safe environment for the client. d) Obtains a short-term contract from the client to seek out staff if feeling suicidal. a) Identifies nursing diagnosis: Risk for suicide. The nurse is using the nursing process to care for a suicidal client. Which of the following nursing actions is a part of the outcome identification step of the nursing process? a) Prioritizes the necessity for maintaining a safe environment for the client. b) Determines if nursing interventions have been appropriate to achieve desired results. c) Obtains a short-term contract from the client to seek out staff if feeling suicidal. d) Establishes goal of care: Client will not harm self during hospitalization. d) Establishes goal of care: Client will not harm self during hospitalization. The nurse is using the nursing process to care for a suicidal client. Which of the following nursing actions is a part of the planning step of the nursing process? a) Prioritizes the necessity for maintaining a safe environment for the client. b) Determines if nursing interventions have been appropriate to achieve desired results. c) Obtains a short-term contract from the client to seek out staff if feeling suicidal. d) Establishes goal of care: Client will not harm self during hospitalization.

a) Prioritizes the necessity for maintaining a safe environment for the client. The nurse is using the nursing process to care for a suicidal client. Which of the following nursing actions is a part of the implementation step of the nursing process? a) Prioritizes the necessity for maintaining a safe environment for the client. b) Determines if nursing interventions have been appropriate to achieve desired results. c) Obtains a short-term contract from the client to seek out staff if feeling suicidal. d) Establishes goal of care: Client will not harm self during hospitalization. c) Obtains a short-term contract from the client to seek out staff if feeling suicidal. The nurse is using the nursing process to care for a suicidal client. Which of the following nursing actions is a part of the evaluation step of the nursing process? a) Prioritizes the necessity for maintaining a safe environment for the client. b) Determines if nursing interventions have been appropriate to achieve desired results. c) Obtains a short-term contract from the client to seek out staff if feeling suicidal. d) Establishes goal of care: Client will not harm self during hospitalization. b) Determines if nursing interventions have been appropriate to achieve desired results. S.T. is a 15-year-old girl who has just been admitted to the adolescent psychiatric unit with a diagnosis of anorexia nervosa. She is 55 tall and weighs 82 lb. She was elected to the cheerleading squad for the fall but states that she is not as good as the others on the squad. The treatment team has identified the following problems: refusal to eat, occasional purging, refusing to interact with staff and peers, and fear of failure. Which of the following nursing diagnoses would be appropriate for S.T.? (Select all that apply.) a) Social Isolation. b) Disturbed Body Image. c) Low Self-Esteem. d) Imbalanced Nutrition: Less than body requirements. a) Social Isolation. b) Disturbed Body Image. c) Low Self-Esteem. d) Imbalanced Nutrition: Less than body requirements. S.T. is a 15-year-old girl who has just been admitted to the adolescent psychiatric unit with a diagnosis of anorexia nervosa. She is 55 tall and weighs 82 lb. She was elected to the cheerleading squad for the fall but states that she is not as good as the others on the squad. The treatment team has identified the following problems: refusal to eat, occasional purging, refusing to interact with staff and peers, and fear of failure. Which of the following nursing diagnoses would be the priority diagnosis for S.T.? a) Social Isolation. b) Disturbed Body Image.

c) Low Self-Esteem. d) Imbalanced Nutrition: Less than body requirements. d) Imbalanced Nutrition: Less than body requirements. Nursing diagnoses are prioritized according to: a) Degree of potential for resolution. b) Legal implications associated with nursing intervention. c) Life-threatening potential. d) Client and family requests. c) Life-threatening potential Which of the following describe advantages to electronic health records (EHRs)? (Select all that apply.) a) They reduce redundancy of information. b) They reduce issues regarding privacy. c) They decrease charting time. d) They facilitate communication between disciplines. a) They reduce redundancy of information. c) They decrease charting time. d) They facilitate communication between disciplines. Which of the following are basic assumptions of milieu therapy? SATA a) The client owns his or her own environment b) Each client owns his or her behavior c) Peer pressure is a useful and powerful tool d) Inappropriate behaviors are punished immediately a) The client owns his or her own environment b) Each client owns his or her behavior c) Peer pressure is a useful and powerful tool John tells the nurse, "I think lights out at ten o'clock on a weekend is stupid. We should be able to watch TV until midnight!" Which of the following is the most appropriate response by the nurse on the milieu unit? a) "John, you were told the rules when you were admitted." b) "You may bring it up before the others at the community meeting John." c) "Some people want to go to bed early John." d) "You are not the only person on this unit, John. You must think of others." b) "You may bring it up before the others at the community meeting John."

In prioritizing care within the therapeutic environment, which of the following nursing interventions would receive the highest priority? a) Ensuring that the physical facilities are conducive to achievement of the goals of therapy b) Scheduling a community meeting for 8:30 each morning c) Attending to the nutritional and comfort needs of all clients d) Establishing contacts with community resources c) Attending to the nutritional and comfort needs of all clients In the community meeting, which of the following actions is most important for reinforcing the democratic posture of the therapy setting? a) Allowing each person a specific and equal amount of time to talk b) Reviewing group rules and behavioral limits that apply to all clients c) Reading the minutes from yesterday's meeting d) Waiting until all clients are present before initiating the meeting b) Reviewing group rules and behavioral limits that apply to all clients One of the goals of therapeutic community is for clients to become more independent and accept self-responsibility. Which of the following approaches by staff best encourages fulfillment of this goal? a) Including client input and decisions into the treatment plan b) Insisting that each client take a turn as "president" of the community meeting c) Making decisions for the client regarding plans for treatment d) Requiring that the client be bathed, dressed, and attend breakfast on time each morning a) Including client input and decisions into the treatment plan. Client teaching is an important nursing function in milieu therapy. Which of the following statements by the client indicates the need for knowledge and a readiness to learn? a) "Get away from me with that medicine! I am not sick!" b) "I don't need psychiatric treatment. It's my migraine headaches that I need help with." c) "I've taken Valium every day of my life for the last 20 years. I'll stop when I'm good and ready." d) "The doctor says I have bipolar disorder. What does that really mean?" d) "The doctor says I have bipolar disorder. What does that really mean?" Which of the following activities would be a responsibility of the clinical psychologist member of the IDT? a) Locates hallway house and arranges living conditions for client being discharged from the hospital b) Manages the therapeutic milieu on a 24-hour basis

c) Administers and evaluates psychological tests that assist in diagnosis d) Conducts psychotherapy and administers electroconvulsive therapy treatments c) Administers and evaluates psychological tests that assist in diagnosis Which of the following activities would be a responsibility of the psychiatric clinical nurse specialist on the IDT team? a) Manages the therapeutic milieu on a 24-hour basis b) Conducts group therapies and provides consultation and education to staff nurses c) Directs a group of clients in acting out a situation that is otherwise too painful for a client to discuss openly d) Locates halfway house and arranges living conditions for client being discharged from the hospital b) Conducts group therapies and provides consultation and education to staff nurses On the milieu unit, duties of the staff psychiatric nurse include which of the following? SATA. a) Medication administration b) Client teaching c) Medical diagnosis d) Reality orientation e) Relationship development f) Group therapy a) Medication administration b) Client teaching d) Reality orientation e) Relationship development Sally was sexually abused as a child. She is a client on the milieu unit with a diagnosis of Borderline Personality Disorder. She has refused to talk to anyone. Which of the following therapies might the IDT team choose for Sally? SATA. a) Music therapy b) Art therapy c) Psychodrama d) Electroconvulsive therapy a) Music therapy b) Art therapy c) Psychodrama N.J. is the nurse leader of a childbirth preparation group. Each week she shows various films

and sets out various reading materials. She expects the participants to utilize their time on a topic of their choice or practice skills they have observed on the films. Two couples have dropped out of the group, stating, "This is a big waste of time." Which type of group and style of leadership is described in this situation? a) Task/democratic. b) Teaching/laissez-faire. c) Self-help/democratic. d) Supportive/therapeutic, autocratic. b) Teaching/laissez-faire. M.K. is a psychiatric nurse who has been selected to lead a group for women who desire to lose weight. The criterion for membership is that they must be at least 20 pounds overweight. All have tried to lose weight on their own many times in the past without success. At their first meeting, M.K. provides suggestions as the members determine what their goals will be and how they plan to go about achieving those goals. They decided how often they wanted to meet, and what they planned to do at each meeting. Which type of group and style of leadership is described in this situation? a) Task/autocratic. b) Teaching/democratic. c) Self-help/laissez-faire. d) Supportive-therapeutic/democratic. d) Supportive-therapeutic/democratic. J.J. is a staff nurse on a surgical unit. He has been selected as leader of a newly established group of staff nurses organized to determine ways to decrease the number of medication errors occurring on the unit. J.J. has definite ideas about how to bring this about. He has also applied for the position of Head Nurse on the unit and believes that, if he is successful in leading the group toward achievement of its goals, he can also facilitate his chances for promotion. At each meeting he addresses the group in an effort to convince the members to adopt his ideas. Which type of group and style of leadership is described in this situation?

a) Task/autocratic. b) Teaching/autocratic. c) Self-help/democratic. d) Supportive-therapeutic/laissez-faire. a) Task/autocratic The nurse leader is explaining about group "curative factors" to members of the group. She tells the group that group situations are beneficial because members can see that they are not alone in their experiences. This is an example of which curative factor? a) Altruism. b) Imitative behavior. c) Universality. d) Imparting of information. c) Universality Nurse Jones is the leader of a bereavement group for widows. Nancy is a new member. She listens to the group and sees that Jane has been a widow for 5 years now. Jane has adjusted well and Nancy thinks maybe she can too. This is an example of which curative factor? a. Universality. b. Imitative behavior. c. Installation of hope. d. Imparting of information. c) Installation of hope Paul is a member of an anger management group. He knew that people did not want to be his friend because of his violent temper. In the group, he has learned to control his temper and form satisfactory interpersonal relationships with others. This is an example of which curative factor? a. Catharsis. b. Altruism. c. Imparting of information. d. Development of socializing techniques. d) Development of socializing techniques.

Henry is a member of an Alcoholics Anonymous group. He learned about the effects of alcohol on the body when a nurse from the chemical dependency unit spoke to the group. This is an example of which curative factor? a. Catharsis. b. Altruism. c. Imparting of information. d. Universality. c) Imparting of information. Sandra is the nurse leader of a supportive/therapeutic group for individuals with anxiety disorders. In this group, Nancy talks incessantly. When someone else tries to make a comment, she refuses to allow him or her to speak. What type of member role is Nancy assuming in this group? a. Aggressor. b. Monopolizer. c. Blocker. d. Seducer. b) Monopolizer Sandra is the nurse leader of a supportive/therapeutic group for individuals with anxiety disorders. On the first day the group meets, Valerie speaks first and begins by sharing the intimate details of her incestuous relationship with her father. What type of member role is Nancy assuming in this group? a. Aggressor. b. Monopolizer. c. Blocker. d. Seducer. d) Seducer Sandra is the nurse leader of a supportive/therapeutic group for individuals with anxiety disorders. Violet, who is beautiful but lacks self-confidence, states to the group, "Maybe if I became a blond my boyfriend would love me more." Larry responds, "Listen, dummy, you need more than blond hair to keep the guy around. A bit more in the brains department would help!" What type of member role is Larry assuming in this group? a. Aggressor.

b. Monopolizer. c. Blocker. d. Seducer. a) Aggressor Which of the following is a correct assumption regarding the concept of crisis? a. Crises occur only in individuals with psychopathology. b. The stressful event that precipitates crisis is seldom identifiable. c. A crisis situation contains the potential for psychological growth or deterioration. d. Crises are chronic situations that recur many times during an individual's life. c. A crisis situation contains the potential for psychological growth or deterioration. Crises occur when an individual: a. Is exposed to a precipitating stressor. b. Perceives a stressor to be threatening. c. Has no support systems. d. Experiences a stressor and perceives coping strategies to be ineffective. d. Experiences a stressor and perceives coping strategies to be ineffective. Amanda's mobile home was destroyed by a tornado. Amanda received only minor injuries, but is experiencing disabling anxiety in the aftermath of the event. This type of crisis is called: a. Crisis resulting from traumatic stress. b. Maturational/developmental crisis. c. Dispositional crisis. d. Crisis of anticipated life transitions. a. Crisis resulting from traumatic stress. The most appropriate crisis intervention with Amanda (from question 3) would be to: a. Encourage her to recognize how lucky she is to be alive. b. Discuss stages of grief and feelings associated with each. c. Identify community resources that can help Amanda. d. Suggest that she find a place to live that provides a storm shelter. b. Discuss stages of grief and feelings associated with each. Jenny reported to the high school nurse that her mother drinks too much. She is drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of her mother's behavior. This type of crisis is called:

a. Crisis resulting from traumatic stress. b. Maturational/developmental crisis. c. Dispositional crisis. d. Crisis reflecting psychopathology. c) Dispositional crisis. The most appropriate nursing intervention with Jenny (from question 5) would be to: a. Make arrangements for her to start attending Alateen meetings. b. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is. c. Teach her about the effects of alcohol on the body and that it can be hereditary. d. Refer her to a psychiatrist for private therapy to learn to deal with her home situation. a. Make arrangements for her to start attending Alateen meetings. Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles away from her parents. It is Ginger's first time away from home. She has difficulty making decisions and will not undertake anything new without first consulting her mother. They talk on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. This type of crisis is called: a. Crisis resulting from traumatic stress. b. Dispositional crisis. c. Psychiatric emergency. d. Maturational/developmental crisis. d) Maturational/dispositional crisis. The most appropriate nursing intervention with Ginger (from question 7) would be to: a. Suggest she move to a college closer to home. b. Work with Ginger on unresolved dependency issues. c. Help her find someone in the college town from whom she could seek assistance rather than calling her mother regularly. d. Recommend that the college physician prescribe an antianxiety medication for Ginger. b. Work with Ginger on unresolved dependency issues. Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her

husband and children. Since the departure of her last child from home, Marie has become more and more despondent. Her husband has become very concerned, and takes her to the local mental health center. This type of crisis is called: a. Dispositional crisis. b. Crisis of anticipated life transitions. c. Psychiatric emergency. d. Crisis resulting from traumatic stress. b) Crisis of anticipated life transitions. The most appropriate nursing intervention with Marie (from question 9) would be to: a. Refer her to her family physician for a complete physical examination. b. Suggest she seek outside employment now that her children have left home. c. Identify convenient support systems for times when she is feeling particularly despondent. d. Begin grief work and assist her to recognize areas of self-worth separate and apart from her children. d. Begin grief work and assist her to recognize areas of self-worth separate and apart from her children. What is the desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety? a) The individual will experience no anxiety. b) The individual will demonstrate hope for the future. c) The individual will maintain anxiety at a manageable level. d) The individual will verbalize acceptance of self as worthy. c) The individual will maintain anxiety at a manageable level. John, 27, was brought to the ED by police officers. He smelled strongly of alcohol and was combative. His blood alcohol level was measured at 293 mg/dL. His girlfriend reports that he drinks excessively every day and is verbally and physically abusive. The nurses give John the nursing diagnosis of Risk for other directed violence. What would the appropriate outcome objectives for this diagnosis? SATA. a) The client will not verbalize anger or hit anyone. b) The client will verbalize anger rather than hit others. c) The client will not harm self or others d) The client will be restrained if he becomes verbally or physically abusive. b) The client will verbalize anger rather than hit others. c) The client will not harm self or others

John has a history of violence and is hospitalized with substance use disorder. One evening, the nurse hears John yelling in the dayroom. The nurse observes his increased agitation, clenched fists, and loud demanding voice. He is challenging and threatening staff and the other clients. The nurses priority intervention is? a) call for assistance. b) Draw up a syringe of prn haloperidol. c) Ask John if he would like to talk about his anger. d) Tell John that if he does not calm down, he will have to be restrained. a) Call for assistance. During a visit from John's girlfriend, she and John are overheard having a loud argument. Which behavior by John would indicate he is learning to adaptively problem solve his frustrations? a) John says to the nurse, "Give me some of that medication before I end up in restraints." b) When his girlfriend leaves, John goes to the exercise room and punches on the punching bag. c) John says to the nurse, "I guess I'm going to have to dump that broad!" d) John says to his girlfriend, "You'd better leave before I do something I'm sorry for." b) When his girlfriend leaves, John goes to the exercise room and punches on the punching bag. Andrew, a fire fighter, and his entire unit responded to the terrorist attacks on the world trade center. His friend Carlo was killed when the building collapsed. Andrew was injured but survived. Since then, Andrew has frequent nightmares and anxiety attacks. He states, "I don't know why Carlo had to die and I didn't." This statement suggests that he is experiencing? a) Spiritual distress. b) Night terrors. c) Survivor's guilt. d) Suicidal ideation. c) Survivor's guilt. Intervention with Andrew (from question 15) would include a) Encouraging expression of feelings. b) Antianxiety medications. c) Participation in a support group. d) a and c. e) All of the above. e) All of the above.

Which of the following herbs is thought to be helpful in cases of nervousness, anxiety, and/or insomnia? SATA. a) Chamomile b) Echinacea c) Kava-kava d) Ginseng e) Valerian f) Hops a) Chamomile c) Kava-kava e) Valerian f) Hops Which of the following food groups do the USDA/USDHHS food guidelines recommend using in moderation? SATA. a) Refined carbohydrates b) Fats c) Milk and milk products d) Sodium chloride e) Whole grains a) Refined carbohydrates b) Fats d) Sodium chloride Which of the following herbs is thought to be helpful in relieving menstrual cramping? SATA. a) Feverfew b) Ginger c) Chamomile d) Black cohosh c) Chamomile d) Black cohosh With which of the following conditions should massage not be performed? SATA. a) High blood pressure b) Neck pain c) Arthritis d) Phlebitis e) Osteoporosis