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NSG 3450 MENTAL HEALTH 2026 PSYCH
DISORDERS AND INTERVENTIONS STUDY
COMPANION
◉Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention? Chapter 1. Answer: Providing regular depression screening for adolescent and teenage students ◉Which statement made by a patient demonstrates a healthy degree of resilience? Select all that apply. Chapter 1. Answer: a. "I try to remember not to take other people's bad moods personally." b. "I've learned to calm down before trying to defend my opinions." c. "I know that discussing issues with my boss would help me get my point across." ◉Which statement demonstrates the nurse's understanding of the effect of environmental factors on a patient's mental health? Chapter
- Answer: "I'm not familiar with the patient's cultural view on suicide." ◉When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse
manager? Chapter 1. Answer: "My experience has been that the Irish have a problem with alcohol use." ◉A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be? Chapter 1. Answer: DSM ◉Epidemiological studies contribute to improvements in care for individuals with mental disorders by? Chapter 1. Answer: a. Identifying risk factors that contribute to the development of a disorder. b. Identifying which individuals will respond favorably to a specific treatment. ◉Which of the following activities would be considered nursing care and appropriate to be performed by a basic level nurse for a patient suffering from mental illness? Chapter 1. Answer: Teaching coping skills for a specific family dynamic ◉Which statement about mental illness is true? Chapter 1. Answer: Mental illness changes with culture, time in history, political systems, and the groups defining it.
c. The middle-aged adult who recently discovered her partner has been unfaithful ◉When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations? Chapter 2. Answer: Reflecting on personal behaviors and personal needs ◉Which action reflects therapeutic practices associated with operant conditioning? Chapter 2. Answer: Acknowledging a patient who is often verbally aggressive for complimenting a picture another patient drew ◉A nurse is assessing a patient who graduated at the top of his class but now obsesses about being incompetent in his new job. The nurse recognizes that this patient may benefit from which of the following type of psychotherapy? Chapter 2. Answer: Cognitive behavioral ◉According to Maslow's hierarchy of needs, the most basic needs category for nurses to address is? Chapter 2. Answer: Physiological ◉In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, "You are pretty like my mother." The nurse recognizes that the male is exhibiting? Chapter 2. Answer: Transference
◉Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy? Chapter 2. Answer: Exposure and response prevention therapy ◉A patient is telling a tearful story. The nurse listens empathically and responds therapeutically with: Chapter 2. Answer: "Let's devise a plan on how you will react next time in a similar situation." ◉Which neurotransmitter is potentiated by benzodiazepines? Chapter 3. Answer: Acetylcholine ◉Which antidepressant is contraindicated in a patient diagnosed with a seizure disorder? Chapter 3. Answer: Bupropion ◉Antagonism of which receptor contributes to orthostatic hypotension observed with trazodone therapy? Chapter 3. Answer: Alpha- 1 ◉Which antidepressant requires special dietary restrictions to prevent the possible development of hypertensive crisis? Chapter 3. Answer: Phenelzine
◉A patient has been voluntarily admitted to a mental health facility after an unsuccessful attempt to harm himself. Which statement demonstrates a need to better educate the patient on his patient's rights? Chapter 4. Answer: "I can hurt myself if I want to. It's none of your business." ◉Which intervention demonstrates an attempt by nursing staff to meet the goals identified by The Joint Commission as National Patient Safety Goals? Select all that apply. Chapter 4. Answer: a. Identifying patients using both name and date of birth before drawing blood. b. Administering the Beck Scale on each patient at the time of admission. c. Performing a medication history assessment on each new patient. d. Using appropriate hand washing techniques at all times. ◉The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply. Chapter 4. Answer: a. "Is the patient expressing suicidal thoughts?" b. "Does the patient have intact judgment and insight into his situation?"
c. "Does the patient require a therapeutic environment to support the management of psychotic symptoms?" d. "Does the patient require the regular involvement of their family/significant other in planning and executing the plan of care?" ◉The nurse frequently includes daily sessions involving relaxation techniques. Which assessment data would most indicate a need for this intervention to be included in the initial plan of care for a patient? Chapter 4. Answer: Family history of anxiety and symptoms of anxiety ◉A newly divorced 36-year-old mother of three has difficulty sleeping. When she shares this information to her gynecologist, she suggests which of the following services as appropriate for her patient's needs? Chapter 4. Answer: Primary care provider ◉An Afghanistan Conflict veteran has been homeless since being discharged from military service. He is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive community treatment (ACT) is a good option for this patient since ACT provides? Chapter 4. Answer: Care for hard-to-engage, seriously ill patients ◉An adolescent female is readmitted for inpatient care after a suicide attempt. What is the most important nursing intervention to
apply. Chapter 5. Answer: a. "I've reinforced the importance of taking medications at the time they are prescribed." b. "The patient believes that illness is a result of being out of harmony with nature." c. "Spending money on medicine for his diabetes is not a comfortable concept for my patient." d. "We discussed the patient's needs regarding warding off evil spirits before her surgery." ◉Which assessment questions will support effective communication with a patient who recently emigrated from an Asian country? Select all that apply. Chapter 5. Answer: a. "What do you call this kind of pain?" b. "What do you think is causing your pain?" c. "How do you think your pain should be treated?" d. "Do you consider this kind of pain a serious problem?" ◉When one is considering culturally competent care for a Muslim patient diagnosed with cardiac problems, which intervention is particularly important initially when a low-fat diet is prescribed? Chapter 5. Answer: Identifying dietary considerations ◉Which statement by the nurse demonstrates ethnocentrism toward the Latinx patient? Chapter 5. Answer: "I'm sure we can do something to make your symptoms more manageable."
◉Ling has a nursing diagnosis of risk for violence. Ling's Eastern culture family is having difficulty coping with the illness because of their beliefs. A favorable therapeutic modality for this patient might include? Chapter 5. Answer: Family therapy. ◉A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient's adult son died in a car accident a month earlier, the nurse suspects? Chapter 5. Answer: Somatization ◉Which nursing intervention can help a Hindu patient to maintain his religious practice? Chapter 5. Answer: Helping the patient to choose his own food from the menu ◉Intergenerational conflict may arise in immigrant families because the process of acculturation may be? Chapter 5. Answer: easier for children. ◉Which nursing actions demonstrate cultural competence? Select all that apply.. Answer: a. Planning mealtime around the patient's prayer schedule b. Helping a patient to visit with the hospital chaplain c. Researching foods that a lacto-ovo-vegetarian patient will eat d. Providing time for a patient's spiritual healer to visit
c. Promising to restrain a patient who stole from another patient on the unit ◉A nurse makes a post on a social media page about his peer taking care of a patient with a crime-related gunshot wound in the emergency department. He does not use the name of the patient. The nurse? Chapter 6. Answer: Has violated confidentiality laws and can be held liable. ◉In providing care for patients of a mental health unit, Li recognizes the importance of standards of care. When Li notices that some policies fall short of the state licensing laws, which of the following statements represents the most appropriate standard of care pathway? Chapter 6. Answer: State board of nursing, professional association, facility policy ◉Lucas has completed his inpatient psychiatric treatment, which was ordered by the court system. Which statement reveals that Lucas does not understand the concept of conditional release? Chapter 6. Answer: "I am finally free, no more therapy." ◉Implied consent occurs when no verbal or written agreement takes place prior to a caregiver delivering treatment. Which of the following examples represents implied consent? Chapter 6. Answer: Care given to a heroin overdose victim
◉Based on Maslow's hierarchy of needs, physiological needs for a restrained patient include: Select all that apply. Chapter 6. Answer: a. Private toileting, oral hydration b. Checking the tightness of the restraints c. Maintaining a patent airway ◉Which patient statement does not demonstrate an understanding of a suicide safety plan? Chapter 25. Answer: "I will take extra medication if I start getting those self-destructive feelings." ◉Which interventions will help make the environment on the unit safer for patients with suicidal ideation? Select all that apply. Chapter 25. Answer: a. All windows are kept locked. b. Every shower has a breakaway shower rod. c. Eating utensils are counted when trays are collected. d. Patient doors are kept open. ◉What are the nursing responsibilities to a patient expressing suicidal thoughts? Select all that apply. Chapter 25. Answer: a. Instituting one-to-one observation. b. Document the patient's whereabouts and mood every 15 to 30 minutes. c. Ensuring that the patient has no contact with glass or metal utensils.
- Answer: "Suicide risk is greatest in the first few years after diagnosis." ◉Sigmund Freud, Karl Menninger, and Aaron Beck theorized that hopelessness was an integral part of why a person ends one's life by suicide. A more recent theory suggests suicide results from? Chapter
- Answer: The diathesis-stress model ◉Which person is at the highest risk for suicide? Chapter 25. Answer: A young single white male who misuses alcohol, is hopeless, impulsive, has just been rejected by his girlfriend, and has ready access to a gun he has hidden. ◉Kara is a 23-year-old patient admitted with major depressive disorder and suicidal ideation. Which intervention(s) would be therapeutic for Kara? Select all that apply. Chapter 25. Answer: a. Assess the patient thoroughly and reassess the patient at regular intervals as levels of risk fluctuate. b. Meet regularly with the patient to provide opportunities for the patient to express and explore feelings. c. Administer antidepressant medications cautiously and conservatively because of their potential to increase the suicide risk in Kara's age group. d. Help the patient to identify positive self-attributes and to question negative self-perceptions that are unrealistic.
◉Which statement made to the grieving patient demonstrates effective therapeutic communication? Select all that apply. Chapter
- Answer: a. "Your loved one was irreplaceably special." b. "I would like to take the flowers from the funeral home to your house." c. "Your loss must be devastating. I can't imagine how you must be feeling right now." ◉Considering the subject of medically assisted death, which statements identify the pros and cons of the argument associated with the issue of nonmaleficence? Select all that apply. Chapter 30. Answer: a. From the patient's perspective, there is no difference between ending life by providing a lethal prescription and by stopping treatment that prolongs life. b. Assisted death violates the oath to "do no harm" and destroys trust between patient and nurse. ◉Which statement made by a patient demonstrates acceptance of criteria required of hospice care? Chapter 30. Answer: "There is no cure for my illness. I've accepted that." ◉Which statement made by a widow demonstrates that her grief work has been effective? Select all that apply. Chapter 30. Answer: a. "I can remember how much my deceased husband loved chocolate chip ice cream."
◉A bereavement group run by a local hospice includes a woman who is distraught over her supervisor's death. The woman appears severely distressed. She has trouble functioning with activities of daily living and making the simplest of decisions. The group facilitator recognizes that this woman is suffering from disenfranchised grief after learning: Chapter 30. Answer: The woman was in love with her married supervisor. ◉Dying patients with a neurocognitive disorder such as Alzheimer's disease are especially challenging to provide care for. They may have symptoms or pain that they are unable to adequately describe or define. What is a reversible condition that could respond to an intervention and improve anxiety, or agitation? Chapter 30. Answer: Distended bladder, constipation, or nausea ◉Which statement made by the patient demonstrates an understanding of the foundational principle of integrative care? Chapter 36. Answer: "My body has the ability to heal itself if we have the knowledge to give it the right tools." ◉When considering the goals of complementary and alternative medicines, which patient would be of particular interest to researchers studying advances in symptom management? Chapter
- Answer: One who experiences chronic pain related to a neck injury
◉Which assessment question regarding a patient's report of pain demonstrates the nurse's attention to the principles of holistic nursing care? Chapter 36. Answer: "Are you taking any herbal supplements for the pain?" ◉What medication education should the nurse provide to a patient who has expressed an interest in taking St. John's wort? Chapter 36. Answer: St. John's wort should not be taken in combination with antidepressants. ◉Which factor is likely to attract a patient to complementary and alternative medicine? Select all that apply. Chapter 36. Answer: a. A desire to choose personal healthcare practices. b. Using these approaches carries a lower risk than many pharmaceuticals. c. Traditional medicine has been unsuccessful in providing effective treatment. ◉In contrast to most Western medicine, integrative care takes into consideration? Chapter 36. Answer: A whole-person perspective: body, mind, and spirit ◉A nursing student is experiencing increasing test anxiety. Her professor suggests the student try some integrative therapies. The student reported successful test anxiety reduction with which of the
