1. Which of the following factors is primarily responsible for the changes in inpatient
hospital treatment between the 1980s and the present?
Progress in treatment options for mentally ill persons
The growth of managed care
Less stigma associated
1. A nurse is working with a client who has frequent angry outbursts. Which of the
following statements is most helpful when working with this client?
Anger is a normal feeling, and you can use it to solve problems.
You need to learn to suppress you
1. A child is expelled from school for repeated fighting and vandalizing school property.
The school nurse and counselor meet with the parents to explain that the child may
benefit from counseling as the child is experiencing signs of which disorder?
1. The nurse understands that crises are self-limiting. This implies that upon evaluation of
crisis intervention, the nurse should assess for which outcome?
The patient will identify possible causes for the crisis.
The patient will discover a new se
1. The nurse knows that which of the following are stages in Selye's general adaptation
syndrome? Select all that apply.
Alarm reaction stage
A, B, D
The stages in Se
1. A client made threats to harm his parents if they come too close to him. The parents
called 911, and the client is now held involuntarily for a psychiatric evaluation. During
this time of involuntary admission, the client retains all client rights exce
1. The nursing student correctly identifies which of the following statements are true of the
etiology of OCD? Select all that apply.
The cognitive model for OCD etiology focuses on childhood and environmental
experiences of growing up.
1. The nurse is assessing a patient suffering a head injury as a result of an altercation with
two other individuals. The patient has difficulty accurately reporting the events of the
altercation and appears very emotional during the assessment. The nurse
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
client. Which of the following would the nurse identify as having a positive impact on
the individual's mental health?
Not needing others for companionship
1. A young couple just ended their relationship after a 9-month engagement. The one of the
individuals is seeking short-term counseling to assist in grieving this loss. Which type of
loss best describes what this client is experiencing?
1. During the change of shift report in the intensive care unit, the nurse learns that a client
has developed signs of delirium over the past 8 hours. Which behavior documented in
the nursing notes would be consistent with delirium?
Unable to identify
1. The nurse is assessing a 16-month-old child during a well-baby checkup. Which of the
following behaviors would be consistent with autism spectrum disorder? Select all that
The child displays little eye contact with others.
The child thrive
1. The nurse understands that empathy is essential to the therapeutic relationship. When a
patient makes the statement, I am just devastated that my marriage is falling apart, the
nurse can best show empathy through which of the following responses?
1. A community health nurse is planning a substance abuse prevention program. Which
group would be the best target audience for the nurse to plan a program?
Teenagers in a high school health class
School-age children in an after-school program
1. Which of the following statements regarding the individual responses to trauma and
stressors is a positive outcome?
Many individuals are unable to cope with the event, manage their stress and
emotions, or resume the daily activities of their lives.
1. Which best explains the neurochemical processes responsible for depression?
Increased activity of dopamine
Decreased glucocorticoid activity
Decreased serotonin and norepinephrine activity
Potentiating of the kindling process
1. Psychosomatic illness refers to physical symptoms that are either created or worsened
by psychic influences. Which conditions are thought to be attributed to the connection
between mind and body? Select all that apply.
1. The most commonly supported neuroanatomic theory of schizophrenia suggests which
Excessive amounts of dopamine and serotonin in the brain
Ineffective ability of the brain to use dopamine and serotonin
Insufficient amounts of dopamine
1. The nurse is collecting assessment data on a client who is suspected to be a victim of
violence. Which assessment data would support the suspicion that the client is a victim
of abuse? Select all that apply.
The client has few friends.
1. The nurse uses a variety of therapeutic communication skills when working with
patients. Which of the following is a therapeutic goal that can be accomplished through
the use of therapeutic communication skills?
Inform the patient of priority proble
1. The nurse is assessing the anxiety level of a young school-age child. The nurse
encourages the child to express feelings through the use of toys in a play situation. The
purpose for this approach to assessment is largely related to which of the followi
1. A 15-year-old female is admitted for treatment of anorexia nervosa. Which is
characteristic of anorexia nervosa?
Body weight less than normal for age, height, and overall physical health
Amenorrhea for at least two cycles
Absence of hunger fee
1. Which disorder is characterized by pervasive mistrust and suspiciousness of others?
Paranoid personality disorder
Schizoid personality disorder
Histrionic personality disorder
Dependent personality disorder
1. When assessing a patient's mental health status, which of the following describe the
purpose of the psychosocial assessment? Select all that apply.
To assess the client's current emotional state
To assess the client's mental capacity
1. It is an ongoing dynamic process that continues for as long as nurse and client have interactions directed
toward change in the client's physical or behavioral responses.