DAY 1 PPTs PRACTICE QUESTIONS/CASE STUDY

Question 1

The quantitative study of
the distribution of mental
disorders in human
populations is called which
of the following:
a) Mortality
b) Prevalence
c) Epidemiology
d) Clinical epidemiology

Answer 1

c) Epidemiology

Question 2

Which statement best
describes the DSM-5?
a) It is a medical
psychiatric assessment
system
b) It is a compendium of
treatment modalities
c) It offers a complete list
of nursing diagnoses
d) It suggests common
interventions for mental
disorders

Answer 2

a) It is a medical
psychiatric assessment
system

Question 3

Current information
suggests that the most
disabling mental disorders
are the result of which of
the following?
a) Biological influences
b) Psychological trauma
c) Learned ways of
behaving
d) Faulty patterns of early
nurturance

Answer 3

a) Biological influences

Question 4

What is the basic level of
mental health nursing
intervention?
a) Pharmacological,
biological, and
integrative therapies
b) Medication
prescription and
treatment
c) Psychotherapy
d) Consultation

Answer 4

a) Pharmacological,
biological, and
integrative therapies

Question 5

What is the term that is used
to describe care that is
based on the collection,
interpretation, and
applicable patient-reported,
clinician-observed, and
research-derived
information
a) Evidence-informed
practice
b) Clinical practice
guideline
c) Nursing outcome
classification
d) Nursing intervention
classification

Answer 5

a) Evidence-informed
practice

Question 6

Which of the following
severe mental illnesses
are recognized across
cultures?
a) Antisocial and
borderline personality
disorders
b) Schizophrenia and
bipolar disorder
c) Bulimia and anorexia
nervosa
d) Amok and social
phobia
Practice Questions

Answer 6

b) Schizophrenia and
bipolar disorder

Question 7

A patient who just arrived on your unit says, “I
don’t know why you need to do an assessment
—I am just here to get my medicines adjusted.”
* What is the purpose of a psychiatric mental
health nursing assessment?
* How would you respond to this patient?

Answer 7

To get a baseline, come up with interventions, plan care, goals, establish rapport, develop understanding of current problem, assess for risk factors, identify mutual goals.

Question 8

In which part of the nursing care plan would the nurse
expect to find this statement:
Offer snacks and finger foods frequently.
A. Assessment
B. Diagnosis
C. Planning and outcomes identification
D. Intervention
E. Evaluation

Answer 8

D. Intervention

Question 9

In psychiatric nursing,
assessment of a ‘patient’
refers exclusively to which
of the following?
a) An individual with a
psychiatric diagnosis
b) An individual, family,
group, or community
c) Any person who seeks
the assistance of the
psychiatric nurse
d) The person identified
by the system as
being in need of
treatment

Answer 9

b) An individual, family,
group, or community

Question 10

High levels of anxiety and
maladaptive behaviours are
seen in which of the
following?
a) In all areas in the health
care setting
b) Only in the psychiatric
mental health setting
c) Where death is a
frequent outcome
despite treatment
d) When the nurse and
patient have yet to
establish a therapeutic
relationship

Answer 10

a) In all areas in the health
care setting

Question 11

What three structural
components comprise a
nursing diagnosis?
a) Problem, outcome,
intervention
b) Problem, etiology,
supporting data
c) Unmet need, goal,
outcome criterion
d) Presenting symptom,
treatment, goal
Practice Questions

Answer 11

b) Problem, etiology,
supporting data

Question 12

Which individual with mental illness may need involuntary
hospitalization?
A. A person with alcoholism who has been sober for 6 months but
begins drinking again
B. An individual with schizophrenia who stops taking prescribed
antipsychotic drugs
C. An individual with bipolar disorder, manic phase, who has not eaten in 4 days
D. Someone who repeatedly phones a national TV broadcasting service with news tips

Answer 12

C. An individual with bipolar disorder, manic phase, who has not eaten in 4 days

Question 13

The intervention that will
be most effective in
preventing a nurse from
making decisions that will
lead to legal difficulties in
which of the following?
a) Asking a peer to
review nursing
intervention-related
decisions
b) Balancing the rights of
the patient and the
rights of society
c) Maintaining currency
in provincial or
territorial laws
affecting nursing
practice
d) Seeking value
clarification about
fundamental ethical
principles

Answer 13

c) Maintaining currency
in provincial or
territorial laws
affecting nursing
practice

Question 14

What ethical principle refers
to the individual’s right to
make his/her/their own
decisions?
a) Beneficence
b) Autonomy
c) Veracity
d) Fidelity

Answer 14

b) Autonomy

Question 15

A patient who presents no
danger to himself or other
is forced to take
medication against their
will. This situation
represents which of the
following?
a) Assault
b) Battery
c) Defamation
d) Invasion of privacy

Answer 15

b) Battery

Question 16

Mrs. M is your neighbour. She works full time and is
dealing with a troubled teenage son and her elderly
parents. She confides in you that she “can’t deal with
her life right now.”
 How could you assess her mental health?

Answer 16

Is she thinking rationally?
how has she handled stress in the past?
what does she feel about herself?
communication skills?
is she able to function well as being a wife, mother, friend, employee?

Question 17

Returning to the problem of your
neighbour, Mrs. M, who is having
difficulty coping with a full-time job,
teenage son, and elderly parents, what
about her behaviour might indicate a
mental illness?

Answer 17

Is her behaviour culturally appropriate or acceptable?
is she cognitively impaired?
behavioural problems?
alterations affecting her function day to day?

Question 18

A 27-year-old male is court committed by his parents to
your unit with a diagnosis of paranoid schizophrenia. He
lashes out at staff when they attempt to give him his
medications. He states, “You are trying to poison me.”
His family asks if you can “force” him to take his
medications.
 How would you respond to this family?

Answer 18

Patients still have the right to refuse, however, in an emergency to prevent that person from causing serious harm to themselves and others, individual may be medicated without a court hearing but the following court hearing can be medicated if they meet the criteria, meaning they have a serious mental illness, ability to function is deteriorating, exhibiting threatening behaviour, benefits of treatment outweigh the harm

Question 19

Fact or Fiction?
One of the main causes of mental illness is personal weakness

Answer 19

FICTION

Question 20

People with mental illness are violent and dangerous

Answer 20

FICTION

Question 21

A mental disorder is a single occurrence, rare disorder

Answer 21

CAN BE, BUT CAN BE CHRONIC

Question 22

A mental disorder will not affect me and my life

Answer 22

FICTION

Question 23

You are working with a patient who will be
discharged into the community soon. What are
some problems that may affect the success of
treatment?

Answer 23

• Housing, adequacy, stability. Income, source of income. Family and support systems. Substance abuse history, physical wellbeing – decrease physical activity, smoking, medication aversion effects

Question 24

A patient is admitted to your unit who has an uncanny
resemblance to your older sister. As a child, your older sister
bossed you around and criticized you constantly. You realize
that you are responding negatively to this patient.
 What is going on?
 What should the nurse do?

Answer 24

• Countertransference – unconscious feeling. Should realize importance of self-awareness and seeking supervisory guidance

Question 25

A nurse seeks to establish a relationship with a patient
readmitted to the hospital. The patient has bipolar disorder,
depressed type, and was hospitalized the preceding month.
Which statement by the nurse would contribute to establishing
trust?
A. “Weren’t you complying with your medication regimen?”
B. “It must be discouraging to be readmitted to the hospital so soon.”
C. “Everyone with bipolar disorder ends up in the hospital
occasionally.”
D. “You must take your drugs as prescribed, or you will be
rehospitalized.”

Answer 25

B. “It must be discouraging to be readmitted to the hospital so soon.”

Question 26

Which statement regarding
patients’ rights after being
voluntarily admitted to an
acute care psychiatric unit
is true?
a) All rights remain intact
b) All rights are
temporarily suspended
c) The right to refuse
treatment is no longer
guaranteed
d) Only rights that do not
involve decision
making remain intact

Answer 26

a) All rights remain intact

Question 27

Which attribute would be
lease helpful for a
community mental health
nurse to have?
a) Autonomy
b) Reactive manner
c) Nonjudgmental attitude
d) Ability to cross service
systems

Answer 27

b) Reactive manner

Question 28

Which is a characteristic of
a therapeutic inpatient
milieu?
a) It provides for the
patient’s safety and
comfort
b) Voluntarily admitted
patients are generally
allowed additional
privileges
c) Rules and behavioural
limits are flexibly
enforced
d) Staff provide frequent
and ongoing negative
feedback to patients

Answer 28

a) It provides for the
patient’s safety and
comfort

Question 29

Which is the phase of the
nurse-patient relationship
that may cause anxieties
to reappear and past
losses to be reviewed?
a) Preorientation phase
b) Orientation phase
c) Working phase
d) Termination phase

Answer 29

d) Termination phase

Question 30

When a nurse’s bias delays
the development of a
therapeutic relationship,
what therapeutic
relationship will be most
affected?
a) Asses the patient’s
symptoms
b) Assess boundary issues
with the patient
c) View the patient with
positive regard
d) Engage in values
clarification with the
patient

Answer 30

c) View the patient with
positive regard

Question 31

What is the event referred
to when a nurse and
patient meet with genuine
concern is expressed
which improves the
relationship?
a) As a crisis intervention
b) As a therapeutic
encounter
c) As an autonomous
interaction
d) As a preorientation
phenomenon

Answer 31

b) As a therapeutic
encounter

Question 32

A new nurse on a psychiatric unit wants to effectively
communicate in a therapeutic relationship with a
patient.
 What are some things that will help this
communication?

Answer 32

• Nurse should know what they are trying to convey, purpose of message. Communicate what is really meant to the patient. Comprehend what the patient is conveying intentionally and unintentionally. Clarity and Continuity.

Question 33

Of the following
environments, which
would be most conducive
to a therapeutic
relationship?
a) The nurses’ station
b) A table in the coffee
shop
c) A quiet section of the
day room
d) The utility room

Answer 33

c) A quiet section of the
day room

Question 34

Which communication
techniques should the nurse
use with a client who has
been identified as having
difficulties expressing
thoughts and feelings?
a) Using emotionally
charged words and
gestures
b) Offering opinions and
avoiding periods of
silence
c) Asking close-ended
questions requiring ‘yes’
or ‘no’ answers
d) Asking open-ended
questions and seeking
clarification

Answer 34

d) Asking open-ended
questions and seeking
clarification

Question 35

Who determines the
content and direction of
the clinical interview?
a) The nurse
b) The client
c) The physician
d) The health care team

Answer 35

b) The client