DAY 1 PPTs PRACTICE QUESTIONS/CASE STUDY Flashcards
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
c) Epidemiology
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
a) It is a medical
psychiatric assessment
system
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
a) Biological influences
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
a) Pharmacological,
biological, and
integrative therapies
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
a) Evidence-informed
practice
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
b) Schizophrenia and
bipolar disorder
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?
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.
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
D. Intervention
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
b) An individual, family,
group, or community
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
a) In all areas in the health
care setting
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
b) Problem, etiology,
supporting data
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
C. An individual with bipolar disorder, manic phase, who has not eaten in 4 days
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
c) Maintaining currency
in provincial or
territorial laws
affecting nursing
practice
What ethical principle refers
to the individual’s right to
make his/her/their own
decisions?
a) Beneficence
b) Autonomy
c) Veracity
d) Fidelity
b) Autonomy
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
b) Battery
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?
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?
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?
Is her behaviour culturally appropriate or acceptable?
is she cognitively impaired?
behavioural problems?
alterations affecting her function day to day?
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?
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
Fact or Fiction?
One of the main causes of mental illness is personal weakness
FICTION
People with mental illness are violent and dangerous
FICTION
A mental disorder is a single occurrence, rare disorder
CAN BE, BUT CAN BE CHRONIC
A mental disorder will not affect me and my life
FICTION
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?
- Housing, adequacy, stability. Income, source of income. Family and support systems. Substance abuse history, physical wellbeing – decrease physical activity, smoking, medication aversion effects
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?
- Countertransference – unconscious feeling. Should realize importance of self-awareness and seeking supervisory guidance
