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Mental Health Questions and Answers: PTSD, Adjustment Disorders, and Related Concepts, Exams of Public Health

Southern Adventist UniversityPublic Health

A series of multiple-choice questions and answers related to mental health, focusing on post-traumatic stress disorder (ptsd) and adjustment disorders. It explores key concepts, diagnostic criteria, treatment approaches, and nursing interventions for these conditions. Insights into the symptoms, causes, and management of ptsd and adjustment disorders, offering valuable information for students and professionals in the field of mental health.

Typology: Exams

2024/2025

Available from 03/06/2025

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Mental Health Questions
1. During a psychiatric nursing assessment, Sally reports to the nurse that
she was sexually assaulted 6 months ago and since then has had trouble
concentrating at work. Her employer tells her he is sensitive to the amount
of stress she is under, since she also recently went through a divorce, but
that she needs to seek help for her anxiety and depression to avoid further
consequences at work. Which of these data support the diagnosis of PTSD
according to DSM-5 criteria? Select all that apply.
1) She directly experienced a traumatic event.
2) She is a single female.
3) She has had difficulty concentrating at work.
4) Her anxiety and depression are interfering with job functioning.
5) Her symptoms have been present for more than 6 months. <Ans> 1) She
directly experienced a traumatic event.
3) She has had difficulty concentrating at work.
4) Her anxiety and depression are interfering with job functioning.
5) Her symptoms have been present for more than 6 months.
2. Jared returned from active duty in the military and has beendiagnosed with
PTSD. Which of the following interventions has been strongly advocated for
as an effective strategy in this population?
1) Group therapy with patients who have a variety of diagnoses
2) Group therapy with patients who have anger management issues
3) Group therapy with patients who have experienced similar traumas
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Download Mental Health Questions and Answers: PTSD, Adjustment Disorders, and Related Concepts and more Exams Public Health in PDF only on Docsity!

Mental Health Questions

  1. During a psychiatric nursing assessment, Sally reports to the nurse that she was sexually assaulted 6 months ago and since then has had trouble concentrating at work. Her employer tells her he is sensitive to the amount of stress she is under, since she also recently went through a divorce, but that she needs to seek help for her anxiety and depression to avoid further consequences at work. Which of these data support the diagnosis of PTSD according to DSM-5 criteria? Select all that apply.
  1. She directly experienced a traumatic event.
  2. She is a single female.
  3. She has had difficulty concentrating at work.
  4. Her anxiety and depression are interfering with job functioning.
  5. Her symptoms have been present for more than 6 months. 1) She directly experienced a traumatic event.
  6. She has had difficulty concentrating at work.
  7. Her anxiety and depression are interfering with job functioning.
  8. Her symptoms have been present for more than 6 months.
  1. Jared returned from active duty in the military and has beendiagnosed with PTSD. Which of the following interventions has been strongly advocated for as an effective strategy in this population?
  1. Group therapy with patients who have a variety of diagnoses
  2. Group therapy with patients who have anger management issues
  3. Group therapy with patients who have experienced similar traumas
  1. Group therapy with patients who have experienced different types of trau- ma 3) Group therapy with patients who have experienced similar traumas
  1. The family of a patient being treated for PTSD asks the nurse to describe EMDR (eye movement desensitization and reprocessing), since it is being recommended for this patient. Which of the following teaching points are accurate descriptions of this intervention? Select all that apply.
  1. EMDR has been shown to be effective in the treatment of all mental illness- es, including schizophrenia.
  2. The process involves rapid eye movement while processing painful memo- ries.
  3. This process is contraindicated for patients with retinal detachment or glaucoma.
  4. This process is thought to relieve anxiety so that the trauma can be processed from a more detached perspective.

husband of 30 years. The nurse assesses that Carol is experiencing compli- cated grieving. Which of the following would be an appropriate intervention to address Carol's symptoms?

  1. Explore with Carol the stages of normal grieving.
  2. Tell Carol that expressing anger will only keep her fixated at that stage of grieving.
  3. Encourage Carol that these symptoms usually go away on their own.
  4. All of the above. 1) Explore with Carol the stages of normal grieving.
  1. 7.Beth is being treated for an adjustment disorder following a job demo- tion 2 months ago. Since the demotion, she has frequently called in sick, complains of incapacitating migraines, and has been disciplined for yelling at her boss. Her husband asks the nurse why his wife is still having so much trouble functioning, since he knows people who have lost their jobs entirely

and have since resolved their concerns. Which of these statements by the nurse accurately reflects understanding of the dynamics of different kinds of stressors in patient recovery?

  1. Women have more difficulty managing work-related stressors than men.
  2. Ongoing stressors are associated with more maladaptive behaviors than sudden-shock types of stressors.
  3. Job demotion is associated with longer-term recovery because it is so uncommon.
  4. Carol probably had pre-existing difficulties managing stressors as a child.- 2) Ongoing stressors are associated with more maladaptive behaviors than sud- den-shock types of stressors.
  1. 8.An adult male has sought counseling at a community mental health center for PTSD. He reports during assessment that he witnessed the murder of a close friend last year in a random, drive-by shooting in his neighborhood. Since this loss he has had recurrent nightmares, explosive episodes, and frequently incapacitating anxiety. Which of the following nursing diagnoses would be appropriate, based on this assessment data? Select all that apply.
  1. Post Trauma Syndrome R/T distressing events, as evidenced by recurrent nightmares.
  2. Complicated grieving R/T loss of a friend in the traumatic event, as evi- denced by explosive outbursts and reports of incapacitating anxiety.
  3. Isolation R/T unresolved anxiety, as evidenced by complaints of incapaci- tating anxiety.
  4. Risk for suicide R/T survivor guilt. 1) Post Trauma Syndrome R/T
  1. Substance abuse
  2. Verbal or physical aggression
  1. 10.The nurse is developing a plan of care for a patient diagnosed with PTSD. Which of the following variables will have an impact on the patient's response to interventions? Select all that apply.
  1. Patient's self-esteem
  2. Socioeconomic status
  3. History of psychopathology
  4. Amount of control over recurrence
  5. Temperament
  6. Immediate crisis debriefing 1) Patient's self-esteem
  7. Socioeconomic status
  8. History of psychopathology
  9. Amount of control over recurrence
  10. Temperament
  1. 11.John has been in counseling for an adjustment disorder related to losing his management position in a health care facility. He tells the counselor he feels ready to terminate counseling. Which of these statements by the patient supports his readiness to terminate counseling?
  1. "Counseling isn't going to get me another job, so what's the point?"
  2. "I don't feel angry anymore and I've learned how to relax better."
  3. "I've decided I'm never going to work again, so I'm applying for disability."
  4. "As long as I continue to take antianxiety medication, I'll be okay." 2) "I don't feel angry anymore and I've learned how to relax better."
  1. 12.A patient admitted to the psychiatric unit, who has been experiencing flashbacks and troubling nightmares, reports to the nurse that he just awoke from a nightmare and is still having chest pain. Which of these nursing inter- ventions is a priority?
  1. Encourage the patient to return to bed and try to calm down.
  2. Administer prn antianxiety medication as ordered.
  3. Assess the patient's cardiovascular status.
  4. Encourage the patient to reflect on the troubling dream. 3) Assess the patient's cardiovascular status.
  1. 13.A patient with PTSD who has been having nightmares is prescribed propranolol to treat PTSD symptoms. He asks the nurse why this medication was ordered since he doesn't have high blood pressure.Which of the following
  1. 15.Jennifer is working with the nurse on her care plan related to post trauma syndrome. Jennifer repeatedly asks the nurse why she is writing down everything and who will be seeing this information. Which of these interpretations by the nurse reflects an understanding of the post trauma patient?
  1. Post trauma patients may be suspicious of others in their environment.
  2. Post trauma patients need a lot of redirection.
  3. Female post trauma patients are often very confused about details.
  4. Post trauma patients are always confrontational and challenging with health care professionals. 1) Post trauma patients may be suspicious of others in their environment.
  1. 16.A patient who has recently been diagnosed with PTSD asks the nurse what his options are for treatment of this disorder.Which of the following items should the nurse include in teaching the patient about primary treatments for PTSD? Select all that apply.
  1. Prolonged exposure therapy
  2. Cognitive therapy
  3. ECT
  4. Antipsychotic medication
  5. EMDR 1) Prolonged exposure therapy
  6. Cognitive therapy
  7. EMDR
  1. 1.Jeremy is a 7-year-old boy diagnosed with separation anxiety disorder. The nurse recommends that the parents have him evaluated for a group play therapy program. The parents question the nurse about the benefits of play therapy for Jeremy, since he has never had problems playing with other children. Which of the following teaching points made by the nurse are evidence-based statements according to Landreth and Bratton (2007) about the benefits of group play therapy? Select all that apply.
  1. Play provides a means for children to express their inner feelings.
  2. Playing with toys allows children to transfer anxieties and fears to objects rather than people.
  3. Play allows children the opportunity to change unmanageable situations into manageable ones through symbolic representation.
  4. Play therapy allows children the opportunity to relax and avoid discussing
  1. Responsibility for treatment choices rests solely with the adolescent. 1) The client and the entire family should all be included when planning care.
  1. 3.A client diagnosed with autism spectrum disorder was recently admitted to the hospital. This client grabs a toy and hits another child. Which is the most appropriate nursing action?
  1. Isolate the client for 24 hours.
  2. Encourage the client to explain the hostile behavior.
  3. Assume a nonpunitive attitude and remove the client from the conflict.
  4. Call the parents for input regarding behavioral management. 3) Assume a nonpunitive attitude and remove the client from the conflict.
  1. 4.The disorder that is characterized by the presence of multiple motor tics and one or more vocal tics is called. Tourette's disorder
  2. 5.Joey, a 12-year-old boy diagnosed with ADHD, is being assessed to determine appropriateness for behavioral therapy-based group treatment.The nurse should also assess for symptoms of which disorders that commonly co-occur with ADHD? Select all that apply.
  1. Oppositional defiant disorder (ODD)
  2. Narcissistic personality disorder
  3. Schizophrenia
  4. Conduct disorder
  5. Substance abuse 1) Oppositional defiant disorder (ODD)
  6. Conduct disorder
  7. Substance abuse
  1. 6.A client diagnosed with attention-deficit/hyperactivity disorder (ADHD) is prescribed the neurotransmitter-altering drug methylphenidate (Ritalin). Another client, diagnosed with narcolepsy, also receives Ritalin.Why is Ritalin given for these two opposing problems?
  1. ADHD responds positively to a decreased level of neurotransmitters, whereas narcolepsy responds positively to an increased level of neurotrans- mitters.
  2. Narcolepsy responds positively to a decreased level of neurotransmitters, whereas ADHD responds positively to an increased level of neurotransmitters.
  3. Both ADHD and narcolepsy respond positively to a decreased level of neurotransmitters.
  4. Both ADHD and narcolepsy respond positively to an increase in levels
  1. Negativistic, disobedient behaviors toward authority figures
  2. Destruction of property 3) Negativistic, disobedient behaviors toward authority figures
  1. 10.Which is a potential side effect from the prolonged use of methylphenidate (Ritalin)?
  1. Psychosis
  2. A decreased intelligence quotient (IQ)
  3. Sore throat
  4. A decrease in rate of growth and development 4) A decrease in rate of growth and development
  1. 1.Tori has been talking to the nurse about her husband's behavior. She claims that although her husband is very controlling, he can't be described as manifesting intimate partner violence because he has never struck her. Which

of these responses by the nurse is an accurate description of intimate partner violence?

  1. Intimate partner violence is only physical abuse, but controlling behavior is dysfunctional, too.
  2. The National Coalition Against Domestic Violence describes battering as different from intimate partner violence.
  3. The U.S. Department of Justice defines intimate partner violence as any pattern of abusive behavior used to control an intimate partner, which can include physical, psychological, and other threats of intimidation or control.
  4. Intimate partner violence relates to only acts of fatal violence. 3) The U.S. Department of Justice defines intimate partner violence as any pattern of abusive behavior used to control an intimate partner, which can include physical, psychological, and other threats of intimidation or control.
  1. 2.A frightened young woman calls the ED and tearfully tells the nurse, "I've been raped. Please help me!" Which nursing questions take priority?
  1. "Are you injured, and are you in a safe place?"
  2. "Do you know your whereabouts, and do you have transportation?"
  3. "Have you notified the police and do you know your assailant?"
  4. "Have you bathed, douched, or changed your clothes?" 1) "Are you injured, and are you in a safe place?"
  1. 3.Veronica presents at the emergency room with multiple bruises, a black eye, and a broken leg, which her husband states were the result of falling on a patch of ice. He requests to stay with her, and the nurse notices that Veronica appears fearful. Which of these is the best approach to conducting

behavior for the first time in their 14-year marriage. Which of the following should the nurse explore when assessing the husband for the origins of his behavior? Select all that apply.

  1. History or evidence of brain diseases such as encephalitis or epilepsy
  2. Substance use and medication history
  3. Evidence of PTSD
  4. History of abuse in his family of origin
  5. Evidence of codependent personality traits in Sarah 1) History or evidence of brain diseases such as encephalitis or epilepsy
  6. Substance use and medication history
  7. Evidence of PTSD
  8. History of abuse in his family of origin
  1. 5.The expression of power and dominance by means of sexual violence is called. Rape
  2. 6.Chronic failure of a parent or caretaker to provide a child in his or her care with hope, love, and support necessary for developing a sound, healthy personality is defined as Emotional Neglect
  3. 7.A young mother in a severely abusive relationship is admitted to psychi- atric unit after an attempted suicide.The client tells the nurse, "I'm sure things will be better between us once I go home." Which is the most appropriate nursing response?
  1. "Research shows that men who batter get worse rather than improve."
  2. "Aren't you concerned about your children?"
  3. "You really shouldn't return home to that violent situation."
  4. "Let's develop a safety plan in case he becomes violent in the future."

4) "Let's develop a safety plan in case he becomes violent in the future."

  1. 8.From a biological theory perspective, which predisposes individuals to be abusive?
  1. Unmet needs for security, resulting in an underdeveloped ego and a weak super ego
  2. Imitation of individuals who have a predisposition toward aggressive behavior
  3. Various levels of norepinephrine, dopamine, and serotonin
  4. The influence of culture and social structure 3) Various levels of norepineph- rine, dopamine, and serotonin
  1. 9.A 12-year-old female suddenly refuses to change for gym or participate in physical activities, has difficulty walking and sitting, and will not eat her food at lunchtime. What should the school nurse consider when assessing