Download Psychology Test bank chapter 1 2025,2,4,5,6 Questions with 100% correct Answers and more Exams Psychology in PDF only on Docsity!
Psychology Test bank chapter 1
2025,2,4,5,6 Questions with 100% correct
Answers
- The scope of practiced for an advanced nurse practitioner would include which intervention? Conducting a mental health assessment. Prescribing psychotropic medication. Establishing a therapeutic relationship. Individualizing a nursing care plan. - Correct answer Prescribing psychotropic medication. A nursing student expresses concerns that mental health nurses "lose all their clinical nursing skills." Select the best response by the mental health nurse. "Psychiatric nurses practice in safer environments than other specialties. Nurse-to- client ratios must be better because of the nature of the clients' problems." "Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations." "That's a misconception. Psychiatric nurses frequently use high technology
monitoring equipment and manage complex intravenous therapies." "Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses do. That appeals to me." - Correct answer "Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations." When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled? a. Recovery Attending Advocacy Evidence-based practice - Correct answer Advocacy A family has a long history of conflicted relationships among the members. Which family member's comment best reflects a mentally healthy perspective? "I've made mistakes but everyone else in this family has also." "I remember joy and mutual respect from our early years together." "I will make some changes in my behavior for the good of the family." "It's best for me to move away from my family. Things will never change." - Correct answer "I will make some changes in my behavior for the good of the family."
aggressively meeting personal needs without considering the rights of others. seeking help from others to avoid assuming responsibility for major areas of own life. - Correct answer being willing to work towards achieving ideals and meeting demands. Mental health is a state of well-being in which individuals reach their own potential, cope with the normal stresses of life, work productively, and contribute to the community. A nurse encounters an unfamiliar psychiatric disorder on a new client's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis? International Statistical Classification of Diseases and Related Health Problems (ICD-10) The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice Diagnostic and Statistical Manual of Mental Disorders (DSM-V) A behavioral health reference manual - Correct answer Diagnostic and Statistical Manual of Mental Disorders (DSM-V) A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information? Nursing Outcomes Classification (NOC) DSM-V
The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice ICD-10 - Correct answer DSM-V Which individual behavior demonstrates resilience? a. Repress stressors associated with a divorce. Continuing to grieve the death of a spouse for 5 years. Continuing to live in a shelter for 2 years after the home is destroyed by fire. Taking a temporary job to maintain financial stability after loss of a permanent job. - Correct answer Taking a temporary job to maintain financial stability after loss of a permanent job. Resilience is closely associated with the process of adapting and helps people facing tragedies, loss, trauma, and severe stress. It is the ability and capacity for people to secure the resources they need to support their well-being An adult says, "Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it." Which number on this mental health continuum should the nurse select? Mental Illness Mental Health 1234 5 a. 1 b. 2 c. 3 d. 4 e. 5 - Correct answer 5
this disabling illness." Which response by the nurse will best help the spouse understand the cause of this disorder? "Psychological stress is the basis of most mental disorders." "This illness results from developmental factors rather than stress." "Research shows that this condition more likely has a biological basis." "It must be frustrating for you that your spouse is sick so much of the time." - Correct answer "Research shows that this condition more likely has a biological basis." A category 5 tornado occurred in a community of 400 people. Many homes and businesses were destroyed. In the 2 years following the disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases? a. Prevalence b. Comorbidity c. Incidence d. Parity - Correct answer c. Incidence Incidence refers to the number of new cases of mental disorders in a healthy population within a given period of time. Which component of treatment of mental illness is specifically recognized by Quality and Safety Education for Nurses (QSEN)? All genomes are unique. Care is centered on the client. Healthy development is vital to mental health. Recovery occurs on a continuum from illness to health. - Correct answer Care is centered on the client.
What is the best response for the nurse to provide to a question from another health professional regarding the difference between a diagnosis in DSM-V and a nursing diagnosis. "There is no functional difference between the two. Both identify human disorders." "The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes culture into account." "The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis does not explore etiology." "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a client is experiencing." - Correct answer "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a client is experiencing." Which nursing intervention below is part of the scope of an advanced practice psychiatric/mental health nurse rather than a basic level registered nurse? a. Coordination of care Health teaching Milieu therapy Psychotherapy - Correct answer Psychotherapy An experienced nurse says to a new graduate, "When you've practiced as long as I have, you automatically know how to take care of clients experiencing psychosis." Which factors should the new graduate consider when analyzing this comment? (Select all that apply.)
Considers past experiences when deciding about the future. Experiences feelings of conflict related to changing jobs. A client in the emergency department says, "Voices say someone is stalking me. They want to kill me because I developed a cure for cancer. I have a knife and will stab anyone who is a threat." Which aspects of the client's mental health have the greatest and most immediate concern to the nurse? (Select all that apply.) Happiness Appraisal of reality Control over behavior Effectiveness in work Healthy self-concept - Correct answer Appraisal of reality Control over behavior Healthy self-concept A parent says, "My 2-year-old child refuses toilet training and shouts 'No!' when given directions. What do you think is wrong?" What is the nurse's best reply? "Your child needs firmer control. It is important to set limits now." "This is normal for your child's age. The child is striving for independence." "There may be developmental problems. Most children are toilet trained by age 2." "Some undesirable attitudes are developing. A child psychologist can help you develop a plan." - Correct answer "This is normal for your child's age. The child is striving for independence."
This behavior is conventional of a child around the age of 2 years, whose developmental task is to develop autonomy. The distracters indicate the child's behavior is abnormal. A 26-month-old displays negative behavior, refuses toilet training, and often says, "No!" Which psychosocial crisis is evident? Trust versus mistrust Initiative versus guilt Industry versus inferiority Autonomy versus shame and doubt - Correct answer Autonomy versus shame and doubt The crisis of autonomy versus shame and doubt relates to the developmental task of gaining control of self and environment, as exemplified by toilet training. A 4-year-old grabs toys from other children and says, "I want that now!" From a psychoanalytic perspective, this behavior is a product of impulses originating in which system of the personality? a. Id b. Ego c. Superego d. Preconscious - Correct answer a. Id The id operates on the pleasure principle, seeking immediate gratification of impulses. The ego acts as a mediator of behavior and weighs the consequences of the action, perhaps determining that taking the toy is not worth the mother's wrath.
- The parent of a 4-year-old rewards and praises the child for helping a sibling, being polite, and using good manners. These
team." "I do not allow other people to truly get to know me." "I depend on frequent praise from others to feel good about myself." "I usually need to do things several times before I get them right."
- Correct answer "I do not allow other people to truly get to know me." According to Erikson, the developmental task of infancy is the development of trust. A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm too busy taking care of myself to volunteer to help others." Which psychosocial developmental task do these statements contrast? Trust and mistrust Intimacy and isolation Industry and inferiority Generativity and self-absorption - Correct answer Generativity and self-absorption Both retirees are in middle adulthood, when the developmental crisis to be resolved is generativity versus self-absorption. One exemplifies generativity; the other embodies self- absorption. An adult dies in a tragic accident. Afterward, the siblings plan a funeral service. Which statement by a sibling best indicates a sense of self-actualization? "Of all of us, I am the most experienced with planning these types of events." "Funerals are supposed to be conducted quietly, respectfully, and according to a
social protocol." "This death was unfair, but I hope we can plan a service that everyone feels is a celebration of life." "This death was probably the consequence of years of selfish and inconsiderate behavior by our sibling." - Correct answer "This death was unfair, but I hope we can plan a service that everyone feels is a celebration of life." A student nurse says, "I don't need to interact with my clients. I learn what I need to know by observation." An instructor can best interpret the nursing implications of Sullivan's theory to this student by providing what response? "Interactions are required in order to help you develop therapeutic communication skills." "Nurses cannot be isolated. We must interact to provide clients with opportunities to practice interpersonal skills." "Observing client interactions will help you formulate priority nursing diagnoses and appropriate interventions." "It is important to pay attention to clients' behavioral changes, because these signify adjustments in personality." - Correct answer "Nurses cannot be isolated. We must interact to provide clients with opportunities The nurse's role includes educating clients and assisting them in developing effective interpersonal relationships. A nurse uses Maslow's hierarchy of needs to plan care for a client diagnosed with mental illness. Which problem will receive priority?
nervous system function. You are not to blame for your child's illness." "There is still hope. Changing your parenting style can help your child learn to cope effectively with the environment." "Most mental illnesses result from genetic inheritance. Your genes are more at fault than your parenting." - Correct answer "Schizophrenia is a biological illness resulting from changes in how the brain and nervous system function. You are not to blame for your child's illness." A nurse influenced by Peplau's interpersonal theory works with an anxious, withdrawn client. What principle will the interventions be focused on? Rewarding desired behaviors. Using assertive communication. Changing the client's self-concept. Administering medications to relieve anxiety. - Correct answer Using assertive communication. The nurse-client relationship is structured to provide a model for adaptive interpersonal relationships that can be generalized to others. Helping the client learn to use assertive communication will improve the client's interpersonal relationships. Consider this comment from a therapist: "The client is homosexual but has kept this preference secret. Severe anxiety and depression occur when the client anticipates family reactions to this sexual orientation." Which perspective is evident in the speaker? Theory of interpersonal relationships Classical conditioning theory Psychosexual theory
Behaviorism theory - Correct answer Theory of interpersonal relationships The theory of interpersonal relationships recognizes the anxiety and depression as resulting from unmet interpersonal security needs. A psychotherapist works with an anxious, dependent client. Which strategy is most consistent with psychoanalytic psychotherapy? Identifying the client's strengths and assets Praising the client for describing feelings of isolation Focusing on feelings developed by the client toward the therapist Providing psychoeducation and emphasizing medication adherence - Correct answer Focusing on feelings developed by the client toward the therapist A person says, "I was the only survivor in a small plane crash. Three business associates died. I got depressed and saw a counselor twice a week for 4 weeks. We talked about my feelings related to being a survivor, and I'm better now." Which type of therapy was used? Systematic desensitization Psychoanalysis Behavior modification Interpersonal psychotherapy - Correct answer Interpersonal psychotherapy Which technique is most applicable to aversion therapy? Punishment Desensitization Role modeling Positive reinforcement - Correct answer Punishment
Systematic desensitization is a form of behavior modification therapy that involves the development of behavior tasks customized to the client's specific fears. These tasks are presented to the client while using learned relaxation techniques Which comment best indicates a client is self-actualized? a. "I have succeeded despite a world filled with evil." "I have a plan for my life. If I follow it, everything will be fine." "I'm successful because I work hard. No one has ever given me anything." "My favorite leisure is walking on the beach, hearing soft sounds of rolling waves." - Correct answer "My favorite leisure is walking on the beach, hearing soft sounds of rolling The self-actualized personality is associated with high productivity and enjoyment of life. Self- actualized persons experience pleasure in being alone and an ability to reflect on events. Which comments by an elderly person best indicate successful completion of the individual's psychosocial developmental task? (Select all that apply.) "I am proud of my children's successes in life." "I should have given to community charities more often." "My relationship with my father made life more difficult for me." "My experiences in the war helped me appreciate the meaning of life." "I often wonder what would have happened if I had chosen a different career." - Correct answer "I am proud of my children's successes in life." "My experiences in the war helped me appreciate the meaning of life."
In-client hospitalization for persons with mental illness is generally reserved for clients who demonstrate which characteristic? present a clear danger to self or others. are noncompliant with medication at home. have limited support systems in the community. develop new symptoms during the course of an illness. - Correct answer present a clear danger to self or others. A client was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the case manager learned that the client received a notice of eviction immediately prior to admission. What is the case manager's most appropriate action? Postpone the client's discharge from the hospital. Contact the landlord who evicted the client to further discuss the situation. Arrange a temporary place for the client to stay until new housing can be arranged. Determine whether the adverse medication reaction was genuine because the client had nowhere to live. - Correct answer Arrange a temporary place for the client to stay until new housing can be arranged. What action is an example of tertiary prevention? Helping a person diagnosed with a serious mental illness learn to manage money Restraining an agitated client who has become aggressive and assaultive Teaching school-age children about the dangers of drugs and alcohol
