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1. Resilience, the capacity to rebound from stressors via adaptive coping, is associated with positive mental health. Your friend has just been laid off from his job. Which of the following responses on your part would most likely contribute to enhanced resilience?
1. Using your connections to set up an interview with your employer
2. Connecting him with a friend of the family who owns his own business
3. Supporting him in arranging, preparing for, and completing multiple interviews
4. Helping him to understand that the layoff resulted from troubles in the economy and is not his fault |
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2. Which of the following situations best supports the stress-diathesis model of mental illness development?
1. The rate of suicide increases during times of national disaster and despair.
2. Four of five siblings in the Jones family develop bipolar disorder by the age of 30.
3. A man with no prior mental health problems experiences sadness after his divorce.
4. A man develops schizophrenia, but his identical twin remains free of mental illness. |
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3. Identify all of the following statements about mental illness which are correct:
1. In any given year, about 20% of adults experience a mental disorder.
2. Mental health is best represented as a continuum of levels of functioning.
3. Mental disorders and diagnoses occur very consistently across cultures.
4. Most serious mental illnesses are psychological rather than biological in nature.
5. The President's New Freedom Commission highlighted significant gaps in care.
6. “Parity” refers to relating to mentally ill persons the same as to the non–mentally ill. |
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4. Which of the following disorders would be included on Axis I of the DSM IV-TR?
1. Major depression, dementia, and alcoholism
2. Diabetes type I or II, Parkinson's disease, and seizure disorders
3. Narcissistic, borderline, and paranoid personality disorders
4. Mental retardation and psychosocial stressors such as divorce |
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5. Which of the following actions represent the primary focus of psychiatric nursing for a basic-level registered nurse?
1. Determining a patient's diagnosis according to the DSM-IV-TR
2. Ordering diagnostic tests such as EEGs or CT or MRI scans
3. Identifying how a patient is coping with a symptom such as hallucinations
4. Guiding a patient to learn and use a variety of stress-management techniques
5. Helping a patient without transportation find a way to his treatment appointments
6. Collecting petition signatures seeking the removal of stigmatizing images on television |
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1. The nurse is working with a patient who lacks the ability to problem solve and seeks ways to self-satisfy without regard for others. The nurse understands that which system of the patient's personality is most pronounced?
1. Id
2. Ego
3. Conscience (superego)
4. Ego ideal (superego) |
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2. Which behavior, seen in a 30-year-old patient, would alert the nurse to the fact that the patient is not in his appropriate developmental stage according to Erikson?
1. States he is happily married
2. Frequently requests to call his brother “just to check in”
3. Looks forward to visits from a co-worker
4. Says “I'm still trying to find myself.” |
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3. A patient has difficulty sitting still and listening to others during group therapy. The therapist plans to use operant conditioning as a form of behavioral modification to assist the patient. Which action would the nurse expect to see in group therapy?
1. The therapist will act as a role model for the patient by sitting still and listening.
2. The patient will receive a token from the therapist for each session in which she sits still and listens.
3. The patient will be required to sit in solitude for 30 minutes after each session in which she does not sit still or listen.
4. The therapist will ask that the patient sit still and listen for only 2 minutes at a time to begin and will increase the time incrementally until the patient can sit and listen 10 minutes at a time. |
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4. The nurse is planning care for a patient with anxiety who will be admitted to the unit shortly. Which nursing action is most important?
1. Consider ways to assist the patient to feel valued during his stay on the unit.
2. Choose a roommate for the patient so that a friendship can develop.
3. Identify a room where the patient will have comfortable surroundings, and order a balanced meal plan.
4. Plan methods of decreasing stimuli that could cause heightened anxiety in the patient. |
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5. An experienced nurse is monitoring a new nurse. Which action of the new nurse would cause the experienced nurse to intervene?
1. Considering ways to decrease suicide risk of a suicidal patient
2. Referring an abused patient to a shelter
3. Providing a safe environment for a patient with Alzheimer's disease
4. Asking a patient to justify her behaviors |
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