Question 1

Which adjective best describes a therapeutic psychiatric nurse?

Accepted Answer

A

Question 2

The nurse reads this information in a patient's record: history of agranulocytosis from antipsychotic medication; victim of childhood sexual abuse; weight loss of 27 lb in 3 months; parent diagnosed with bipolar disorder. Which item would be classified as a psychodynamic factor associated with the patient's mental illness?

Accepted Answer

The victim of childhood sexual abuse is a psychodynamic factor because it can contribute to the development of mental health issues later in life. Psychodynamic factors refer to early life experiences, such as traumas or conflicts, that can shape one's personality and behavior. The other options listed are not related to psychodynamic factors. The history of agranulocytosis is a medical complication, the parent diagnosed with bipolar disorder is a genetic factor, and weight loss is a physical symptom that may be related to an underlying medical condition.

Question 3

Which guidelines should be included by the nurse who will provide staff development training to unlicensed assistive personnel about psychotherapeutic management? (Select all that apply.)

Accepted Answer

The guidelines for psychotherapeutic management should include providing opportunities to strengthen patients' self-esteem and providing encouragement for patients in distress. Both of these actions can promote the patient's sense of wellbeing and mental health. The other options (A, B, and C) are not appropriate guidelines for psychotherapeutic management and could potentially even be harmful.

Question 4

How do prevalence rates for substance abuse disorders in the United States currently present?

Accepted Answer

Prevalence rates for substance abuse disorders in the United States are currently higher for men than for women.

Question 5

Which principle is applicable to nursing care of patients with all types of psychopathology?

Accepted Answer

Nursing care for patients with psychopathology should always focus on treating patients as individuals with unique needs and experiences. It is important to avoid making assumptions about the patient's behaviors or thoughts and to tailor care to the individual. Competitive situations or confrontation may not be appropriate or effective for all patients with psychopathology. While it is important to provide education about consequences of behaviors, it should be done in a non-judgmental and supportive manner. Similarly, patients with psychopathology may not always make self-enhancing decisions, and nursing care should be designed to support and guide the patient towards the best possible outcomes.

Question 6

Long- and short-term goals are documented in which part of the plan of care?

Accepted Answer

Long- and short-term goals are documented under the outcomes section of the plan of care. Assessment involves gathering information about the patient's condition, diagnosis involves identifying the patient's health problem(s), interventions involve implementing specific actions to achieve the goals, and evaluation involves assessing the effectiveness of the interventions.

Question 7

Which argument effectively supports the importance of funding services for persons with mental illness in the United States?

Accepted Answer

This argument effectively supports the importance of funding services for persons with mental illness by pointing out the high prevalence of mental disorders among American adults. This statistic highlights the significant need for mental health services and indicates that funding these services is crucial to help those with mental illness. Options B, C, and D do not provide strong arguments for the importance of funding services for persons with mental illness.

Question 8

Which assessment finding should be documented as subjective information?

Accepted Answer

Reports of abdominal pain are a subjective statement made by the patient and should be documented as subjective information. "Flushed face" is an objective finding that can be observed and documented, while the WBC count and lithium level are objective laboratory values that should also be recorded as objective information.

Question 9

What is the most prevalent psychopathologic condition diagnosed in the United States?

Accepted Answer

Anxiety disorders are the most prevalent psychopathologic condition diagnosed in the United States, affecting around 18% of the adult population every year. Mood disorders, such as depression, are also common, affecting around 10% of the population every year. Schizophrenia and alcohol dependency are less prevalent, affecting around 1% and 5% of the population, respectively.

Question 10

Which assessment finding should be documented as objective information?

Accepted Answer

The assessment finding of wearing layered clothing is an objective observation that can be directly seen and documented by the healthcare provider. The other options involve self-reported information, which is subjective and may vary depending on the individual's perception and interpretation of their symptoms.

Question 11

A patient who has taken antipsychotic medication for a year presents with these signs and symptoms: jaundice, headache, pruritus, and abdominal discomfort. Which finding should be documented as objective data?

Accepted Answer

Jaundice is an objective finding that can be observed and measured, while the other symptoms listed are subjective and rely on the patient's report.

Question 12

A nurse reads this information in a patient's record: suffered anoxia at birth; foster home placement at age 3; taunted by peers during childhood; low self-esteem since adolescence. Which item would be classified as a biologic factor associated with the patient's mental illness?

Accepted Answer

Anoxia at birth refers to a lack of oxygen, which can cause damage to the brain and is a biologic factor that can contribute to mental illness. Foster home placement at age 3, taunting by peers, and low self-esteem are all psychosocial factors that can also contribute to mental illness. Trauma caused by parental death is a psychosocial factor, not a biologic one.

Question 13

A patient's areas of strength are documented in which part of the plan of care?

Accepted Answer

The answer of A patient's areas of strength are documented...

Question 14

What is the purpose of the DSM-V?

Accepted Answer

The DSM-V (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) serves as the official American resource manual detailing diagnostic criteria of psychiatric disorders. It provides clinicians in the United States with a detailed list of clinical psychiatric disorders and their specific criteria for diagnosis. It does not focus solely on data and statistics or international demographics.

Question 15

How does a multiaxial diagnostic and classification tool contribute to successful treatment of persons with mental illness?

Accepted Answer

The answer of How does a multiaxial diagnostic and classification...

Question 16

What general psychotherapeutic management guideline should nurses apply when caring for all patients?

Accepted Answer

Strengthening patients' self-esteem is important in all forms of psychotherapeutic management. This can help improve their overall mental health and wellbeing. Keeping reality testing to a minimum, ignoring hostile behavior, and providing unrestricted opportunities for self-expression are not necessarily applicable or appropriate for all patients, as individualized approaches may be needed.

Question 17

A patient with low self-esteem and feelings of failure would benefit most from which activity?

Accepted Answer

Helping make favors for a party can provide a sense of accomplishment and purpose, which can boost self-esteem and help combat feelings of failure. Additionally, working on a task with others can provide social support and may help the individual feel less isolated. Attending a dance or leading the chorus may be intimidating for someone with low self-esteem, and playing board games may not necessarily address underlying issues contributing to the low self-esteem.

Quiz 23: Introduction to Psychopathology