PSYCHIATRIC AND MENTAL HEALTH NURSING

BASIC CONCEPT POST TEST

BY: JAYRALD CRUZADA
1.

People believed that mental illness was caused by the displeasure of the Gods and in fact was punishment for sins and
wrongdoing during the:
a. Ancient time
b. Middle Ages c. Renaissance
d. Modern Era
2.

During the period of enlightenment, hospitals were created that offered asylum to the suffering. The person who spearheaded
to reform the treatment of mental illness and instrumental to the opening of those hospitals is:
a. Hildegard Peplau b. Dorothea Dix c. Erik Erikson d. Sigmund Freud
3.
a.
b.
c.
d.

The term deinstitutionalization refers to:

Specialized treatment units
Education of institution staff
Moving patients to the community
Combining several institutions

4. The founder of psychoanalysis is:

a. Abraham Maslow b. Erik Erikson c. Harry Stack Sullivan

d. Sigmund Freud

5. Which personality structure finds the rules to control the id and allows the person to function successfully in the world?
a. Conscious b. Id
c. Superego
d. Ego
6.
a.
b.
c.
d.

According to psychoanalytic theory, the ego has several functions. The primary function of the ego is to:
serve as the source of instinctual drives
serve in moral principle
Operate as a conscience that controls
Test reality and direct behavior

7.

According to your friend, she had a slip of the tongue. As a student nurse, you know that these slips were not accidents or
coincidences; rather they are reflections of the __________ mind.
a. Conscious b. Subconscious c. Superego
d. None of the above
8. Erik Eriksons theory of personality development emphasizes the importance of:
a. Hereditary factors b. Sexual needs c. Social Influence
d. Chemical Balance
9.
a.
b.
c.
d.

The nurse knows that Erik Erikson identified the developmental tasks of the school-age child from 6-12 years as:
Initiative vs. Guilt
Industry vs. Inferiority
Autonomy vs. Shame and Doubt
Intimacy vs. Isolation

10. Garie talks about her joy in having responsible and accomplished children and recalls challenging career as a lawyer. She is
demonstrating a sense of:
a. Ego Integrity b. Industry
c. Generativity
d. Autonomy
11. According to the Psychoanalytic theory, this is the stage wherein the oedipal complex or the wish to marry the opposite sex parent
and be rid of the same-sex parent is seen in boys.
a. Oral
b. Anal
c. Phallic
d. Genital
12. According to the neurobiologic theory, this neurotransmitter is implicated in schizophrenia and other psychoses as well as
movement disorders such as Parkinsons Disease.
a. Serotonin b. Norepinephrine
c. Epinephrine
d. Dopamine
13. The person who originally developed the concept of milieu therapy is:
a. Erik Erikson b. Hildegard Peplau
c. Harry Stack Sullivan d. Jean Piaget
14. According to Maslows hierarchy of needs, the need for love and belonging must be met before:
a. Physical Survival b. Oral Satisfaction
c. Safety and Security
d. Self-actualization
15. There are four areas of the Joharis Window. The characteristics and qualities that are known only to self falls in which area?
a. Quadrant 1
b. Quadrant 2
c. Quadrant 3
d. Quadrant 4
16. The essential foundation that must be established early in the therapeutic relationship is:
a. Confidence
b. Insight
c. Trust d. Empathy
17. Which of the following observations would be most definitive when assessing a patient who has posttraumatic stress disorder?
a. Substance Abuse b. Flashbacks
c. Aggression
d. Depression
18. The fear of losing ones mind or having a heart attack is most likely to occur in:
a. Panic Disorder
b. Social Phobia c. GAD d. PTSD

19. Which of the following would be the best nursing action for a client who is having a panic attack?
a. Remain with the client
b. Teach the client to recognize signs of a panic attack
c. Instruct the client to remain alone until the symptoms subside
d. Involve the client in a physical activity
20. Ariel is a client who is diagnosed with agoraphobia has been symptom-free for 4 months. Classic signs and symptoms of
phobias include:
a. Insomnia and an inability to concentrate
b. Severe anxiety and fear
c. Depression and weight loss
d. Withdrawal and failure to distinguish reality from fantasy
Choose the letter of the best answer
________21. Bea imagines everyday that her nose is too flat and too small for her face
________22. Judays left arm suddenly became paralysed and she shows lack concern
________23. Claudine thinks she will get a very serious disease soon due to her work
________24. Angel visits her doctor every week presenting various physical symptoms
________25. Marian has a headache all the time since she brokes up with her boyfriend and she reports it is unrelieved by
analgesics
a.
b.
c.
d.
e.

Somatization Disorder
Conversion disorder
Pain Disorder
Hypochondriasis
Body Dysmorphic Disorder

26. . Mental health is defined as:

a. The ability to distinguish what is real from what is not.
b. A state of well-being where a person can realize his own abilities can cope with normal stresses of life and work productively.
c. Is the promotion of mental health, prevention of mental disorders, nursing care of patients during illness and rehabilitation
d. Absence of mental illness
27. Which of the following is a generally accepted criterion of mental health?
a. Self-acceptance
b. Absence of anxiety
c. Ability to control others d. Happiness
28. The science which deals with measures to promote mental health and reduce incidence of mental illness is:
a. mental health nursing
b. mental hygiene
c. psychiatric nursing
29. A major predisposing factor of mental illness in the home is:
a. heredity

b. political confusion

c. poverty

d. urbanization

30. Mental illness is:

a. a disturbance in the persons thoughts, feelings and behavior
b. a state of emotional balance
c. always hereditary
d. happiness
30. Mental illness is:
a. a disturbance in the persons thoughts, feelings and behavior
b. a state of emotional balance
c. always hereditary
d. happiness
31. The signs of lithium toxicity include which of the following?
a. Sedation, fever, restlessness
b. Psychomotor agitation, insomnia, increased thirst
c. Elevated white blood cell count, sweating, confusion
d. Severe vomiting, diarrhea, anorexia
32. Clients taking which of the following types of psychotropic medications need close monitoring of their cardiac status?
a. Antidepressants
b. Antipsychotics
c. Mood stabilizers
d. Stimulants
33. Psychiatric rehabilitation focuses on:
a. clients strengths
b. medication compliance
c. social skills deficits

d. symptom reduction
34. Client: I had an accident
Nurse: Tell me more about your accident
This is an example of which therapeutic communication technique?
a. Making observations
b. Offering self
c. General lead
d. Exploring
35. The best goal for a client learning a relaxation technique is that the client will
a. Confront the source of anxiety directly
b. Experience anxiety without feeling overwhelmed
c. Report no episodes of anxiety
d. Suppress anxious feelings
36. A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the clients:
a. Motivation for treatment
b. Family and social support
c. Use of coping mechanisms
d. Use of alcohol
37. Which of the following are considered the positive signs of schizophrenia?
a. Delusion, anhedonia, ambivalence
b. hallucination, illusion, ambivalence
c. Delusions, hallucinations, disordered thinking
d. disordered thinking, anhedonia, illusions
38. The nurse is planning discharge teaching for a client taking clozapine (Clozaril). Which of the following is essential to include?
a. caution the client not to be outdoors in the sunshine without protective clothing
b. remind the client to go to the lab to have blood drawn for a white blood cell count
c. instruct the client about dietary restrictions
d. give the client a chart to record a daily pulse rate
39. When the client describes fear of leaving his apartment as well as the desire to get out and meet others. It is called:
a. ambivalence
b. anhedonia
c. alogia
d. avoidance
40. The overall goal of psychiatric rehabilitation is for the client to gain
a. control of symptoms
b. freedom from hospitalization
c. management of anxiety
d. recovery from illness
41. Identify the serum lithium level for maintenance and safety.
a. 0.1-1.0 mEq/L
b. 0.5 to 1.5 mEq/L
c. 10 to 50 mEq/L
d. 50 to 100 mEq/L
42. Which of the following typifies the speech of a person in the acute phase of mania?
a. Flight of ideas
b. Psychomotor retardation
c. Hesitant
d. Mutism
43. The nurse would assess for which of the following characteristics in a client with narcissistic personality disorder?
a. Entitlement
b. Fear of abandonment
c. Hypersensitivity
d. Suspiciousness
44. Which of the following would the nurse recognize as signs of alcohol withdrawal?
a. coma, disorientation, and hypervigilance
b. tremulousness, sweating and elevated BP
c. Increased temp, lethargy and hypothermia
d. talkativeness, hyperactivity and blackouts
45. A client comes to day treatment intoxicated, but says he is not. The nurse identifies that the client is exhibiting symptoms of:
a. denial
b. reaction formation
c. projection
d. transference
46. A teenage girl is being evaluated for an eating disorder. Which of the following would suggest anorexia nervosa?
a. guilt and shame about eating patterns
b. lack of knowledge about food and nutrition
c. refusal to talk about food-related topics
d. unrealistic perception of body size