Psychiatric Mental Health Nursing Practice Questions

Psychiatric Mental Health Nursing Practice Questions Related

Review Psychiatric Mental Health Nursing Practice Questions related questions and content

A psychiatric nurse uses Sullivans theories in group and individual therapy. According to Sullivan and other theorists like him, how are client symptoms viewed behaviors that are maintained because they are reinforced?

  • A. Client symptoms are viewed as responses to anxiety arising from interpersonal relationships.
  • B. Client symptoms are viewed as internal conflicts arising from early childhood trauma.
  • C. Client symptoms are viewed as the misinterpretations of experiences.
  • D. Client symptoms are viewed as learned
Correct Answer: B

Rationale: The correct answer is B because Sullivan and other theorists like him believe that client symptoms are viewed as internal conflicts arising from early childhood trauma. Sullivan emphasized the impact of early relationships on personality development, suggesting that unresolved conflicts from childhood can manifest as symptoms in adulthood. This perspective aligns with psychodynamic theories that emphasize the role of unconscious processes and early experiences in shaping behavior.

Choice A is incorrect because it focuses on anxiety arising from interpersonal relationships, which is more aligned with interpersonal theories rather than Sullivan's emphasis on childhood experiences. Choice C is incorrect as it suggests misinterpretations of experiences, which does not fully capture the depth of internal conflicts highlighted by Sullivan. Choice D is incorrect as it simplifies client symptoms as learned behaviors without considering the underlying emotional conflicts rooted in early childhood experiences, as emphasized by Sullivan.

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A client is trying to explore and solve a problem. Which nursing statement would be an example of verbalizing the implied?

  • A. You seem to be motivated to change your behavior.
  • B. How will these changes affect your family relationships?
  • C. Why dont you make a list of the behaviors you need to change.
  • D. The team recommends that you make only one behavioral change at a time.
Correct Answer: A

Rationale: Step 1: A is correct as it reflects active listening and shows empathy towards the client.
Step 2: By stating "You seem to be motivated to change your behavior," the nurse acknowledges the client's feelings and encourages further exploration.
Step 3: This statement helps the client feel understood and supported in their journey towards change.
Summary:
B: Focuses on family relationships, not the client's motivation.
C: Suggests a directive approach rather than exploring the client's feelings.
D: Imposes a specific recommendation without considering the client's readiness or motivation.

From an interpersonal theory perspective, which intervention would a nurse use to assist a client diagnosed with major depressive disorder?

  • A. Offer family therapy sessions
  • B. Discuss childhood events
  • C. Teach alternate coping skills
  • D. Encourage discussion of feelings
Correct Answer: A

Rationale: The correct answer is A because family therapy sessions can help address underlying family dynamics contributing to the client's depression. This intervention aligns with interpersonal theory, which focuses on improving relationships and communication within the client's social network. Family therapy can enhance support systems and promote healthier interactions.
Option B is incorrect as discussing childhood events may not directly address current interpersonal difficulties. Option C, teaching coping skills, is helpful but may not target the interpersonal issues specific to major depressive disorder. Option D, encouraging discussion of feelings, is important but may not address the broader interpersonal dynamics impacting the client's condition.

What is the purpose of a nurse providing appropriate feedback?

  • A. To give the client good advice
  • B. To advise the client on appropriate behaviors
  • C. To evaluate the clients behavior
  • D. To give the client critical information
Correct Answer: C

Rationale: The purpose of a nurse providing appropriate feedback is to evaluate the client's behavior. This involves assessing the client's actions, understanding their needs, and determining the effectiveness of the care provided. Feedback helps in identifying areas for improvement and guiding the client towards better health outcomes. Choice A is incorrect as feedback is not solely about giving advice. Choice B is incorrect as feedback is not limited to advising on behaviors. Choice D is incorrect as feedback goes beyond just providing critical information to include a holistic evaluation of the client's overall behavior and progress.

A client diagnosed with somatic symptom disorder is most likely to exhibit which personality disorder characteristics?

  • A. Uses splitting and manipulation in relationships
  • B. Is socially irresponsible, exploitative, and guiltless and disregards rights of others
  • C. Expresses heightened emotionality, seductiveness, and strong dependency needs
  • D. Uncomfortable in social situations; perceived as timid, withdrawn, cold, and strange
Correct Answer: C

Rationale: The correct answer is C because individuals with somatic symptom disorder often display characteristics of heightened emotionality, seductiveness, and strong dependency needs. These traits are consistent with histrionic personality disorder, which is commonly comorbid with somatic symptom disorder. Choice A (splitting and manipulation) is more indicative of borderline personality disorder. Choice B (socially irresponsible, exploitative) aligns with antisocial personality disorder. Choice D (uncomfortable in social situations) is more in line with schizoid or avoidant personality disorder. Thus, choice C is the most appropriate match for individuals with somatic symptom disorder.

A nursing instructor is teaching about specific phobias. Which student statement should indicate that learning has occurred?

  • A. These clients do not recognize that their fear is excessive, and they rarely seek treatment.
  • B. These clients have overwhelming symptoms of panic when exposed to the phobic stimulus.
  • C. These clients experience symptoms that mirror a cerebrovascular accident (CVA).
  • D. These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis.
Correct Answer: B

Rationale: The correct answer is B because it accurately describes a key feature of specific phobias: individuals experience intense panic symptoms when exposed to the phobic stimulus. This indicates learning as it demonstrates understanding of the characteristic behavioral response in specific phobias. Choice A is incorrect as it describes characteristics of agoraphobia, not specific phobias. Choice C is incorrect as it describes symptoms of a stroke, not specific phobias. Choice D is incorrect as it lists symptoms that are not typically associated with specific phobias.

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