Psychiatric Mental Health Nursing Practice Questions

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During a therapeutic group, two clients engage in an angry verbal exchange. The nurse leader interrupts the exchange and excuses both of the clients from the group. The nurse has demonstrated which leadership style?

  • A. Autocratic
  • B. Democratic
  • C. Laissez-faire
  • D. Bureaucratic
Correct Answer: A

Rationale: The correct answer is A: Autocratic. This leadership style is characterized by making decisions independently and enforcing them without input from the group. In this scenario, the nurse leader interrupted the exchange and made the decision to excuse both clients without consulting the group. This approach is necessary in situations requiring immediate intervention to maintain order and ensure the safety of all group members.

Summary of other choices:
B: Democratic - In a democratic leadership style, decisions are made through group discussion and input from all members. This was not demonstrated in the scenario.
C: Laissez-faire - In a laissez-faire leadership style, the leader takes a hands-off approach and allows group members to make decisions. This was not demonstrated as the nurse leader took immediate action.
D: Bureaucratic - Bureaucratic leadership involves following strict rules and procedures. The scenario did not involve following predetermined rules but rather a quick decision made by the nurse leader.

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A nurse understands that the abnormal secretion of growth hormone may play a role in which illness?

  • A. Schizophrenia
  • B. Anorexia nervosa
  • C. Alzheimers disease
Correct Answer: B

Rationale: The correct answer is B: Anorexia nervosa. Growth hormone abnormalities can contribute to the development of anorexia nervosa by affecting metabolism and body composition. Increased levels of growth hormone can lead to muscle wasting and weight loss, which are common symptoms of anorexia nervosa. In contrast, schizophrenia is primarily associated with neurotransmitter imbalances, Alzheimer's disease is linked to neurodegeneration, and diabetes is often related to insulin abnormalities.

Which client statement reflects an understanding of the effect of circadian rhythms on a person?

  • A. When I dream about my mothers horrible train accident, I become hysterical. B. I get really irritable during my menstrual cycle.C. Im a morning person. I get my best work done in the a.m.
  • B. Every February, I tend to experience periods of sadness.
Correct Answer: C

Rationale: The correct answer is C because the client statement "I'm a morning person. I get my best work done in the a.m." reflects an understanding of circadian rhythms. Circadian rhythms are the body's internal clock that regulates the sleep-wake cycle and influences energy levels and productivity throughout the day. Being a morning person indicates that this individual's peak productivity aligns with their body's natural circadian rhythm, which typically results in better performance during the morning hours.

Choice A is incorrect as it relates to a traumatic dream triggering hysteria, not circadian rhythms. Choice B is incorrect as it mentions experiencing sadness in February, which is more likely related to seasonal affective disorder rather than circadian rhythms.

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.

A nursing instructor is presenting content on the provisions of the Nurse Practice Act as it relates to their state. Which student statement indicates a need for further instruction?

  • A. The Nurse Practice Act provides a list of definitions of important terms, including the definition of nursing.
  • B. The Nurse Practice Act lists education requirements for licensure and reciprocity.
  • C. The Nurse Practice Act contains detailed statements that describe the scope of practice for registered nurses (RNs).
  • D. The Nurse Practice Act lists the general authority and powers of the state board of nursing.
Correct Answer: B

Rationale: The correct answer is B because education requirements for licensure and reciprocity are typically not included in the Nurse Practice Act. The Act primarily focuses on defining the scope of practice, authority of the state board, regulations, and standards for nursing practice. Education requirements are usually outlined in separate regulations or guidelines by the state board of nursing or accrediting bodies. Therefore, if a student statement mentions education requirements as part of the Nurse Practice Act, it indicates a need for further instruction as it is not accurate.

A: This statement is correct as the Nurse Practice Act often includes definitions of important terms to provide clarity and understanding.
C: This statement is correct as the Act does describe the scope of practice for registered nurses to ensure safe and competent care.
D: This statement is correct as the Act typically outlines the general authority and powers of the state board of nursing to regulate and oversee nursing practice.

An employee uses the defense mechanism of displacement when the boss openly disagrees with suggestions. What behavior would be expected from this employee?

  • A. The employee assertively confronts the boss
  • B. The employee leaves the staff meeting to work out in the gym
  • C. The employee criticizes a coworker
  • D. The employee takes the boss out to lunch
Correct Answer: C

Rationale: Displacement is a defense mechanism where emotions are redirected from the original source to a substitute target. In this case, the employee is likely to displace their anger from the boss onto a coworker by criticizing them. This behavior allows the employee to express their feelings indirectly.

A: Assertively confronting the boss does not align with displacement as it involves direct confrontation.
B: Leaving the meeting to work out in the gym is a form of avoidance and does not involve displacing emotions onto another target.
D: Taking the boss out to lunch is more of a conciliatory gesture and does not involve displacing negative emotions onto someone else.

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