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Master Mental Health Nursing with Confidence and Clarity
1. The primary purpose of the Community Mental Health Center
Act of 1963 was:
A. Getting better treatment in larger, more urban areas ✅ B. Moving patients to their home community for treatment C. Providing former patients with employment opportunities D. Removing the stigma of living in an institution
2. Managed Care is designed to:
A. Control health-care costs by limiting access to care B. Keep health-care costs from increasing over time C. Limit the amount of money paid to physicians and hospitals ✅ D. Maintain a balance between the quality and costs of health care
3. Hospitals established by Dorothea Dix were designed to provide
which of the following?
✅ A. Asylum B. Confinement C. Therapeutic milieu D. Public safety
Master Mental Health Nursing with Confidence and Clarity
4. Hildegard Peplau is best known for her writing about which of
the following?
A. Community-based care B. Humane treatment C. Psychopharmacology ✅ D. Therapeutic nurse-client relationship
5. Mental health parity laws ensure:
A. Better quality mental health treatment ✅ B. Quality in insurance coverage for mental illness C. Mental health treatment without stigma D. Persons receiving treatment really need it
6. Who was the first American Psychiatric Nurse?
✅ Linda Richards
7. Who provided moral treatment of the mentally ill?
✅ Dorothea Dix
8. Who established the therapeutic nurse-client relationship?
✅ Hildegard Peplau
Master Mental Health Nursing with Confidence and Clarity
13. A delusional client is yelling loudly but has made no threats.
The nurse places the client in seclusion due to complaints from
others. This is an example of:
A. Assault ✅ B. False Imprisonment C. Malpractice D. Negligence
14. Which of the following would indicate a duty to warn a third
party?
A. A client with delusions says, "I'm going to get them before they get me." B. A hostile client says, "I hate all police." C. A client says he plans to blow up the federal government. ✅ D. A client states, "If I can't have my girlfriend back, then no one can have her."
15. The nurse gives quetiapine (Seroquel) instead of olanzapine
(Zyprexa), but the client has no ill effects. The nurse has
committed:
A. Malpractice B. Negligence C. Unintentional tort ✅ D. None of the above
Master Mental Health Nursing with Confidence and Clarity
16. Which of the following elements are essential in a clinician's
duty to warn?
(Select all that apply) ✅ A. Client makes threatening statements B. History of violence ✅ C. Potential victim(s) are identifiable D. Potential victim is easy to locate E. Threat is not a delusion ✅ F. Threat of harm is serious
17. Which of the following elements are necessary to prove
liability in a malpractice lawsuit?
(Select all that apply) ✅ A. Client is injured ✅ B. Failure to conform to standards of care ✅ C. Injury caused by breach of duty D. Injuries must be visible and verified E. Nurse intended to cause harm ✅ F. Recognized relationship between client and nurse
18. A nurse is teaching a client on MAOIs about foods high in
tyramine. Which statement indicates a need for further teaching?
✅ A. "I'm so glad I can have pizza as long as I don't order pepperoni." B. "I will be able to eat cottage cheese without worrying."
Master Mental Health Nursing with Confidence and Clarity ✅ C. Growth suppression D. Weight gain
22. A client with schizophrenia taking haloperidol reports
restlessness, inability to sit still, and muscle stiffness. Which PRN
medication should the nurse administer?
A. Haloperidol (Haldol), 5 mg PO ✅ B. Benztropine (Cogentin), 2 mg PO C. Propranolol (Inderal), 20 mg PO D. Trazodone, 50 mg PO
23. Client teaching for lamotrigine (Lamictal) should include which
of the following?
A. Eat a well-balanced diet to avoid weight gain ✅ B. Report any rashes to your doctor immediately C. Take each dose with food to avoid nausea D. This drug may cause psychological dependence
24. Which physician order should the nurse question for a client
who says, "I'm allergic to phenothiazines?"
A. Haldol, 5 mg PO bid B. Navane, 10 mg PO bid ✅ C. Prolixin, 5 mg PO tid D. Risperdal, 2 mg bid
Master Mental Health Nursing with Confidence and Clarity
25. Clients taking which type of psychotropic medications need
close cardiac monitoring?
A. Antidepressants B. Antipsychotics C. Mood stabilizers ✅ D. Stimulants
26. Identify the drug classification for Clozapine (Clozaril):
✅ Atypical antipsychotic
27. Identify the drug classification for Fluoxetine (Prozac):
✅ SSRI antidepressant
28. Identify the drug classification for Amitriptyline (Elavil):
✅ Tricyclic antidepressant
29. Identify the drug classification for Benztropine (Cogentin):
✅ Anticholinergic
Master Mental Health Nursing with Confidence and Clarity
35. Dream analysis and free association are techniques used in
which therapy?
A. Client-centered therapy B. Gestalt therapy C. Logotherapy ✅ D. Psychoanalysis
36. Four levels of anxiety were described by:
A. Erik Erikson B. Sigmund Freud ✅ C. Hildegard Peplau D. Carl Rogers
37. Correcting how one thinks about the world and oneself is the
focus of:
A. Behaviorism ✅ B. Cognitive therapy C. Psychoanalysis D. Reality therapy
Master Mental Health Nursing with Confidence and Clarity
38. The personality structure of id, ego, and superego was
described by:
✅ A. Sigmund Freud B. Hildegard Peplau C. Frederick Perls D. Harry Stack Sullivan
39. The nursing role that involves being a substitute for another,
such as a parent, is called:
A. Counselor B. Resource person ✅ C. Surrogate D. Teacher
40. Psychiatric rehabilitation focuses on:
✅ A. Client’s strengths B. Medication compliance C. Social skills deficits D. Symptom reduction
Master Mental Health Nursing with Confidence and Clarity
45. Identify the theorist who believed: Behavior change occurs
through conditioning with environmental stimuli.
✅ Ivan Pavlov
46. Identify the theorist who believed: People make themselves
unhappy by clinging to irrational beliefs.
✅ Albert Ellis
47. Identify the theorist who believed: Behavior is learned from
past experiences that are reinforcing.
✅ B.F. Skinner
48. Identify the theorist who developed client-centered therapy.
✅ Carl Rogers
49. Identify the theorist who developed Gestalt therapy.
✅ Frederick Perls
Master Mental Health Nursing with Confidence and Clarity
50. Identify the theorist who developed the Hierarchy of Needs.
✅ Abraham Maslow
51. Identify the theorist who developed logotherapy.
✅ Viktor Frankl
52. Identify the theorist who developed rational emotive therapy.
✅ Albert Ellis
53. Identify the theorist who developed reality therapy.
✅ William Glasser
54. Describe the characteristics of mental health:
Difficult to define No single, universal definition Dynamic and ever-changing Influenced by multiple factors
Master Mental Health Nursing with Confidence and Clarity
59. True or False: The definition of mental health is standardized
and universally accepted.
✅ False
60. Which statement best reflects the state of mental health and
mental illness?
✅ A. Mental health-care costs exceed the costs for cancer care B. Most adults and children receive adequate mental health care C. Community resources for the homeless with mental illness are adequate
61. True or False: Community-based programs are preferable for
treating many people with mental illness.
✅ True
62. Describe common student concerns about psychiatric nursing:
Saying the wrong thing Not knowing what to do Being rejected or ignored Asking personal questions Handling bizarre or aggressive behavior
Master Mental Health Nursing with Confidence and Clarity Feeling unsafe
63. True or False: Mental health patients who are hospitalized
voluntarily give up the right to leave the hospital.
✅ False
64. Describe the rights of clients in a psychiatric setting:
Retain all civil rights unless involuntarily committed Protected under mental health bill of rights Right to treatment, dignity, and informed consent
65. What are the categories of drugs used to treat mental illness?
Antipsychotics (neuroleptics) Antidepressants Mood-stabilizing drugs Antianxiety drugs (e.g., benzodiazepines) Stimulants Disulfiram (used for alcohol aversion therapy)
Master Mental Health Nursing with Confidence and Clarity Weight loss Nausea Irritability Growth and weight suppression (especially in children)
68. What is the mechanism of action and side effects for
antianxiety medications?
Mechanism of Action: Mediation of GABA (gamma-aminobutyric acid) Partial agonist activity at serotonin receptors (e.g., Buspirone) Side Effects: Benzodiazepines : Dependence, CNS depression, hangover effect, tolerance Buspirone : Dizziness, sedation, nausea, headache
69. What is the mechanism of action and side effects for mood-
stabilizing drugs?
Mechanism of Action: Normalize reuptake of certain neurotransmitters Increase levels of GABA Affect the kindling process in neurons Side Effects: Toxicity
Master Mental Health Nursing with Confidence and Clarity Nausea, anorexia Fine hand tremor Polydipsia Rash Weight gain or loss Alopecia Sedation
70. What is the mechanism of action and side effects for
antidepressants?
Mechanism of Action: Interact with monoamine neurotransmitter systems , especially norepinephrine and serotonin Side Effects: SSRIs : Anxiety, agitation, akathisia, nausea, insomnia, sexual dysfunction, weight gain TCAs : Anticholinergic effects MAOIs : Daytime sedation, insomnia, weight gain, dry mouth, orthostatic hypotension, sexual dysfunction
