WorksheetsNCM 117 - Prelim Exam
Total questions: 50
Worksheet time: 39mins
Which of the following parts of the brain is associated with multiple feelings and behaviors and is sometimes referred to as the “emotional brain”?
a. Frontal lobe
b. Thalamus
c. Hypothalamus
d. Limbic system
Which of the following parts of the brain is concerned with visual reception and interpretation?
a. Frontal lobe
b. Parietal lobe
c. Temporal lobe
d. Occipital lobe
Which of the following parts of the brain is associated with voluntary body movement, thinking and judgment, and expression of feeling?
a. Frontal lobe
b. Parietal lobe
c. Temporal lobe
d. Occipital lobe
Which of the following parts of the brain deals with sensory perception and interpretation?
a. Hypothalamus
b. Cerebellum
c. Parietal lobe
d. Hippocampus
After studying the concepts of personality development, the nursing student understands that Freud is to psychoanalytic theory as Peplau is to:
Psychosocial theory.
Nursing theory.
Interpersonal theory.
Object relations theory.
A client on an in-patient psychiatric unit has a nursing diagnosis of noncompliance R/T not taking antipsychotic medications. The nurse is functioning in which role when the nurse checks for “cheeking”?
Advocate.
Educator.
Medication manager.
Counselor.
It is a state of complete physical, mental and social well-being without the absence of disease or infirmity.
Mental Health
Health
Psychiatric Health
Psychiatric-Mental Health
A state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior, and coping, positive self-concept, and emotional stability
Mental Health
Health
Psychiatric Health
Psychiatric-Mental Health
Examines the nature and development of abnormal behavior, thoughts, and feelings.
Psychoanalysis
Psychopathology
Psychogenesis
Pathophysiology
The view that abnormal mental function is due the occupation by an evil being of the mind of a person.
Somatogenesis
Demonology
Psychogenesis
The view that disturbed body function produces mental abnormality.
Somatogenesis
Demonology
Psychogenesis
The belief that mental disturbance has psychological origins.
Somatogenesis
Demonology
Psychogenesis
Created in the 15th century for the care/treatment of the mentally ill.
Homecare
Mental Hospital
Asylums
Advocated for humane treatment in 1793 for the mentally ill patients.
Pinel
Kraepelin
Rush
Suggested that clusters of symptoms form a syndrome.
Pinel
Kraepelin
Rush
One gains recognition of his/her own feelings, beliefs, and attitudes.
Self-Awareness
Environment Awareness
Personal Awareness
These are individual differences formed in childhood.
Behavior
Heredity
Personality
A theory that focuses on behaviors, feelings, thought, and experiences of each individual.
Intrapersonal
Interpersonal
Extrapersonal
A feeling of tension, distress, and discomfort produced by a perceived or threatened loss of inner control.
Anxiety
Behavior
Pleasure
Depression
Principle that strives to satisfy desires and reduce inner tension.
Perfection
Reality
Pleasure
Solves problems by planning & acting.
Perfection
Reality
Pleasure
Reasoning to find an excuse to do it anyway.
Sublimate
Repression
Rationalize
It assists the ego in the control of id impulses.
Guilt
Conscience
Counseling
A conflict manifesting the attachment of a son towards the parent of the opposite sex.
Elektra Complex
Oedipal Complex
Phallic Complex
The basic psychic energy of self.
Id
Ego
Superego
Generates the feeling of guilt.
Libido
Conscience
Impulsiveness
Most important activity in psychiatric nursing.
Smiling
Talking
Listening
Playing
In psychiatric nursing, a nurse should be:
physically active but psychologically passive.
psychologically active but physically passive.
When treating clients, we need to focus on the weakness and assets of the individual.
True
False
It is the recognition that objects exist even when no longer visible.
Assimilation
Object Permanence
Accommodation
Conservation
The process of changing cognitive structures in order to accept something from the environment.
Assimilation
Object Permanence
Accommodation
Conservation
During what period does the child develop their ability to coordinate sensory input with motor actions?
Sensorimotor
Pre-Operational
Concrete Operational
Formal Operational
It states that physical quantities remain constant despite changes to shape or appearance.
Assimilation
Object Permanence
Accommodation
Conservation
A decrease in which of the following neurotransmitters has been implicated in depression?
GABA, acetylcholine, and aspartate
Norepinephrine, serotonin, and dopamine
Somatostatin, substance P, and glycine
Glutamate, histamine, and opioid peptides
At a synapse, the determination of further impulse transmission is accomplished by means of which of the following?
Potassium ions
Interneurons
Neurotransmitters
The myelin sheath
Which of the following statements is (are) correct regarding the use of restraints? Check all that applies.
Restraints may never be initiated without a physician’s order
Orders for restraints must be reissued by a physician every 2 hours for children and adolescents.
Clients in restraints must be observed and assessed every hour for issues regarding circulation, nutrition, respiration, hydration, and elimination.
Adults in restraints must have an in-person reevaluation by a physician every 8 hours.
Guidelines relating to “duty to warn” state that a therapist should consider taking action to warn a third party when his or her client (select all that apply):
threatens violence toward another individual.
identifies a specific intended victim.
has command hallucinations
reveals paranoid delusions about another individual
The right to determine one’s own destiny is to autonomy; as the duty to benefit or promote the good of others is to:
Nonmaleficence.
Justice
Veracity.
Beneficence.
A nursing student observes an incorrect dosage of medication being given to a client receiving electroconvulsive therapy. To observe the ethical principle of veracity, which action would the nursing student take?
Keep the information confidential to avoid harm to others.
Inform the student’s instructor and the client’s primary nurse, and document the situation.
Tell only the client about the incident because the decision about actions would be determined only by the client.
Because the client was not harmed, the incident would not need to be reported.
A nursing student states to the instructor, “I’m afraid of mentally ill clients. They are all violent.” Which statement would the instructor use to clarify this perception for the student?
“Even though mentally ill clients are often violent, there are ways to de-escalate these behaviors.”
“A very few clients with mental illness exhibit violent behaviors.”
“There are medications that can be given to clients to avoid violent behaviors.”
“Only paranoid clients exhibit violent behaviors.”
Which action should be taken by the clinician when there is reasonable certainty that a client is going to harm someone? Select all that apply.
Assess the threat of violence toward another.
Identify the person being threatened.
Notify the identified victim.
Notify only law enforcement authorities to protect confidentiality.
Consider petitioning the court for continued commitment.
On which client would a nurse on an in-patient psychiatric unit appropriately use four-point restraints?
A client who is hostile and threatening the staff and other clients.
A client who is intrusive and demanding and requires added attention.
A client who is noncompliant with medications and treatments.
A client who splits staff and manipulates other clients.
A nursing student uses a client’s full name on an interpersonal process recording submitted to the student’s instructor. What is the instructor’s priority intervention?
Reinforce the importance of accurate documentation, including the client’s name.
Correct and remind the student of the importance of maintaining client confidentiality.
Tell the student that because the client has been deemed incompetent, confidentiality is not an issue.
Tell the student that because the client is involuntarily committed, confidentiality is not an issue.
The phone rings at the nurse’s station of an in-patient psychiatric facility. The caller asks to speak with Mr. Hawkins, a client in room 200. Which nursing response protects this client’s right to autonomy and confidentiality?
“I am sorry you cannot talk to Mr. Hawkins.”
“I cannot confirm or deny that Mr. Hawkins is a client admitted here.”
“I’ll see if Mr. Hawkins wants to talk with you.”
“I’m sorry, Mr. Hawkins is not taking any calls.”
The nurse on an in-patient psychiatric unit documents the following in a client’s chart: “Seems to have no regard for legal or ethical standards. A problem client who needs constant limit-setting.” Which response by the nurse manager reflects the potential liability related to this charting entry?
“Documenting this breeches the client’s right to confidentiality.”
“Documenting this puts you at risk for malpractice.”
“Documenting this puts you at risk for defamation of character.”
“Documenting this breeches the client’s right to informed consent.”
On an in-patient psychiatric setting, which action reflects the nurse’s role of teacher?
The nurse assesses potentially stressful characteristics of the environment and develops strategies to eliminate or decrease stressors.
The nurse orients new clients to the unit and assists them to fit comfortably into the environment.
The nurse assists the client and family members to cope with the effects of mental illness.
The nurse is the guardian of the therapeutic environment
On an in-patient psychiatric unit, a client diagnosed with major depressive disorder states, “I’m so glad that the Zoloft that my doctor just prescribed will quickly help me with my mood.” Which nursing response reflects the role of teacher?
“I’ll set up a time with your doctor to clarify information about this medication.”
“Let’s talk about how you feel about taking this new medication.”
“It’s great that you have learned this information about your new medication.”
“This medication will probably take 2 to 4 weeks to be effective.”
Which is an example of appropriate psychosexual development?
An 18-month-old relieves anxiety by the use of a pacifier
A 5-year-old boy focuses on relationships with other boys.
A 7-year-old girl identifies with her mother
A 12-month-old begins learning about independence and control.
A 25-year-old client diagnosed with major depressive disorder is admitted to an in-patient psychiatric unit. Since being fired 2 months ago, the client stays inside and avoids others. Which outcome reflects this client’s developmental task assessment as described by Erikson?
Stagnation.
Despair.
Isolation.
Role confusion.
A 7-year-old boy is active in sports and has received a most-improved player award at his baseball tournament. Which outcome reflects this child’s developmental task assessment as described by Erikson?
Autonomy.
Identity.
Industry.
Initiative.
