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WEEK 4 EXAM 1 STUDY GUIDE

Total questions: 98

Worksheet time: 49mins

Name
Class
Date
1.

What is the main focus of behavioral therapy?

a)

Changing maladaptive behaviors

b)

Providing medication

c)

Ignoring abnormal behavior

d)

Promoting physical health

2.

Behavioral therapy is based on the theory that behavior is ______ and has consequences.

a)

learned

b)

innate

c)

random

d)

unpredictable

3.

Which of the following is true about abnormal behavior according to behavioral therapy?

a)

It is due to avoiding feelings

b)

It is always genetic

c)

It cannot be changed

d)

It is unrelated to consequences

4.

Behavioral therapies teach ways to lower anxiety and avoidant behaviors using which of the following methods?

a)

Relaxation training and modeling

b)

Medication only

c)

Ignoring the behavior

d)

Physical punishment

5.

Behavioral therapy has been successful in treating which of the following?

a)

Phobias

b)

Heart disease

c)

Diabetes

d)

Broken bones

6.

Classic conditioning links neutral stimuli to a response. Which of the following is an example?

a)

Dog learning to associate a bell with food

b)

Student studying for exams

c)

Child learning to ride a bike

d)

Adult going to work

7.

Operant conditioning associates behaviors with ______ or ______ consequences.

a)

good; bad

b)

short; long

c)

internal; external

d)

expected; unexpected

8.

Who are typically included in group therapy?

a)

Multiple clients with common goals

b)

Only one client

c)

Only therapists

d)

Only family members

9.

Which of the following is NOT a component of group therapy?

a)

Psychosocial therapy

b)

Peer support

c)

Common goals

d)

Individual therapy only

10.

A safe milieu or milieu therapy is an environment that is ______, therapeutic, and safe.

a)

supportive

b)

hostile

c)

isolated

d)

chaotic

11.

Managing the environment in milieu therapy is important so it is psychosocially and physically safe for whom?

a)

Staff and clients

b)

Only clients

c)

Only staff

d)

Visitors

12.

While in a therapeutic environment, clients learn coping skills to interact better and improve what?

a)

Relationship skills

b)

Cooking skills

c)

Financial skills

d)

Athletic skills

13.

What is the nurse responsible for implementing in a therapeutic milieu?

a)

Administering medication

b)

Implementing therapeutic milieu such as community meetings, daily routine, supportive environment

c)

Diagnosing mental illness

d)

Prescribing therapy

14.

Which of the following is NOT a role of the nurse in a mental healthcare/psychiatric facility?

a)

A) Develop a therapeutic relationship

b)

B) Implement therapy

c)

C) Advocacy

d)

D) Teaching

15.

Fill in the blank: The nurse's role is to implement things included in the patient's therapy to support the patient and utilize ______ skills, usually with certifications.

a)

coping

b)

cooking

c)

driving

d)

painting

16.

Which of the following is NOT part of holistic, client-centered care?

a)

Manage illness

b)

Promote health and well-being

c)

Prevent further illness

d)

Prescribe medication

17.

What are the three phases of Peplau’s therapeutic relationship?

a)

Orientation, working, resolution

b)

Diagnosis, treatment, discharge

c)

Planning, implementation, evaluation

d)

Assessment, intervention, follow-up

18.

What is psychoanalytic therapy primarily focused on?

a)

Assessing unconscious thoughts and feelings and how they affect today

b)

Administering medication

c)

Teaching coping skills

d)

Promoting physical health

19.

Fill in the blank: ______ is the feeling from the client that develops toward the therapist similar to feeling from a significant person in childhood.

a)

Transference

b)

Projection

c)

Countertransference

d)

Displacement

20.

Fill in the blank: ______ is the unconscious feeling from a healthcare worker to the client that reminds them of someone good or bad.

a)

Countertransference

b)

Empathy

c)

Projection

d)

Transference

21.

Which of the following is a warning sign of suicide?

a)

Increased use of drugs or alcohol

b)

Improved mood

c)

Making new friends

d)

Starting a new hobby

22.

Which of the following is NOT a warning sign of suicide?

a)

Extreme and sudden mood swings

b)

Developing a plan (collecting pills, buying gun)

c)

Complaining about feeling great guilt or shame

d)

Regular exercise

23.

What are some warning signs that someone may be at risk for suicide? Fill in the blank with at least three signs.

a)

Taking dangerous risks, saying goodbye, making a will, giving away important items, extreme mood swings, eating or sleeping more or less, expressing hopelessness, feeling like a burden, talking about having no reason to live, withdrawing from family, friends, or things that they like to do, increased use of alcohol and drugs, searching for means to die, sudden improvement in mood, extreme mood swings, feeling trapped, and intense sadness.

b)

Eating healthy foods, exercising regularly, and spending time with friends.

c)

Getting enough sleep, practicing mindfulness, and setting goals for the future.

d)

Learning a new language, traveling to new places, and joining a sports team.

24.

Cognitive therapy focuses on thoughts and behaviors to solve current problems. What is the main goal of cognitive therapy?

a)

To recognize unhealthy thoughts and learn new ways of thinking (coping) to develop healthy thoughts and behaviors.

b)

To focus only on past experiences without addressing current issues.

c)

To encourage patients to avoid thinking about their problems.

d)

To rely solely on medication for treatment.

25.

Why is mental health promotion important? Choose the correct answer.

a)

To treat mental illness only

b)

To strengthen well-being, prevent mental illness, promote resilience, encourage healthy lifestyle behaviors, build stronger communities, and improve quality of life

c)

To ignore unhealthy coping mechanisms

d)

To focus only on medication

26.

Who would benefit from Cognitive Behavioral Therapy (CBT)? Fill in the blank with at least two groups or conditions.

a)

Clients with anxiety management, depression, neurodevelopmental disorders, PTSD.

b)

People with no mental health concerns at all.

c)

Individuals seeking only physical fitness training.

d)

Clients interested in learning a new language.

27.

Unhealthy thinking and thoughts lead to ________ behaviors and patterns of living.

a)

unhealthy

b)

positive

c)

neutral

d)

productive

28.

What is one of the goals of therapy?

a)

Ignore unhealthy thought patterns

b)

Recognize unhealthy thought patterns

c)

Encourage unhealthy behaviors

d)

Avoid communication

29.

What is the nursing role in building relationships? Fill in the blank: The nursing role in building relationships is to ________.

a)

build relationships

b)

administer medication

c)

perform surgery

d)

diagnose diseases

30.

The client really just wants you to listen, not give solutions.

a)

True

b)

False

31.

How should you treat a client to provide client-centered care?

a)

Like everyone else

b)

Like a person

c)

Like a problem

d)

Like a diagnosis

32.

Therapeutic communication involves ________, eye contact, and reflecting back.

a)

soft presence

b)

loud laughter

c)

aggressive tone

d)

distracted gestures

33.

Which of the following is NOT a risk factor for ADHD?

a)

Genetic factors

b)

Hereditary factors

c)

Environmental toxins

d)

Regular exercise

34.

Inattention, hyperactivity, and impulsivity are behaviors associated with which disorder? Fill in the blank: ________ is associated with inattention, hyperactivity, and impulsivity.

a)

ADHD

b)

Autism Spectrum Disorder

c)

Obsessive-Compulsive Disorder

d)

Generalized Anxiety Disorder

35.

Intellectual disabilities are a part of which disorder?

a)

ADHD

b)

Intellectual developmental disorder

c)

Anxiety disorder

d)

Depression

36.

Fill in the blank: Intellectual disability is a disorder with onset during the developmental period that includes both ______ and adaptive functioning deficits in the conceptual, social, and practical domains.

a)

intellectual

b)

physical

c)

emotional

d)

behavioral

37.

Fill in the blank: Intellectual disability may be mild, moderate, severe, or ______.

a)

profound

b)

temporary

c)

reversible

d)

transient

e)

acute

38.

Which of the following is NOT a difficulty associated with learning disabilities in children?

a)

Pronunciation of words

b)

Understanding the meaning of what is read

c)

Mastering number sense

d)

Excellent memory for numbers

39.

Fill in the blank: Academic skills are below those expected for age or grade level and interfere with ______ or occupational performance or with activities of daily living.

a)

academic

b)

physical

c)

recreational

d)

emotional

40.

Learning difficulties in children with learning disabilities always become fully apparent during preschool years.

a)

True

b)

False

41.

Fill in the blank: No evidence of intellectual disabilities, uncorrected visual/auditory acuity, other mental/neurological disorders, psychosocial adversity, or lack of proficiency in the language of ______ instruction, or inadequate educational instruction.

a)

academic

b)

physical

c)

musical

d)

technical

42.

Which of the following is a significant risk factor for ASD?

a)

Genetics 40-80%

b)

De novo mutation (not inherited)

c)

Environmental advanced parental age

d)

All of the above

43.

Fill in the blank: Manifestations of ASD may include rocking, ______ hands, and spinning.

a)

flapping

b)

clapping

c)

washing

d)

drawing

44.

ASD level 1 is characterized by:

a)

Needs no support

b)

Needs some support

c)

Needs substantial support

d)

Needs very substantial support

45.

Children with ASD level 1 sometimes appear just awkward or anti-social.

a)

True

b)

False

46.

Fill in the blank: Change is difficult for children with ASD level 1, but they thrive with a good ______.

a)

routine

b)

surprise

c)

punishment

d)

argument

47.

Which of the following is a characteristic of ASD level 2?

a)

Needs more support

b)

Fidgets and can be seen as annoying to others

c)

Sometimes perceived as lazy or insecure

d)

Reading at grade level

48.

Which of the following is a characteristic of ASD level 3?

a)

Needs more support

b)

Needs the most support

c)

Spelling rules and letter placement

d)

Recognizing letters and sounds

49.

Most people can tell there is a disability in individuals with ASD level 2.

a)

True

b)

False

50.

Everyone can tell there is a disability in individuals with ASD level 3.

a)

True

b)

False

51.

Fill in the blank: Individuals with ASD level 2 often do not engage ________.

a)

socially

b)

physically

c)

verbally

d)

emotionally

52.

Fill in the blank: Individuals with ASD level 3 do not ________ except when necessary.

a)

communicate

b)

eat

c)

sleep

d)

walk

53.

Which of the following is a comorbidity of Down Syndrome?

a)

Heart defects

b)

Spelling rules and letter placement

c)

Fidgets and can be seen as annoying to others

d)

Reading at grade level

54.

Which of the following is NOT a comorbidity of Down Syndrome?

a)

Diabetes

b)

GERD

c)

Recognizing letters and sounds

d)

Thrombocytopenia

55.

Dyslexia is a manifestation/characteristic/behavior of which syndrome?

a)

Dyslexia/Tourette Syndrome

b)

Down Syndrome

c)

Turner Syndrome

d)

Klinefelter Syndrome

56.

At preschool age, a child with dyslexia may have difficulty with:

a)

Reading at grade level

b)

Spelling rules and letter placement

c)

Recognizing letters and sounds

d)

Heart defects

57.

At school age, a child with dyslexia may have difficulty with:

a)

Spelling rules and letter placement

b)

Reading at grade level

c)

Recognizing letters and sounds

d)

Diabetes

58.

At adolescent and adult age, a person with dyslexia may have difficulty with:

a)

Reading at grade level

b)

Spelling rules and letter placement

c)

Recognizing letters and sounds

d)

Heart defects

59.

Which of the following is a skill related to word pronunciation?

a)

Learning new vocabulary

b)

Remembering facts or numbers

c)

Understanding jokes, idioms, or expressions

d)

Word pronunciation

60.

Which skill involves organizing and time management?

a)

Handwriting

b)

Organizing and time management

c)

Learning the alphabet

d)

Rhyming

61.

Fill in the blank: Tourette’s-tic disorder is a movement disorder characterized by unexpected movement or vocalization. The most severe tic disorder involves multiple motor tics and a vocal tic persisting for ___ year(s) before age 18.

a)

1

b)

2

c)

3

d)

5

62.

Which disorder is described as difficulty understanding languages and hard to comprehend what others say, follow direction, or participate in conversations?

a)

Tourette’s-tic disorder

b)

Receptive language disorder

c)

Stereotypical motor disorder

d)

Cultural competence

63.

Stereotypical motor disorder involves purposeful movements such as rocking back and forth, nail biting, and grinding teeth for a period of 4 weeks or longer.

a)

True

b)

False

64.

What is cultural competence?

a)

A) A movement disorder

b)

B) A skill that involves gaining knowledge about another person’s culture

c)

C) A type of language disorder

d)

D) A repetitive motor disorder

65.

Fill in the blank: Culturally sensitive nursing care means nurses practice with cultural ___.

a)

humility

b)

ignorance

c)

superiority

d)

resistance

66.

Which of the following is NOT a component of culturally sensitive nursing care?

a)

Client-centered: sensitive, respectful, responsive, holistic

b)

Recognition of power imbalance

c)

Promotes the client-nurse relationship

d)

Ignoring clients' cultural practices and values

67.

Which disorder is associated with difficulty understanding conversation flow and interrupting?

a)

Receptive language disorder

b)

Social communication disorder

c)

Stereotypical motor disorder

d)

Cultural competence

68.

Fill in the blank: ________ is the obligation that health care providers must act in a manner of doing good for a client and preventing harm.

a)

Beneficence

b)

Autonomy

c)

Nonmaleficence

d)

Justice

69.

Fill in the blank: ________ is the concept that clients should have the ability to make rational decisions related to their care.

a)

Autonomy

b)

Beneficence

c)

Nonmaleficence

d)

Justice

70.

Fill in the blank: ________ allows a client to refuse treatment, which includes medications.

a)

Self-Determination

b)

Informed Consent

c)

Confidentiality

d)

Beneficence

71.

Fill in the blank: ________ is the concept of doing no harm to the client or avoiding causing pain or suffering to the client.

a)

Nonmaleficence

b)

Autonomy

c)

Justice

d)

Veracity

72.

Fill in the blank: ________ is the fair and equal care and treatment for all clients, regardless of the client’s background or culture.

a)

Justice

b)

Empathy

c)

Autonomy

d)

Confidentiality

73.

Fill in the blank: ________ is ensuring the confidentiality and privacy of the client’s information.

a)

Confidentiality

b)

Transparency

c)

Accountability

d)

Accessibility

74.

Fill in the blank: ________ stigma refers to negative attitudes/actions from the public.

a)

Public

b)

Self

c)

Structural

d)

Perceived

75.

Fill in the blank: ________ stigma refers to internal shame and decreased self-esteem.

a)

Self

b)

Public

c)

Structural

d)

Enacted

76.

Fill in the blank: ________ stigma refers to policies limiting opportunities.

a)

Institutional

b)

Personal

c)

Cultural

d)

Interpersonal

77.

Based on the diagram, which of the following is NOT a zone in the mental health care continuum?

a)

Thriving

b)

Surviving

c)

Struggling

d)

Recovering

78.

What is the peak of well-being, fully realizing potential and achieving goals called?

a)

Excelling

b)

Stagnation

c)

Regression

d)

Complacency

79.

Which mental health state is described as being able to function without difficulty on a daily basis and fostering relationships?

a)

Excelling

b)

Thriving

c)

Surviving

d)

Struggling

80.

Fill in the blank: An unsettled state of mind where problems may worsen and a person may become socially withdrawn is called ________.

a)

Surviving

b)

Thriving

c)

Celebrating

d)

Relaxing

81.

Which mental health state involves trouble in mental health, hopelessness, and trouble at work?

a)

Excelling

b)

Struggling

c)

Crisis

d)

Injured

82.

Crisis in mental health is characterized by which of the following?

a)

Suicidal ideation

b)

Anxiety

c)

Depression

d)

Social isolation

e)

Lack of self-care

83.

According to the diagram, mental health exists on a continuum from Well-being to Mental illness.

a)

True

b)

False

84.

What does the mental health self-check tool provide a way to consider?

a)

Healthy functioning and mental well-being

b)

Physical fitness and exercise routines

c)

Nutritional habits and diet plans

d)

Financial planning and budgeting

85.

Which of the following is a sign of being in the 'Healthy' mental health state?

a)

Coping mechanisms for stressors

b)

Difficulty coping with stressor

c)

Ability to perform functions of daily living is impaired

d)

Emergency attention needed

86.

Fill in the blank: In the 'Injured' mental health state, the ability to perform functions of daily living is ________.

a)

impaired

b)

enhanced

c)

unchanged

d)

improved

87.

Fill in the blank: The inability to cope with stress characterized by extreme changes in thoughts, behaviors, and actions is known as _________.

a)

a change in mood/emotions

b)

a physical injury

c)

a nutritional deficiency

d)

an improvement in memory

88.

What is the primary role of a case manager?

a)

Diagnose mental health conditions

b)

Help the client coordinate their mental health treatment, such as medications, appointments, or arrange transportation, advocacy, support and education, review treatment plans and evaluate effectiveness

c)

Prescribe medication

d)

Provide legal advice

89.

How can you build trust/rapport with a patient using ethical principles?

a)

Transparency

b)

Consistency

c)

Empathy

d)

Treat them like they are a person not an illness

e)

Humor to establish rapport

90.

Which of the following are behaviors indicating a change in mood/emotions?

a)

Irritability

b)

Substance abuse

c)

Withdrawing from people and things they like

d)

Changes in sex drive

e)

Changes in eating habits

91.

Which of the following is NOT a therapeutic communication technique?

a)

Open ended questions

b)

Interrupting the client

c)

Affirmations

d)

Reflections

e)

Summaries

92.

Fill in the blank: ________ are used to keep the conversation moving during a therapeutic interview.

a)

Open ended questions

b)

Closed ended questions

c)

Leading questions

d)

Rhetorical questions

93.

Fill in the blank: ________ are sincere and make the client feel encouraged during a therapeutic interview.

a)

Affirmations

b)

Criticisms

c)

Interruptions

d)

Judgments

94.

Fill in the blank: ________ help to understand the statement made by the client during a therapeutic interview.

a)

Reflections

b)

Interruptions

c)

Judgments

d)

Instructions

95.

Fill in the blank: Nonverbal aspects of communication are used to convey ______ in what someone is saying.

a)

interest

b)

confusion

c)

distance

d)

distraction

96.

Fill in the blank: ______, depending on culture, is an important aspect of communication.

a)

Eye contact

b)

Handwriting

c)

Footwear

d)

Weather

97.

Fill in the blank: Good ______ and posture are important for effective communication.

a)

body language

b)

handwriting

c)

singing

d)

dancing

98.

Fill in the blank: Vocal quality and ______ tracking are important in communication.

a)

verbal

b)

visual

c)

audio

d)

motion