Exam
Name___________________________________

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question. 

1) 

How would the nurse anticipate that a mentally healthy person, who is capable of abstract thinking, would interpret the proverb "Don't put the cart before the horse"?  

1) 

_______ 

A) 

"A horse is more important than a cart."  

B) 

"Do not set a cart in front of the horse, as the horse will be frightened and run."  

C) 

"Do not plan for the consequences of a situation until the situation has actually 
occurred."  

D) 

"The cart should not lead the horse."  

2) 

The nurse would expect which of the following behaviors most likely to be demonstrated by mentally healthy people? 

2) 

_______ 

A) 

Call in to work as sick in order to take care of personal business.  

B) 

Rarely be absent or tardy for work.  

C) 

Avoidance of conflict 

D) 

Refusal to compromise when they are sure they are right.  

3) 

Which of the following risk factors for the development of mental illness are modifiable, so that an observant nurse could have an impact on them? Select all that apply. 

3) 

_______ 

A) 

Genetic predisposition to mental illness  

B) 

Inadequate coping skills  

C) 

Lack of information about treatment options  

D) 

Hopelessness  

4) 

An adolescent client is diagnosed with depression. When the client asks the nurse "Am I crazy?" what is the best response by the nurse?  

4) 

_______ 

A) 

"You will have to ask the psychiatrist."  

B) 

"Yes, but with a relatively minor mental condition."  

C) 

"No, you have a treatable mental disorder."  

D) 

"Well, you have a mental illness."  

5) 

When a nursing student tells a fellow student "I had a crazy client in clinical," what is the fellow nursing student’s best response?  

5) 

_______ 

A) 

"Let's not call people 'crazy.' Tell me about your client.” 

B) 

"Let's change the subject."  

C) 

"What made the client crazy?"  

D) 

"You are so rude and insensitive. Never talk about a client like that again!"  

6) 

A teenaged female high school student has begun hearing voices that other people do not hear. Her personality seems to be changing. She is suspicious, and not as friendly as she was. Her parents are aware of this, but have not taken her to a psychiatrist for evaluation. When she recently sprained her ankle at a track meet, her parents took her to a physician immediately. As a nurse, how would you assess these different responses by the parents? 

6) 

_______ 

A) 

There is no reason to take her to a psychiatrist for these symptoms.  

B) 

They fear the stigma of mental illness.  

C) 

They might have a religious objection to taking her to a physician.  

D) 

They do not realize that hearing voices is a symptom of mental illness.  

7) 

Which of the following does the nurse recognize is a significant cause of homelessness of the mentally ill?  

7) 

_______ 

A) 

The fact that mentally ill people often enjoy the freedom of living outside  

B) 

The movement to treat people with psychotropic medications  

C) 

Deinstitutionalization  

D) 

The view of mentally ill people as criminals  

8) 

The mother of a client with schizophrenia asks the nurse, "Is there anywhere I can go to talk to other parents of people with schizophrenia?" To which organization should the nurse refer this mother?  

8) 

_______ 

A) 

The United Way  

B) 

Parents of People with Schizophrenia  

C) 

Alanon  

D) 

National Alliance for the Mentally Ill  

9) 

Using the Global Assessment of Functioning Scale, how would a nurse describe the 24-year-old mother who is unable to work, does not provide care for her children, and avoids contacts with friends or parents? 

9) 

_______ 

A) 

 Moderate difficulty in social and occupational functioning 

B) 

Inability to function in almost all areas of living 

C) 

Some danger of hurting self or others 

D) 

 Major impairment in the areas of work, family relations, judgment, thinking 

10) 

Which of the following is an example of secondary prevention of mental illness in which the nurse may participate?  

10) 

______ 

A) 

 Drug abuse education 

B) 

Community mental health clinics 

C) 

 Depression screening 

D) 

Medication management programs 

 

1) 

C 

2) 

B 

3) 

B, C, D 

4) 

C 

5) 

A 

6) 

B 

7) 

C 

8) 

D 

9) 

D 

10) 

C