Psychiatric Nursing
Final Exam Questions
Course Introduction
Psychiatric Nursing explores the principles and practices of mental health nursing, focusing on the assessment, diagnosis, and management of psychiatric disorders across diverse populations. The course examines therapeutic communication, behavioral interventions, psychopharmacology, and the role of the nurse in multidisciplinary mental health teams. Emphasis is placed on developing empathetic, culturally competent care strategies while addressing ethical and legal considerations in psychiatric settings. Through case studies and clinical experiences, students learn to promote mental wellness, advocate for patients, and implement evidence-based interventions tailored to individual needs.
Recommended Textbook
Abnormal Psychology An Integrative Approach 5th Edition by David H. Barlow
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16 Chapters
1759 Verified Questions
1759 Flashcards
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Chapter 1: Abnormal Behaviour in Historical Context
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110 Verified Questions
110 Flashcards
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Sample Questions
Q1) According to the ancient Greek physician Hippocrates,which of the following factors could negatively influence psychological functioning?
A) family stress
B) birth order
C) believing in astrology
D) supernatural forces
Answer: A
Q2) What does Wolpe's technique of systematic desensitization involve?
A) reinforcing successive approximations to a final behaviour or set of behaviours
B) gradually introducing the feared objects or situations so that fear can be extinguished
C) gradually reinforcing fearless behaviour and punishing fear responses
D) reinforcing an incompatible response to a feared situation
Answer: B
Q3) Compare and contrast classical psychoanalysis and psychodynamic psychotherapy.Note the criticisms of classical psychoanalysis,and explain why it is more of historical than of current interest.
Answer: Student responses will vary.
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Chapter 2: An Integrative Approach to Psychopathology
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110 Verified Questions
110 Flashcards
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Sample Questions
Q1) How is the relationship between emotion and health demonstrated?
A) by the fact that sustained hostility with angry outbursts increases the risk of heart disease
B) by the fact that panic is related to poor concentration
C) by the fact that those in poor physical health almost always develop psychological disorders
D) by the fact that people with chronic diseases are often angry about their care
Answer: A
Q2) Sarah is experiencing a lot of anxiety.If doctors looked at her neurotransmitter levels,what would they most likely find?
A) reduced levels of norepinephrine
B) excessive levels of dopamine
C) reduced levels of GABA
D) excessive levels of serotonin
Answer: C
Q3) Describe learned helplessness.How is it developed in laboratory animals and how does it help us to understand human depression?
Answer: Student responses will vary.
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Chapter 3: Clinical Assessment and Diagnosis
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111 Verified Questions
111 Flashcards
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Sample Questions
Q1) What do we call the systematic evaluation of psychological,biological,and social factors in a person with a possible mental disorder?
A) clinical interpretation
B) clinical diagnosis
C) clinical assessment
D) clinical standardization
Answer: C
Q2) Marguerite is tested for brain damage.Although her test results indicate that she has no brain damage,in reality she has a brain tumour.Her test results indicate a false negative.Which of the following is the MOST likely outcome?
A) Marguerite will become discouraged and put off following up on medical care.
B) Marguerite may end up paying for costly treatment that is not necessary.
C) Marguerite will not get the treatment she needs.
D) Marguerite may seek out an additional medical opinion.
Answer: C
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Chapter 4: Research Methods
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111 Verified Questions
111 Flashcards
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Sample Questions
Q1) One of the problems with longitudinal research is that it may be difficult to generalize the findings to other cohorts whose life experiences are very different from those of the study participants.What is this phenomenon known as?
A) the cross-generational effect
B) the cross-cultural effect
C) the peer effect
D) the cohort effect
Q2) Which of the following is an example of treatment process research?
A) determining which treatment reduces patients' anxiety in the fewest sessions
B) examining the impact of Prozac on serotonin levels
C) determining how many therapy sessions it takes for most anxiety patients to feel better
D) examining the impact of Prozac on depression
Q3) What are cohort effects?
A) age and life experiences
B) age and cultural differences
C) age and environmental influences
D) age and genetic influences
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Chapter 5: Anxiety,Trauma-Related,and
Obsessive-Compulsive Disorders
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113 Verified Questions
113 Flashcards
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Sample Questions
Q1) Your friend Samantha has been diagnosed with a generalized anxiety disorder.Which category of drugs is the typical pharmacological treatment for her condition?
A) SSRIs
B) benzodiazepines
C) phenothiazines
D) MAO inhibitors
Q2) Studies have found that individuals with panic disorder may be more susceptible than others to the anxiety-reducing effects of alcohol when they are experiencing panic-like bodily sensations.Which of the following might this finding explain?
A) why alcohol-based medications are so effective in treating panic disorder
B) why these individuals are more likely to experience panic attacks while they are consuming alcohol
C) why these individuals are more likely to develop alcohol abuse and dependence
D) why people with a history of alcoholism rarely go on to develop panic disorder
Q3) Define generalized anxiety disorder (GAD).Compare and contrast GAD with phobic disorders,noting how avoidance behaviour is manifested differently in each.
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Chapter 6: Somatic Symptom and Dissociative Disorders
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108 Verified Questions
108 Flashcards
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Sample Questions
Q1) Which of the following individuals possesses the most characteristics associated with somatic symptom disorder?
A) Clarissa, a 17-year-old female described as impulsive
B) Nirmala, a 10-year-old female described as impulsive
C) James, a 16-year-old male described as emotionally dependent
D) Marco, a 45-year-old male described as extremely emotionally sensitive
Q2) According to Ross (1997)and others,what is the average number of alter personalities (i.e.,in addition to the original personality)in individuals with dissociative identity disorder?
A) 5
B) 15
C) 25
D) 50
Q3) Describe the differences and similarities between depersonalization and derealization.
Q4) Which two disorders have been historically linked by the term hysteria?
A) conversion disorders with the schizophrenias
B) somatoform disorders with their subtypes
C) dissociative disorders and somatization disorder
D) somatoform disorders and dissociative disorders
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Chapter 7: Mood Disorders and Suicide
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110 Verified Questions
110 Flashcards
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Sample Questions
Q1) Dr.Hammond is frustrated because he is having the same problem with the medical treatment he has prescribed for three different patients with bipolar disorder.What is the most likely source of Dr.Hammond's frustration?
A) His patients are taking too much medication during a severe manic state.
B) His patients are stopping the medical treatment and becoming depressed.
C) His patients are having problems with addiction to the medication while in a manic state.
D) His patients often stop taking the medication in order to bring on a manic state.
Q2) Discuss the relationship between suicide and psychological disorders such as depression,substance abuse,and personality disorders.Describe the significance of stressful life events in suicidal behaviour.
Q3) Discuss the pattern of gender differences in the various mood disorders.Explain some of the proposed psychosocial theories of gender differences in depression.
Q4) Explain how a grief reaction can become a pathological disorder.Describe the psychological and social factors that predict who will develop a pathological grief reaction.
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Page 9
Chapter 8: Eating and Sleep-Wake Disorders
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110 Verified Questions
110 Flashcards
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Sample Questions
Q1) Which of the following is a key characteristic of people who develop eating disorders?
A) The come from socially disadvantaged environments.
B) They come from Eastern countries.
C) They are female.
D) They tend to be naturally slightly overweight.
Q2) Describe the psychological treatments that are generally used for the treatment of primary insomnia.
Q3) Amy and Laura both have bulimia nervosa.Amy uses laxatives whereas Laura does not.Based on the research by Steiger and colleagues (2003),what characteristic does Amy likely have?
A) She is more depressed than Laura.
B) She is more aggressive than Laura.
C) She is more impulsive than Laura.
D) She is more obese than Laura.
Q4) Which of the following is NOT a medical complication related to bulimia?
A) sudden death
B) food refusal
C) renal failure
D) calluses on the fingers
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Chapter 9: Physical Disorders and Health Psychology
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110 Verified Questions
110 Flashcards
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Sample Questions
Q1) Dr.Beilfus is a researcher specializing in psycho-oncology.What is her area of interest?
A) the psychosocial causes of cancer
B) the psychosocial characteristics of cancer patients
C) the psychosocial treatments for cancer
D) the psychosocial influences on different varieties of cancer
Q2) Discuss chronic fatigue syndrome (CFS)and chronic pain.Relate CFS to the condition known as neurasthenia.What psychological factors are thought to maintain chronic pain?
Q3) Which of the following relationships is NOT reflected in the new medical specialty called "psychoneuroimmunology"?
A) the cardiovascular system
B) the nervous system
C) psychological factors including stress
D) the immune system
Q4) Harold dies at age six.What is the most likely cause of his death?
A) cancer
B) injury
C) genetic defect
D) infectious disease
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Chapter 10: Sexual Dysfunctions,Paraphilic Disorders,and Gender Dysphoria
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105 Verified Questions
105 Flashcards
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Sample Questions
Q1) How does inappropriate sexual arousal,such as a fetish,appear to be learned?
A) through exposure to pornography
B) through social "scripts" that are transferred from one generation to the next
C) through masturbatory fantasies about the object
D) through poor social skills
Q2) What were those with "gender dysphoria" previously known as?
A) transvestites
B) transsexuals
C) gay males
D) bisexuals
Q3) Orgasmic reconditioning and covert desensitization are effective methods for treating what type of disorder(s)?
A) paraphilias
B) erectile dysfunction
C) arousal disorders in women
D) gender dysphoria
Q4) Explain the modern definition of the term "disorder" as it relates to sexual behaviour.Why is the determination of a sexual disorder a somewhat subjective decision?
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Q5) Describe a process in which paraphilias may develop.
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Chapter 11: Substance-Related,Addictive,and
Impulse-Control Disorders
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119 Verified Questions
119 Flashcards
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Sample Questions
Q1) How do both amphetamines and cocaine produce their desired effects?
A) by indirectly stimulating the internal reward centre or pleasure pathway of the brain
B) by directly stimulating the internal reward centre or pleasure pathway of the brain
C) by enhancing the activity of GABA in the septal-hippocampal system
D) by increasing beta-endorphin release
Q2) Zach is experiencing "delirium tremens," which means Zach is withdrawing from which substance?
A) alcohol
B) marijuana
C) cocaine
D) heroin
Q3) Compare and contrast the levels of involvement in substance-related disorders: use,intoxication,abuse,and dependence.Define the meaning of the word "addiction."
Q4) Describe the psychological and behavioural effects of alcohol.Discuss both the short-term and long-term consequences of alcohol abuse.
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13
Chapter 12: Personality Disorders
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Sample Questions
Q1) Explain why we might we see a marriage between a man with narcissistic personality disorder and a woman with dependent personality disorder.Assume that the woman enters therapy and successfully becomes more independent.Speculate how her narcissistic husband might react to her improvement and growing independence.
Q2) Jack has little interest in social relationships and appears distant and aloof.He seldom shows emotion and seems indifferent to praise and criticism.He is usually wrapped up in abstract ideas and has little time for,or interest in,people.Which personality disorder does Jack most likely have?
A) schizotypal personality disorder
B) avoidant personality disorder
C) schizoid personality disorder
D) antisocial personality disorder
Q3) Clark and colleagues (1997)found that patients with one personality disorder also tend to obtain high scores on measures of sociotropy.What was the personality disorder?
A) borderline personality disorder
B) dependent personality disorder
C) avoidant personality disorder
D) narcissistic personality disorder
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Page 14
Chapter 13: Schizophrenia Spectrum and Other Psychotic Disorders
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107 Verified Questions
107 Flashcards
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Sample Questions
Q1) Psychosocial "clubs" or "clubhouses" for patients with schizophrenia have been formed as a part of some rehabilitation programs.Research indicates that participation in these clubs may help prevent relapses.Why it is difficult to interpret the improvement in these patients?
A) because some patients are on medication and some aren't B) because only the most psychotic patients participated C) because patients who participate may be significantly different from those who don't D) because a significant number of patients dropped out before completing the program
Q2) Consider the following statement: "The time is 9:30.Ten is my favourite number.I also like to listen to music and paint pictures." What kind of disorganized speech does the statement illustrate?
A) catatonic slippage
B) tangentiality
C) word salad
D) derailment
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15
Chapter 14: Neurodevelopmental Disorders
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109 Flashcards
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Sample Questions
Q1) Controversy exists about the use of stimulant medications to treat attention-deficit/hyperactivity disorder.Which of the following is a concern?
A) the use of medications to control what are essentially problems of parental discipline
B) the high risk of addiction to these drugs
C) the long-term effects of these drugs on the developing brain
D) stimulant drugs' potential for abuse
Q2) Theo has autism spectrum disorder.Which of the following characteristics does Theo MOST likely exhibit?
A) a lack of interest in people
B) clumsiness and poor coordination
C) hyperactivity
D) impulsivity
Q3) How does an individual diagnosed with attention-deficit/hyperactivity disorder present?
A) with both patterns of inattention and hyperactivity/impulsivity
B) with hyperactive behaviour that alternates with periods of distraction
C) with patterns of inattention or hyperactivity/impulsivity
D) with periods of distraction that lead to hyperactive/impulsive behaviour
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Chapter 15: Neurocognitive Disorders
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107 Verified Questions
107 Flashcards
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Sample Questions
Q1) After turning 50,Sabrina began to be teased a lot from her family about being "absentminded." In truth,she has been hiding the fact that each week she seems to remember less and less.Last month,she got lost while driving home from work and had relied on a hand-drawn map.Sabrina also has trouble recognizing the faces of people she knows and forgets why she started to do something.What disorder does Sabrina appear to be developing?
A) amnestic disorder
B) delirium
C) neurocognitive disorder
D) Alzheimer's disease
Q2) One theory about the development of neurocognitive disorder due to Alzheimer's disease suggests that the formation of solid waxy proteins in the brain causes the disorder.Which of the following is this process similar to?
A) the formation of scar tissue following an injury
B) vascular spasms causing migraines
C) cholesterol buildup in blood vessels, causing cardiovascular disease
D) head trauma causing neuronal death
Q3) Describe the typical causes of delirium and how it is treated.
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Chapter 16: Mental Health Services: Legal and Ethical Issues
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110 Verified Questions
110 Flashcards
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Sample Questions
Q1) A TV reporter is interviewing students about the insanity plea.If these students are similar to about 90 percent of the population,which of the following statements will they agree with?
A) "If someone successfully pleads insanity, he or she will spend more time in a mental hospital than in a jail."
B) "There are more mentally ill people in prisons than in mental hospitals."
C) "The insanity defence is not used in enough cases. Too many mentally ill people are in jail instead of in hospitals."
D) "Too many people escape responsibility for their crimes by pleading insanity."
Q2) Which of the following is NOT a criterion for involuntary civil commitment?
A) a lawyer's request that his or her client be admitted
B) a person is deemed dangerous to herself/himself or others
C) a person has a mental disorder
D) a person is in need of treatment
Q3) Discuss the issue of patient rights and how the concept arose from the 1972 U.S.case of Wyatt v.Stickney.Explain what is meant by the right to refuse treatment and the implications of this right for the patient,as well as for his or her family and community.
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