Tiêu đề Mental Health Concepts.pdf ✅

NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 CLASSIFIED EXAMINATION FOR CRITICAL TEST ANALYSIS MENTAL HEALTH CONCEPTS Philippine Nurses Licensure Examination Warning: This material is protected by Copyright Laws. Unauthorized use shall be prosecuted in the full extent of the Philippine Laws. For exclusive use of CBRC reviewees only. 1. Characteristics of a mentally healthy individual includes: A. A difficulty in meeting needs B. A negative perception of the environment C. A frequent feeling of control over the environment D. An awareness of needs for improvement 2. A nursing student has been asked to list at least four criteria for good mental health. The student’s list consists of: (1) an appropriate perception of reality, (2) the ability to accept oneself, (3) the ability to establish relationships, (4) a need for detachment and desire for privacy. The evaluation would be: A. Excellent. All the student’s criteria are correct. B. Good. Three out of four criteria are correct. C. Mediocre. Two out of four criteria are correct. D. Poor. All four criteria are incorrect. 3. Which statement best describes a major difference between a DSM-5 diagnosis and a nursing diagnosis? A. There is no functional difference between the two; both serve to identify a human deviance. B. The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis takes culture into account. C. The DSM-5 is associated with present symptoms, whereas a nursing diagnosis considers past, present, and potential responses to actual mental health problems. D. The DSM-5 diagnosis impacts the choice of medical treatment, whereas the nursing diagnosis offers a framework for identifying multidisciplinary interventions. 4. Most therapeutic interaction with the patient occurs during which phase of the nurse-patient relationship? A. Pre-interaction C. Working B. Orientation D. Termination 5. The nurse who is planning to have therapeutic communication with a client must consider which of the following as the foundation of therapeutic communication? A. Rules C. Respect B. Rapport D. Professionalism 6. One of the goals of therapeutic communication is to: A. Assist patients with learning communication skills B. Allow the nurse to express feelings C. Become the patient’s friend D. Develop consistent communication techniques 7. A client on an in-patient psychiatric unit has pressured speech and flight-of-ideas and is extremely irritable. During an intake assessment, which is the MOST appropriate nursing response? A. “I think you need to know more about your medications.” B. “What have you been thinking about lately?” C. “I think we should talk more about what brought you to the hospital.” D. “Yes, I see. Go on please.” 8. Clients who are manipulative, sexually provocative, and aggressive commonly use manipulation to cope with unmet needs for: A. Safety, dependency, and security B. Trust, security, and control C. Self-esteem. Love and recognition D. Trustworthiness, belongingness, and safety 9. A delusion is a belief that is clearly false is not accounted for by the person's cultural or religious background or his or her level of intelligence. Delusions are alterations in: A. Thought process C. Perception B. Thought content D. Mindset 10. A family who is worried that an adult female might hurt herself asks for her to be admitted to the hospital. An assessment indicates moderate depression with no risk factors for suicide other than a depressed mood. The patient denies any intent or thoughts about self-harm. The family agrees that the patient has not done or said anything to suggest that she might be a danger to herself. Which of the following responses is consistent with the concept of “least restrictive alternative” doctrine? A. Admit the patient as a temporary inpatient admission. B. Persuade the patient to agree to a voluntary inpatient admission. C. Admit the patient involuntarily to an inpatient mental health treatment unit. D. Arrange for an outpatient counseling appointment the next day 11. Based on the current understanding of brain physiology, which neurotransmitter would not be the expected target of medication prescribed to manage depression? A. Dopamine C. Norepinephrine B. Serotonin D. Acetylcholine 12. A 38-year-old patient diagnosed with major depression states, "my provider said something about the medicine I've been prescribed will affect my neurotransmitters. What exactly are neurotransmitters?" What is the nurse's BEST response to the patient's question? A. "Neurotransmitters are chemical messengers in the brain that help regulate specific functions such as depression." B. "Neurotransmitters are too complicated to explain easily. Just know that the medication will help your mood and make you less depressed." C. "Neurotransmitters are chemicals in the brain that are the reason you are depressed." D. "I will ask your provider to give you a more in- depth explanation about why this medication will help your depression."