Expiration Date: December 31, 2011. No CE contact hours (CH) will be given after this date.
Purpose: T o provide nurses with current information to be utilized in psychiatric and mental health nursing; to provide review materials for nurses desiring psychiatric and mental health nursing certification.
This continuing education module should be taken ONLY by those who have purchased the Psychiatric Mental Health Nursing Review and Resource Manual, 3rd Edition. During the process of purchasing this CE module, you will be asked to input the proof of purchase code which can be obtained by sending an e-mail to revmanuals@ana.org.
The actual questions that will be on the test have been posted below.
When you purchase the CE module, you will be issued a password which will allow you to access all CE modules purchased on the NursingWorld Web site. This password is NOT to be confused with the proof of purchase code you received when you purchased the manual. It is important that you remember this password, as you MUST use it if you wish to log out of the system and return at a later time to take the test or to print duplicates of your certificate of completion.
IMPORTANT NOTE: The test for Contact Hours for Psychiatric Mental Health Nursing contains 25 questions. You may find that you are not able to complete the entire test in one sitting. If this is the case, simply click on "Grade My Test" at the bottom of the test page even though you have not yet completed the test. This will allow the system to store your test for your return visit.
When you wish to return, click on "Log Back In" from the CE home page menu and input the CE password you were issued when you first registered for ANA's online CE. Again, do not input the purchase code you were issued as proof of purchase of the manual. Once you are logged back into the system, you will see a list of the ISMs you have completed and ones that are incomplete. Click on "Take Test" next to any incomplete ISM and you will be told how many questions you have completed and how many are left to complete.
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Test Questions
1. According to Maslow's hierarchy of needs theory, which of the following statements is true?
a. Basic physiological needs are first-priority requirements for patients with mental illness.
b. Meaning and purpose are the most important human needs for patients with mental illness.
c. Love and belonging are the most significant human needs for patients with mental illness.
d. Safety and security needs are the most critical human needs for patients with mental illness.
2. Which of the following characteristics did Peplau associate with severe anxiety?
a. Increased awareness of the immediate environment
b. Attention to immediate stimuli, but not to complexities in a situation
c. Ability to be redirected with support
d. Narrowed perceptual field and limited learning abilities
3. An adolescent is admitted to the hospital with a history of drinking beer daily, lying, stealing, and being unable to control his behavior. Using Freud's approach to personality development, this adolescent's behavior reflects a defect related to:
a. Animus
b. Ego
c. Id
d. Superego
4. Lora receives a poor performance work evaluation work, with specific examples cited. On a scale of 1 to 5, her overall evaluation is 2.2. She tells her family that her rating is low because her boss has a mentally ill brother and is prejudiced against anyone with a mental illness. Which of the following ego defense mechanisms is Lora using to explain her performance appraisal?
a. Projection
b. Reaction formation
c. Displacement
d. Denial
5. When communicating with an aggressive patient, the nurse should keep in mind that
a. Most aggressive patients are experiencing intense anxiety.
b. Moving in closer to the patient increases the patient's sense of security.
c. Most aggressive patients want to control the staff with their behavior.
d. Most aggressive behavior is manipulative and intended to intimidate.
6. Nursing diagnoses differ from medical (DSM-IV-TR) diagnoses in what way?
a. Nursing diagnoses are more comprehensive.
b. Nursing diagnoses address actual or potential problems.
c. Nursing diagnoses can only be made by APRNs and MDs.
d. Nursing diagnoses are used to determine best plan of care.
7. A score falling below 24 on the Mini-Mental Status Examination (MMSE) is suggestive of:
a. Cognitive impairment
b. Dysthymia
c. Generalized anxiety
d. Mental retardation
8. The most common form of child abuse is
a. Emotional
b. Neglect
c. Physical
d. Sexual
9. The two cerebral hemispheres are connected by a fiber bundle known as the
a. Septum
b. Fornix
c. Corpus callosum
d. Cingulate gyrus
10. The brain structure most implicated in fear responses is the
a. Nucleus accumbens
b. Hippocampus
c. Amygdala
d. Visual cortex
11. AIDS can be diagnosed based upon which of the following psychopathological changes?
a. Dementia characterized by apathy, cognitive, and motor symptoms
b. A virus that injects its RNA into the brain lymphocytes
c. A period of 6 months since exposure to infected blood
d. An opportunistic infection and reduced T4 concentration
12. An individual experiencing a first episode of major depressive disorder should be counseled that the therapeutic effect of antidepressants may take
a. 1–3 days
b. 4–6 months
c. 1 year
d. 3–6 weeks
13. An evidence-based standardized tool for monitoring for extrapyramidal symptoms (EPS) in a patient on Haldol would be
a. CAGE
b. BDI
c. MMPI
d. AIMS
14. The primary goal of crisis intervention strategies is to
a. foster independence and insight in the client.
b. restore the patient to his or her previous level of pre-crisis functioning.
c. strengthen the client's personal growth and well-being.
d. educate the client about the dynamics of crisis resolution.
15. The processes of gestalt therapy includes
a. Awareness, acceptance, and assimilation
b. Permission, protection, and potency
c. Assertion, allegation, and affirmation
d. Declaration, determination, and decisions
16. Beck describes a schema as a
a. Process of developing new information
b. Process of integrating old knowledge and new information
c. Category of knowledge that guides our interpretation of ourselves and the world
d. Category of shared knowledge between therapist and patient, developed through cognitive restructuring
17. Simulation learning experiences are designed to target which of the following domains of learning?
a. Affective domain
b. Auditory domain
c. Cognitive domain
d. Psychomotor domain
18. The PRECEDE-PROCEED community education model identifies which of the following as an enabling factor?
a. Culture
b. Prior learning
c. Social support
d. Transportation
19. Which leadership style adapts to the needs of the situation?
a. Transformational
b. Democratic
c. Laissez-faire
d. Situational
20. Which leadership style would be the worst for new nursing employees?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Situational
21. The best description of supervision given by a nurse to an unlicensed assistant includes:
a. Communication of request
b. Education of task skills
c. Guidance and oversight
d. Evaluation and appraisal
22. The level of measurement identified by weight is
a. Nominal
b. Ordinal
c. Interval
d. Ratio
23. A study showing that duration of time on an atypical antipsychotic is positively related to weight gain would be interpreted to mean that
a. Atypical antipsychotics cause weight gain
b. As time on drug increases, weight increases
c. There is a difference in weight between people taking conventional versus atypical antipsychotics
d. The qualitative experience of taking atypical antipsychotics is negative
24. A researcher selects two inpatient units within the same healthcare institution and randomly assigns one to receive a new intervention and the other as the comparison group that will receive treatment as usual. Both of the units consist of patients with a mixture of acute psychiatric conditions; however, one unit is primarily teens, and the other is adults over 18. What is the threat to the validity of the study?
a. Sample size
b. Hypothesis
c. Group equivalency
d. Random assignment
25. Of the following, which is considered to be the most scientifically valid primary research type?
a. Systematic review
b. Randomized controlled trial
c. Case control study
d. Qualitative study