Chapters 1-6

3

Ethnic minorities experiencing mental illnesses are often victims of stigmatization. What is the most appropriate way for the nurse to initially address this potential problem? Incorrect1 Inform a client of his or her civil rights. 2 Educate a client about various available counseling services. 3 Discuss with the client how family and friends are reacting to his or her illness. 4 Help the client develop the confidence to stand up for him- or herself.

conditional release

performed in order to assess the client's adherence to medications and prescribed protocol.

1

A client informs the nurse of a strong urge to physically assault one particular staff member. The nurse, who is busy, finishes the shift and leaves. The next day, the nurse learns that the client did indeed beat up the staff member. Which nursing action could have prevented the incident? 1 Timely and accurate communication of the client's intent 2 Adequate treatment of the client's psychiatric condition 3 Increase in the number of the staff working the facility 4 Recruitment of staff members who are careful of their security

3

A client was admitted to a mental health unit after expressing a desire to commit suicide. The nurse reviews documentation regarding the client's care. Which information supports attention to the QSEN competency related to teamwork and collaboration? 1 Client accepts offer to take a walk with the staff 2 Client agreed to contract for safety with the staff 3 Client escorted by staff to group session facilitated by art therapist 4 Client denied any homicidal or suicidal ideations when assessed by the sta

1,2,5

A nurse is learning about cultural diversity and its relationship to nursing practice. Which behaviors should the nurse demonstrate when caring for culturally diverse clients? Select all that apply. 1 Respecting a client's cultural views 2 Performing culturally sensitive assessments 3 Dictating one cultural view for all clients 4 Stereotyping clients with one perspective 5 Considering a client's concepts of health care

3

A nurse wants to find a description of the diagnostic criteria for addictive disorders. Which resource should have the most complete information? 1 Institute of Medicine (IOM) 2 North American Nursing Diagnosis Association International (NANDA-I) 3 Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) 4 International Classification of Diseases, 9thRevision, Clinical Modification (ICD-9-CM)

2,4,5

A nurse who needs to obtain research findings understands that he or she can use what source? Select all that apply. 1 Primary health care provider 2 Clinical practice guidelines 3 Health care policy 4 Clinical algorithms 5 Internet resources

2

A psychiatric client is shouting loudly but shows no signs of becoming physically violent. The nurse secludes the client in his or her room. This action is an example of what illegal action on the part of the nurse toward the client? 1 Assault. 2 False imprisonment. 3 Breach of duty. 4 Invasion of privacy

3

An assessment reveals that a person who is recently unemployed, is moderately depressed but without intent or thoughts about self-harm. Which action demonstrates application of the least restrictive alternative doctrine? 1 Hospitalize the person as a temporary admission. 2 Contact the person's prior employer for additional information. 3 With the person's agreement, arrange for immediate outpatient counseling. 4 Admit the person involuntarily to an inpatient mental health treatment unit.

2

How can a nurse best help decrease the stigma associated with mental health care? 1 By becoming active in politics leading to a potential political career 2 By using sensitivity and compassion to curb the shame clients feel and encourage them to seek out professional medical care 3 By advocating for reduced mental health insurance benefits to discourage abuse of the system by inappropriate psychiatric admissions 4 By encouraging laws that would make the involuntary long-term commitment process easier and faster for caregivers of mentally ill persons

1,3,5

How does a nurse use holistic nursing techniques to help a client? Select all that apply. 1 Teach effective coping skills. 2 Arrange for financial support. 3 Refer the client to the community support groups. 4 Encourage the client to undergo tests and medical procedures. 5 Provide information regarding specific treatments.

1,2,5

What characteristics would a nurse list when defining mental health as a state of well-being? Select all that apply. 1 Expressing happiness and hope 2 Possesses healthy coping strategies 3 Being free of mental and emotional stressors 4 Demonstrating average or above average intelligence 5 Performing within one's abilities and recovering from minor failures

1

What is the main focus of the mental health recovery model? 1 Rehabilitation 2 Nursing quality improvement 3 Disease prevention 4 12-step programs

3

What nursing intervention demonstrates an understanding of the concept of client autonomy? 1 Ordering the client to take medication 2 Convincing the client to take medication 3 Respecting the client's decision about medication 4 Asking the family to administer medication to the client

3

What would be the result of the exclusive use of Western psychological theories by nurses making client assessments? 1 High level of care for all clients 2 Standardization of nomenclature for psychiatric disorders 3 Inadequate assessment of clients of diverse cultures 4 Greater ease in selecting appropriate treatment interventions

1,3

When providing care to a client of a different culture, which interventions will help minimize the effects of the nurse's ethnocentric beliefs? Select all that apply. 1 Explain to the client that it is important to be on time for therapy sessions. 2 Recognize the client's personal space to be between 1.5 to 3 ft. 3 Ask the client how he or she prefers to be addressed. 4 Put a hand on the client's shoulder as a sign of caring and concern. 5 Speak to the client in a kind but matter-of-fact manner.

4

When providing information regarding competent nursing practice, which behavior should be included? 1 Assuming that clients' values are incorrect due to ignorance 2 Imposing similar cultural norms on all clients of the same culture 3 Believe in one standard way of client care 4 Examine one's own assumptions about a client's culture

3,4,5

Which conditions are implemented when a client receiving mental health treatment is given a conditional release? Select all that apply. 1 To follow the court order 2 To document it is against medical advice (AMA) 3 Assessment of the client's adherence to medications 4 Verification of the client's ability to rehabilitate in society 5 Confirmation of the client's ability to meet his or her basic needs

1,3,4

Which factors are necessary components of mental health nursing? Select all that apply. 1 Providing a humane environment 2 Providing a general treatment plan 3 Ensuring a qualified medical staff 4 Offering individualized plan of care 5 Managing care within available medical staff

3

Which mental health concept results in an imbalance of power due to negative attitudes and beliefs, stereotyping, and discrimination against the mentally ill? 1 Culture 2 Spirituality 3 Stigma 4 Stress

2

Which mentally ill individual demonstrates behavior that meets the criteria for an emergency or involuntary hospitalization for mental health treatment? 1 The individual who sees visions of angels dancing on the television screen 2 The individual who throws a lamp at the owner of a local department store 3 The individual who resumes using cocaine after one year of being clean 4 The individual who stops taking prescribed antipsychotic medications

1,2,3,5

Which nursing interventions are examples of the basic principles of bioethics? Select all that apply. 1 Spending extra time orienting a newly admitted client to the unit 2 Encouraging the client to determine how he or she will contribute to the care plan 3 Assuring that all clients are given an opportunity to speak at a unit grievance meeting 4 Providing a client with privileges in order to easily manage his or her aggressive behavior 5 Explaining the purpose of a client's newly prescribed medication

1

Which nursing statement illustrates the concept of client advocacy for a female client who was admitted after a suicide attempt? 1 "The client has stated to me that she does not want to take the prescribed medication because she had adverse effects when it was prescribed previously." 2 "During her admissions interview the client stated that she has had three other suicide attempts in the past." 3 "Can you tell me more about your depression and your suicide attempt?" 4 "I will take you on a tour of the unit and orient you to the rules."

1,4,5

Which questions were raised for psychiatric nurses after the first Surgeon General's report published on the topic of mental health? Select all that apply. 1 Are nurses aware of the efficacy of the treatment and interventions they provide? 2 What is the role of the mental health nurse? 3 Are nurses accessing accurate evidence-based practice information? 4 Are nurses practicing evidence-based care? 5 Is there documentation of the nature and outcomes of the care nurses provide?

1,2,3,5

Which statements regarding the practice of culturally relevant mental health nursing are accurate? Select all that apply. 1 Clients' needs are shaped by their individual cultures. 2 Culturally-relevant nursing care is fundamental to the promotion of well-being. 3 Culture includes beliefs, values, and practices. 4 All cultural practices must be respected and supported. 5 The mental health of client is dependent on that client's individual cult

stigma

a collection of negative attitudes, beliefs, and thoughts that influence public perception of the mentally ill.