Quiz 2

"Since ours is a professional relationship, let's explore other opportunities in your life for friendship."

The client says to the nurse, "I feel really close to you. You are the only true friend I have." The most therapeutic response the nurse can make is,

Intellectualization

The nurse is assessing a client who is talking about her son's recent death but who shows no emotion of any kind. The nurse recognizes this behavior as which of the following defense mechanisms?

establishing boundaries for both the nurse and patient., maintaining a patient-focus at all times., avoiding concern with whether the patient likes the nurse.

The nurse is mindful of maintaining relationships with patients that are therapeutic. Certain characteristics of the relationships the nurse will foster include: Select all that apply.

Maslow's hierarchy of needs, Rogers' client-centered therapy

Which of the following theories could be classified as humanistic theories? Select all that apply

Evolving consumer household

Which type of community residential treatment setting is most likely to be permanent in any state?

Explore previous coping strategies

Which is most essential when planning care for a client who is experiencing a crisis?

The growth of managed care

Which factor is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?

Integrity versus despair

A client begins to take stock of his life and look into the future. The nurse assesses that this client is in which of Erikson's developmental stages?

Projection

A client is supposed to be ambulating ad lib. Instead, he refuses to get out of bed, asks for a bed bath, and makes many demands of the nurses. He also yells that they are lazy and incompetent. The client's behavior is an example of which of the following defense mechanisms?

Teacher

A nurse and patient have just completed reviewing the patient's take-home medications. The nurse is exemplifying which role during this intervention?

"Use the deep breathing techniques we practiced yesterday."

A nurse is assisting a patient who is working on the technique of systematic desensitization. When the patient feels anxious, the nurse can best use the principles of this technique by stating,

most people with mental illness do not represent a significant danger to others.

A nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed by the neighbors. The nurse can effectively educate the public on the realities of group home by citing research that indicates

People with mental illness are inherently violent.

A nurse is orienting to a new position working the infirmary in the state penitentiary. When working with prisoners who are also mentally ill, the nurse examines her own attitudes. Which of the following beliefs should the nurse discuss with her supervisor before caring for incarcerated patients?

The nurse is open to others.

A nurse is using the Johari window to identify the degree to which he feels comfortable communicating with others. After completing the exercise, the nurse discovers that quadrant 1 has the longest list of qualities. This indicates which of the following about the nurse?

Attitude

A nurse makes the statement in a treatment team meeting, "It's not worth it to try to teach this patient how to make better choices. He has been here many times before and goes back home and does the same thing." The nurse is sharing which of the following?

The nurse will avoid imposing any values on the patient.

A nurse openly admits to not being able to relate to a patient's experience. According to Munhall, this will most likely have what influence on the therapeutic relationship?

Tell the unit housekeeper that his work is sloppy

A nursing supervisor reprimands an employee for being chronically late for work. If the employee handles the reprimand using the defense mechanism of displacement, he would most likely do which of the following?

increased independence., increased involvement in treatment decisions., recovery from mental illness., increased community integration., greater opportunities for personal growth.

A patient has just been referred to a psychosocial rehabilitation program. The nurse explains that the benefits of being involved in such a program include: Select all that apply.

"If you agree to start doing what your parents request, then they have agreed to respect your privacy more."

A patient states, "I hate spending time with my family. They're always on my back about something! I won't do anything they ask me to do." Which response by the nurse reflects a behavioral perspective?

Inpatient hospital treatment

A patient who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this patient at this time?

psychiatrist.

A patient with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to the lithium and immediately notifies the

Assisting high school students to effectively manage stress

A psychiatric nurse is planning an educational program addressing primary prevention strategies in the community. The nurse explores current research regarding which health-care need?

inappropriate; most self-help groups have a rule of confidentiality.

A student nurse attends a self-help group as part of a class assignment. While there the student recognizes a family friend. Upon returning home, the student talks about the experience with the family. The student's actions can be described as

Encouraging the client to clarify feelings and behavior

During the working phase of a therapeutic relationship, which of the following actions by the nurse would best help the client to explore problems?

"How is not working right now affecting you?"

The nurse is working with a patient who has quit several jobs and no longer sends financial support to his two children living with their mother. This behavior is in conflict with the nurse's values concerning responsible parenting. When discussing family roles with the patient, the nurse shows positive regard through which statement?

Peer support and bridging staff

What are the two essential components of transitional care discharge model that is used in Canada and Scotland?

Collaboration, Administrative support, Adequate funding

What is required for a transitional care model to be most effective in promoting the client's health and well-being and prevent relapse and rehospitalization? Select all that apply.

Self-disclosure on the nurse's part should benefit the client.

What statement is true about a nurse's self-disclosure?

The student nurse must tell the client that the student nurse cannot keep that secret and then report it to the instructor and/or staff members.

What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it secret that the client plans to kill a family member?

Parataxic mode

Which cognitive mode, according to Harry Stack Sullivan, begins in early childhood as the child begins to connect experiences in sequence?