243 Exam 1 (ch. 2, 3, 5, 6, 7, 24, 25, 26)
1. As part of a class activity, nursing students are engaged in a small-group discussion about the epidemiology of mental illness. Which statement best explains the importance of epidemiology in understanding the impact of mental disorders? A) Epidemiology helps promote understanding of the patterns of occurrence associated with mental disorders. B) Epidemiology helps explain research findings about the neurophysiology that causes mental disorders. C) Epidemiology provides a thorough theoretical explanation of why specific mental disorders occur. D) Epidemiology predicts when a specific psychiatric client will recover from a specific mental disorder.
A
1. When applying the biopsychosocial model to client care, the nurse integrates which psychological domain? A) Behavior therapy B) Family support C) Nutritional therapy D) Sleep hygiene measures
A
11. During assessment, the nurse learns that the client follows Buddhist beliefs. The nurse would integrate understanding of which when developing the client's plan of care? A) Desire is the cause of all human suffering and misery. B) Self-indulgence is necessary to reach nirvana. C) Present behavior is based on current unhappiness. D) Vision is achieved through role playing.
A
12. A nurse is describing the differences between a partial hospitalization program and an intensive outpatient program. Which would the nurse describe as the emphasis of partial hospitalization programs? A) Social skills training B) Stress management C) Illness medication D) Relapse prevention
A
13. A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories? A) Behavioral B) Developmental C) Humanistic D) Cognitive
A
14. A nurse applying King's model to a nurse-client interaction identifies the outcome using what term? A) Transaction B) Adaptation C) Transpersonal caring D) Self-system
A
15. The nurse understands the need to use appropriate language to help address public stigma surrounding mental health issues. Which statement best reflects this understanding? A) "The client diagnosed with schizophrenia needs additional assistance." B) "The bipolar in room 222 is really out of control today." C) "That client down the hall is a raving maniac." D) "That hyperactive client is acting like a psycho."
A
16. A group of nursing students is reviewing information about psychodynamic theories. The students demonstrate a need for additional study when they identify who as a humanistic theorist? A) Carl Jung B) Carl Rogers C) Abraham Maslow D) Frederick Perls
A
16. A nurse is assessing a client who has come to the health care facility for treatment. During the assessment, the client states, "I don't know if there is a God or Heaven." The nurse interprets this statement to be a reflection of what belief? A) agnosticism B) atheism C) Maoism D) scientism
A
17. A nurse is looking for information about the parameters of professional psychiatric-mental health nursing practice that provide the framework for nursing practice. The nurse would most likely seek out which source? A) Standards of Practice B) Standards of Professional Performance C) Code of Ethics for Nurses D) State Board of Nursing
A
19. A nurse is developing a plan of care integrating Maslow's hierarchy of needs. Which area would the nurse identify as the priority? A) Adequate food B) Predictable social environment C) Acceptance from family D) Positive self-image
A
2. A nurse is caring for a client who was diagnosed with schizoaffective disorder. Based on an understanding of this disorder, the nurse develops a plan of care to address which issue as the top priority? A) Suicide B) Aggression C) Substance abuse D) Eating disorder
A
2. A nursing instructor is describing the impact of technology and electronic health records on psychiatric-mental health care. What would the instructor identify as a major challenge associated with technology? A) Maintaining confidentiality B) Establishing educational models C) Decreasing fragmented care D) Defining professional standards more clearly
A
2. When describing the influence of Harry Stack Sullivan on psychiatric-mental health nursing, which would an instructor address as a major concept? A) Interpersonal relations B) Harmony between the individual and society C) Collective unconscious D) Unconditional positive regard
A
3. A nursing student is to provide a class presentation about interpersonal and psychoanalytic theories. As part of this presentation, the student is planning to address the major way these two categories differ. Which would the student include as key to interpersonal theories? A) Human relationships B) Instincts C) Drives D) Potential for goodness
A
3. A psychiatric-mental health nurse is conducting an in-service program about health literacy among clients. The nurse determines that additional teaching is needed when the group identifies which action as addressing health literacy needs? A) Using only medical terminology to ensure accuracy and consistency of communication B) Verifying that clients understand information that is communicated to them C) Assuming that all clients may have difficulty understanding health information D) Ensuring clarity of communication in both spoken and written forms
A
7. A nursing instructor has prepared a lecture about the scope and standards of practice of psychiatric nurses. The instructor determines that the education was effective when the students identify what commonality of basic- and advanced-level practice of psychiatric nurses? A) Case management B) Program development C) Clinical supervision D) Community interventions
A
8. A nurse is working on developing ways to meet the challenge of knowledge development. Which action would be most appropriate? A) Access new information through continuing education programs. B) Improve access to community psychiatric care for all populations. C) Reduce the burden of mental illness by fighting stigma. D) Provide culturally competent, high-quality nursing care.
A
9. A group of nursing students is reviewing information about the various nursing theorists and their application to psychiatric-mental health nursing. The students demonstrate understanding when they identify which theorist as responsible for developing the theory of cultural care diversity and universality? A) Madeleine Leininger B) Sister Calista Roy C) Hildegard Peplau D) Dorothea Orem
A
19. A psychiatric-mental health nurse is reviewing the medical records of several clients. The nurse determines that in-home mental health care would be of most benefit for which clients? Select all that apply. A) Client with chronic schizophrenia B) Client with chronic major depression and heart failure C) Client experiencing an acute crisis D) Client who is to undergo alcohol detoxification E) Client with anxiety receiving medication therapy
A, B
20. A psychiatric-mental health nurse is providing in-home mental health care to a client. The nurse provides direct care and case management to the client to achieve which goal? Select all that apply. A) Reduce hospital stays B) Improve client's ability to function C) Reduce the number of medications prescribed D) Increase family involvement in care E) Improve standardization of care
A, B
18. A nurse is working in a crisis intervention unit. The nurse would most likely be involved with which activities? Select all that apply. A) Administering medications B) Assessing short-term interventions C) Facilitating referrals for services D) Providing 23-hour observation E) Stabilizing the crisis
A, B, C
10. A client is being discharged from the psychiatric unit this afternoon, and a nurse needs to teach the client about discharge medications. The client is exhibiting signs of moderate anxiety about the upcoming discharge. Based on Peplau's views regarding anxiety, the nurse would expect to implement the education plan at which time? A) When the client's anxiety stabilizes at its current level B) When the client's anxiety decreases to a mild level C) When the client is completely free of anxiety D) When the client's anxiety escalates to the panic level
B
10. A client is referred to a psychosocial rehabilitation program. When explaining this type of care to the client, what would the nurse emphasize? A) Intensive treatment that prepares the client to live in the community B) Services that promote the client's reintegration into the community C) Detoxification services for alcohol and drugs in an outpatient setting D) Frequent monitoring within a therapeutic milieu for relapse prevention
B
11. A psychiatric-mental health nurse is adhering to the standards of practice. When engaging in clinical decision-making, the nurse is integrating what as the foundation? A) Developmental issues B) Nursing process C) Commitment D) Accountability
B
11. When describing the continuum of care for mental health, which would the nurse identify as the primary goal? A) Coordination of care B) Care in the least restrictive environment C) Case management D) Crisis care
B
12. After educating a group of students on the beliefs associated with the world's major religions, the instructor determines that additional teaching is needed when the students identify which belief as associated with Confucianism? A) People are born good. B) People are assigned to castes. C) Authority figures are respected. D) Self-responsibility leads to improvement.
B
14. During an interview, a client tells the nurse, "I have developed a new, strong feeling of being connected to the universe." The nurse interprets this statement as an indication of what? A) meaning B) self-transcendence C) cultural identity D) religiousness
B
14. When applying the biopsychosocial model to a client with a mental health problem, the nurse addresses which psychological domain? A) Sleep patterns B) Feelings C) Family functioning D) Cultural groups
B
15. A group of nurses is preparing an in-service presentation about culture and mental illness. When describing cultural explanations, which would the group include? A) Suffering within a cultural group B) Perceived causes for symptoms C) Social factors contributing to the disorder D) Ability to communicate effectively
B
16. A nurse is engaged in exercises to develop self-awareness. The nurse is using which tool? A) Interdisciplinary care B) Reflection C) Plan of care D) Clinical reasoning
B
17. A nurse is assessing a client diagnosed with anxiety and observes the client yelling and screaming. The nurse, integrating Peplau's theory, describes this behavior using what term? A) Panic behaviors B) Relief behaviors C) Empathetic linkage D) Social distance
B
17. A psychiatric-mental health nurse has evaluated a client and determines that the client needs additional services. The nurse sends the client to another setting to obtain these services. Which action is the nurse demonstrating? A) Transfer B) Referral C) Discharge planning D) Assessment
B
18. A nurse is watching a video that depicts a client and therapist interacting. The client is asked to say whatever comes to the client's mind. The nurse identifies this technique using what term? A) Dream work B) Free association C) Gestalt therapy D) Classical conditioning
B
18. A psychiatric-mental health nurse is working with local government officials in establishing programs that allow access to services for all individuals in the community. The nurse is integrating which ethical principle? A) Nonmaleficence B) Justice C) Veracity D) Fidelity
B
3. A family member of a client diagnosed with schizophrenia disorder asks a nurse what causes the disorder. The nurse integrates understanding of schizophrenia and related disorders such as schizoaffective disorder when responding to the family member. Which response by the nurse would be most appropriate? A) "Dysfunctional family dynamics has been identified as a strong link."B) "Research has suggested that the cause is predominately genetic." C) "Dopamine, a substance in the brain, appears to be underactive." D) "Studies have indicated that birth order is strongly associated with this disorder."
B
4. A psychiatric-mental health nurse is interviewing a client who emigrated from an Asian country to the United States as a child. What client statement would the nurse recognize as illustrating a challenge specific to some traditional Asian cultures regarding mental health care? A) "I'm worried about how much treatment is going to cost." B) "My parents don't know that I'm seeking professional help." C) "My siblings have been pressuring me to start treatment." D) "My job doesn't leave me much time to attend therapy sessions."
B
5. A nurse performs behaviors that the treatment team would like the client to develop. The client internalizes these behaviors through pervasive imitation. The treatment team is integrating which cognitive theory in the client's treatment? A) Erikson's model of psychosocial development B) Albert Bandura's social cognitive theory C) Skinner's operant conditioning D) Freud's psychoanalytic model
B
5. In a post-clinical conference, a group of students is engaged in a discussion with their instructor. The instructor repeatedly has the students analyze and evaluate the nursing interventions implemented throughout the clinical experience. What are the students engaged in? A) Therapeutic use of self B) Critical thinking C) Interdisciplinary care D) Planning care
B
5. While working in a community mental health treatment center, a nurse overhears one of the receptionists saying that one of the clients is "really psycho." Later in the day, the nurse talks with the receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue? A) lack of knowledge B) public stigma C) label avoidance D) self-stigma
B
8. A nurse is integrating Peplau's model when providing care to a client with a mental illness. Which would the nurse identify as a key component? A) Suffering B) Anxiety C) Self-care D) Nonverbal behaviors
B
8. During an assessment, a client states, "We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of them." The nurse interprets this statement as an indication of what? A) Acculturation B) Cultural identity C) Cultural competence D) Linguistic competence
B
20. A group of nurses is reviewing the various theories that form the basis for psychiatric-mental health nursing. The nurses demonstrate understanding of these theories when they identify which theorists as addressing female development? Select all that apply. A) Maslow B) Gilligan C) Bandura D) Miller E) Thorndike
B, D
10. A nurse is faced with an ethical dilemma involving a client. Which question would be most important for the nurse to ask first when engaging in the process of ethical decision-making? A) What are my own feelings about the situation? B) What assumptions am I making that need more data? C) What do I know about the situation? D) What do I know about the client's values?
C
11. A nursing instructor is integrating Piaget's theory of cognitive development into the discussion of learning and mental health issues affecting adolescents. The instructor would identify this age group as in what stage? A) Concrete operations B) Preoperational C) Formal operations D) Sensorimotor
C
12. A nurse is working as part of a multidisciplinary team and developing a plan of care for a client who is receiving recovery-oriented treatment. Which would the nurse integrate into this plan? A) Focusing primarily on the mind B) Limiting support from others C) Using hope as motivation D) Avoiding underlying trauma
C
12. While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction? A) Empathy B) Transference C) Countertransference D) Modeling
C
13. A nurse is working with a client who is recovering from alcohol abuse. The client mentions participating in a 12-step recovery program. The nurse identifies this as which type of service? A) Partial hospitalization B) Outpatient detoxification C) Self-help group D) Supported employment
C
13. A psychiatric-mental health nurse is providing care to clients diagnosed with a mental illness and is investigating factors related to client safety, delivery of care services, and cost-effectiveness. The nurse is involved with which area of professional performance? A) Education B) Quality of practice C) Resource utilization D) Collaboration
C
13. During an interview, a client states, "God does not exist for me." The nurse interprets this statement as reflecting what belief? A) animism B) agnosticism C) atheism D) polytheism
C
14. Which would be a major barrier affecting the treatment of individuals diagnosed with mental health problems? A) lack of diagnostic criteria B) inability to obtain epidemiologic data C) stigma associated with mental health problems D) limited hope for recovery
C
15. A nurse has developed a plan of care for a client diagnosed with depression. For problems related to the social domain, which issue would the nurse most likely identify? A) Poor nutrition secondary to a loss of appetite B) Powerlessness with feelings of loss of control C) Inability to participate as family provider D) Risk for self-harm from feeling like a failure
C
15. A nurse is assessing a young adult and determines that the individual has achieved successful resolution of the previous stage of growth and development as evidenced by demonstrating which traits? A) Drive and hope B) Direction and purpose C) Devotion and fidelity D) Production and care
C
16. A psychiatric-mental health nurse is reviewing the medical record of a client diagnosed with a mental illness. The client is receiving care while living with a family who has been specially trained to handle mental illness. The nurse identifies this situation as which type of alternative housing? A) Personal care home B) Board-and-care home C) Therapeutic foster care D) Supervised apartment
C
17. A psychiatric-mental health nurse is conducting a seminar for a group of colleagues about the impact of spirituality and religion on mental illness. The nurse determines that the teaching was successful based on which group statement? A) "If a person is spiritual, then that person is also religious." B) "Being religious requires a person to use self-reflection" C) "Religion and spirituality can be helpful in dealing with mental illness." D) "Spirituality involves gathering for group worship."
C
18. A psychiatric-mental health nurse is preparing to practice in a rural region. What should the nurse understand about mental health issues and services in rural cultures? A) Mental health disorders are less common compared to urban areas. B) Suicide rates are roughly equal to those in urban settings. C) There tends to be limited access to mental health care. D) People living in rural cultures tend not to be receptive to mental health care.
C
2. A client has threatened to kill the client's spouse, and it is not anticipated that this crisis will resolve itself. The client is to be admitted to an inpatient psychiatric unit on an involuntary basis. When explaining the plan to the family, the nurse would identify which as the focus of care? A) Long-term therapy B) Rehabilitative services C) Crisis stabilization D) 24-hour supervision
C
2. A nurse is working in a community mental health center that provides care to a large population of people of Asian descent. When developing programs for this community, which would be most important topic for the nurse to address? A) public stigma B) self-stigma C) label avoidance D) negative life events
C
3. A client who has attempted suicide with a drug overdose has been released from an inpatient setting and has returned to school. The client continues to need routine psychiatric services. The nurse anticipates that this client will most likely be referred to what care setting? A) A partial hospitalization program B) An in-home mental health care C) An intensive outpatient program D) A crisis center in the community
C
4. A nursing student is initiating a relationship with an assigned client. After meeting and spending approximately 20 minutes talking with the client, the student makes arrangements to visit again after lunch. After lunch, fellow classmates invite the student to go to the gym with them and a group of clients to play volleyball. The student starts to go with them but then remembers the promise to meet with the client. The student decides to forgo volleyball and talk with the client. The student's decision reflects which ethical principle? A) Autonomy B) Beneficence C) Fidelity D) Veracity
C
4. The nurse is caring for a group of clients in a partial hospitalization program. The nurse would most likely be involved in which activity? A) Facilitating a drug abuse prevention group B) Providing spiritually related interventions C) Educating clients on menu planning and grocery shopping D) Teaching about the nutritional content of canned foods
C
5. A nurse is providing in-home mental health care and determines that the care is effective when the client demonstrates which response? A) A need for continued intensive monitoring in the home B) A need for crisis intervention services on an ongoing basis C) A decrease in admission frequency to inpatient psychiatric hospitals D) A dependence on parents to participate in the client's care
C
5. A psychiatric-mental health nurse is working with a client who is being treated for depression. Which statement by the client would indicate that the client's spirituality is intact? A) "My church friends came to visit me this past Sunday afternoon." B) "Nothing will ever be the same again; my life is not worth living." C) "I know I am as well off as I can be under the circumstances." D) "I know God must be punishing me for all my sins."
C
6. A group of students is reviewing the functions of psychiatric nurses. The students demonstrate understanding of the information when they identify which function as an advanced practice-level? A) Milieu therapy B) Promotion of self-care C) Psychopharmacology interventions D) Health promotion activities
C
6. A psychiatric-mental health nurse is preparing a review class for a group of colleagues on the various theoretical models used in psychiatric-mental health nursing. When describing cognitive theories, which statement would the nurse practitioner most likely include about what these theories attempt to do? A) "They explain development of the mental processes and effects on behavior." B) "They describe how people learn and act." C) "They link internal thought processes with behavior." D) "They explain normal human growth and development."
C
6. After educating a group of students on mental health and mental illness, the instructor determines that the education was successful when the group identifies what as reflecting mental disorders? A) capacity to interact with others B) ability to deal with ordinary stress C) alteration in mood or thinking D) lack of impaired functioning
C
7. A nurse is developing a community education program for a local women's club on the topic of managed care in mental health. Which topic would the nurse include as the main focus? A) Cost savings B) Consistent third-party reimbursement C) Improved access to less costly services D) Individualized care for additional inpatient stays
C
7. A nurse is preparing a presentation for a local community group about mental disorders and plans to include how mental disorders are different from medical disorders. Which statement would be most appropriate for the nurse to include? A) "Mental disorders are defined by an underlying biological pathology." B) "Numerous laboratory tests are used to aid in the diagnosis of mental disorders." C) "Clusters of behaviors, thoughts, and feelings characterize mental disorders." D) "Manifestations of mental disorders are within normal, expected parameters."
C
8. A nurse is explaining recovery to the family of a client diagnosed with a mental disorder. Which statement about this process would be most appropriate for the nurse to include? A) "It is a step-by-step process from being ill to being well." B) "The client focuses mainly on the emotional aspects of his condition." C) "The client is helped to live a meaningful life to the fullest potential." D) "Although peer support is important, the self-acceptance is essential."
C
8. When working within the continuum of care, which process occurs first? A) Referral B) Transfer C) Assessment D) Discharge planning
C
9. The parents of a young adult diagnosed with schizophrenia are providing care for the client in their home. During a home visit, the parents state, "It's been so difficult taking care of our child. We need a break. But our child needs constant supervision." Which would be appropriate for the nurse to suggest? A) Partial hospitalization B) Acute inpatient care C) Respite residential care D) Intensive outpatient program
C
9. Within the context of the culture of poverty, what most clearly describes why individuals who are part of this culture become trapped in a downward economic spiral? A) Unemployment causes poverty; a lack of will power and motivation can, in turn, cause unemployment in people who do not have a strong work ethic. B) Individuals lack the finances to pay rent, so they eventually do not have an address to use in filling out job applications. C) Characteristics of poverty (joblessness and lack of financial independence) can contribute to attributes (feelings of powerlessness and low self-esteem) that sustain poverty. D) Poverty is passed on from generation to generation; individuals learn at an early age that there is no way to escape living in poverty.
C
19. The plan of care for a client with schizophrenia identifies certain outcomes. Which outcomes would the nurse identify as addressing the biologic domain? Select all that apply. A) Improving problem-solving skills B) Promoting economic stability C) Minimizing adverse effects of drug therapy D) Improving nutritional status E) Providing family education
C, D
21. A psychiatric-mental health nurse practitioner is preparing a review class for a group of nurses about conceptual models and theories used in psychiatric-mental health nursing. When describing the major concepts of Jean Watson's theory, which concept would the nurse most likely include? Select all that apply. A) Freedom B) Paradox C) Caritas process D) Rhythmicity E) Caritas field F) Mystery
C, E
1. A client who has a major depressive episode has been hearing voices and feeling followed by someone. A history reveals that the client has had these alternating symptoms before. The client also has experienced time free from these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which disorder? A) Paranoid schizophrenia B) Undifferentiated schizophrenia C) Brief psychotic disorder D) Schizoaffective disorder
D
1. A group of nursing students is reviewing information about Freud's personality structure. The students demonstrate understanding of this information when they identify the ability to form mutually satisfying relationships as a function of what element of personality? A) Defense mechanisms B) Unconscious C) Id D) Ego
D
1. The nurse is employed by a long-term residential treatment center that provides care to a variety of clients with chronic mental disorders. Which role would the nurse primarily assume when working with these clients? A) Therapist B) Medication administrator C) Mediator D) Educator
D
1. When reviewing several studies about the use of mental health care facilities among Latinx Americans, the nurse notes that this cultural group tends to use all other resources before seeking help from mental health professionals. Which of the following would the nurse identify as a reason for this belief about many mental health facilities? A) They require periods of hospitalization. B) They do not provide 24-hour emergency services. C) They are not reimbursed by third-party payers. D) They do not accommodate their cultural needs.
D
10. A group of nursing students is reviewing information about spirituality and religiousness. The group demonstrates understanding when they identify religiousness as what? A) A feeling of connectedness B) A way of interpreting life events C) A relationship with a unifying force D) Community participation in common worship
D
10. After teaching a group of nursing students about recovery, the instructor determines that more education is needed when the group identifies what as a characteristic? A) self-direction in life B) improvement in health and wellness C) achievement of full potential D) one-time change situation
D
11. The nurse is describing the treatment of mental illness with a client's family members. What would a nurse identify as the primary goal? A) functional status B) stigma reduction C) stress reduction D) recovery
D
12. A group of nurses is reviewing the standards of professional performance. The nurses demonstrate understanding when they identify what as a standard of professional performance? A) Prescriptive authority B) Consultation C) Planning D) Collaboration
D
13. A nurse is assessing a client to evaluate the client's mental health and wellness. Applying the eight dimensions of wellness, which would the nurse identify as reflecting emotional wellness? A) Finding ways to expand creative abilities B) Recognizing the need for sleep and nutrition C) Searching for meaning in life D) Developing skills for dealing with stress
D
14. A psychiatric-mental health nurse is working with a local self-help group in the community. Which role would the nurse most likely fulfill? A) Direct care provider B) Counselor C) Mentor D) Consultant
D
15. A client diagnosed with a mental illness is receiving supportive housing during a 24-hour period on an ongoing basis. Which type service is the client most likely receiving? A) Peer support services B) Community supportive housing C) Supervised living services D) Community-based residential services
D
16. Which The nurse is documenting a specific pattern of symptoms that occurs within a community. What term will the nurse use? A) stigma B) wellness C) stereotype D) cultural syndrome
D
17. The nurse is interviewing a client diagnosed with a mental illness. The nurse determines that the client is experiencing label avoidance when the client makes what statement? A) "I'm at the cause of my illness." B) "I'll never be able to function in the world." C) "I'm as crazy as everybody thinks I am." D) "I really don't need professional help."
D
18. A nurse is describing the four dimensions of recovery to a group of new psychiatric-mental health nurses. Which dimension is the nurse describing when addressing relationships and social networks? A) health B) home C) purpose D) community
D
2. A nurse is preparing a presentation about mental health problems associated with specific ethnic and cultural groups. When describing mental health problems associated with American Indian/Alaska Native adolescents, the nurse would address high rates of which of the following? A) Schizophrenia B) Manic disorders C) Dementia D) Suicide
D
3. A nursing student is assigned to care for a client diagnosed with schizophrenia. When talking about this client in a clinical post-conference, the student would use which terminology when referring to the client? A) Committed client B) Schizophrenic C) Schizophrenic client D) Person with schizophrenia
D
3. A psychiatric nursing class is discussing current trends in mental health care. A student voices the opinion that there should be equitable access to mental health care and resources for those who live in rural areas, for those without health insurance, and for those with very little income. The student nurse's opinion most closely reflects which ethical principle? A) Nonmaleficence B) Paternalism C) Veracity D) Justice
D
4. A nurse is reviewing journal articles that discuss the occurrence of major depression. One of the articles describes the number of persons newly diagnosed with the disorder during the past year. The nurse interprets this as which type of data? A) rate B) prevalence C) point prevalence D) incidence
D
4. A psychiatric-mental health nurse is integrating Carl Rogers's theory into the plan of care for a client with a mental illness. The nurse incorporates understanding of this theory through which action? A) Providing validation of the terminology used during the session B) Focusing on the client's instinctual drives C) Recognizing an understanding of the client's basic needs D) Developing unconditional positive regard for the client
D
4. The nurse is caring for a client who was just admitted with a diagnosis of schizoaffective disorder with depression. Which agent would the nurse anticipate as being prescribed for this client? A) Lithium B) Haloperidol C) Chlorpromazine D) Clozapine
D
6. A client is being treated for prostate cancer; his prognosis is very poor. The client has a strong faith, and he has been active in his church for many years. He is concerned about his health and the challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate spiritual nursing intervention for this client? A) "I'll take you to visit my church if you can get a pass." B) "If you picked the right church, you should go to Heaven." C) "Would you like me show you a guided imagery app for your phone?" D) "We can pray together if you'd like."
D
6. The nurse is working as part of the interdisciplinary staff of a psychiatric inpatient facility. The staff is developing discharge plans for a client who requires alternative housing arrangements. The client will be referred to a personal care home. When explaining this housing arrangement to the client, which statement would the nurse include? A) "You'll be living with a family in their home, and the family will help supervise and support you." B) "You'll be living in an apartment with a roommate, and a staff member will come by to check on you." C) "You'll be living in a house with about 50 other people and receive 24-hour supervision and assistance." D) "You'll be living in a house with about 6 to 10 other people, and a health care attendant will provide 24-hour supervision."
D
7. A psychiatric-mental health nurse is educating a class at a community health center on social factors associated with mental illness. When describing the influence of poverty and effects of the downward economic spiral on mental health, which population would the nurse identify as being the most at risk? A) older adults B) individuals with physical disabilities C) single-parent families D) individuals who are homeless
D
7. When integrating the Neuman systems model while caring for a client diagnosed with a mood disorder, which would a nurse focus on with regard to the client? A) Behaviors B) Relationships C) Self-care activities D) Stressors
D
9. A 22-year-old client diagnosed with schizophrenia is refusing antipsychotic medication. The client states, "I don't like the dopey way it makes me feel. I feel like I'm walking underwater when I take it." The nurse explains to the client, "Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better." This conversation reflects a conflict between which two types of ethical principles? A) Autonomy and justice B) Paternalism and veracity C) Justice and nonmaleficence D) Autonomy and beneficence
D
9. A psychiatric-mental health nurse is preparing a presentation about recovery for a group of newly hired nurses at a mental health facility. Which concept would the nurse identify as crucial to recovery? A) self-direction B) peer support C) respect D) hope
D
