Mental Health Nursing Exam I (8th edition) Ch. 2, 6, 7, 8, 10, 12, 21, 24

The primary goal in working with an actively psychotic, suspicious client would be to: A) Promote interaction with others B) Decrease his anxiety and increase trust C) Improve his relationship with his parents D) Encourage participation in therapy activities

B) Decrease his anxiety and increase trust

Clint, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins to tell the nurse about how the CIA is looking for him and will kill him if they find him. Clint's belief is an example of: A) Delusion of persecution B) Delusion of reference C) Delusion of control or influence D) Delusion of grandeur

A) Delusion of persecution

The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the side, stops talking in midsentence, and listens intently. The nurse recognizes these behaviors as a symptom of the client's illness. The most appropriate nursing intervention for this symptom is to: A) Ask the client to describe his physical symptoms B) Ask the client to describe what he is hearing C) Administer a dose of benztropine D) Call the physician for additional orders

B) Ask the client to describe what he is hearing

Tony, age 21, has been diagnosed with schizophrenia. He has been socially isolated and hearing voices telling him to kill his parents. He has been admitted to the psychiatric unit from the emergency department. The INITIAL nursing intervention for Tony is to A) Give him an injection of Thorazine B) Ensure a safe environment for him and others C) Place him in restraints D) Order him a nutritious diet

B) Ensure a safe environment for him and others

The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the side, stops talking in midsentence, and listens intently. The nurse recognizes from these signs that the client is likely experiencing: A) Somatic delusions B) Catatonic stupor C) Auditory hallucinations D) Pseudoparkinsonism

C) Auditory hallucinations

When a client suddenly becomes aggressive and violent on the unit, which of the following approaches would be best for the nurse to use first? A) Provide large motor activities to relieve the client's pent-up tension B) Administer a dose of prn chlorpromazine to keep the client calm C) Call for sufficient help to control the situation safely D) Convey to the client that his behavior is unacceptable and will not be permitted

C) Call for sufficient help to control the situation safely

The nurse is caring for a client with schizophrenia. Orders from the physician include 100mg chlorpromazine IM STAT and then 50mg PO bid; 2 mg benztropine PO bid prn. Why is chlorpromazine ordered? A) To reduce EPS B) To prevent neuroleptic malignant syndrome C) To decrease psychotic symptoms D) To induce sleep

C) To decrease psychotic symptoms

Clint, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins to tell the nurse about how the CIA is looking for him and will kill him if they find him. The most appropriate response by the nurse is: A) That's ridiculous, Clint. No one is going to hurt you. B) The CIA isn't interested in people like you, Clint C) Why do you think the CIA wants to kill you? D)I know you believe that, Clint, but it's really hard for me to believe

D) I know you believe that, Clint, but it's really hard for me to believe

The nurse is caring for a client with schizophrenia. Orders from the physician include 100mg chlorpromazine IM STAT and then 50mg PO bid; 2mg benztropine PO bid prn. Because benztropine was ordered on a prn basis, which of the following assessments by the nurse would convey a need for this medication? A) The client's level of agitation increases B) The client complains of a sore throat C) The client's skin has a yellowish cast D) The client develops tremors and a shuffling gait

D) The client develops tremors and a shuffling gait

The primary focus of family therapy for clients with schizophrenia and their families is: A) To discuss concrete problem solving and adaptive behaviors for coping with stress B) To introduce the family to others with the same problem C) To keep the client and family in touch with the health care system D) To promote family interaction and increase understanding of the illness

D) To promote family interaction and increase understanding of the illness

The nurse says to a client, "You are being readmitted to the hospital. Why did you stop taking your medication? What communication technique does this represent? a. disapproving b. requesting an explanation c. disagreeing d. probing

b

When the nurse shows unconditional acceptance of an individual as a worthwhile and unique human being, he or she is exhibiting which of the following characteristics? a. trust b. respect c. genuineness d. empathy

b

A nurse who is helping a client in the preparation stage of the Psychological Recovery Model might include which of the following interventions? a. teach about effects of the illness and how to recognize, monitor, and manage symptoms b. help the client identify triggers that cause distress or discomfort c. help the client establish a daily maintenance list d. listen actively while the client composes his or her personal story

a

J.J is a staff nurse on a surgical unit. He has been selected as leader of a newly established group of staff nurses organized to determine ways to decrease the number of medication errors occurring on the unit. J.J. has definite ideas about how to bring this about. He also applied for the position of Head Nurse on the unit and believes that if he is successful in leading the group toward achievement of his goals, he can also facilitate his chances for promotion. At each meeting he addresses the group in an effort to convince the members to adopt his ideas. Which type of group and style of leadership is described in this situation? a. task/democratic b. teaching/laissez-faire c. self-help/democratic d. supportive-therapeutic/autocratic

a

Mrs. S asks the nurse, "Do you think I should tell my husband about my affair with my boss?" Which is the most appropriate response by the nurse? a. "What do you think would be best for you to do?" b. "Of course you should. Marriage has to be based on truth." c. "Of course not. That would only make things worse." d. "I can't tell you what to do. You have to decide for yourself."

a

Nancy says to the nurse, "I worked as a secretary to put my husband through college, and as soon as he graduated, he left me. I hate him! I hate all men!" Which of the following is an empathetic response by the nurse? a. "You are very angry now. This is a normal response to your loss." b. "I know what you mean. Men can be very sensitive." c. "I understand completely. My husband divorced me, too." d. "You are depressed now, but you will feel better in time."

a

Nancy, a depressed client who has been unkept and untidy for weeks, today comes to group therapy wearing makeup and a clean dress and having washed and combed her hair. Which of the following responses by the nurse is most appropriate? a. "Nancy, I see you have put on a clean dress and combed your hair." b. "Nancy, you look wonderful today." c. "Nancy, I'm sure everyone will appreciate that you have cleaned up for the group today." d. "Now that you see how important it is, I hope you will do this everyday."

a

One of the goals of therapeutic community is for clients to become more independent and accept self-responsibility. Which of the following approaches by staff best encourages fulfillment of this goal? a. including client input and decisions into the treatment plan b. insisting that each client take a turn as "president" of the community meeting c. making decisions for the client regarding plans for treatment d. requiring that the client be bathed, dressed, and attend breakfast on time each morning

a

Sandra is the nurse leader of a supportive-therapuetic group for individuals with anxiety disorders. Violet, who is beautiful but lacks self-confidence, states to the group, "Maybe if I became a blond my boyfriend would love me more." Larry responds, "Listen, dummy, you need more than blond hair to keep the guy around. A bit more in the brains department would help!" What type of member role is Larry assuming in this group? a. aggressor b. monopolizer c. blocker d. seducer

a

The client says to the nurse, "I've been offered a promotion, but I don't know if I can handle it." The nurse replies, "You're afraid you may fail in the new position." This is an example of which therapeutic technique? a. restating b. making observations c. focusing d. verbalizing the implied

a

Sally was sexually abused as a child. She is a client on the milieu unit with a diagnosis of borderline personality disorder. She has refused to talk to anyone. Which of the following therapies might the IDT team choose for Sally? (select all that apply) a. music therapy b. art therapy c. psychodrama d. electroconvulsive therapy

a, b, c

Which of the following are basic assumptions of milieu therapy? (select all that apply) a. the client owns his or her own environment b. each client owns his or her behavior c. peer pressure is a useful and powerful tool d. inappropriate behaviors are punished immediately

a, b, c

Which of the following behaviors suggest a possible breach of professional boundaries? (select all that apply) a. the nurse repeatedly requests to be assigned to a specific client b. the nurse shares the details of her divorce with the client c. the nurse makes arrangements to meet the client outside of the therapeutic environment d. the nurse shares how she dealt with a similar difficult situation

a, b, c

Anna has been a widow for 20 years. Her maladaptive grief response to the loss of her dog may be attributed to which of the following? (select all that apply) a. unresolved grief over loss of her husband b. loss of several relatives and friends over the last few years c. repressed feelings of guilt over the way in which Lucky died d. inability to prepare over the way in which Lucky died

a, b, c, d

The environment in which the communication takes place influences the outcome of the interaction. Which of the following are aspects of the environment that influence communication? (select all that apply) a. territoriality b. density c. dimension d. distance e. intensity

a, b, d

On the milieu unit, duties of the staff psychiatric nurse include which of the following? (select all that apply) a. medication administration b. client teaching c. medical diagnosis d. reality orientation e. relationship development f. group therapy

a, b, d, e

Which of the following behaviors are associated with the phenomenon of transference? (select all that apply) a. the client attributes toward the nurse feelings associated with a person from the client's past b. the nurse attributes toward the client feelings associated with a person from the nurse's past c. the client forms an overwhelming affection for the nurse d. the client becomes excessively dependent on the nurse and forms unrealistic expectations of him or her

a, c, d ...... (b. is countertransference)

Anna, who is 72 years old, is of the age when she may have experienced many loses coming close together. What is this called? a. bereavement overload b. normal mourning c. isolation d. cultural relativity

a.

Joe, a Native American, appears at the community health clinic with an oozing stasis ulcer on his lower right leg. It is obviously infected, and he tells the nurse that the shaman has been treating it with herbs. The nurse determines that Joe needs emergency care, but Joe states that he will not go to the emergency department unless the shaman is allowed to help treat him. How should the nurse handle this situation? a. contact the shaman and have him meet them at the ED to consult with the attending physician b. tell Joe that the shaman is not allowed in the ED c. explain to Joe that the shaman is at fault for his leg being in the condition it is in now d. have the shaman try to talk Joe into going to the ED without him

a.

Joe, who has come to the mental health clinic with symptoms of depression, says to the nurse, "My father is dying. I have always hated my father. He physically abused me when I was a child. We haven't spoken for many years. He wants to see me now, but I don't know if I want to see him." With which spiritual need is Joe struggling? a. forgiveness b. faith c. hope d. meaning and purpose in life

a.

Maria is an Italian American who is in the hospital after having suffered a miscarriage at 5 months' gestation. Maria's mother says to the nurse, "If only Maria had told me she wanted the biscotti. I would have made them for her." What is the meaning behind Maria's mother's statement? a. some Italian Americans believe a miscarriage can occur if a woman does not eat a food she craves b. some Italian Americans think biscotti can prevent miscarriage c. Maria's mother is taking the blame for Maria's miscarriage d. Maria's mother believes the physician should have told Maria to eat biscotti

a.

A client states: "I refuse to shower in this room. I must be very cautious. The FBI has placed a camera in here to monitor my every move." Which of the following is the therapeutic response? a. "That's not true." b. "I have a hard time believing that is true." c. "Surely you don't really believe that." d. "I will help you search this room so that you can see there is no camera."

b

Carol, an adolescent, just returned from group therapy and is crying. She says to the nurse, "All of the other kids laughed at me! I try to fit in, but I always seem to say the wrong thing. I've never had a close friend. I guess I never will." Which is the most appropriate response by the nurse? a. "What makes you think you will never have any friends?" b. "You're feeling pretty down on yourself right now." c. "I'm sure they didn't mean to hurt your feelings." d. "Why do you feel this way about yourself?"

b

In the community meeting, which of the following actions is most important for reinforcing the democratic posture of the therapy setting? a. allowing each person a specific and equal amount of time to talk b. reviewing group rules and behavior limits that apply to all clients c. reading the minutes from yesterday's meeting d. waiting until all clients are present before initiating the meetings

b

John tells the nurse, "I think lights out at 10 o' clock on a weekend is stupid. We should be able to watch TV until midnight!" Which of the following is the most appropriate response from the nurse on the milieu unit? a. "John, you were told the rules when you were admitted." b. "You may bring it up before the others at the community meeting, John." c. "Some people want to o to bed early, John." d. "You are not the only person on this unit, John. You must think of others besides yourself."

b

N.J. is the nurse leader of a childbirth preparation group. Each week she shows various films and sets out various reading materials. She expects the participants to utilize their time on a topic of their choice on practice skills they have observed on the films. Two couples have dropped out of the group, stating, "This is a big waste of time." Which type of group and style of leadership is described in this situation? a. task/democratic b. teaching/laissez-faire c. self-help/democratic d. supportive-therapeutic/autocratic

b

Nurse Carol, who is the adult child of an alcoholic, is working with John, a client who abuses alcohol. John has experienced a successful detoxification process and is beginning a program of rehabilitation. He says to Carol, "I'm not going to go to those stupid AA meetings. They don't help anything." Carol, whose father died of complications from alcoholism, responds with anger: "Don't you even care what happens to your children?" Carol's response is an example of which of the following? a. transference b. countertransference c. self-disclosure d. a breach of professional boundaries

b

Sandra is the nurse leader of a supportive-therapuetic group for individuals with anxiety disorders. In this group, Helen talks incessantly. When someone else tries to make a comment, she refuses to allow him or her speak. What type of member role is Helen assuming in this group? a. aggressor b. monopolizer c. blocker d. seducer

b

Which of the following activities would be a responsibility of the psychiatric clinical nurse specialist on the IDT team? a. manages the therapeutic milieu on a 24 hour basis b. conducts group therapies and provides consultation and education to staff nurses c. directs a group of clients in acting out a situation that is otherwise too painful for a client to discuss openly d. locates halfway house and arranges living conditions for client being discharged from the hospital

b

Which of the following is a true statement about mental health recovery? (select all that apply) a. mental health recovery applies only to severe and persistent mental illnesses b. mental health recovery serves to provide empowerment to the client c. mental health recovery is based on the medical model d. mental health recovery is a collaborative process

b, d

Which of the following tasks are associated with the orientation phase of relationship development? (select all that apply) a. promoting the client's insight and perception of reality b. creating an environment for the establishment of trust and rapport c. using the problem-solving model toward goal fulfillment d. obtaining available information about the client from various sourced e. formulating nursing diagnoses and setting goals

b, e

Anna is diagnosed with major depressive disorder. She is most likely fixed in which stage of the grief process? a. denial b. anger c. depression d. acceptance

b.

Anna, age 72, has been grieving the death of her dog, Lucky, for 3 years. She is able to take care of her activities of daily living, and wants only to make daily visits to Lucky's grave. Her daughter has likely to put off seeking help for Anna because: a. women are less likely to seek help for emotional problems than men b. relatives often try to "normalize" the behavior, rather than label it mental illness c. she knows that all older people are expected to be a little depressed d. she is afraid that the neighbors "will think her mother is crazy"

b.

Maria is an Italian American who is in the hospital after having suffered a miscarriage at 5 months' gestation. Her room is filled with relatives who have brought a variety of foods and gifts for Maria. They are all talking, seemingly at the same time, and some, including maria, are crying. They repeatedly touch and hug Maria and each other. How should the nurse handle this situation? a. explain to the family that Maria needs her rest and they must all leave b. allow the family to remain and continue their activity as described, as long as they do not disturb other clients c. explain that Maria will not get over her loss if they keep bringing it up and causing her to cry so much d. call the family priest to come and take charge of this family situation

b.

Sarah is an African American woman who receives a visit from the psychiatric home health nurse. A referral for a mental health assessment was made by the public health nurse, who noticed that Sarah was becoming exceedingly withdrawn. When the psychiatric nurse arrives, Sarah says to her, "No one can help me." I was an evil person in my youth, and now I must pay." How might the nurse assess this statement? a. Sarah is having delusions of persecution b. some African Americans believe illness is God's punishment for their sins c. Sarah is depressed and just wants to be left alone d. African Americans do not believe in psychiatric help

b.

The nurse must give Frank, a Latino American, a physical examination. She tells him to remove his clothing and put on an examination gown. Frank refuses. How should the nurse interpret this behavior? a. Frank does not believe in taking orders from a woman b. Frank is modest and embarrassed to remove his clothes c. Frank doesn't understand why he must remove his clothes d. Frank does not think he needs a physical examination

b.

Which of the following statements by Anna might suggest that she is achieving resolution of her grief over Lucky's death? a. "I don't cry anymore when I think about Lucky." b. "It's true, Lucky didn't always mind me. Sometimes he ignored my commands." c. "I remember how it happened now. I should have held tighter to his leash!" d. "I won't ever have another dog. It's just too painful to lose them."c

b.

A nurse is assisting an individual with mental illness recovery using the Tidal Model. Which of the following is a component of this model? a. the wellness toolbox b. the daily maintenance list c. the individual's personal story d. triggers

c

A nurse who is helping a client with mental illness recovery using the WRAP Model says to the client, "First you must create a wellness toolbox." She explains to the client that a wellness toolbox is which of the following? a. a list of words that describe how the individual feels when he or she is feeling well b. a list of things the client needs to do every day to maintain wellness c. a list of strategies the client has used in the past that help relieve disturbing symptoms d. a list of the client's favorite health-care providers and phone numbers

c

Henry is a member of an AA group. He learned about the effects of alochol on the body when a nurse from the chemical dependency unit spoke to the group. This is an example of which curative factor? a. catharsis b. altruism c. imparting on information d. universality

c

In prioritizing care within the therapeutic environment, which of the following nursing interventions would receive the highest priority? a. ensuring that the physical facilities are conductive to achievement of the goals of therapy b. scheduling a community meeting for 8:30 each morning c. attending to the nutritional and comfort needs of all clients d. establishing contacts with community resources

c

Judy has been in the hospital for 3 weeks. She has used Valium "to settle my nerves" for the past 15 years. She was admitted by her psychiatrist for safe withdrawal from the drug. She has passed the physical symptoms of withdrawal at this time, but states to the nurse, "I don't know if I will be able to make it without Valium after I go home. I'm already starting to feel nervous. I have so many personal problems." Which is the most appropriate response by the nurse? a. "Why do you think you have to have drugs to deal with your problems?" b. "Everybody has problems, but not everybody uses drugs to deal with them. You'll just have to do the best you can." c. "We will just have to think about some things that you can do to decrease your anxiety without resorting to drugs." d. "Just hang in there. I'm sure everything is going to be okay."

c

Nurse Jones is the leader of a bereavement group for widows. Nancy is a new member. She listens to the group and sees that one member. Jane, has been a widow for 5 years now. Jane has adjusted well and Nancy thinks maybe she can too. This is an example of which curative factor? a. universality b. imitative behavior c. installation of hope d. imparting of information

c

The nurse leader is explaining about group "curative factors" to members of the group. She tells the group that group situations are beneficial members can see that they are not alone in their experiences. This is an example of which curative factor? a. altruism b. imitative behavior c. universality d. imparting of information

c

Where there is congruence between what is felt and what is being expressed, the nurse is exhibiting which of the following characteristics? a. trust b. respect c. genuineness d. empathy

c

Which of the following activities would be a responsibility of the clinical psychologist member of the IDT? a. locates halfway house and arranges living conditions for client being discharged from the hospital b. manages the therapeutic milieu on a 24 hour basis c. administers and evaluates psychological tests that assist in diagnosis d. conducts psychotherapy and administers electroconvulsive therapy treatments

c

For what reason would Anna's illness be considered a neurosis rather than a psychosis? a. she is unaware that her behavior is maladaptive b. she exhibits inappropriate affect (emotional tone) c. she experiences no loss of contact with reality d. she tells the nurse, "there is nothing wrong with me!"

c.

Franklin is a Latino American who has an appointment at the community health center for 1 p.m. The nurse is angry when Frank shows up at 3:30 p.m. stating "I was visiting with my brother." How might the nurse best interpret this behavior? a. Frank is being passive-aggressive by showing up late b. this is Frank's way of defying authority c. Frank is a member of a cultural group that is present-time oriented d. Frank is a member of a cultural group that rejects traditional medicine

c.

Miss Lee is an Asian American on the psychiatric unit. She tells the nurse, "I must have the hot ginger root for my headache. It is the only thing that will help." What meaning does the nurse attach to this statement by Miss Lee? a. she is being obstinate and wants control over her care b. she believes that ginger root has magical qualities c. she subscribes to the restoration of health through the balance of yin and yang d. Asian Americans refuse to take traditional medicine for pain

c.

Nurse Mary has been providing care for Tom during his hospital stay. On Tom's day of discharge, his wife brings a bouquet of flowers and box of chocolates to his room. He presents these gifts to Nurse Mary saying, "Thank you for taking care of me." What is a correct response by the nurse? a. "I don't accept gifts from patients." b. "Thank you so much! It is so nice to be appreciated." c. "Thank you. I will share these with the rest of the staff." d. "Hospital policy forbids me to accept gifts from patients."

c.

Sarah is an African American woman who lives in the rural South. She receives a visit from the public health nurse. Sarah says to the nurse, "Granny told me to eat a lot of poke greens and I would feel better." How should the nurse interpret this statement? a. Sarah's grandmother believes in the healing power of poke greens b. Sarah believes everything her grandmother tells her c. Sarah has been receiving health care from a "folk practitioner" d. Sarah is trying to determine if the nurse agrees with her grandmother

c.

Three years ago, Anna's dog, Lucky, whom she had for 16 years, was hit by a car and killed. Anna's daughter reports that since that time, Anna has lost weight, rarely leaves her home, and just sits and talks about Lucky. Anna's behavior would be considered maladaptive because: a. it has been more than three years since Lucky died b. her grief is too intense just over the loss of a dog c. her grief is interfering with her functioning d. people in this culture would not comprehend such behavior over loss of a pet

c.

Lucky sometimes refused to obey Anna, and indeed did not come back to her when she called to him on the day he was killed. But Anna continues to insist. "He was the very best dog. He always minded me. He always did everything I told him to do." This represents that defense mechanism of: a. sublimation b. compensation c. reaction formation d. undoing

c. (defense mechanism in which a person perceives their true feelings or desires to be socially, or in some cases, legally unacceptable, and so they attempt to convince themselves or others that the opposite is true--often in a very exaggerated performance.)

A nurse is assisting an individual with mental illness recovery using the Psychological Recovery Model. The client says to the nurse, "I have schizophrenia. Nothing can be done. I might as well die." In which stage of the Psychological Recovery Model would the nurse assess the individual to be? a. the awareness stage b. the preparation stage c. the rebuilding stage d. the moratorium stage

d

Client teaching is an important nursing function in milieu therapy. Which of the following statements by the client indicates the need for knowledge and a readiness to learn? a. "Get away from me with that medicine! I'm not sick!" b. "I don't need psychiatric treatment. It's my migraine headaches that I need help with." c. "I've taken Valium every day of my life for the last 20 years. I'll stop when I'm good and ready!" d. "The doctor says I have bipolar disorder. What does that really mean?"

d

Dorothy was involved in an automobile accident while under the influence of alcohol. She served her car into a tree and narrowly missed hitting a child on a bicycle. She is in the hospital with multiple abrasions and contusions. She is talking about the accident with the nurse. Which of the following statements by the nurse is most appropriate? a. "Now that you know what can happen when you drink and drive, I'm sure you won't let it happen again." b. "You know that was a terrible thing you did. That child could have been killed." c. "I'm sure everything is going to be okay now that you understand the possible consequences of such behavior." d. "How are you feeling about what happened?"

d

Hildegard Peplau identified seven subroles within the role of the nurse. She believed the emphasis in psychiatric nursing was on which of the subroles? a. resource person b. teacher c. surrogate d. counselor

d

M.K. is a psychiatric nurse who has been selected to lead a group for women who desire to lost weight. The criterion for membership is that they must be at least 20 lb overweight. All have tried to lost weight on their own many times in the past without success. At their first meeting, M.K. provides suggestions as the members determine what their goals will be and how they plan to go about achieving those goals. They decided how often they wanted to meet, and what they planned to do at each meeting. Which type of group and style of leadership is described in this situation? a. task/democratic b. teaching/laissez-faire c. self-help/democratic d. supportive-therapeutic/autocratic

d

Nurse Jones is working with Kim, a client with anger-management program. Which of the following identifies actions associated with the working phase of the therapeutic relationship? a. Kim tells Nurse Jones she wants to learn more adaptive ways to handle her anger. Together, they set some goals b. the goals of therapy have been met, but Kim cries and says she has to keep coming to therapy in order to be able to handle her anger appropriately c. Nurse Jones reads Kim's previous medical records. She explores her feelings about working with a woman who has abused her child d. Nurse Jones helps Kim practice various techniques to control her angry outbursts. She gives Kim positive feedback for attempting to improve maladaptive behaviors

d

Paul is a member of an anger management group. He knew that people did not want to be his friend because of his violent temper. In the group, he has learned to control his temper and form satisfactory interpersonal relationships with others. This is an example of which curative factor? a. catharsis b. altruism c. imparting of information d. development of socializing techniques

d

Sandra is the nurse leader of a supportive-therapuetic group for individuals with anxiety disorders. On the first day the group meets, Valerie speaks and begins by sharing the intimate details of her incestuous relationship with her father. What type of member role is Valerie assuming in this group? a. aggressor b. monopolizer c. blocker d. seducer

d

Walter is angry with his psychiatrist and says to the nurse, "He doesn't know what he is doing. That medication isn't helping a thing!" The nurse responds, "He has been a doctor for many years and has helped many people." This is an example of what non-therapeutic technique? a. rejecting b. disapproving c. probing d. defending

d

As a child, Joe was physically abused by his father. The father is now dying and has expressed a desire to see his son before he dies. Joe is depressed ad says to the mental health nurse, "I'm so angry! Why did God have to give me a father like this? I feel cheated of a father! I've always been a good person. I deserved better. I hate God!" From this subjective data, which nursing diagnosis might the nurse apply to Joe? a. readiness for enhanced religiosity b. risk for impaired religiosity c. readiness for enhanced spiritual well-being d. spiritual distress

d.

Based on the information in Question 1, Anna's grieving behavior would most likely be considered to be: a. delayed b. inhibited c. prolonged d. distorted

d.

Joe, a Native American, goes to the ED because he has an oozing stasis ulcer on his leg. He is accompanied by the tribal shaman, who has been treating Joe on the reservation. As a greeting, the physician extends his hands to the shaman, who lightly touches the physician's hand, then quickly moves away. How should the physician interpret this gesture? a. the shaman is snubbing the physician b. the shaman is angry at Joe for wanting to go to the ED c. the shaman does not believe in traditional medicine d. the shaman does not feel comfortable with touch

d.

Miss Lee, an Asian American on the psychiatric unit, says she is afraid that no one from her family will visit her. On what belief does Miss Lee base her statement? a. many Asian Americans do not believe in hospitals b. many Asian Americans do not have close family support systems c. many Asian Americans believe the body will heal itself if left alone d. many Asian Americans view psychiatric problems as bringing shame to the family

d.

Anna's dog, Lucky, got away from her while they were taking a walk. He ran into the street and was hit by a car. Anna cannot remember any of these circumstances of his death. This is an example of what defense mechanism? a. rationalization b. suppression c. denial d. repression

d. repression = unconscious... (suppression = conscious avoidance)