Mental Health Test Bank (Chapter 4, 5, 6)

A client was admitted to the behavioral health unit for evaluation and diagnosis after being found wandering the streets. His personal hygiene is poor, and his responses to questions are bizarre and inappropriate. The client's constitutional rights are violated when the nurse makes which statement?

"I am going to help you shower, so you will not smell so bad."

Which of the following patients meets the criteria for an involuntary admission to a psychiatric mental health unit?

A 26-year-old kindergarten teacher who is not in touch with reality and was found wandering in and out of traffic on a busy road

What assumption can be made about the client who has been admitted on an involuntary basis?

The client has failed to agree to fully participate in treatment and care planning. The client is a danger to self or others or unable to meet basic needs. The commitment was court ordered.

Which criterion must be met to refer a client to a partial hospitalization program?

The client is able to return home each day.

When considering client rights, which client can be legally medicated against his or her wishes?

The client may cause imminent harm to himself or others.

When considering the civil rights of persons diagnosed with mental illness and hospitalized for treatment, which statement is true?

They are assured the same as those for any other citizen

It is not always guaranteed that all clients who are voluntarily admitted to a behavioral health unit will have the right to which privilege?

To access all personal possessions.

Which ethical principle refers to the individual's right to make his or her own decisions?

Veracity

The nurse reads the medical record and learns that a client has asked for treatment, agreed to receive treatment, and to abide by hospital rules. The nurse may correctly assume that the client has met the criteria for which type of admission?

Voluntary

Which idea held by the nurse would best promote the provision of culturally competent care?

Western biomedicine is one of several established healing systems.

Most clients who are diagnosed with chronic mental illness are not likely to have their psychiatric mental health experiences covered by which payment method?

Private insurance

The nurse who provides therapeutic milieu management supports the clients best by concentrating on which client need?

Providing a safe place to practice coping skills

What is the primary advantage of using a case manager when considering the planning and implementation of client care?

Enhances resource management.

Which statement made by the nurse would acknowledge that they understand the difference between the ethnicity and culture?

"So, ethnicity refers to shared history and heritage, whereas culture refers to sharing the same beliefs and values."

When considering the duty to warn and protect third parties, which client statement should the nurse report to the treatment team members?

"That judge is going to really regret putting me in here."

Which question asked by a nurse demonstrates the effective implementation of cultural desire when caring for a client from a different culture?

"What can I do to provide ethnic foods that are still low in fat?"

The nurse assesses the wellness beliefs and values of a client from another culture best when asking which question?

"What do you think is making you ill?"

Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture?

"What usually helps people who have the same type of illness you have?"

A nurse states, "I am so frustrated trying to communicate with clients when they insist on speaking in their language instead of English. I think if people want to live here, they ought to have to speak our language and act like we do!" Which response by a peer best promotes culturally competent care?

"What you are saying is actually considered cultural imposition, which is imposing our own culture onto someone from a different culture." "When their ability to speak and understand English is very limited, we need to have an interpreter present to make sure they can make their needs and feelings known."

Which hospitalized patient should the nurse identify as being a candidate for the appropriate use of a release from hospitalization known as against medical advice (AMA)?

A 37-year-old patient scheduled for discharge in 24 hours wishes to be discharged immediately

The primary goal and benefit of assertive community treatment (ACT) is demonstrated by which situation?

A client diagnosed with schizophrenia has avoided being rehospitalization for 16 months.

Which scenarios describe a HIPAA violation associated with a nurse's behavior?

A nurse on the cardiac unit gives report to the nurse on the step-down unit while transporting a client in the staff elevator.

Which of the following patients would be appropriate to refer to a partial hospitalization program (PHP)?

A patient being discharged from an inpatient alcohol rehabilitation unit

Which nursing behavior best demonstrates the concept of cultural competence?

Adjusting personal practice to meet the patients' cultural preferences, beliefs, and practices

Which statement regarding clients' rights after being voluntarily admitted to a behavioral health unit is true?

All rights remain intact.

The case manager is demonstrating an understanding of the primary goals of managed care when engaging in which client intervention?

Arranging for the client to have a screening for prostate cancer

The use of seclusion or restraint to control the behavior of a client who is at risk of harming self or others gives rise to conflict between which ethical principles?

Autonomy and beneficence

A client who presents no danger to himself or to others is forced to take medication against his will. This situation represents

Battery

Which statement best explains the term "worldview"?

Beliefs and values held by people of a given culture about what is good, right, and normal.

Which of the following structural safety precautions is most important when attempting to prevent a common type of inpatient suicide?

Break-away closet bars to prevent hanging

What term is used to describe the process implemented when members of a group are introduced to the culture's worldview, beliefs, values, and practices?

Enculturation

When a nurse says, "I work with a mobile mental health unit," what assumption can a client accurately make about the care being provided?

Care is provided to clients in unconventional settings.

In order to be most effective, the community mental health nurse involved in assertive community treatment (ACT) needs to possess which characteristic?

Creative problem-solving and intervention skills

A recent Hispanic immigrate comes to the mental health clinic after being referred to by her primary care provider. Josefina came to live in the United States from Brazil 5 years ago. During the initial intake assessment, the client reports headaches and backaches "almost every day" and "can't sleep at night." The client looks away when asked about anxiety or depression and states, "I don't know why I was referred to the mental health clinic." Which assessment information should the nurse further explore to assess for possible somatization?

Denial of anxiety or depression

If a client is placed in seclusion and held there for 24 hours without a written order or examination by a physician, the client has experienced which illegal act?

False imprisonment

If a nurse is charged with leaving a suicidal client unattended, it is being suggested that the nurse's behavior has violated which ethical principle?

Fidelity

In the Chinese tradition, disease is believed to be caused by what factor?

Fluctuations in opposing forces

Considering mental health, what term is used to define a deviation from expectations by members of the cultural group?

Illness

A therapeutic inpatient milieu will include which characteristic?

It provides for the client's safety and comfort.

When considering the ongoing, crucial responsibilities of nurses working on an inpatient psychiatric unit, which activity has highest priority?

Maintaining a therapeutic milieu

According to the Western scientific view of health, what causes illness?

Pathogens

What function is shared by advanced practice and general practice psychiatric nurses?

Membership on a multidisciplinary team

Which situation demonstrates the nurse functioning in the role of advocate?

Negotiating with the client's HMO for extension of a 3-day hospitalization to 5 days

After the death of a client, what rule of confidentiality should be followed by nurses who provided care for the individual?

Nothing may be disclosed that would have been kept confidential before death.

In addition to physicians, what other members of the mental health disciplines have been identified as having the knowledge, skills, ability, and legal authority to intervene in the full range of mental health care?

Nurses

The psychiatric community health nurse engages in secondary prevention when implementing which intervention?

Providing stress reduction seminars at the local senior center

A client reports to the nurse that once he is released he will make sure his wife will never again be able to have him committed to a psychiatric hospital. What action should the nurse take?

Report the incident to the client's therapist.

The nurse is caring for an admitted client with a history of becoming aggressive when angry and has caused physical injury to another client and two staff members. When this client begins to demonstrate signs of anger while in the day room what intervention should the nurse implement to address the safety of the milieu?

Request that the client accompany the nurse to the client's room

Which right of the client has been violated if he is medicated without being asked for his permission?

Right to informed consent

A 52-year-old Chinese American client comes to the emergency room reporting anxiety and states, "I am a failure." During the assessment interview, the client shares that they have recently been reprimanded at work for an error they were responsible for. The nurse should explore which possible trigger for the client's anxiety and feelings of failure?

Shaming the family by being responsible for the error

What nursing action supports a client's right to autonomy?

Witnessing the informed consent for electroconvulsive therapy from a client

When considering mental illness, recovery is best described to a client by which statement?

Working, living, and participating in the community

When assessing and planning treatment for a client who has recently arrived in the United States from China, the nurse should be alert to the possibility that the client's explanatory model for his illness reflects which cultural concept?

Yin-Yang