MIdterm review.
Low levels of which neurotransmitter may lead to aggressive behavior?
Serotonin Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 19: Management of Anger, Aggression, and Violence, p. 286.
The Yalom's model of psychotherapy emphasizes the importance of the development of
interpersonal relationships
Which statement demonstrates a client's cognitive distortion about success in a course the client is enrolled in?
"I didn't make an A on that test; I'm never going to pass this course." Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 12: Cognitive Interventions in Psychiatric Nursing, p. 191.
A psychiatric-mental health nurse is interviewing a client diagnosed with depression. Which statement would lead the nurse to suspect that the client is experiencing self-stigma?
"I of no use to society because of my mental illness." Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 2: Mental Health and Mental Disorders, p. 17.
A client is attending anger management class and wants to know how the class will help. What is the nurse's best response?
"It will help you to learn how to control the arousal of anger." Explanation: Reference: Boyd, M.A., Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 19: Management of Anger, Aggression & Violence, p. 287.
The nurse is interviewing a client admitted with a diagnosis of depression. What question asked by the nurse best indicates interest and establishes rapport with the client?
"Tell me what a routine day would be for you?" Explanation: Reference: Boyd, M.A., Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia, Wolters Kluwer, 2018. Page 128
The client spoke of a current event in the national news and described it as it relates to the client. Then the client spoke of a historical event and described it as being directly related to the client. Which question might the nurse ask to determine if the client is experiencing ideas of reference?
"Where were you when this happened?" Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 10: The Psychiatric-Mental Health Nursing Process, p. 134.
All five senses decrease with age usually starting in the
4th or 5th decade of life
Children understand that death is permanent about age
7
Which should be considered the fundamental principle of family therapy?
A family is a system of interrelated dependent relationships. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 14: Family Assessment and Interventions, p. 214.
Which is the most restrictive setting in the continuum?
Acute inpatient hospitalization Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 5: Mental Health Care in the Community, p. 39.
A psychiatric-mental health nurse is working with a client who is receiving rational emotive behavior therapy. While reviewing the client's history, the nurse identifies statements that reflect common themes associated with irrational beliefs. Which theme would the nurse most identify in these beliefs?
Absolute thinking Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 12: Cognitive Interventions in Psychiatric Nursing, p. 192.
In viewing the stages of the family life cycle, those families in later life undergo which emotional transition?
Accepting the shifting of generational roles Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 14: Family Assessment and Interventions, p. 218.
The nurse is providing care for a client with a diagnosis of depression. How can the nurse best address the client's needs in the biologic domain?
Administering the client's scheduled dose of citalopram Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 6: Ethics, Standards, and Nursing Frameworks, p. 58.
Which is a key nursing role in crisis intervention?
Assessment of short-term interventions Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 5: Mental Health Care in the Community, p. 39.
A nurse is implementing interventions that address a client's psychological domain. Which intervention would be most appropriate?
Assisting with behavior therapy Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 6: Ethics, Standards, and Nursing Frameworks, p. 58.
What were considered very helpful during the moral treatment movement of mental health care
Asylums
What is the difference between traditional and atypical antipsychotics?
Atypical antipsychotics work on dopamine-receptor and serotonin-receptor blockade, whereas traditional antipsychotics work on dopamine-receptor blockade. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions, p. 170.
A nurse is discussing the process of aging with a group of community health nurses. When describing the concept of positive mental aging, which concept would the nurse most likely emphasize as crucial?
Capacity to be resilient Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 17: Mental Health Promotion for Older Adults, p. 264.
Which term is used to describe an activity used to release anger?
Catharsis Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 19: Management of Anger, Aggression and Violence, p. 284.
The working stage of group therapy is marked by which characteristic?
Conflict and cooperation among group members. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 13: Group Interventions, p. 201.
The child's response to divorce is similar to which of the following?
Death Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 15: Mental Health Promotion for Children and Adolescents, p. 231.
A nurse leader identifies that the group is experiencing a conflict. When addressing the situation, which action would be most important for the nurse leader to do first?
Determine the source of the conflict Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 13: Group Interventions, p. 206.
A nurse is reviewing the results of the Behavioral Risk Factor Surveillance System. Which factor would the nurse most likely expect to find as contributing to low well-being?
Disabilty Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 16: Mental Health Promotion in Young and Middle-Aged Adults, p. 249
In order to help preserve and maintain a client's cultural belief regarding the need for "hot foods," which action should the culturally competent nurse take?
Educate the staff to help them assist the client in selecting food choices from the client's menu that supports this belief Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 3: Cultural and Spiritual Issues Related to Mental Health Care, p. 21.
The nurse knows that mental health issues are constantly changing. Which is a standard of professional performance to keep in current practice?
Education Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 6, p. 54.
Children whose parents divorce often blame themselves and think that they are the root of the problem. Which type of thinking may cause these thoughts?
Egocentric thinking Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 15: Mental Health Promotion in Children and Adolescents, p. 230.
A psychiatric-mental health nurse is conducting a medication group for clients at the health center on the use of herbal supplements with psychopharmacological agents. When developing and leading the group, which aspect would be most important for the nurse to employ?
Encouraging members to write down information to aid in remembering Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 13: Group Interventions, p. 208.
The nurse is teaching the client with anxiety about the mechanisms of benzodiazepines. Which is increased with this medication?
GABA Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 8: Biologic Foundations of Psychiatric Nursing, p. 102.
A nurse is conducting a program for community health leaders about out-of-home placement and factors contributing to this situation. The nurse determines that the program was successful when the group identifies which factor as contributing to out-of-home placement?
Growing population of families living in poverty Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 15: Mental Health Promotion for Children and Adolescents, p. 239.
A nurse is assessing an older adult client who has come to the clinic for an evaluation. The client has several chronic illnesses and voices concerns about finances. When reviewing the client's history, which component would the nurse identify as the primary contributor to the client's concerns?
Health care costs Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 17: Mental Health Promotion for Older Adults, p. 260.
The nurse fails to assess personal values surrounding homosexuality before caring for a client who is openly gay. The nurse is most at risk for what when working with this client?
Holding a prejudice toward this client Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 9: Communication and the Therapeutic Relationship, p. 119.
Which group is at most risk for being unable to escape the spiral of poverty?
Homeless people Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 3: Cultural and Spiritual Issues Related to Mental Health Care, p. 22.
A nurse develops a plan of care for a client with an eating disorder. The plan includes developing a contract with the client to modify behavior. What is the next step?
Implement nursing actions that have been identified Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 10: The Psychiatric-Mental Health Nursing Process, p. 146.
Assertive Community Treatment (ACT) reduces the use of which type of service?
In-patient Hospital Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 5: Mental Health Care in the Community, p. 43.
Which individual would more than likely be placed in outpatient detoxification?
Individuals with alcohol dependence Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 5: Mental Health Care in the Community, p. 43.
The nurse is working in a long-term care facility providing care to a group of older adults. When assessing the clients' personalities and intelligence, which information would be most important for the nurse to keep in mind?
Intelligence and personalities are stable across the lifespan in the absence of disease. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 17: Mental Health Promotion for Older Adults, p. 257.
A client with a diagnosis of schizophrenia lacks insight into the illness. The client presents with significantly declined function and is consistently nonadherent with medications. Which medication administration route is best suited for optimal treatment of this client's condition?
Intramuscularly Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 11, p. 186.
The nurse is caring for a client who suffers from anxiety. The client informs the nurse that he has been taking the herb kava. What should the nurse be aware that kava is associated with?
Liver damage Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions, p. 182.
The nurse has completed the psychosocial assessment. Which is the best approach toward analysis of the data to identify nursing diagnoses and develop an appropriate plan of care?
Look for patterns reflected in the overall assessment. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 10: The Psychiatric-Mental Health Nursing Process, p. 133.
A nurse must assess for characteristics that are predictive of violent behavior. Research suggests violent behavior is influenced by possession of which attribute?
Low self-esteem Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 19: Management of Anger, Aggression, and Violence, p. 291.
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?
Maintaining confidentiality Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 6: Ethics, Standards, and Nursing Frameworks, p. 60.
While performing the admission assessment of a new client, the nurse observed that the client brought a bottle of over-the-counter pain medication to the hospital. The nurse failed to document this or remove the medication from the room. Subsequently, the client experienced a serious adverse drug reaction as a result of the interaction between this drug and one of the drugs that the client was prescribed in the hospital. This nurse may be guilty of what?
Malpractice Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 4: Patient Rights and Legal Issues, p. 34.
A nurse is preparing a presentation about the effects of marital status on mental health. Which describing the marital status of the population of the United States, which group would the nurse identify as accounting for the largest percentage?
Married Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 16: Mental Health Promotion in Young and Middle-Aged Adults, p. 245.
A nurse is reviewing the medical records of several clients at the health center. Which client would the nurse identify as most likely to have the best physical and mental health?
Married 35-year-old man Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults, p. 248
A nurse is assessing a family. During the assessment, the husband reports that he doesn't feel like his wife and he are close. He says, "She seems so distant with me. The wife responds, "I'm not distant. This is how my mother and father were." The nurse interprets these statements as suggesting which concept?
Multigenerational transmission process Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 14: Family Assessment and Interventions, p. 222.
What is the most basic need, according to Maslow's hierarchy of needs?
Physiological Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 7: Psychosocial Theoretic Basis of Psychiatric Nursing, p. 66.
A drug that is an antagonist functions to do what?
Prevent natural or other substances from activating cell function Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions, p. 156.
What deals with groups such as how high school students manage stress
Primary prevention
The client with a history of explosive outbursts becomes angry and states, "I am really getting angry." The nurse sees this as ...
Progress Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 19: Management of Anger, Aggression, and Violence, p. 297.
A nursing instructor is teaching students about factors associated with mental disorders. Which of the following does the instructor tell the class are characteristics that reduce the probability of developing a mental disorder?
Protective factors Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 16: Health Promotion in Young and Middle-Aged Adults, p. 250.
A psychiatric-mental health nurse is collaborating with a client on ways to promote recovery. The client is diagnosed with a substance use problem. As part of the process, the person tells the nurse, "I want to be drug-free and show everyone that I can be a responsible person." The nurse interprets this statement as reflecting which principle of recovery?
Recovery is person-driven. Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 2: Mental Health and Mental Disorders, p. 18.
A psychiatric-mental health nurse is working with a client who has a mental health disorder on ways to develop self-determination and self-direction. The nurse is integrating which principle of recovery into the plan of care?
Recovery is person-driven. Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 2: Mental Health and Mental Disorders, p. 18.
A nurse working in a psychiatric facility identifies the goal of cognitive therapy (CT) to be what?
Restructure how a person perceives events. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 12: Cognitive Interventions in Psychiatric Nursing, p. 190.
During a therapeutic communication session, the nurse tells the client of a past experience. Which statement best reflects the nurse's use of self-disclosure?
Self-disclosure on the nurse's part should benefit the client. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 9: Communication and the Therapeutic Relationship, p. 108.
Which of the following rights could the psychiatric client lose when admitted to a locked, inpatient psychiatric treatment facility?
Right to schedule his or her own time Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 4: Patient Rights and Legal Issues, p. 32.
Abnormalities in the frontal lobe are believed to have an association with
Schizophrenia
A client can protect himself from the negative effects of stress with which of the following?
Social and emotional resources Explanation: Reference: Boyd, M.A., Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 18: Stress and Mental Health.
A nurse is working with an older adult client and teaching the client about their condition. When implementing the teaching plan with the client, which strategy would be most appropriate to use?
Summarize important points periodically. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 17: Mental Health Promotion for Older Adults, p. 256.
A nurse has a difficult client has become frustrated. Which entry in nursing documentation is considered nonjudgmental in reporting findings?
The client does not recognize family members. Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 7: Psychosocial Theoretic Basis of Psychiatric Nursing, p. 66.
A client is being evaluated for dementia. During the examination, the ciient is only able to complete a few tasks. What is the nurse most likely outcome of this examination?
The client has a significant cognitive deficit. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 10: The Psychiatric-Mental Health Nursing Process, p. 134.
A client experienced physical abuse by his father when he was a child. The client explains some of the intense financial and interpersonal stress that his father was experiencing at the time and describes the relationship between psychosocial stress and abuse. How should the nurse best interpret the client's statement?
The client is intellectualizing this traumatic event in order to deal with the emotions involved Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 9: Communication and the Therapeutic Relationship, p. 115.
A client has completed treatment for an addiction to prescription pain medications. As part of the client's therapy, the family participates in a family therapy program. Which reason would best explain the need for a family system approach to therapy?
The dynamics of the entire family have and will continue to shift to accommodate a change. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 14: Family Assessment and Interventions, p. 221.
A psychiatric-mental health nurse is developing a therapeutic relationship with a client. The nurse demonstrates acceptance by which action?
The nurse avoids judgments about the client, no matter what the behavior is. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 9: Communication and the Therapeutic Relationship, p. 108.
A malpractice lawsuit was filed after a nurse restrained the client for screaming at and attempting to strike anyone who was within striking distance. The nurse followed agency procedures that were consistent with Joint Commission Standards. For which reason is this malpractice lawsuit most likely to be unsuccessful?
The nurse did not breach duty. Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 4: Patient Rights and Legal Issues, p. 33.
When explaining the term "pharmacokinetics" to a client who is being educated on a newly prescribed medication, it would be appropriate to define it as
The way the body handles the medication Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions, p. 159.
A nurse is reading a journal article about the changes occuring in psychiatric-mental health care over the years. The article describes the deinstitutionalization movement and the reasons for such movement. Which reason would the nurse most likely find?
View that institutionalization contributed to mental illness Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 1: Psychiatric-Mental Health Nursing and Evidence-Based Practice, p. 8.
A group is trying to handle issues related to dominance, control, and power within the group. In what stage of group development is this group?
Working Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 13: Group Interventions, p. 201.
A therapeutic relationship should always lead to facilitating
a positive change for the patient
The nurse is counseling a couple who have just gotten divorced. The wife has custody of the two children, ages 7 and 9 years. The nurse should instruct the couple that divorce can affect the children and that ...
a structured home and school environment can lessen the emotional problems. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 15: Mental Health Promotion for Children and Adolescents, p. 231.
The client was born and educated in Japan. The client moved to the United States two years ago. The client wears Western clothing and eats fast food. Which answer describes what the client has modeled?
acculturation Explanation: Reference: • Boyd, M.A., Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 3: Cultural and Spiritual Issues Related to Mental Health Care, Cultural and Spiritual Issues Related to Mental Health Care, p. 20.
If a nurse touches a patient without consent it can be considered
battery
Two nursing students are giving a presentation on the limbic system. Which can they accurately include as actions of this brain structure?
behavior Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 8: Biologic Foundations of Psychiatric Nursing, p. 85.
) When a patient becomes violent
call for assistance
When planning care for a patient it is important to find out what
coping strategies have worked in the past
A nurse is conducting the interview of a girl who has been accused of bullying by spreading rumors online about two other children in the class. The nurse interprets this action as:
cyberbullying. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 15: Mental Health Promotion for Children and Adolescents, p. 234.
A leading cause of disease in middle and high-income countries is
depression
A nurse is developing a therapeutic relationship with the client. To do this, the nurse must respect the client's religious and spiritual beliefs. Which will occur if the nurse does not show this respect?
eroding trust Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 9: Communication and the Therapeutic Relationship, p. 112.
When reviewing a Genogram the first thing to look at is
family composition
Patients are to receive care in the
least restrictive environment possible
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?
nursing process Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 6: Ethics, Standards, and Nursing Frameworks, p. 55.
Which concept states that if a certain behavior is rewarded with praise, the behavior will probably be repeated?
operant conditioning Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 7: Psychosocial Basis of Psychiatric Nursing, p. 68.
The nurse is seeing a male client who is obese and wants to lose weight. The client discusses why he wants to lose weight, how he recognizes that being obese is unhealthy, and that he plans to remain committed to a healthy lifestyle. The nurse recognizes that the client is engaging in which activity?
primary appraisal Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 18: Stress and Mental Health, p. 271.
A psychiatric-mental health clinical nurse specialist is conducting an in-service program for a group of psychiatric-mental nurses. The clinical nurse specialist is discussing the use of evidence-based practice, describing it as a:
problem-solving approach to clinical decision making. Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 1: Psychiatric-Mental health nursing and Evidence-Based Practice, p. 6.
When describing the concept of cultural competence to a group of nursing students, the nursing instructor identifies what as a first step?
recognizing one's own culture Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 3: Cultural and Spiritual Issues Related to Mental Health Care, p. 21.
A psychiatric-mental health nurse is assessing a client and evaluating a client's beliefs. The nurse determines that the client's beliefs are rational because the belief:
reflects flexibility. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 12: Cognitive Interventions in Psychiatric Nursing, p. 192.
What is a characteristic of unit culture that predicts client violence?
rigid unit rules Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 19: Management of Anger, Aggression, and Violence, p. 290.
St Johns work with fluoxetine may lead to
serotonin syndrome
What is the result of an agonistic effect of a medication
target receptors are stimulated
The thalamus relays sensory information to
the CNS
The goal of a community support group is to increase
the patients functional ability
A teenage client defies the nurse's repeated requests to turn off the video game and go to sleep. The client says angrily, "You sound just like my mother at home!" and continues to play the video game. What does the nurse understand that this statement likely indicates?
the presence of transference. Explanation: Reference: • Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 7: Psychosocial Theoretic Basis of Psychiatric Nursing, p. 64.
