Psych Midterm Evolve Quizes (2-6 (Not as important))
Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture? "Is there someone in your community who usually cures your illness?" "What usually helps people who have the same type of illness you have?" "What questions would you like to ask about your condition?" "What sorts of stress are you presently experiencing?"
"What usually helps people who have the same type of illness you have?"
The community mental health nurse recognizes that the mentally ill population will require
frequent assessment for physical illness both acute and chronic in nature.
The charge nurse shares with the psychiatric technician that negligence of a patient
is an act or failure to act in a way that a responsible employee would act.
Which of the following scenarios describe a HIPAA violation?
Lyla, a nurse on the cardiac unit, gives report to Chloe, the nurse on the step-down unit, regarding the patient Lyla, who will be transferring, while they are walking in the hospital hallway.
Which of the following patients would be appropriate to refer to a partial hospitalization program (PHP)?
Marty, a substance abuser who is being discharged from an inpatient alcohol rehabilitation unit
There is one bed on a locked psychiatric unit. Which of the following patients is appropriate for involuntary admission? Jill, aged 23 years, a college student who has developed symptoms of anxiety and is missing classes and work Michael, aged 30 years, an accountant who has developed symptoms of depression Mia, aged 26 years, a kindergarten teacher who is not in touch with reality and was found wandering in and out of traffic on a busy road Rose, aged 76 years, a retired librarian who is experiencing memory loss and some confusion at times
Mia, aged 26 years, a kindergarten teacher who is not in touch with reality and was found wandering in and out of traffic on a busy road
Julie, a 49-year-old patient diagnosed with schizophrenia at 22 years old, is taking risperidone (Risperdal). What is a nursing assessments is the priority assessment with Julie?
Monitoring for abnormal involuntary movements
Ms. Wong, aged 52 years, comes to the emergency room with severe anxiety. She was raised in China but immigrated to the United States at age 40 years. She was recently fired from her job because of a major error in the accounting department that she managed. Ms. Wong's aged parents live with her. Ms. Wong states, "I am a failure." Which of the following statements may accurately assess the basis for Ms. Wong's anxiety and feelings of failure?
Ms. Wong may feel that she has shamed the family by being fired and may no longer be able to provide for them.
One primary goal and benefit of Assertive Community Treatment (ACT) is:
preventing rehospitalization.
A client is released from involuntary commitment by the judge, who orders that a caseworker supervise him for the next 6 months. This is an example of
conditional discharge.
A client is admitted to the hospital experiencing severe depression. The nurse recognizes the possibility that depression may be related to a stress-induced hormonal imbalance associated with
cortisol
The nurse assesses the wellness beliefs and values of a client from another culture best when asking
"What do you think is making you ill?"
You are working on the psychiatric unit and assisting with the care for Mr. Tran, a refugee from Darfur, who came to the United States 1 year ago. Although Mr. Tran understands and speaks some very limited English, he is much more comfortable conversing in his native language. Mike, the nurse working directly with Mr. Tran, says to you, "I am so frustrated trying to communicate with Mr. Tran! He insists on speaking his 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 of the following responses you could make promotes culturally competent care? (select all that apply):
"What you are saying is actually considered cultural imposition, which is imposing our own culture onto someone from a different culture." "Mr. Tran's ability to speak and understand English is very limited. He needs to have an interpreter to make sure he can make his needs and feelings known."
Which of the following patients may be an appropriate candidate for a release from hospitalization known as against medical advice (AMA)?
37-year-old patient hospitalized for 6 days; the provider feels one more day would benefit the patient, but the patient doesn't agree and wishes to be discharged
What ethical principle is supported when a nurse witnesses the informed consent for electroconvulsive therapy from a depressed client?
Autonomy
Which of the following structural safety precautions is most important to prevent the most common type of inpatient suicides?
Break-away closet bars to prevent hanging
A client's communication is marked by loose associations and word salad. Dysfunction of which portion of the brain is responsible for these symptoms?
Cerebrum
Which source of healing might be most satisfactory to a client who believes his illness is caused by spiritual forces?
Cleansings
A community mental health nurse is responsible for medication management for clients. Which general approach can be anticipated to yield the best results?
Empowering clients to be responsible for medication compliance
A nursing assistant shares with the nurse that a client with schizophrenia is as difficult to communicate with as "someone with Alzheimer's." The nurse offers the following advice:
His medication targets his disturbed thought and speech patterns. To maximize improvement he will need positive interactions and support."
Which statement concerning the right to treatment in public psychiatric hospitals is accurate
Hospitalization without treatment violates the client's rights.
Sophie, aged 27 years, has a diagnosis of paranoid schizophrenia. She stopped taking her medications and believes that she is to be taken by the aliens to live with them on another planet. She was observed walking through traffic on a busy road, and then was found climbing the railing on a bridge, to "be ready for them to take me in their ship." Sophie is hospitalized. During your shift she begins running up and down the halls, banging her head on the walls, and yelling, "Get them out of my head!" On what basis can Sophie be medicated against her will?
If Sophie may cause imminent harm to herself or others
You are caring for Vanessa, a 38-year-old patient with major depression. She has just met with her provider. She states to you, "my provider said something about the medicine she is ordering working on my neurotransmitters. What exactly are neurotransmitters?" Your best response is:
Neurotransmitters are chemical messengers in the brain that help regulate specific functions.
Which of the following best explains the concept of cultural competence?
Nurses adjust their own practices to meet their patients' cultural preferences, beliefs, and practices.
Which idea held by the nurse would best promote the provision of culturally competent care? Western biomedicine is one of several established healing systems. Some individuals will profit from use of both Western and folk healing practices. Use of cultural translators will provide valuable information into health-seeking behaviors. Need for spiritual healing is a concept that crosses cultural boundaries.
Western biomedicine is one of several established healing systems.
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
false imprisonment
A client reports to the nurse that once he's 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 and document.
A peer asks you to help him differentiate between culture and ethnicity for clarification. Which statement by the peer would acknowledge that you had appropriately helped him clarify the difference between the two terms? "So, ethnicity refers to having the same life goals whereas culture refers to race." "So, ethnicity refers to norms within a culture, and culture refers to shared likes and dislikes." "So, ethnicity refers to shared history and heritage, whereas culture refers to sharing the same beliefs and values." "So, ethnicity refers to race, and culture refers to having the same worldview."
So, ethnicity refers to shared history and heritage, whereas culture refers to sharing the same beliefs and values."
What assumption can be made about the client who has been admitted on an involuntary basis?
The client is a danger to self or others or unable to meet basic needs.
Jonas is a 29-year-old patient with anxiety and a history of alcohol abuse who is an inpatient on the psychiatric unit. He becomes angry and aggressive, strikes another patient, and then attacks a staff member. He is taken to seclusion and medicated with haloperidol and lorazepam. In this case, the haloperidol and lorazepam may be considered:
a restraint.
The psychiatric mental health nurse working with depressed clients of the Eastern culture must realize that a useful outcome criterion might be if client reports
appeasement of the spirits.
A community mental health nurse is assigned to a mobile mental health care unit in a locale where the majority of the population are newly immigrated Vietnamese. The measure that will best help the nurse initially plan and implement culturally sensitive care for clients is
arranging for the services of an interpreter and cultural consultant.
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 the ethical principles of
autonomy and beneficence.
A nurse is adequately representing the stated bioethical principle when valuing
autonomy by respecting a client's right to decide to refuse cancer treatment.
The nurse caring for a client prescribed an antipsychotic medication that produces anticholinergic side effects will assess for
blurred vision, dry mouth, and constipation.
On the basis of the current understanding of neurotransmitters, the nurse can view a client's symptoms of profound depression as likely related in part to
decreased serotonin level.
An example of deinstitutionalization would include
discharging a stabilized psychotic client to a transitional halfway house.
The Eastern world view can be identified by the belief that
holds responsibility to family as central.
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
imbalance.
The medication prescribed for a client acts by blocking reuptake of both serotonin and norepinephrine. The nurse evaluates the treatment as successful when observing
laughing at a joke.
You are working on an inpatient psychiatric unit and caring for Elizabeth, who is becoming agitated. You speak with Elizabeth one to one in a private setting, find out the reason for the agitation, and then assist Elizabeth with ways to calm down, possibly including prn medication to prevent further escalation of Elizabeth's agitation, which could lead to seclusion and/or restraints. You are making care decisions based on:
least restrictive alternative doctrine.
The nurse responsible for the care of a client prescribed clonazepam (Klonopin) would evaluate treatment as being successful when the client demonstrates
less anxiety.
The nurse caring for a client taking risperidone (Risperidal) observes the client carefully for
napping during the day, a weight gain, and reports of dizziness.
The physician tells a client suspected of experiencing obessive-complusive disorder that "We want to do an imaging study that will tell us which parts of your brain are particularly active." From this explanation, the nurse can determine that the physician will order a(n)
positron emission tomography scan.
Vanessa's provider writes orders including medication to treat her depression. Based on current understanding of brain physiology, which neurotransmitters would you expect to see targeted with the medication ordered?
serotonin/norepinephrine
A client being medicated for both hallucinations and delusions reports being drowsy. The nurse will correctly interpret this symptom as related to the drug's effect on the brain's ability to regulate
sleep.
Josefina Juarez, aged 36 years, comes to the mental health clinic where you work after being referred by her primary care provider. Josefina came to live in the United States from Brazil 5 years ago. She is now a single mother to 6 children, ages 2 to 15, following the death of her husband last year. During the initial intake assessment, Josefina tells you her problem is that she has headaches and backaches "almost every day" and "can't sleep at night." She shakes her head no and looks away when asked about anxiety or depression and states she does not know why she was referred to the mental health clinic. You recognize that Josefina may be exhibiting:
somatization.
George W. Bush's New Freedom Commission on Mental Health's report emphasized that mental illness is not a hopeless life sentence but a condition from which people can recover. Recovery, which is still the number 1 goal, could be described as:
the ability to work, live, and participate in the community.
The term pharmacodynamics refers to the effect of the drug on the body, while pharmacokinetics refers to:
the effect of the person on the drug.
When the nurse reads the medical record and learns that a client has agreed to receive treatment and abide by hospital rules, the correct assumption is that the client was admitted
voluntarily
