Foundations of Mental Health

A nurse is speaking with a newly licensed nurse who reports that they fear a client might be dangerous to others due to the client's diagnosis of schizophrenia. Which of the following types of stigma should the nurse identify as being associated with this fear?

public

A nurse in the emergency department is caring for a client who has a mental illness. The nurse should identify that which of the following is a client right related to the Emergency Medical Treatment and Labor Act (EMTALA)?

receive medical screening and treatment

A nurse in a mental health facility is caring for a client who asks, "Why can't you be my therapist?" Which of the following therapeutic responses should the nurse give?

i am glad you are comfortable talking to me but your therapy is most beneficial from a therapist with additional training to best guide and talk with you

A nurse is working with a client who reports following holistic practices at home. The nurse should identify that which of the following is an example of a holistic practice that the client might follow?

acupuncture

A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?

an 8 year old child is asked to return to their room after yelling at other children during a group therapy session

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

autonomy

A nurse is caring for a client who is angry and demands to be transferred to a different psychiatrist. Which of the following statements should the nurse make?

i will contact your primary care provider to assist you with finding a different psychiatrist

A newly hired nurse is providing a report to a nurse. The nurse continuously interrupts the newly hired nurse during report. This is an example of which of the following?

incivility

A nurse on a mental health unit is discussing consent with a newly licensed nurse. Which of the following information should the nurse include?

informed consent must include information about potential alternative treatments that are available to the client

A nurse is observing a group of children interacting. The nurse notes anytime a question is asked, all the children want to answer and will often talk over each other. The nurse should recognize that this behavior is indicative of which of the following stages of Kohlberg's theory?

instrumental relativity orientation

A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

justice

A nurse is reviewing a client's medical record. The nurse should anticipate which of the following as a classification within the Diagnostic and Statistical Manual of Mental Disorders 5th edition Text Revision (DSM-5 TR)?

neurodevelopmental disorders

A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

nonmaleficence

A nurse is teaching another nurse about Freud's psychoanalytic theory related to human behavior. Which of the following statements regarding the id should the nurse include in the teaching?

the id is often an area that is used for instant gratification

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?

the milieu consists of the physical and psychosocial environmental factors

A nurse is reviewing room assignments for a group of clients. Which of the following clients should the nurse assign to a room that is near the nurses' station? (Select all that apply.)

-A client who has engaged in cutting behaviors -A client who was admitted for threatening to kill themselves -A client who has frequent anger outbursts

A nurse is explaining to a newly hired nurse how mental health promotion can be used for clients. Which of the following examples should the nurse use in the explanation? (Select all that apply.)

-Following suicide precautions for a client -Assisting the client in using adaptive coping skills -Allowing the client to use exercise equipment when anxious

A nurse is reviewing humanistic theorists. Which of the following theorists were primarily involved in developing the humanistic theory?

Abraham Maslow

A nurse is planning to reinforce teaching with a client about behavioral therapy. Which of the following statements should the nurse plan to include?

Behavioral therapy is a type of psychotherapy that focuses on modifying a client's maladaptive behaviors, patterns,

A nurse is discussing torts with a newly licensed nurse. Which of the following information should the nurse include?

Negligence is the most common unintentional tort

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

PAD can include preferences for treatment such as medications and preferred providers

A nurse is planning to add a client to an established therapy group on the unit. The group currently includes a 13-year-old adolescent who has depression, a 15-year-old adolescent who has a history of self-harm, and a 14-year-old adolescent who recently threatened to kill themselves. Which of the following adolescents should the nurse add to this group?

a 12 year old adolescent who has anxiety and depression

A nurse is planning care for a group of clients. Which of the following clients would benefit from cognitive behavioral therapy (CBT)?

a client who has tourettes syndrome

A nurse is caring for a group of clients at a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?

a client who is giving away their possessions

A nurse is reinforcing teaching about psychodynamic theory with a newly licensed nurse. Which of the following should the nurse include as an example related to this theory?

a client who reports being afraid of storms because they experienced a tornado as a child

A nurse is reviewing the physical environment of a child inpatient unit. Which of the following contradicts milieu therapy?

a craft room with scissors and other art supplies

A nurse is describing the concept of cultural competence to a newly licensed nurse. Which of the following examples should the nurse include?

a nurse asks a client if they have any cultural beliefs the nurse needs to be aware of

A nurse is teaching about sources of psychological stress to a group of newly licensed nurses. The nurse should identify which of the following qualifies as a source of psychological distress?

being the only person of their ethnicity in a school setting

A nurse notes that a colleague seems exhausted, discouraged, distracted, and expresses dissatisfaction with being a nurse. The nurse should identify these as manifestations of which of the following conditions?

burnout

A nurse is caring for an adolescent who had an adverse childhood experience and was admitted to the inpatient unit with behavioral problems. The nurse should anticipate the provider prescribing which of the following types of treatment?

cognitive therapy

A nurse on an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

compassion fatigue

A nurse on a mental health unit is discussing the concepts of competency and capacity with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concepts?

competency and capacity are often discussed as being the same thing but they are different

A client tells a nurse that they don't think they can get insurance coverage for treatment of their mental illness because it was diagnosed before they got insurance through their new job. Which of the following statements should the nurse make?

congress passed the Affordable Care Act of 2010 to ensure everyone has the right to coverage for preexisting conditions

A nurse is caring for an older adult client who has major depressive disorder. The client states, "I don't think I am financially prepared for retirement, yet I am eligible to retire this year." The nurse should identify that the client is in which of the following stages of Erikson's stages of development?

ego integrity vs despair

A nurse is assisting a client in getting ready to have their first telehealth appointment with their therapist. Which of the following actions should the nurse take to assist the client with this type of therapy?

ensure the clients computer is connected to internet

A nurse and a newly licensed nurse in a mental health facility are discussing their roles related to therapy. Which of the following interventions should the nurse discuss with the newly licensed nurse?

ensuring a therapeutic nurse client relationship with those on the unit

A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?

the nurse includes the clients own words when describing what happened

A nurse is reinforcing teaching with a client about therapy. Which of the following statements should the nurse include?

therapy can be used in conjunction with your medications to improve your health

A nurse is discussing bias issues in mental health with a newly licensed nurse. Which of the following statements should the nurse include in the discussion?

there is a negative stigmatization for mental illness

A nurse is collecting data on a client. Which of the following information should the nurse anticipate the provider will use in the diagnosis of a mental health disorder?

psychosocial history

A nurse is reinforcing teaching with a client about the purpose of psychoanalytic therapy. Which of the following statements should the nurse include in the teaching?

psychoanalytic therapy helps you see yourself as an individual and learn adaptive coping skills

Nurses attending an in-service about incivility are discussing characteristics of perpetrators of incivility. Which of the following characteristics is associated with a nurse who acts uncivil to others?

they have feelings of incompetence and low self esteem

A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

upon admission

A nurse is discussing the different forms of complementary and alternative therapy with another nurse. Which of the following treatments would be considered in this list? (Select all that apply.)

-pet therapy -meditation -yoga

A nurse on a mental health unit is reviewing the Code of Ethics for Nurses. Which of the following are examples of the provisions that help guide nurses throughout their practice? (Select all that apply.)

-Nurses should practice with compassion and respect -A nurse's primary commitment should be to the client -Nurses are responsible for taking action to support social justice -Nurses should support and establish an ethical environment

A newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" Which of the following responses should the charge nurse give?

a suicide attempt is when a person harms themselves with the intent to die but does not. self harm is when a client intentionally inflicts harm on themselves but does not have intention to kill themselves

A nurse is discussing the difference between mental illness and mental health with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding?

mental illness is when there is disruption in a persons ability to complete activities of daily living whereas mental health is when the person can cope with daily stressors

A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?

it can increase their risk for falls

A charge nurse is instructing a newly licensed nurse about mental health disorders. Which of the following statements by the nurse indicates an understanding of mental health disorders?

mental health disorders are broken down by their manifestations

A nurse is explaining to a client who has a mental illness why mental health promotion is important. The nurse should inform the client that mental health promotion has a wide variety of benefits including which of the following?

mental health promotion promotes positive mental health which in turns helps prevent you from missing work due to mental illness