Mental Health

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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 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 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 helps you modify your maladaptive behavior patterns"

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 with me, but your therapy is most beneficial from a therapist with addition training to best guide and talk with you"

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 turn helps prevent you from missing work due to mental illness"

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"

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

"Therapy can be used in conjunction with your medication to improve your health"

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?

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 humanistic theorists. Which of the following theorists were primarily involved in developing the humanistic theory?

Abraham Maslow

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 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 client's computer is connected to the 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 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 is correct. Suicide precautions are a part of prevention and wellness promotion, and can also be based on milieu therapy. This can encompass one-on-one observation or supervision, documenting the client's location every 15 min, searching the client's belongings for potential self-harm instruments, and ensuring the client takes prescribed medications. Assisting the client in using adaptive coping skills is correct. Assisting the client to use adaptive coping skills is a part of prevention and wellness promotion. As a part of tertiary prevention, the nurse focuses on interventions to reduce the disabling effects of mental illness.Allowing the client to use exercise equipment when anxious is correct. Allowing the client to use exercise equipment when anxious is a tertiary prevention measure. With teaching adaptive coping skills, nurses want to support a client's use of skills when experiencing anxiety.

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 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 is correct. Pet therapy is a form of complementary and alternative therapy. Complementary and alternative therapies are treatments for clients with interventions that are based in biomedical treatment instead of traditional medical treatment. These can be used in conjunction with traditional medicine for clients. Meditation is correct. Meditation is a form of complementary and alternative therapy. Complementary and alternative therapies are treatments for clients with interventions that are based in biomedical treatment instead of traditional medical treatment. These can be used in conjunction with traditional medicine for clients. Yoga is correct. Yoga is a form of complementary and alternative therapy. Complementary and alternative therapies are treatments for clients with interventions that are based in biomedical treatment instead of traditional medical treatment. These can be used in conjunction with traditional medicine for clients.


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