Mental Health Quiz #1

primary

_________ prevention promotes health and prevents mental illness. A nurse teaches a community education program on stress reduction techniques.

secondary

_______________ prevention focuses on early detection of mental illness. An nurse screens older adults in the community for depression.

rapport

________________ can be established by demonstrating genuineness and empathy, developing positive regard, showing consistency, and offering assistance in problem solving and providing support.

tertiary

_________________ prevention focuses on rehabilitation and prevention of further problems in clients who have previous diagnosis. a nurse leads a support group for clients who have completed a substance use disorder program.

b

a 43 year old female patient is brought to the ED with complaints of bizarre speech, visual hallucinations, and changes in behavior. she has no psychiatric history. before ordering a psychiatric consultation, the ER physician orders a battery of blood tests as well as an MRI of the brain. The rationale for this is: a. to avoid a lawsuit b. medical conditions and physical illnesses may mimic psychiatric illnesses; therefore, physical causes of symptoms must be ruled out c. emergency room physicians are required to order a certain number of tests for the ED visit to be reimbursed d. to comply with hospital standards of care.

d

a charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. which of the following should the nurse identify as a component of verbal communication? a. personal space b. posture c. eye contact d. intonation

a,b,c

a charge nurse is discussing mental status examinations with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates an understanding of the teaching? SATA a. "to assess cognitive ability, i should ask the client to count backwards by sevens." b. "to assess affect, i should observe the client's facial expressions." c. "to assess language ability, i should instruct the client to write a sentence." d. "to assess remote memory, i should have the client repeat a list of objects." e. "to assess the client's abstract thinking, i should ask the client to identify our most recent president."

c,d,e

a charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. which of the following characteristics should the nurse include in the discussion? SATA a. the needs of both participants are met b. an emotional commitment exists between the participants c. it is goal-directed d. behavioral change is encouraged e. a termination date is established.

c

a client tells a nurse, "don't tell anyone, but i hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me." which the following actions should the nurse take? a. keep the client's communication confidential, but talk to the client daily, using therapeutic communication to admit hiding the knife. b. see the client's communication confidential, but watch the client and his roommate closely. c. tell the client that he must be reported to the health care team because it concerns the health and safety of another client and others. d. report the incident to the health care team, but do not inform the client of the intention to do so.

c

a community mental health nurses planning care to address the issue of depression among older adult clients in the community. which of the following interventions hold the nurse plan asa method of tertiary prevention? a. educating clients on health promotion techniques reduce the risk of depression. b. performing screenings for depression at community health programs c. establishing rehabilitation programs to decrease the effects of depression. d. providing support groups for clients at risk for depression.

d

a friend recognizes that his depression has returned and tells you he is suicidal and afraid he will harm himself. he wishes to be hospitalized but does not have health insurance. which of the following responses best meets his immediate care needs and reflects the options for care a person in his position typically has? a. provide emotional support and encourage him to contact his family to see if they can help him arrange and pay for inpatient care b. advise him that hospitals serve all persons regardless their ability to pay, and immediately contact a Mobile Crisis team or accompany him to the nearest hospital emergency apartment. c. help him apply for Medicaid coverage, arrange for him to be monitored by family and friends, and once medicaid coverage is in place, take him to an ED for evaluation. d. assist him in obtaining outpatient counseling appointment at an area community mental health center, and call him frequently to assure he is safe until his appointment occurs.

b

a male patient frequently inquires about the female student nurse's boyfriend, social activities, and school experiences. which of the following initial responses by the best addresses the issue raised by the behavior? a. the student request assignment to a patent of the same gender as the student b. she limits sharing personal information and stressed the patient-centered focus the conversation c. she tells him that she will not talk about her personal life d. she explains that if he persists in focusing on her, she cannot work with him.

c

a nurse caring for a client who has anorexia nervosa. which of the following examples demonstrates the nurses use of interpersonal communication? a. the nurse discusses the client's weight loss during a health care team meeting. b. the nurse examines her own personal feelings about the clients who have anorexia nervosa. c. the nurse asks the client about her body image perception d. the nurse presents an education session about anorexia nervosa to a large group of adolescents.

b

a nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurses actions are an example of which of the following torts? a. invasion of privacy b. false imprisonment c. assault d. battery

b

a nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. which of the following should the nurse take first? a. notify the nurse manager b. tell the nurse to stop discussing the behavior. c. provide an in-service program about confidentiality. d. complete an incident report.

d

a nurse in an acute mental health facility is communicating with a client. the client states, "i can't sleep. I stay up all night." the nurse responds, "you are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? a. offering general leads b. summarizing c. focusing d. restating

c

a nurse is an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision much of the time. the clients wife works all day abut is home by late afternoon. which of the following strategies should the nurse suggest as appropriate follow-up care? a. receiving daily care from a health aide b. having a weekly visit from a nurse case worker c. attending a partial hospitalization program d. visiting a community mental health center on a daily basis.

c

a nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. which of the following actions should the nurse implement with this form of therapy? a. demonstrate riding in an elevator, and then ask the client to imitate the behavior b. advise the client to say "stop" out loud every time he begins to feel an anxiety response related than elevator. c. gradually expose the patient to an elevator while practicing relaxation techniques d. stay with the client in an elevator until his anxiety response diminishes.

a

a nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. the nurse informs the client informs the client that this medication can cause nausea and vomiting if he drinks alcohol. which of the following types of treatment is this method of example? a. aversion therapy b. flooding c. biofeedback d. dialectical behavioral therapy

b,d

a nurse is caring for a client who is experiencing moderate anxiety. which of the following actions should take when trying to give necessary information to the client? SATA a. reassure the client that everything will be okay b. discuss prior use of coping mechanisms with the client c. ignore the client's anxiety so that she will not be embarrassed d. demonstrate a calm manner while using simple and clear directions. e. gather information from the client used closed-ended questions.

b,c,d

a nurse is caring for a client who is in mechanical restraints. which of the following statements should the nurse include in the documentation? SATA a. "client ate most of his breakfast" b. "client was offered 8oz of water every hr" c. "client shouted obscenities at assistive personnel d. "client received chlorpromazine 15mg by mouth at 1000" e. "client acted out after lunch"

b

a nurse is caring for a client who smokes and has lung cancer. the client reports, "i'm coughing because i have a cold that everyone has been getting." the nurse should identify that the client is using which of the following defense mechanisms? a. reaction formation b. denial c. displacement d. sublimation

b

a nurse is caring for a group of clients. which of the following clients should a nurse consider for referral to an assertive community treatment group? a. a client in an acute care mental health facility who has fallen several times while running down the hallway b. a client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic injection of schizophrenia. c. a client in a day treatment program who says he is becoming more anxious during group therapy d. a client in a weekly grief support group who says she still misses her decreased husband who has been dead for 3 months.

c

a nurse is caring for several clients who are attending community based mental health programs. which of the following clients should the nurse plan to visit first? a. a client who recently burned her arm while using hot iron at home b. a client who request that her antipsychotic medication be changed due to some new adverse effects c. a client who says he is hearing voice that tells him he is not worthy of living anymore d. a client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview.

d

a nurse is caring for the parents of a child who has demonstrated recent changes in behavior and mood. when the mother of the child asks the nurse for reassurance about her son's condition, which of the following responses should the nurse make? a. "i think your son is getting better. what have you noticed?" b. "i'm sure everything will be okay. it just takes time to heal" c. "I'm not sure what's wrong. have you asked your doctor about your concerns?" d. "i understand you're concerned. let's discuss what concerns you specifically."

a

a nurse is communicating with a client who has just admitted for treatment of a substance use disorder. which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? a. offering advice b. reflecting c. listening attentively d. giving information

b

a nurse is conducting a family therapy session. the adolescent son tells the nurse that he plans ways to make his sister look bad so his parents will think he's the better sibling, which he believes will give him more privileges. the nurse should identify this dysfunctional behavior as which of the following? a. placation b. manipulation c. blaming d. distraction

d

a nurse is discussing free association as a therapeutic tool with a client who has MDD. which of the following client statements indicates understanding of this technique? a. "i will write down my drams as soon as i wake up" b. "i may begin to associate my therapist with important people in my life" c. "i can learn to express myself in a nonaggressive manner: d. "i should say the first thing that comes to my mind"

c

a nurse is in an emergency mental health facility is caring for a group of clients. the nurse should identify that which of the following clients requires a temporary emergency admission? a. a client who has schizophrenia with delusions of grandeur b. a client who has manifestations of depression and attempted suicide a year ago. c. a client who has borderline personality disorder and assaulted a homeless man with a metal rod d. a client who has bipolar disorder and paces quickly around the room while talking to himself.

b

a nurse is in an outpatient mental health clinic is preparing to conduct an initial client interview. which of the following actions should the nurse identify as the priority? a. coordinate holistic care with social services. b. identify the client's perception of her mental health status. c. include the client's family in the interview. d. teach the client about her current mental health disorder.

b

a nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. which of the following actions indicates transference behavior? a. the client asks the nurse whether she will go out to dinner with him b. the client accuses the nurse of telling him what to do just like his ex-girlfiriend c. the client reminds the nurse of a friend who died from a substance overdose d. the client becomes angry and threatens harm to himself

c

a nurse is orienting a new client to a mental health unit. when explaining the unit's community meetings, which of the following statements should make? a. you and a group of other clients will meet to discuss your treatment plans b. community meetings have a specific agenda that is established by staff c. you and other clients will meet with staff to discuss common problems d. community meetings are an excellent opportunity to explore your personal mental health issues.

b,d,e

a nurse is planning a peer group discussion about DSM-5. Which of the following information is appropriate to include in the discussion. SATA a. the DSM-5 includes client education handouts for mental health disorders. b. the DSM-5 establishes diagnostic criteria for individual mental health disorders c. the DSM-5 indicates recommended pharmacological treatment for mental health disorders d. the DSM-5 assists nurses in planning care for client's who have mental health disorders e. the DSM-5 indicates expected assessment findings of mental health disorders.

d

a nurse is planning care for a patient client who has a mental health disorder. which of the following actions should the nurse include as a psychological interventions? a. assist the client with systematic desensitization therapy. b. teach the client appropriate coping mechanisms c. assess the client for comorbid health conditions. d. monitor the client for adverse effects of medications.

a

a nurse is planning care for the termination phase of the nurse-client relationship. which of the following actions should the nurse include in the plan? a. discussing ways to use new behaviors b. practicing new problem-solving skills c. developing goals d. establishing boundaries

b,c,e

a nurse is planning group therapy for clients dealing with bereavement. which of the following activities should then nurse include in the initial phase? SATA a. encourage the group to work toward goals b. define the purpose of the group c. discuss termination of the group d. identify informal roles of members within the group e. establish an expectation of confidentiality within the group.

b

a nurse is providing preoperative teaching for a client who has just informed that she requires emergency surgery. the client, has a respiratory rate of 30/min, and says, "this is difficult to comprehend. I feel shaky and nervous." the nurse should identify that the client is experiencing which of the following levels of anxiety? a. mild b. moderate c. severe d. panic

c

a nurse is talking with a client who is at risk for suicide following the death of his spouse. which of the following statements should the nurse make? a. "i feel very sorry for the loneliness you must be experiencing" b. "suicide is not the appropriate way to cope with loss" c. "losing someone close to you must be very upsetting" d. "i know how difficult it is to lose a loved one"

b

a nurse is teaching a client who has an anxiety disorder and is scheduled begin classical psychoanalysis. which of the following client statements indicates and understanding of this form of therapy? a. even if my anxiety improves, i will need to continue this therapy for 6 weeks b. the therapist will focus on my past relationships during our sessions c. psychoanalysis will help me reduce my anxiety by changing my behaviors d. this therapy will address my conscious feelings about stressful experiences

a

a nurse is told during change-of-shift report that a client is stuporous. when assessing the client, which of the following findings should the nurse expect? a. the client arouses briefly in response to a sternal rub. b. the client has a Glasgow Coma Scale score less than 7. c. the client exhibits decorticate rigidity d. the client is alert but disoriented to time and place.

c

a nurse is working with an establishment group of identifies various member roles. which of the following should the nurse identify as an individual role? a. a member who praises input from other members b. a member who follows the direction of other members c. a member who brags about accomplishments d. a member who evaluates the group's performance toward a standard

a,b,d

a nurse s preparing to implement cognitive refrain techniques for a client who has an anxiety disorder. which of the following techniques should the nurse include in the plan of care? SATA a. priority restructuring b. monitoring thoughts c. diaphragmatic breathing d. journal keeping e. meditation

c

a nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. the nurse is correct in implementing this form of group leadership when she demonstrates which of the following actions? a. observes group techniques without interfering with the group process b. discusses a technique and then directs members to practice the technique c. asks for group suggestions of techniques and then support discussion d. suggest techniques and asks group members to reflect on their use

d

a nurse working on an acute mental health unit forms a group to focus on self-management of medications. at each of the meetings, two of the members use the opportunity to discuss their common interest in gambling on sports. this is an example of which of the following concepts? a. triangulation b. group process c. subgroup d. hidden agenda

a,b,c,e

a nurses working in a community mental health facility. which of the following services does this type of program provide? SATA a. educational group b. medication dispensing programs c. individual counseling programs d. detoxification programs e. family therapy

d

a nursing student new to psychiatric mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. the best answer would be: a. Nursing Interventions Classifications b. Nursing Outcomes Classification c. NANDA-I nursing diagnoses d. DSM-5

d

a patient states he has "given up on life." His wife left him, he was fired from his job, and he is four payment s behind on his mortgage, meaning he will soon lose the house. which nursing diagnosis is appropriate? a.anxiety related to multiple losses b. defensive coping related to multiple losses c. ineffective denial related to multiple losses d. hopelessness related to multiple losses

working

a phase in the nurse patient relationship "the development of a strong working relationship can allow the patient to experience increased levels of anxiety and demonstrate dysfunctional behaviors in a safe setting while trying out new and more adaptive coping behaviors. During this phase the following will be accomplished: maintenance of relationship, share information, gather data, promote patient's problem solving skills, self-esteem, and use of language, facilitate behavioral change, evaluate progress, support the practice of alternative adaptive behaviors.

termination

a phase in the nurse patient relationship "the final, integral phase of the nurse-patient relationship. This is discussed during the first interview and again during working stage at appropriate time. this may occur when the patient is discharged or when the student's clinical rotation ends. this includes the following: summarizing the goals and objectives ache bed in the relationship, discuss how the patient to incorporate in to daily life and new coping strategies learned, exchanging memories, and reviewing situations that occurred during the duration of the relationship.

orientation

a phase in the nurse patient relationship ''this phase can last for a few meetings tend over a long period of time. it is the first time the nurse and the patient meet and is the phase in which the nurse conducts the initial interview. In this phase, rapport, parameters of the relationship, formal or informal contract, confidentiality, terms of termination and clear and defined roles are set for the nurse and patient."

preorientation

a phase in the the nurse patient relationship-- "even before the first meeting, the nurse may have many thoughts and feelings related the first clinical session. begging healthcare professional usually have many concerns and experience anxiety on their first clinical day."

therapeutic

a relationship in which the nurse maximizes his or her communication skills, understanding of human behaviors, and personal strengths to enhance the patients growth..

social

a relationship that can be defined as a friendship that is primarily initiated for the purpose of friendship, socialization, enjoyment, or accomplishment of a task.

a

a student nurse exhibits the following behaviors or actions while interacting with her patient. which of these appropriate as part of a therapeutic relationship? a. sitting attentively in silence with a withdrawn patient until the patient chooses to speak. b. offering the patient advice on how he could cope more effectively with stress c. controlling the pace of the relationship by selecting topics for each interaction. d. limiting the discussion of termination issues so as not to sadden the patient unduly.

contract

a type of boundary in a therapeutic relationship defined as the ___________, in which there is an establishment of a set time, confidentiality, agreement between nurse and patient as to roles, money, if involved with a licensed therapist.

physical

a type of boundary in a therapeutic relationship that is defined as a general environment, office space, treatment room, conference room, corner of the day room, and other such places.

personal space

a type of boundary in a therapeutic relationship, it is defined as a physical space, emotional space, space set by roles, and so forth.

a

anna, a patient at the community mental health center, tends to stop taking her medications at intervals, usually leading to decompensation. which of the following interventions would most likely improve her adherence to her medications? a. help anna to understand her illness and share in decisions about her care b. advise anna that if she stops her medications, her doctor will hospitalize her. c. arrange for anna to receive daily home care so that her use of medications is monitored. d. discourage anna from focusing on the side effects and other excuses for stopping her pills.

false imprisonment

confining a client to a specific area, such as a seclusion room; confinement that is convenient for the staff.

empathy

conveying an objective awareness and understanding of feelings, emotions, and behaviors of others, including trying to envision what it must be like to be in the position of the client and the client's family.

sublimation

dealing with unacceptable feelings or impulses by unconsciously substituting acceptable forms of expression.

c

emily is a 28 year old nurse on the psychiatric unit. she has been working with Jenna, a 27 year old who was admitted with depression. Emily and Jenna find they have much in common, including each having a 2 year old daughter and each having graduated from the same high school. emily and jenna discuss getting together for lunch with their daughters after jenna is discharged. This situation reflects: a. successful termination b. promoting interdependence c. boundary blurring d. a strong therapeutic relationship

c

epidemiological studies contribute to improvements in healthcare for individuals with mental health disorders by: a. providing information about effective nursing techniques b. identifying risk factors that contribute to the development of a disorder c. identifying who in the general population will develop a specific disorder d. identifying which individuals will respond favorably to a specific treatment

pharmacogenetics

how genes affect individual responses to medicines.

a

in the DSM-5, a major change in how culture is viewed within each disorder is that: a. issues related to culture and mental illness are now integrated into the discussion of each disorder rather than separately discussing culture-bound syndromes. b. issues related to culture and mental illness are markedly absent in the discussion of each disorder. c. it is noted that it is impossible for health practitioners to be expected to be culturally aware with the increasing diversity of the United States d. issues related to culture and mental illness are less important than previously thought in diagnostic criteria.

c

julio is a 31-year old patient who comes to your mental health outpatient clinic. which of the following would alert you to the potential for somatization? a. Julio staes, "I have been feeling sad for weeks." b. Julio shows you bottles of medication he has been prescribed for anxiety c. Julio presents with concerns involving headaches, dizziness, and fatigue. d. Julio states, "I have been sleeping all the time."

acculteration

learning the beliefs, values, and practices of their new cultural setting--that sometimes takes several generations.

tertiary

levels of prevention strategies prominent in outpatient psychiatric care consists of primary prevention, secondary prevention, and ________________ prevention.

reaction formation

overcompensating or demonstrating the opposite behavior that is felt.

a

providing a safe environment for patients with impaired cognition, planning unit activities to stimulate thinking, and including patients and staff in unit meeting are all part of: a. milieu therapy b. cognitive-behavioral therapy c. behavioral therapy d. interpersonal psychotherapy

b

the intervention that can be practiced by an advanced practice registered nurse in psychiatric mental health but cannot be practiced by a basic level registered nurse is: a. advocacy b. psychotherapy c. coordination of care d. community-based care

a

the nurse is planning care for a patient of the Latin American culture. Which goal is appropriate? a. patient will visit with spiritual healer once weekly b. patient will experience rebalance of yin-yang by discharge c. patient will identify sources that increase "cold wind" within 24 hours of admission d. patient will contact "singer" to provider healing ritual within 3 days of admission.

c

the premise that an individual's behavior and affect are largely determined by his or her attitudes and assumptions about the world underlies: a. modeling b. milieu therapy c. cognitive-behavioral therapy d. psychoanalytic therapy

c

the theory of interpersonal relationships developed by Hildegard Peplau is based on the foundation provided by which early theorist? a. freud b. Piaget c. Sullivan d. Maslow

ethnocentrism

the universal tendency of humans to think their way of thinking and behaving is the only correct and natural way.

transference

this occurs when the patient unconsciously and inappropriately displaces onto the nurse feelings and behaviors related to significant figures in the patient's past.

4

time restraints are used on patients 18 years + is ___ hours

1

time restraints are used on patients 8 years old and younger. ____ hr(s)

2

time restraints are used on patients 9 to 17 years is ___ hours.

a,b,d,e

which are the purpose of a thorough mental health nursing assessment? SATA a. establish a rapport between the nurse and patient b. assess for risk factors affecting the safety of the patient or others c. allow the nurse the chance to provide counseling to the patient d. identify the nurse's goals for treatment e. formulate a plan of care

a

which contribution to modern psychiatric mental health nursing practice was made by freud? a. the theory of personality structure and levels of awareness b. the concept of a "self-actualized personality" c. the thesis that culture and society exert significant influence on personality d. provision of a developmental model that includes the entire life span

d

which statement best describes a major difference between a DSM-5 diagnosis and a nursing diagnosis? a. there is no functional difference between the two; both serve to ID human deviance b. the DSM5 diagnosis disregards culture, whereas the nursing diagnosis takes culture into account c. the DSM5 is associated with present symptoms , whereas a nursing diagnosis considers past, present, and potential responses to actual mental health problems. d. the DSM-5 diagnosis impacts the choice of medical treatment , whereas the nursing diagnosis offers a framework for identifying multidisciplinary interventions.

a,c,d,f

which the following nursing actions is appropriate in maintaining a safe therapeutic inpatient milieu? SATA a. interact frequently with both individuals and groups on the unit b. attempt to introduce patients with similar backgrounds to each other to form social bonds for after discharge. c. initiate and support group interactions via therapeutic groups and activities d. provide and encourage opportunities to practice social and other life skills. e. collaborate with housekeeping to provide a safe, pleasant environment f. assess patient belongings and the unit for any dangerous items that could be used by patients to hurt themselves or others.

a,b,c,d

you are assessing a 6 year old patient. when assessing child's perception of a difficult issue, which methods of assessment are appropriate? SATA. a. engage the child in a specific therapeutic game b. ask the child to draw a picture c. provide the child with an anatomically correct doll to act out a story d.allow the child to tell a story

b

you are caring for maria, a patient who states that she has "ghost sickness." which is the appropriate nursing response? a. "i have no idea what 'ghost sickness' is." b. "how does 'ghost sickness' make you feel?" c. "'Ghost sickness' is not listed in the manual of psychiatric disorders." d. "Let's talk about why you believe in evil spirits?"

b

you are performing a spiritual assessment on a patient. which patient statement would indicate that there is an experimental concern in the patient's spiritual life? a. i really believe that my spouse loves me. b. my sister will never forgive me for what i did. c. i try to find time every day to pray, even though it's not easy d. i am happy with my life choices, even if my mother is not.

assimilation

adapting to a new culture, absorbing the new worldview, beliefs, values, and practices rapidly until they are more natural than the ones learned previously in their homeland.

countertransference

this occurs when the nurse unconsciously and inappropriately displaces onto the patient feelings and behaviors related to significant figures in the nurse's past.

suppression

voluntarily denying unpleasant thoughts and feelings.

mood

a client's __________ provides information about the emotion that she is feeling.

displacement

shifting feelings related to an object, person, or situation to another less threatening object, person, or situation.

a

the concepts at the heart of Sullivan's theory of personality are: a. needs and anxiety b. basic needs and meta needs c. schemas, assimilation, and accommodation d. developmental tasks and psychosocial crises.

b

the criteria for admission to an inpatient psychiatric unit is that the patient: a. refuses to comply with the treatment team in regard to medication, counseling, living situation, or substance abuse abstinence b. is in imminent danger of harming himself or others, or the patient cannot properly care for his basic needs and cannot protect himself from harm. c. refuses all psychotropic medication d. is court-ordered by a judge specializing in mental health.

affect

an objective expression of mood, such as a flat _______ or a lack of facial expression.

a,b,c,d

which nursing actions demonstrate cultural competence? SATA a. planning mealtime around the patient's prayer schedule b. advising a patient to visit with with the hospital chaplain c. researching foods that a lacto-ovo-vegetarian patient will eat d. providing time for a patient's spiritual healer to visit e. ordering standard meal trays to be delivered three times daily

a

which of the following actions best represents the basis or foundation of all other psychiatric nursing care? a. the nurse assesses the patient at regular intervals b. the nurse administers psychotropic medications c. the nurse spends time sitting with a withdrawn patient d. the nurse participates in team meetings with other professionals

a,c,d,e,f

which of the following factors contribute to the movement of patients out of large state institutions and into community-based mental health treatment? SATA a. states desire to save money by moving the patients to the community, where the federal government would pick up more of the cost b. the growing availability of generous mental health insurance coverage gave more patients the ability to seek private care in the community. c. a system of coordinated and accessible community care was developed by forward thinking communities and offered more effective treatment. d. the Community Mental Health Centers Act of 1963 required states to develop and offer care in community-based treatment programs. e. patient advocates exposed deficiencies of state hospitals and took legal action, leading to the identification of a right to treatment in the least restrictive setting. f. new psychotropic medications controlled symptoms more effectively, allowing many patients to live and receive care in less restrictive settings.

c

which statement about mental illness is true? a. mental illness is matter of individual disconformity with societal norms. b. mental illness is present when individual irruption and illogical behavior occurs. c. mental illness changes with culture, time in history, political systems, and the groups defining it. d. mental illness is evaluated solely by considering individual control over behavior and appraisal of reality.