Psych Midterm
Which describes the long-term goal for inpatient mental health treatment?
Return the patient to the community to be productive members of society.
Which of the following is not a symptom of major depressive disorder?
Sad mood that lifts in a few days
Based on Jean Piaget's developmental theory, which statement is true?
The client's development is related to experiential age more than cognitive age
Which statement can be applied to the early asylums?
The clients were heavily medicated
Which statement can be applied to cultural competency?
The nurse is able to adapt care to meet the needs of patients from different cultures/backgrounds.
Psychopharmacology (psychotropic drug therapy) is used:
To decrease symptoms and facilitate other therapies
During an emergency situation, the nurse has performed care to the best of their ability within the boundaries of their scope of practice. Which term describes the nurse's behavior?
Accountable
A mental health nurse has noticed that every day before going to work, they start off with headaches, loose stools, and episodes of feeling light-headed. Which defense mechanism is the nurse experiencing?
Conversion
The concepts of space, time, and waiting are:
Cultural
Which information will the nurse use to describe the term "culture" to a group of nursing students?
Culture is the combination of traditions and beliefs that bind a group of people together.
A patient states, "I don't know what the pills are for or why I am taking them, so I don't want them." Which therapeutic communication technique will best help this patient?
Giving information (educating)
When traditional medicine is combined with less traditional methods, it is called:
Integrative medicine
All of the following are types of communication, except:
Intrusive communication
Karen Horney was a follower of Dr. Sigmund Freud. Dr. Horney believed that the abnormal behavior experienced by patients was the result of ineffective:
Mother-child bonding.
The nurse is preparing to assess a patient with a moderate level of anxiety. Which clinical finding will the nurse anticipate?
Nail biting.
Which response is the most accurate list of signs of lithium toxicity?
Nausea, tremors, confusion
Which style of parenting results in poor socializing ability?
Neglectful
The act of developing a clean environment (cleanliness) is a factor in providing effective health care as demonstrated by this Trailblazer:
Nightingale
The mentally ill were once housed in mental institutions known as:
Asylums
A patient asks the nurse to review the benefits of aromatherapy. Which statement will the nurse include in the education?
"Aromatherapy has direct pharmacological effects."
Which information will the nurse ask when assessing a client's orientation?
"Can you tell me where you are right now?"
The nurse is obtaining a history from a patient prescribed a stimulant to treat narcolepsy. Which assessment question is the most important to ask the patient?
"Do you have a history of heart disease?"
Which statement can be applied to spirituality and religion?
Recuperation from illness may be tied to spirituality.
The nurse is preparing to explain the benefits of yoga to a patient. Which topic of information will the nurse include in the teaching?
Reduction of stress.
A parent expresses concern that their child who is toilet trained and recently started day care has started wetting themselves and chooses to crawl instead of walk. Which defense mechanism will the nurse plan to discuss with the parent?
Regression
During a recent clinical rotation, the nursing student used the patient's full name on the assigned care plan. Which is the instructor's priority intervention?
Remind the student of the importance of maintaining patient confidentiality.
A client who is frightened and angry is readmitted to the hospital 16 hours after they have been discharged from an outpatient surgical procedure. To minimize the client's frustration during the admission process, which action will the nurse take?
Rephrase the open-ended questions.
A client states to the nurse, "I always feel angry towards one of my family members and I do not know why." Which defense mechanism is the client describing?
Repression
According to Hildegard Peplau, which stage of the nurse-client relationship focuses on the client developing self-responsibility and showing personal growth?
Resolution
A patient states "I think my marriage is over, my wife doesn't love me anymore." The nurse replies, "Don't worry, everything is going to be okay." What type of nontherapeutic communication is this?
False reassurance/social clichés
Audrey is a veteran who served in Afghanistan. It is very difficult for her to drive through a parking ramp because "There are people hiding behind the pillars! They have guns! Be careful!" Audrey is most likely experiencing:
Flashbacks
Which intervention will the nurse implement for a patient expressing distress related to a phobia?
Focus on a nonthreatening topic.
A patient states to the nurse, "I just know something bad is going to happen to me." Which type of anxiety is the patient experiencing?
Free-floating
Which of the following best describes bipolar I disorder?
Full manic cycles with possibility of depression.
The nurse is providing education to a patient prescribed an antiparkinsonian agent. Which information will the nurse include in the teaching?
"Hard sugarless candy will help with the dry mouth."
A client tells the nurse they drink a 12-pack of beer a night. Which additional statement made by the client reflects the defense mechanism of sublimation?
"I am a sponsor in Alcoholics Anonymous."
A family member asks the nurse about a patient's diagnosis and treatment. Which response will the nurse provide the family member?
"I am unable to disclose information without the patient's permission."
The telephone rings at the nurses' station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patient's rights and confidentiality?
"I cannot confirm or deny that Ms. Honey is admitted here."
Which statement made by the client reflects the defense mechanism of rationalization?
"I failed my driver's test because the instructor made me nervous."
Which statement by the patient correlates with the manic phase?
"I only needed two hours of sleep last night!"
Based on Sigmund Freud's model for the components of the personality, which statement can be applied to the "superego"?
"The superego is referred to as the conscious."
Which question will the nurse ask a client when assessing their abstract thinking and judgment?
"What would you do if a small child was lost in the store?"
The nurse is preparing to conduct a cultural assessment. Which question will the nurse ask?
"Do you have any cultural considerations that I have to be aware of?"
Which statement made by a nurse reflects the behavior of stereotyping?
"Muslims will only marry other Muslims."
Which statement made by a parent reflects an authoritative parenting style?
"My son's bedtime is 8, but sometimes I let him stay up later if he chooses to."
A patient currently treated for schizophrenia calls the clinic stating, "I have had blurry vision and when I walk a shuffle over the past few days." Which response should the nurse provide the patient?
"Please go to the nearest emergency department."
The nurse is providing education to a patient about herbal and dietary supplements. Which statement will the nurse include in the teaching?
"The FDA does not regulate herbal and dietary supplements."
The nurse is explaining Skinner's theory of operant conditioning to a nursing student. Which statement will the nurse include when referring to the stimulus?
"The event that immediately precedes or follows the operant behavior."
Which question will the nurse ask to help identify a client's ethnicity?
"What is your primary language?"
What is considered a therapeutic lithium blood level in a stable patient?
1.2 milliequivalents per liter
Which information is true about abuse? (Select all that apply.)
1.Violence is a learned behavior. 2.Abuse is misuse of a person, substance, or situation. 3.A person gambling is displaying abusive behavior. 4.The abuser was probably abused at some point in their life.
The first psychotropic medications were introduced in the
1950s
Which theorist developed a "Hierarchy of Needs" pyramid? Show answer choices
Abraham Maslow
Which act recognized the needs of people with mental health challenges and established mental health care as an essential part of complete health coverage?
Affordable Care Act
A patient states "I don't think I am going to go tonight, it doesn't seem right." The nurse replies, "I agree with you, I think that is the right decision." What type of nontherapeutic communication is this?
Agreeing/disagreeing
The nurse is providing patient education about the purpose of The Joint Commission (TJC). Which topic of information will the nurse include in the teaching?
Allows patients to have some say in what medical information can be divulged (make known) and to whom
Which organization will the nurse refer to for guidelines that provide a framework for taking ethical action?
American Nurses Association (ANA)
Which part of the brain is involved in the fight or flight response and processing of the memory of fear?
Amygdala
A 25-year-old client who lives with their parents explains to the nurse at the community clinic, "I really don't need to talk to anyone, even my parents." The client expresses that they are too busy and do not have the time to sit and talk. Which defense mechanism is the client using?
Avoidance
Identify which factor is not in the Mental Health Status Exam:
Awareness and delusion
The nurse is preparing to discuss the ethical principles in nursing with a nursing student. Which statement will the nurse include when discussing veracity?
Being honest with the patient
A family member of a client actively dying of a terminal illness tells the nurse, "I told God that if He could allow my father to live a little longer, I would attend church every week." The nurse recognizes the family member is experiencing which stage of grief?
Bargaining
Your patient appears withdrawn and depressed. Which of the following would not be an effective intervention?
Be judgmental
Holistic treatments address:
Both the illness and the person
Which describes a component of the level 1 preconventional stage of Lawrence Kohlberg's theory of the development of moral reasoning?
Concerned with having needs met.
Which medical condition is associated with depression?
Cancer
A patient states "Do you think I will have to have bypass surgery? I'm so worried I will not get the results I have been hoping for." The nurse replies, "Did the doctor say anything about discharging you today?" What type of nontherapeutic communication is this?
Changing the subject
Which clinical finding will the nurse anticipate for a patient experiencing a panic attack?
Chest pain
Which describes the nurse's usual primary method of gathering data about a client?
Client interview
Which intervention will the nurse implement to demonstrate an effective practice in mental health?
Demonstrate therapeutic communication
Identify the five stages of "Death and Dying."
Denial/Anger/Bargaining/Depression/ Acceptance
The purpose of therapeutic communication is to:
Develop a helping, purposeful relationship with the patient
Which factor contributed to deinstitutionalization?
Development of phenothiazines (psychotropic medication)
Which developmental psychologist classified the three types of parenting?
Diana Baumrind
Which of the following trailblazers in nursing was NOT a nurse?
Dorothea Dix
A patient states "My husband died two months ago, and I can't seem to move on." The nurse replies, "It must be lonely without him, I can only imagine how difficult that must be for you." What type of therapeutic communication is this?
Empathy
A patient has a nursing diagnosis of low self-esteem. Based on the nursing diagnosis, which is an appropriate nursing action to take with the patient?
Encourage group therapy.
The nurse is preparing to transfer a patient to the procedure room for electric shock therapy. Which is a priority nursing intervention?
Ensure informed consent has been obtained.
Which is the nurse's priority action when a patient experiences a crisis?
Ensure safety.
Which of the following would be the most effective intervention for a depressed patient?s
Establish small achievable goals
The code of behavior that reflects professional expectations based on fundamental moral principles is called:
Ethics
Which characteristic has prejudice resulted in?
Ethnocentrism
Which nursing theorist promoted the interpersonal theory/relationship between the nurse and the patient?
Hildegard Peplau
Which law protects people with mental illness who lack insurance coverage and live below the poverty line from being turned away for care?
Hill-Burton Act
The part of Freud's personality theory that relates to the gratification of oneself? (Me, Myself, I)
Id
The nurse is preparing to assess a client experiencing stress. Which physiological finding will the nurse anticipate?
Increased blood pressure
Which describes a reaction associated with uncomplicated grief?
Labile.
Which statement describes a component of neurolinguistic programming?
Language cues are used to understand how an individual experiences their world.
Which of the following best describes what defense mechanisms are?
Learned response due to stress
Which laboratory information will the nurse anticipate monitoring a patient prescribed lithium carbonate?
Liver function
The nurse is preparing to provide information to a patient taking Sam-E, a dietary supplement. Which side effect will the nurse include in the teaching?
Loose stools
Which is an important factor for the nurse to understand when caring for a client experiencing homelessness?
Maintain all of the client's rights.
Identify which is not part of the "crisis phase."
Mid-crisis
A patient states "I feel overwhelmed, nothing I seem to do is right." The nurse replies, " We have all felt that way sometimes." What type of nontherapeutic communication is this?
Minimizing/belittling
The nurse is admitting a patient experiencing mania to the inpatient mental health unit. Which is the nurse's priority action?
Monitor the patient for self-injury.
What is the name of the publication written by Florence Nightingale?
Notes on Nursing
The following is true about the "Good Samaritan Law":
Nurses, physicians, and other medically-trained personnel may not always be protected by Good Samaritan laws.
Within the nursing process, the registered nurse (RN) is responsible for the:
Nursing Diagnosis
A patients states, "I am feeling helpless." The nurses replies, "What can I do to help, Mrs. Smith?" What type of therapeutic communication is this?
Open-ended question
Which intervention will the nurse implement in the care of a patient experiencing major depression?
Patience and promoting therapeutic communication
Which describes the component of the Mental Health Status Examination that focuses on the way a person experiences reality?
Perception
Which classification of medication was the first to revolutionize the treatment of clients with mental illness?
Phenothiazines
A patient asks the nurse what side effects St. John's wort can have. Which topic of information will the nurse include in the teaching?
Photosensitivity
During which phase of the nursing process should both short-term and long-term goals be utilized?
Planning
The condition of judging a person or situation before knowing all the facts is called:
Prejudice
Which of the following is a priority when caring for a highly anxious patient?
Provide support and a therapeutic milieu.
The nurse reviews the different cultural preferences for personal space. Which term describes this concept?
Proxemics
Which intervention will the nurse anticipate being included in the treatment of a patient with bipolar disorder to prevent relapse and promote medication compliance?
Psychotherapy.
Mrs. D has an appointment with the doctor. She began taking lithium 1 month ago as prescribed. She now states that her mouth and lips are constantly dry and she sometimes feels confused. She says, "I stagger like I'm drunk sometimes when I walk." You suspect:
She is dehydrated
Which therapeutic communication intervention will the nurse consider implementing when a patient needs time to collect their thoughts and doesn't know what to say next?
Sit with the patient in silence
Ms. T complains of headaches and body pains whenever her husband mentions that the house needs to be cleaned. This has been a reoccurring problem for more than 6 months. Ms. T probably is suffering from what kind of disorder?
Somatic Symptom Disorder (SSD)
Which intervention will the nurse implement for a patient experiencing a panic attack?
Stay with the patient in the exam room.
The nursing process is a method for:
Systematically organizing and implementing patient care
Which characteristic is most accurate about antidepressants?
Takes several weeks to demonstrate effects
Which statement can be applied to the role of the LPN/LVN and the nursing process?
The LPN/LVN can assist with the planning of care along with the RN.
The nurse is using Erikson's framework to assess an early childhood client. Which finding indicates the client is unsuccessful in completing the task of development?
The client has a low self-esteem
The nurse is using Erikson's framework to assess a preschool-age client. Which finding indicates the client is unsuccessful in completing the task of development?
The client has a passive personality.
The nurse is preparing to request from a health-care provider a prescription for restraints for a patient after they attempted to hit a staff member. Which action will the nurse anticipate occurring?
The order for the restraints will be signed by the health-care provider within 24 hours
Which is an important factor for the nurse to understand about the involuntary commitment of a patient?
The patient has full ability to exercise their rights under the Civil Rights of Institutionalized Persons Act
A patient involuntarily committed to a mental health unit asks the nurse, "When can I have visitors?" Before responding to the patient, which information is important for the nurse to consider?
The patient has the right to visit anyone they choose
Which is an accurate planning goal?
The patient will lose 1 to 2 pounds a week until the goal of 20 pounds is reached.
Which statement can be applied to the process of communication?
The sender is only partially responsible for the message
The nurse is preparing to provide community education about bipolar disorder. Which information will the nurse include in the teaching?
There is a high risk of recurrence after the first episode.
Which information will the nurse include in the teaching to a nursing student about defense mechanisms?
They give the client the illusion they are alleviating their stress.
