Study Mat Psych Exam 1

Which of the following behaviors by the nurse demonstrate positive regard? Select all that apply.

-Calling the client by name -Spending time with the client -Responding openly -Considering the client's ideas and preference when planning care

What is required for a transitional care model to be most effective in promoting the client's health and well-being and prevent relapse and rehospitalization? Select all that apply.

-Collaboration -Administrative support -Adequate funding

Which is the orientation of assertive community treatment (ACT)?

Problem-solving orientation

A nursing supervisor reprimands an employee for being chronically late for work. If the employee handles the reprimand using the defense mechanism of displacement, he would most likely do which of the following?

Tell the unit housekeeper that his work is sloppy

A nurse documents that a patient has successfully acquired a job performing janitorial services at a local manufacturing company. The goal of which of the following levels of prevention has been achieved?

Tertiary prevention

The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of the following would the nurse identify as having a positive impact on the individual's mental health?

The ability to effectively manage stress

The nurse is working with a client who has a history of inflicting spousal abuse. Although the nurse does not condone domestic violence, the nurse treats the client with unconditional positive regard through which of the following?

The client is still viewed as someone worthy of respect and assistance.

Which of the following considerations should have the most influence in the nurse's choice of the treatment for the client?

The client's feelings and perceptions about his or her situation

Which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?

The growth of managed care

Group members are actively discussing a common topic. Members are sharing that they identify with what others are saying. The nurse leader recognizes that the group is in which stage of group development?

Working

A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is so sad. The nurse's best response would be,

You are not mentally ill. This is an expected reaction to the loss you have experienced.

The factor having the most influence on the current trend in treatment settings is the fact in recent years,

funding for community programs has been inadequate.

A patient with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to the lithium and immediately notifies the

psychiatrist.

The primary purpose for generalist nurses to develop skills with psychosocial interventions is

psychosocial interventions are needed in all nursing practice settings.

A significant change in the treatment of people with mental illness occurred in the 1950s when

psychotropic drugs became available for use.

A patient has been started on antidepressants. The interdisciplinary team member most responsible for monitoring effectiveness and side effects of this new medication is the

psychiatric nurse.

Which of the following are advantages of a crisis resolution team or home treatment team? Select all that apply.

- It is more likely to help a client to perceive his or her situation more accurately. - It is designed to assist clients in dealing with mental health crises without hospitalization. - The client may feel better about asking for help.

A student appears very nervous on the first day of clinical in a psychiatric setting. The student reviews the instructor's guidelines and appropriately takes which of the following actions? Select all that apply.

-Discusses the anxious feelings with the instructor -Builds rapport with the patient before asking personal questions -Consults the instructor if a shocking situation arises

Discharge planning from inpatient care for people with severe mental illness must address which of the following to be effective? Select all that apply.

-Finding housing for the client -Finding transportation for the client

Which of the following are core skill areas that are needed of any effective team member of an interdisciplinary team? Select all that apply.

-Interpersonal skills -Teamwork skills -Communication skills -Risk assessment and risk management skills

Which of the following theories could be classified as humanistic theories? Select all that apply.

-Maslow's hierarchy of needs -Rogers' client-centered therapy

Which of the following statements about mental illness are true? Select all that apply.

-Mental illness can cause significant distress, impaired functioning, or both. -Individuals suffering from mental illness are usually able to cope effectively with daily life. -Individuals suffering from mental illness may experience dissatisfaction with relationships and self.

A patient has just begun daily participation in a community-based partial hospitalization program. The patient can expect the staff to assist with which of the following treatment goals? Select all that apply.

-Stabilizing psychiatric symptoms -Improving activities of daily living -Learning to structure time -Developing social skills

The major problems with large state institutions are: Select all that apply.

-attendants were accused of abusing the residents. -clients were geographically isolated from family and community.

A patient has just been referred to a psychosocial rehabilitation program. The nurse explains that the benefits of being involved in such a program include: Select all that apply.

-increased independence. -recovery from mental illness. -increased community integration.

Psychiatric nursing became a requirement in nursing education in which year?

1950

Which element would be present in an assertive community treatment (ACT) program?

24-hour-a-day services

Which one of the following is a result of federal legislation?

Making it more difficult to commit people for mental health treatment against their will.

The first training of nurses to work with persons with mental illness was in 1882 in which state?

Massachusetts

A psychiatric nurse is planning an educational program addressing primary prevention strategies in the community. The nurse explores current research regarding which health-care need?

Assisting high school students to effectively manage stress

The nurse is part of a group setting up a mobile crisis service in conjunction with the local police department. Community education on which of the following this team will focus includes?

Assisting police officers to recognize mental illness

A patient states, I hate spending time with my family. They're always on my back about something! I won't do anything they ask me to do. Which response by the nurse reflects a behavioral perspective?

If you agree to start doing what your parents request, then they have agreed to respect your privacy more.

Which type of psychiatric rehabilitation relies on intentional communities and rehabilitation alliances?

Clubhouse model

A nurse is working with a patient with an eating disorder who refuses to eat a muffin. The nurse asks the patient ìIs there any way that you could see the muffin as just flour and water, basic nutrients your body needs?In this statement, the nurse is using which type of therapy?

Cognitive therapy

Which approach to therapy is most effective when planning for a client with negative thinking?

Cognitive therapy

Which one of the following statements is most accurate regarding the cohesiveness of a group in group therapy?

Cohesiveness is a desirable group characteristic that is associated with positive group outcomes.

A psychiatric nurse is planning activities aimed at secondary prevention of mental illness. Which activity would be most appropriate to develop?

Depression screening in an assisted living facility

Which of the following is a standard of professional performance?

Education

Which of the following is defined as an advanced-level function in the practice area of psychiatric mental health nursing?

Evaluation

A nurse is meeting with a crisis support group. In efforts to help patients identify with one another, the nurse explains which of the following about the crisis experience?

Even happy events can cause a crisis if the stress is overwhelming.

Which type of community residential treatment setting is most likely to be permanent in any state?

Evolving consumer household

Which of the following is most essential when planning care for a client who is experiencing a crisis?

Explore previous coping strategies

The family members of a patient with bipolar disorder express frustration with the unpredictable behaviors of their loved one. Which group should the nurse suggest as most helpful to this family?

Family education group

A patient is being admitted to an inpatient unit for treatment of anorexia nervosa. Of the following assessment data, which should the nurse place as highest priority in the plan of care?

Frequent vomiting after meals

The nurse is working with a patient who has quit several jobs and no longer sends financial support to his two children living with their mother. This behavior is in conflict with the nurse's values concerning responsible parenting. When discussing family roles with the patient, the nurse shows positive regard through which statement?

How is not working right now affecting you?

The nurse has established a therapeutic relationship with a patient. The patient is beginning to share feelings openly with the nurse. The relationship has entered which phase according to Peplau's theory?

Identification

Which of the following are true regarding mental health and mental illness?

In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.

A patient who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this patient at this time?

Inpatient hospital treatment

A client begins to take stock of his life and look into the future. The nurse assesses that this client is in which of Erikson's developmental stages?

Integrity versus despair

The nurse is assessing a client who is talking about her son's recent death but who shows no emotion of any kind. The nurse recognizes this behavior as which of the following defense mechanisms?

Intellectualization

Which of the following statements is true of the component of a therapeutic relationship acceptance?

It is avoiding judgments of the person, no matter what the behavior is.

Which one of the following is an important characteristic of an effective therapist client relationship in individual psychotherapy?

Mutual benefit for the client and the therapist.

Which of the following are examples of adventitious crises? Select all that apply.

Natural disasters Violent crimes War

Which of the following statements is true of treatment of people with mental illness in the United States today?

Only 25% of people needing mental health services are receiving those services.

Patients on an inpatient psychiatric unit can earn off-unit privileges for daily use of socially appropriate behavior. This is an example of employing which concept of behavior modification?

Operant conditioning

Which of the following is a standard of practice?

Outcome identification

Which cognitive mode, according to Harry Stack Sullivan, begins in early childhood as the child begins to connect experiences in sequence?

Parataxic mode

What are the two essential components of transitional care discharge model that is used in Canada and Scotland?

Peer support and bridging staff

A nurse is orienting to a new position working the infirmary in the state penitentiary. When working with prisoners who are also mentally ill, the nurse examines her own attitudes. Which of the following beliefs should the nurse discuss with her supervisor before caring for incarcerated patients?

People with mental illness are inherently violent.

A client is supposed to be ambulating ad lib. Instead, he refuses to get out of bed, asks for a bed bath, and makes many demands of the nurses. He also yells that they are lazy and incompetent. The client's behavior is an example of which of the following defense mechanisms?

Projection

Which of the following is a major developmental task of middle adulthood?

Reexamining life goals

A patient with bipolar disorder has a long history of both hospitalizations and incarcerations. The patient has no permanent residence and has infrequent contact with his family. Upon admission to the inpatient psychiatric unit for stabilization, the nurse documents all of the following in the record. Which of the following data most suggests a positive outcome for this patient?

Reporting meeting with the same case manager monthly for the last 3 years

Which of the following is the highest priority for admission to inpatient care?

Safety of self or others

What is meant by the term revolving door effect in mental health care?

Shorter and more frequent hospital stays for persons with severe and persistent mental illness

Which one of the following is one of the American Nurses Association standards of practice for psychiatric mental health nursing?

Some aspects of Standard 5: Implementation may only be carried out by psychiatric mental health advanced practice nurses.

The nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome?

The patient will resume the precrisis level of functioning.

The legislation enacted in 1963 was largely responsible for which of the following shifts in care for the mentally ill?

The widespread use of community-based services

Which is included in Healthy People 2020 objectives?

To increase the number of people who are identified, diagnosed, treated, and helped to live healthier lives

What is an important role of the nurse with regard to residents opposing plans to establish a group home or residential facility in their neighborhood?

To provide information to correct misinformation related to stereotypes of persons with mental illnesses

The nurse consults the DSM for which of the following purposes?

To serve as a guide for client assessment

Which of the following is the priority of the Healthy People 2020 objectives for mental health?

Treatment of mental illness

A patient reports a pattern of being suspicious and mistrusting of others, causing difficulty in sustaining lasting relationships. Which stage according to Erikson's psychosocial development was not successfully completed?

Trust

Which would be a reason for a student nurse to use the DSM?

Understand the reason for the admission and the nature of psychiatric illnesses.

A nurse is assisting a patient who is working on the technique of systematic desensitization. When the patient feels anxious, the nurse can best use the principles of this technique by stating,

Use the deep breathing techniques we practiced yesterday.

A patient who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors?

Weighing the advantages and disadvantages before making a decision

A patient is blaming his impending divorce on the fact that his wife goes out frequently with her girlfriends. If using reality therapy, the nurse would help the patient with which of the following responses?

What role do you think you have played in the end of your marriage?

The nurse understands that empathy is essential to the therapeutic relationship. When a patient makes the statement, I am just devastated that my marriage is falling apart, the nurse can best show empathy through which of the following responses?

You feel like your world is falling apart right now.

Which is a positive aspect of treating clients with mental illness in a community-based care?

You will be able to live in your own home while you still see a therapist regularly.

A basic assumption of Freud's sychoanalytic theory is that

all human behavior can be caused and can be explained.

One of the unforeseen effects of the movement toward community mental health services is

an increased number of admissions to available hospital services.

The nurse would recommend individual therapy for the patient who expresses a desire to

bring about personal changes.

The primary goal of a psychiatric rehabilitation program is to promote

complete recovery from mental illness.

The goal of the 1963 Community Mental Health Centers Act was to

deinstitutionalize state hospitals.

The primary advantage of an evolving consumer household is that clients

do not have to relocate as they become more independent.

During the initial interview with a client in crisis, the initial priority is to

evaluate the potential for self-harm.

A patient is being transferred from a group home to an evolving consumer household. The goal of this transition is for the patient to eventually

fulfill daily responsibilities without supervision.

A student nurse attends a self-help group as part of a class assignment. While there the student recognizes a family friend. Upon returning home, the student talks about the experience with the family. The student's actions can be described as

inappropriate; most self-help groups have a rule of confidentiality.

A patient has just been told she has cervical cancer. When asked about how this is impacting her, she states, ìIt's just an infection; it will clear up. The statement indicates that this patient

is using denial to protect herself from an emotionally painful thought.

A client diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Treatment most likely provided at the center includes

medical management of symptoms.

A nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed by the neighbors. The nurse can effectively educate the public on the realities of group home by citing research that indicates

most people with mental illness do not represent a significant danger to others.

Before the period of the enlightenment, treatment of the mentally ill included

placing the mentally ill on display for the public's amusement.

The creation of asylums during the 1800s was meant to

provide food and shelter for the mentally ill.

A college student decides to go to a party the night before a major exam instead of studying. After receiving a low score on the exam, the student tells a fellow student, I have to work too much and don't have time to study. It wouldn't matter anyway because the teacher is so unreasonable. The defense mechanisms the student is using are

rationalization and projection

A patient is encouraged to join in daily outdoor games with peers on the unit. The interdisciplinary team member who will monitor the patient's involvement will be the

recreation therapist.

Some residential treatment settings are transitional. This means that clients are eventually expected to

relocate to another setting.

The appropriate action for a student nurse who says the wrong thing is to

restate it by saying, That didn't come out right. What I meant was...

The priority of inpatient care for people with severe mental illness is

symptom management.

A patient with depression is admitted to an inpatient hospital unit for treatment. The type of therapy most likely provided in this setting includes

talk therapy.

A new graduate nurse has accepted a staff position at an inpatient mental health facility. The graduate nurse can expect to be responsible for basic-level functions, including

using effective communication skills.

A teenage patient defies the nurse's repeated requests to turn off the video game and go to sleep. The teen says angrily, You sound just like my mother at home! and continues to play the video game. The nurse understands that this statement likely indicates

viewing the nurse as her mother.