Final Exam Mental Health Unit 2
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
When the nurse asks the client to restate the following in his or her own words, which sensorium and intellectual process is the nurse attempting to identify? The nurse states, "A stitch in time saves nine."
The client's ability to use abstract thinking
Knowing that relationships with others are significant to mental health, the nurse effectively assesses a patient's family relationships through which of the following?
"Describe your relationships with your family."
A patient being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the patient. The nurse can best assist the patient in this stage of the relationship with which of the following responses?
"I can sense you are angry this morning. Tell me how you feel about being discharged today."
A patient is sitting alone, slouched, with eyes closed. The nurse approaches. Which statement is most likely to encourage the patient to talk?
"You look like you are deep in thought."
Which statements are true of concrete and abstract messages? Select all that apply.
-Abstract messages include figures of speech that are difficult to interpret. -Concrete messages are cleardirect and easy to understand.
Which of the following are the types of roles that are usually included when assessing roles and relationships? Select all that apply.
-Family, -Hobbies -Occupation -Activities
Which element would be present in an assertive community treatment (ACT) program?
24-hour-a-day services
The nurse is assessing suicide potential in a patient who has expressed hopelessness. In what order does the nurse question the patient about suicidal thoughts?A. "How would you carry out this plan?" B. "Do you have a plan to kill yourself?" C. "Are you thinking of killing yourself?" D. "How do you plan to kill yourself?"
C B D A
The nurse asks a patient to list the days of the week in reverse order. The nurse is assessing which of the following?
Concentration
A client is admitted to the psychiatric unit and states, "I am president of the largest corporation in the world. Everyone comes to me for advice." The client is exhibiting which of the following?
Delusion
A nurse suspects that a patient is abusing alcohol while taking prescribed medications. The nurse plans to educate the patient on the dangers of mixing medicine with alcohol. Which of the following would be the most effective way for the nurse to approach this subject with the patient?
Emphasize the importance of truthful information using a nonjudgmental approach
The nurse asks the client what that experience was like. Which communication skill is the nurse using?
Encouraging expression
A patient shows no facial expression when engaging in a game with peers during an outing at a park. The nurse uses which of the following terms when documenting the patient's affect?
Flat affect
Which of the following distance zones is acceptable for people who mutually desire personal contact?
Intimate
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
A nurse is assigned to care for a client whose sexual orientation differs from the nurse's sexual orientation. When should the nurse seek clinical supervision?
When the nurse tries to assist the client to change values
The primary goal of a psychiatric rehabilitation program is to promote
complete recovery from mental illness.
The nurse initiating a therapeutic relationship with a client should explain the purpose, which is
facilitate a positive change.
The client tells the nurse, "That new TV anchor is telling the world about me." This is an example of
ideas of reference.
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.
Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for nurses to deal with this discomfort includes
recognizing that these areas may also be uncomfortable for the patient to discuss.
Some residential treatment settings are transitional. This means that clients are eventually expected to
relocate to another setting.
One of the primary differences between social and therapeutic relationships is the
type of responsibility involved.
