Mental Health

A nurse is caring for a group of clients had a mental health facility. The nurse should identify that which of the following client is exhibiting a warning sign of suicide?

A client who is giving away their possessions

A nurse is discussing burnout among nurses with a colleague. Which of the following is a strategy to reduce burnout?

Self scheduling work shifts

A nurse on a pediatric mental health unit is discussing the importance of setting boundaries with another nurse. Which of the following statements by the nurse explains why setting boundaries is important?

Setting boundaries increases a child's sense of security through knowing the consequences of behaviors.

A nurse is caring for a client who has been admitted to a state mental health facility by a court order. The nurse should identify that client who have been admitted by court order will typically remain at the facility for a minimum of which of the following durations?

Several months

The nurse in a mental health clinic is reviewing clients medical records. Which of the following clients should the nurse recognizes having a serious mental illness?

A client who has schizophrenia.

A nurse is caring for a client who is agitated and requires chemical restraints. Which of the following types of medication should the nurse expect the provider to prescribe?

sedative

The nurses 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 avoid of the following stages of Kohlberg's therapy?

Instrumental relativity orientation

The nurses assisting with a presentation on the topic of mental health diagnosis during a unit meeting. The nurse should identify that the DSM -5 TR classification is used in conjunction or paired with what other classification system?

International classification of disease

A nurse is caring for a client who has a serious mental illness. The client states, "I am so glad to be here because I know I will be healed here and can go on with a normal life!" which of the following responses should the nurse give?

It sounds like you were motivated to work towards recovery and setting up routines that will work for your life

My nurse encourages each client and I group session to speak and be heard. The nurse should identify that this is an example of which of the following ethical principle?

Justice

A nurse is caring for a client who has been sexually assaulted. Which of the following actions should the nurse take first to develop a therapeutic relationship with the client?

Maintain a safe milieu.

My nurses discussing what to do about feelings of burn out with a group of nurses. Which of the following is the best strategy the nurse should implement?

Meet with other nurses to create a plan to support each other

A nurse is collecting data from a client who lives in a rule area and is seeking treatment for anxiety. Which of the following is the benefit of the nurse asking the client questions about possible mental healthcare disparities?

Mental health disparities can lower the quality of life for the clients who experience them

A nurse is collecting data from a client who lives in a rural area and is experiencing symptoms of anxiety that are causing them to miss work. Which of the following is the most likely reason why this climate makes experience greater disparities now then the client would have in the past and receiving mental health treatment?

Mini rural hospitals have closed, creating an even greater gap and availability and mental health Resources.

A nurse thought a mental healthiness discussing types of admissions with an newly licensed nurse. Which of the following statements to the nurse make?

Most states require two providers to assess a client and confirm the need for an involuntary admission

A nurse is planning care for a group of clients. Which of the following clients would benefit from a cognitive behavioral therapy (CBT)?

A client who has Tourette's syndrome

A nurse is discussing scope of practice related to mental health with a peer? Which of the following statements by the nurse explains practice focus for mental health nurse?

" it is important to consider mental health needs related to population health are based on the social determinants of health"

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 medications to improve your health."

A nurse is assisting with planning an in-service about client confidentiality for a group of newly hired staff members. Which of the following examples should the nurse include when discussing exceptions for maintaining client confidentiality? (SATA)

-A client tells a nurse that they intend to kill a coworker -A nurse is subpoenaed to testify in court about a client they cared for -An older adult client reports their caregiver allows them to eat one meal per day -Client tells the nurse that they plan to hang themselves when they are discharged

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?

-Pet therapy -Meditation -Yoga

A nurse is assisting in the plan of care for a client. Which of the following characteristics are essential for the nurse to effectively implement therapeutic use of self?

-emotional balance -Assertiveness and facing lives challenges -Goal directed -Compassionate care for clients

A nurse is discussing responsibilities in milieu therapy with a group of newly hired nurses. Which of the following should the nurse include? (SATA)

-explain the unit roles, including expectations, and client rights -Provide orientation, including a tour of the unit, rules, and expectations -Ensure that culturally sensitive care is provided -Use a trauma informed approach to client care

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? (SATA)

-following suicide precautions for a client -Assisting the client and using adapting coping skills -Allowing the client to use exercise equipment when anxious

In a mental health unit is reinforcing teaching with a newly licensed nurse about the social ecological (SE) model, when caring for clients who have a serious mental illness and need housing. Which of the following are factors of the SE model that the nurse should include? (SATA)

-organizational -Individual -Policy -Community -Interpersonal

A nurse is caring for a client who is in physical restraints. The nurse should identify that which of the following complications can result from inadequate monitoring of the client? (SATA)

-positional asphyxia -Food aspiration -Cardiac arrest

A nurse is caring for a client who has a mental illness. The client also vapes and has a history of tachycardia and high blood pressure. The nurse should reinforce health promotion teaching with the client on which of the following topics?

-tobacco/vaping -Cardiovascular diet -Medication adherence -Regular exercise

A nurse is discussing different factors of the determinants of mental health during a staff meeting. Which of the following factors should the nurse include in the discussion? (SATA)

-unsafe, drinking water -Exposure to an adverse childhood event -A playground in the neighborhood -National policy, addressing cyber bullying

A nurse is planning to add a client to an establish therapy group on the unit. The group currently includes a 13-year-old adolescent, who has depression, 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 adolescence should the nurse add to this group?

A 12-year-old adolescent, who has anxiety and depression

A nurse and a pediatric Providers clinic is caring for four adolescence. Which of the following adolescence should the nurse identify as having a risk of sustaining an adverse childhood experience?

A 17-year-old adolescent who states their parent has alcohol use disorder

I nearly hard nurse on mental health unit is discussing the concept of client competency with a charge nurse. Which of the following information should the charge nurse include?

A client is considered mentally competent until they deemed incompetent by judge in a legal hearing.

The nurse is reviewing the concept of bias with a newly licensed nurse. Which of the following scenarios fit the nurse used to demonstrate bias treatment?

A client is not permitted to attend the group therapy activity because they practiced the Buddhist faith

A nurse is assisting with teaching a group of newly licensed nurses about stigma. Which of the following client scenarios should the nurse include as an example of self stigma?

A client refuses to pick up their prescription for an antidepressant because they do not want the pharmacist to know that they are on an antidepressant

A nurse is discussing treatment options with a client. The client asks, "what alternatives are available to help me with my depression other than the inpatient facility?" Which of the following responses should the nurse make?

A community health Center can provide counseling sessions, medication, follow up, support, groups, and home care visits.

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 nurse is communicating via telephone with a client who reports a history of depressive disorder and is currently currently experiencing suicidal ideation. To which of the following facilities, should the nurse refer the client?

A crisis stabilization facility

A nurse is reviewing the medical records of a group of clients. The nurse should identify that which of the following factors places a client at risk for mental illness?

A history of abuse. A history of abuse places a client at risk for mental illness.

The nurse is collecting data about disparities and access to mental healthcare for clients who live in a rural area. Which of the following primary consequences should the nurse expect?

A longer period of time between the onset of symptoms of mental illness and treatment

A nurse is discussing ethical principles with another nurse. Which of the following would be an example of the principle of non-maleficence.

A nurse evaluates the client desire for autonomy while considering the personal safety of other clients on the unit.

I nearly licensed nurse is reviewing the American nurses associations, core professional values of nursing. Which of the following scenarios demonstrates the value of empowerment?

A nurse provides resources to the client who wants to create a living well before they have surgery.

A nurse on a mental health unit is discussing laws that guide the care of clients on the unit with a newly hired staff member. Which of the following statements by the staff member indicates and understanding?

A physical injury does not need to occur for a client to make a claim of battery

A nurse is asked to evaluate a quantitive study to help prepare for an in-service about client aggression. Which of the following studies should the nurse evaluate?

A study reporting a reduction in the use of IM medication for a client aggression

A nurse is planning care for a client who has a mental health disorder and a substances disorder. To which of the following facilities should the client be referred for treatment?

A substance used disorder center

Newly licensed nurse asked to charge nurse, what is the difference between a suicide attempt and self harm? Which of the following responses should the nurse give?

A suicide attempt is when a person harm themselves with the intent to die, but does not. Self harm is when a client intentionally inflict harm on themselves, but does not have intention to kill themselves.

A nurse is discussing the effects, adverse childhood experiences have on the brain when a client who has a history of ACEs. Which of the following statements should the nurse include?

ACEs force clients to live in survival mode

The nurse is reviewing humanistic theorist. Which of the following theorist were primarily involved in developing the humanistic theory?

Abraham Maslow

In nurse should identify that which of the following is a US congressional act that mandates mental health parity?

Affordable Care Act of 2010 The Affordable Care Act of 2010 mandates mental health parity. Parity is equal coverage for physical and mental health care, which is guaranteed under the Affordable Care Act of 2010.

A nurse is discussing false and prisonment with a group of newly hired staff members. Which of the following information should the nurse include?

Claims of false imprisonment are most often made in reference to the use of seclusion or restraints.

A nurse overhears unit staff worker is making jokes about a nursing student. This is an example of which of the following?

Incivility

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 story?

Are you client who reports being afraid of storms because they experienced a tornado as a child

A nurse is caring for a group of children who have experienced trauma. During group therapy, the children create drawings, representing their family and community. Which of the following interprofessional team members is likely leading this group group?

Art therapist

The nurse is caring for a client who is newly admitted to the acute psychiatric unit for alcohol use disorder. The client reports growing up in an Amish community. Which of the following actions should the nurse take?

Assess for personal bias related to alcohol use disorder before interacting with a client

The 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 behavioral patterns.

A nurse is sitting with a client who is extremely anxious until they fall asleep. The nurse should identify that this is an example of which of the following ethical principles?

Beneficence

A nurse is collaborating on an aftercare plan with a client who was recently discharged from an inpatient treatment and creates a list of local support groups for grief services. Which of the following nursing roles does this demonstrate?

Case manager

A nurse is discussing milieu therapy with a group of newly licensed nurses. Which of the following statements should the nurse make?

Create an environment that is safe and beneficial for recovery

A nurse is talking with a client who says that although they do not have any mental illness, they have felt extremely depressed, and have considered civil aside lately. The nurse should identify that this client is in which of the following zones of the mental health continuum?

Crisis

A nurse is learning to speak a second language to provide care to clients, whose primary language is different from the nurse. Which of the following disparities is the nursing, and attempting to reduce?

Culturally, competent care disparities

A nurse is caring for a client and asked the client for their name, date of birth, and what day and time it is. Which of the following steps of the nursing process is the nurse performing?

Data collection

A nurse on an impatient mental health unit is providing care to clients. Which of the following actions by the nurses within the scope of practice for A PN on this unit?

Data collection

The nurse is interviewing a newly admitted client who has major depressive disorder to determine if they might be having thoughts of suicide. Which of the following steps of the nursing process is the nurse performing?

Data collection

A nurse is planning a presentation regarding mental illness for a local health fair. Which of the following should the nurse include as a characteristic of mental illness?

Difficulty maintaining social relationships. Mental illnesses are associated with distress and/or problems functioning in social, work, or family activities.

A nurse is caring for several children who experience trauma. One of the children goes to group therapy, wearing a cape and pretending to be a superhero. The nurse should identify that which of the following interprofessional team member should lead the group session?

Drama therapist

A nurse is caring for a school-age child, who is experiencing significant functional impairment at school and reporting feelings of worthlessness and hopelessness. Which of the following recommendations to the nurse give to the child's parents?

Due to the severity of symptoms, it is recommended that you seek professional care for your child very soon and monitor their mood for any worsening symptoms.

A nurse is caring for an older client who has a 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 in which of the following stages of Erickson's stages of development.?

Ego. Integrity vs despair.

A nurse is assisting a client and getting ready to have their first telehealth appointment with her 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 I nearly licensed nurse and a mental health facility or discussing the roles related to therapy. Which of the following interventions to the nurse discuss with the newly licensed nurse?

Ensuring a therapeutic nurse-client relationship with the clients on the unit

My nurse is discussing the purpose of ethics with a newly licensed nurse. Which of the following statements should the nurse make?

Ethics provides a system of moral principles or standards for governing conduct.

A nurse is talking with a client who has been diagnosed with a phobia the nurse states, "tell me more about your fear of elevators." which of the following therapeutic communication techniques is the nurse demonstrating?

Exploring

A nurse is caring for a client who has a serious mental illness (SMI) and is recovering from substance use disorder. The client has been taught that absence and looking at recovery as an ongoing process is the most effective way to be recovery. The nurse should identify this model as which of the following?

Harm reduction model

I nurses assisting in developing a client centered plan of care for a client. Which of the following actions should the nurse include in the plan?

Have the client select a therapy session time from the available slots.

A nurse is discussing privacy and confidentiality with a client. Which of the following is a US congregational act that sets the standards for client privacy, and confidentiality?

Health insurance, portability, and accountability act.

A nurse is assisting with the preparation of an in-service for nursing staff on the concept of holistic nursing. Which of the following components to the nurse include in the teaching?

Holistic nursing considers the clients, emotional health

A nurse is caring for a client who has schizophrenia and has recently been diagnosed with a terminal and illness. The clients interprofessional team should recommend which of the following for the client?

Hospice care

A nurse is meeting with an interprofessional team to discuss the client who will be referred to assertive community treatment (ACT) upon discharge. Which of the following clients should the nurse expect to be referred?

I client who has schizophrenia and takes antipsychotic medication daily and has been hospitalized three times this year

A nurse is collecting data from a client and the community center. Which of the following statements by the client suggest they are at risk for experiencing manifestations of a mental illness?

I have been living in my car for more than a month

A nurse and I mental health facilities, caring for a client who asked, "why can't you be my therapist? " which of the following therapeutic responses should the nurse give?

I'm glad you are comfortable talking with me, but your therapy is most beneficial from my therapist with additional training to the best guide and talk with you

A nurse is assisting with planning an educational presentation about adolescent mental health issues. Which of the following topics should the nurse include as a primary prevention strategies?

Identifying behaviors of suicide

A nurse is explaining what "duty to warn" means to a newly licensed nurse. Which of the following statements by the newly licensed nurse, indicates and understanding?

If a client threatens to harm another person, healthcare providers, have a responsibility to inform that person

A nurse is caring for a newly admitted. Client who expresses concerns that their insurance will not cover their cared. The nurse should identify that which of the following is a US congressional act that requires providers to inform their clients of the cost for treatment, and whether their insurance will cover it?

No surprises act

A nurse is discussing the effects of workplace violence by clients and their family members on healthcare professionals with a peer. The nurse should identify that which of the following organizations provides oversight for nurses regarding workplace violence?

Occupational safety and health administration

A nurse is planning to collect data from the community and determine populations at Harris for mental illness. Which of the following populations are at a higher risk of experiencing a mental illness?

Older adults who live in an urban community

A nurse is reviewing the medical record of a client on a chemical dependency unit and notes. The provider refers to the recovery and their rehabilitation models. The nurse should identify that which of the following goals are similar in both models?

Promotion of independence

A nurse is preparing a client who has schizophrenia for a magnetic resonance imaging (MRI) of their head to determine if they have a brain injury or a new onset of dementia. The nurse should I identify that which of the following members of the interprofessional team likely prescribed the MRI?

Psychiatrist

The 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 collecting data with a client who struggles with being nervous and forgetful while at work and which of the following areas of a mental health self check should the nurse expect the client to be?

Reacting

The nurses reinforcing teaching about the concept of recovery with the family of a client who has a serious mental illness (SMI). Which of the following statements should the nurse include?

Recovery means that the client pursue life goals within the context of their mental illness

A nurse in the emergency department is caring for a client who experienced abuse by intimate partner, and is scared to return home. To which of the following interprofessional team membership, the nurse refer the client?

Social worker

A nurse on a mental health unit administered an antipsychotic medication to a combative client. The nurse goes to collect data from the client 30 minutes later and finds the client sleeping in the room. Which of the following standards of practice is the nurse demonstrating?

Standard 6 evaluation

A nurse is screening a group of clients for mental health disorders. The nurse should identify that male clients have a higher risk than female clients of developing which of the following conditions?

Substance use disorder

A nurse is leading a group session when a client begins cursing and running around the room shouting. Which of the following actions should the nurse take?

Suggest the client goes someplace quiet and compose themselves.

I nearly hard nurse confides in another nurse that despite trying to be hopeful, they feel very depressed. Which of the following actions should the nurse take?

Suggest the newly hired nurse contact a mental health professional

The nurse is working in a neighborhood where the population is culturally diverse. Which of the following actions to the nurse take to ensure the delivery of culturally competent care?

Talk to the residence of the neighborhood about their culture

The nurse is reinforcing teaching about adverse effects of a newly prescribed medication to a client who lives 45 miles from the outpatient clinic. Which of the following resources should the nurse consider for using continued monitoring of the client?

Telehealth services

A nurse is discussing the diagnostic and statistical manual of mental disorders, fifth edition, text revisions (DSM-5 TR) with a newly licensed practical nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the DSM.-5?

The DSM-5 TR assistant, planning nursing interventions for clients who have a mental health disorder

Nurse is caring for a client who is in the excelling zone on the mental health continuum. Which of the following findings should the nurse expect to observe?

The client reports they are having positive experiences in their relationships at working at home.

The nurse is assisting with the care of a client who has been taking antidepressant medication for six weeks. Which of the following findings to the nurse identifies as an indication that the client is in the "thriving zone" of mental health continuum?

The client reports using relaxation techniques to manage negative emotions

A nurse is planning care for a client who is completing a diversion program. Which of the following goals is appropriate for a client in this type of program?

The client will achieve integration back into the community after incarceration

A nurse is collecting data on a client who has schizophrenia with an exacerbation of auditory hallucinations. The client is from a culture that stigmatizes mental health concerns. Which of the following responses should the nurse expect when they ask about the nature in the frequency of the hallucinations?

The client will be silent and give no eye contact.

A nurse is caring for a client who reports that they are having a hard time, completing their ADLs due to feeling anxious. The client also reports feeling tired, difficulty sleeping, and having a poor appetite. The nurse should anticipate they would fall in which end of the mental health continuum?

The client would fall closer towards the mental illness end or struggling. The mental health continuum is a range of responses a person displays in response to life events. The ends vary between positive and negative responses, often viewed as mental health versus mental illness.

A nurse is refilling the chart of a client who has paranoid schizophrenia. The nurse should identify that the diagnostic and statistical manual of mental disorders, fifth edition text revision (DSM-5 TR) distinguishes the different types of schizophrenia, based on which of the following criteria?

The clients full history

The nurse is presenting information on mental health services over the last 50 years to a group of newly licensed nurses. In 1946, the national mental health act was signed into law, which resulted in which of the following?

The creation of the national Institute for mental health

The nurses assisting an RN with finding housing for a client who has a serious mental illness and is being discharged. Which of the following factor should the nurse consider?

The degree of freedom the client will have to make decisions

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

The nurse is caring for newly admitted. Client who states they are concerned about their privacy and right while on the psychiatric unit. The nurse should explain to the client that they have which of the following rights?

The right to refuse treatment

A nurse is reinforcing, teaching with a group of adolescence about the effects of adverse childhood experiences. Which of the following statements should the nurse include?

There could be issues with brain development

A nurse on a mental health unit is caring for a client who becomes agitated. The nurse encourages the client to return to the room to calm down. Which of the following de-escalation techniques is the nurse using?

Timeout

A nurse is beginning a debrief with staff about behavioral emergency that resulted in physically restraining a client. The nurse should identify that which of the following is the purpose of debriefing?

To improve the quality of future responses.

A nurse has a client that they will return in 30 minutes with their medication. The nurse returns 30 minutes later with the clients medication. Which of the following ethical principles is the nurse demonstrating?

Veracity

The nurse is caring for an adolescent who has a history of being physically abused. Which of the following statements should the nurse make regarding the adolescence risk for abuse in the future?

We are providing you with a resource that helps with self regulation and decreasing abuse in the future

A nurse is caring for a client who states, "I hate having to shower at night. At home, shower in the morning to start my day."Which of the following responses should the nurse give to focus on client centered care?

We can arrange for you to take your showers in the morning

A nurse is assisting in the care of a client. Which of the following statements by the nurse should initiate a therapeutic relationship with the client?

Would you be willing to spend some time talking with me about your thoughts on treatment for your concerns today?

A nurse is caring for an adolescent, who had an adverse childhood experience and was admitted to to the inpatient unit with the behavioral problems. The nurse should anticipate the provider prescribing which of the following types of treatment?

cognitive therapy

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 turns helps prevent you from missing work due to mental illness.

The nurse is preparing a poster presentation on the priorities of healthy people 2030. Which of the following priority goals should the nurse include?

prevention practices related to cyber-bullying in teens