PrepU Quiz 1-PSY

A nurse is providing community education about the prevention of mental illness. In response to the question, "What does it mean to be mentally healthy?" which is the nurse's best response?

"Mental health is marked by productivity, fulfilling relationships, and adaptability."

A client is prescribed medication for a psychiatric disorder. After 3 days, the client reports being constipated. Which instruction would the nurse give the client?

"You need to eat more fruits and vegetables and drink more water."

Which client would the nurse assess as having the priority need for attendance at a life and social skills group?

A 38-year-old homeless man with a history of chronic paranoid schizophrenia

A client has threatened to kill the client's spouse, and it is not anticipated that this crisis will resolve itself. The client is to be admitted to an inpatient psychiatric unit on an involuntary basis. When explaining to the family about this plan, the nurse would identify which as the focus of care?

Acute symptom stabilization

What is the difference between traditional and atypical antipsychotics?

Atypical antipsychotics work on dopamine-receptor and serotonin-receptor blockade, whereas traditional antipsychotics work on dopamine-receptor blockade.

A nurse administers haloperidol to a client to promote deescalation. The nurse finds that after administering the drug, the client has started having jerky and involuntary movements of the head and arms. Which medication would be useful in treating this problem?

Benztropine

A nurse demonstrates a sound understanding of the use of ego defense mechanisms by providing which explanation?

Can be either a therapeutic or a pathological way to manage stress

The most diverse role for the nurse within community based psychiatric mental health care would most probably be what?

Case manager

The nursing instructor asks the student to perform an assessment of a mentally ill client. What should the student do when executing this task?

Collect comprehensive data

A nurse therapist feels sad after sessions with a client. The client's passiveness reminds the nurse of a family member who led a very unhappy life. What is the term for this emotional dynamic?

Countertransference

The nurse has been unsuccessful in the psychiatric clinical placement and will be obliged to repeat it next semester. The criteria for passing or failing were based on the Psychiatric-Mental Health Nursing Scope and Standards of Practice, which are?

Descriptions of the responsibilities for which nurses are accountable

Initially, the nurse should focus on successfully achieving which goal in order to effectively provide care for a client diagnosed with a mental illness?

Establishing trust and rapport with the client

Which provides the best definition for mental illness?

Inability to function in a manner that manages both external and internal stressors effectively

Which are core skill areas that must be implemented by any effective team member of an interdisciplinary team?

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

Which is an inaccurate depiction of self-awareness?

It involves changing one's values or beliefs.

A client diagnosed with schizophrenia has recently become divorced and is living in public housing. How would the DSM-5 best help in planning this client's care?

It is used by the mental health team to identify the psychosocial and environmental factors currently affecting the client.

A client refuses to interact with a student nurse during a clinical session. Which would be the most helpful in the immediate situation? Select all that apply.

Listen to the client Show genuine interest in the client's situation

A nurse is reviewing information about the various types of outpatient mental health care programs. The nurse demonstrates understanding by identifying which type as providing the most intensive outpatient nursing care?

Partial hospitalization programs

What is the most basic need, according to Maslow's hierarchy of needs?

Physiological

Which are benefits of client education?

Prevention of complications Reduction of hospital readmissions Promotion of involvement

Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice?

Promoting symptom management

The nurse is providing hygiene care for a 70-year-old client in a nursing home who states that the client does not like the physician. Later, when the physician enters the room, the nurse notes that the client is very friendly with the physician, complimenting the physician's care. Which defense mechanism is this client displaying?

Reaction-formation

What nursing action demonstrates the intended impact of the American Nurses Association (ANA) standards of care on mental health nursing care?

Referring to the standards to determine if a particularly prescribed treatment falls within the scope of a nurse's practice.

According to Maslow, an individual who has developed to the individual's fullest potential has achieved what level of his hierarchy?

Self-actualization

A client is to be admitted to an inpatient psychiatric unit on an involuntary basis because the client has threatened to kill the client's spouse. The nurse should explain to the client's family members that the primary focus of the client's hospitalization is what?

Stabilize acute symptoms

A client with mental illness has come to an outpatient mental health clinical for a counselling session with the community mental health nurse. Which areas should be the focus of counselling for this client? Select all that apply.

Stress management, Behavior modification, Communication skills

The nurse works for a psychiatric-mental health facility that utilizes traditional milieu therapy. Which stage of milieu therapy allows for control and limitation of maladaptive behaviors including yelling and screaming?

Structure

A client with a psychiatric illness is being discharged from the hospital. What does the nurse include in the discharge teaching to help prevent relapse in the client? Select all that apply.

Symptoms of the psychiatric illness Establishment of a daily routine for the client Schedule for follow-up treatment

A client is seen in an outpatient mental health clinic for complaints of involuntary tongue movement, blinking, and facial grimacing. This syndrome would be identified correctly as what?

Tardive dyskinesia

The nursing theorist Peplau identified which as the essence of psychiatric-mental health nursing?

The nurse-client relationship

A client receiving an antipsychotic agent develops acute extrapyramidal symptoms. Which response by the nurse would be most appropriate?

These are the results of the drug and can be treated; your illness is not getting worse."

A client with psychiatric illness is referred to the day treatment program. Which services should the nurse include while teaching the client about the program?

Training to perform activities of daily living. Development of social skills. Stabilization of symptoms.

A client is undergoing individual psychotherapy. The client is yelling at the therapist because of a fight with the client's spouse about their children several years ago. In this instance, the client is exhibiting which response?

Transference

A client asks the nurse to help the client understand what a psychologist meant when the psychologist said that the client displaced anger. Which is the best definition for displacement the nurse can provide?

Transferring feelings—such as frustration, hostility, or anxiety—from an idea, person, or object to one that is less threatening

A client is receiving clozapine. For which life-threatening disorder should the nurse be alert when assessing this client?

agranulocytosis

A client who has been taking clozapine for 6 weeks visits the clinic reporting fever, sore throat, and mouth sores. The nurse notifies the client's physician because the nurse suspects:

agranulocytosis.

Chlorpromazine is a drug in which classification?

antipsychotics

While working with an older male client, a nurse begins to think of the client as a grandfather and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?

countertransference

Two staff nurses in a psychiatric emergency department are being considered for a promotion that will be announced via memo on a unit bulletin board. They work in a collaborative team environment, have been colleagues for 15 years, and socialize outside work. Nurse A hears from a third colleague that Nurse B was promoted. Nurse A goes into the staff coffee room and slams several cupboard doors. A custodian enters and remarks, "You seem pretty upset." Nurse A replies, "I am not at all upset." In this instance, Nurse A is probably using:

denial.

A nurse is developing a plan of care for a client diagnosed with schizophrenia. The nurse integrates knowledge of this disorder, identifying which neurotransmitter as being primarily involved?

dopamine

Extrapyramidal side effects are characterized by a triad of symptoms, including what?

dystonia, pseudoparkinsonism, and akathisia

What is the primary factor that contributes to the high cost of providing mental health care?

most mental illnesses are chronic in nature

The nurse is beginning a group counseling session with an open group system. The nurse should explain to the group members that one advantage of an open group system is that ...

new members can join the group at any time.

A psychiatric-mental health nurse is engaged in crisis intervention. The nurse would expect to focus on which area?

revention of relapse Stabilization Symptom reduction

When caring for an older adult taking a psychotropic medication, the psychiatric nurse must be aware that older adults

usually require a lower dose of these medications than do younger counterparts.