Psych Exam II: Set 1

A psychiatric-mental health nurse is working with a client who is receiving rational emotive behavior therapy. While reviewing the client's history, the nurse identifies statements that reflect common themes associated with irrational beliefs. Which theme would the nurse mostidentify in these beliefs? A. Absolute thinking B. Minimizing the event C. View of "can" instead of "must" D. High frustration tolerance

A. Absolute thinking

From the standpoint of cognitive therapy, the term cognition refers to what? A. Faulty thought patterns that result in abnormal behavior B .How clients think about themselves and their world C. Dysfunctional ways of responding to situations D. An idea

B .How clients think about themselves and their world

Which type of question is useful in making the client's problem or issue more specific? A. Miracle questions B. Scaling questions C. Relationship questions D. Exception questions

B. Scaling questions

When clients are asked to consider the points of view of significant others in their lives, the nurse is asking which type of question? A. scaling b. exception C. relationship D. compliments

C. relationship

An instructor is teaching a class about the use of cognitive therapies in psychiatric nursing. Which statement made by a student identifies a need for further instruction? a. "Lengths of stay for clients in inpatient settings are becoming longer each year." b. "The context of practice has changed considerably over the years for psychiatric nurses." c. "Solution-focused approaches have been effective with hospitalized people experiencing delusions." d. "Lengths of stay for clients in inpatient settings are becoming shorter each year."

a. "Lengths of stay for clients in inpatient settings are becoming longer each year."

A client is involved in solution-focused behavior therapy for a phobia associated with talking to strangers. How should the nurse respond when the client states, "What difference is saying hello to a stranger going to make. I'm horrified of having to talk to someone I don't know"? a. "This is a small change in your behavior but all change starts small." b. "It's not all that difficult to talk to a stranger if you at least try." c. "You can do this. It's a small step to a better life." d. "Everyone has at least some discomfort talking to strangers."

a. "This is a small change in your behavior but all change starts small."

A psychiatric-mental health nurse is assessing a family. The family consists of a husband, age 68, a wife, age 61, a son, age 32, his wife, age 32, their two children, ages 4 and 1 with a third child on the way, and a daughter, age 24. The son, his wife and children live about 20 minutes away from the parents. The daughter lives about 30 minutes away but works near the parents' home. The husband has had multiple health issues over the past 5 years requiring numerous hospitalizations, emergency department visits, surgeries, and health care provider visits. The husband is semi-retired. The wife continues to work full time and is the primary breadwinner for the household. The nurse would identify this family is in which phase of the family life cycle? a. Families in late middle age b. Families with young children c. Launching children d. Families nearing the end of life

a. Families in late middle age

Because of high divorce rates and separations in recent years, there has been a significant increase in the family structure termed ... a. Single-parent b. Foster child c. Communal d. Extended

a. Single-parent

A client reports anxiety over "sounding stupid" when talking to strangers. As a part of cognitive behavioral therapy, the client is expected to speak to a stranger on the bus ride home and to journal about the experience. What information will be evaluated to determine the effect the activity has on the client's irrational belief about "sounding stupid"? a. What actually happened compared to what the client feared would happen b. What self-talk the client employed to prepare for the conversation. c. What physical manifestations the client felt during the conversation d. What the stranger said during the conversation

a. What actually happened compared to what the client feared would happen

A psychiatric-mental health nurse is assessing a client and evaluating a client's beliefs. The nurse determines that the client's beliefs are rational because the belief: a. reflects flexibility. b. is absolute. c. is self-defeating. d. reflects infallibility.

a. reflects flexibility.

In viewing the stages of the family life cycle, those families in later life undergo which emotional transition? a. Accepting multitudes of exits from and entries into the family system b. Accepting the shifting of generational roles c. Accepting emotional and financial responsibility for oneself d. Accepting of new members into the system

b. Accepting the shifting of generational roles

Acting in a family therapist role is relatively new for psychiatric-mental health nurses. Which of the following describes an appropriate intervention for a nurse who is functioning in this capacity? a. Perform psychological tests and assessments. b. Conduct family assessments and draw genograms. c. Prescribe psychotropic medications and order drug screening. d. Write process recordings and discharge orders.

b. Conduct family assessments and draw genograms.

Which of the following would be most appropriate for a nurse to do when attempting to view a whole family's composition as a unit? a. Determine the internal power structure. b. Construct a family genogram. c. Identify communication patterns. d. Compile a list of family members.

b. Construct a family genogram.

A psychiatric-mental health nurse is working at a community mental health center providing care to families from several different cultures. When providing this care, which aspect would be most important for the nurse to keep in mind? a. The family life cycle of different cultures progresses through similar phases. b. The concept of what constitutes a family is highly variable among cultures. c. The nuclear family is considered the predominant view of family in most cultures. d. Life cycle transitions are viewed with similar importance across different cultures.

b. The concept of what constitutes a family is highly variable among cultures.

Which of the following indicates a family strength that would be helpful when working with a family? a. The father delivers the teenage son's newspapers rather than allowing him to be fired. b. The mother is willing to find full-time employment during a layoff period at the father's plant. c. The daughter is willing to complete her chores only if she receives compensation for them. d. The teenage son views the family psychotherapy as a waste of his time.

b. The mother is willing to find full-time employment during a layoff period at the father's plant.

A nurse assessing a family evaluates how the family members deal with stressful events to determine their available ... a. subsystems. b. coping skills. c. resources. d. decision members.

b. coping skills.

A psychiatric-mental health nurse is assessing a client. Which client statement would the nurse interpret as demonstrating a functional thought associated with self-confidence regarding an upcoming exam? a. "I'll study all night and hope that will be enough to get a good grade." b. "I can't pass that course so I'm not going to waste time studying." c. "I've read the chapter but I'm going to review my notes as well." d. "I know this material and besides I'd rather get a good night's sleep."

c. "I've read the chapter but I'm going to review my notes as well."

A psychiatric-mental health nurse is working with a client who is receiving rational emotive behavior therapy. While reviewing the client's history, the nurse identifies statements that reflect common themes associated with irrational beliefs. Which theme would the nurse mostidentify in these beliefs? a. View of "can" instead of "must" b. High frustration tolerance c. Absolute thinking d. Minimizing the event

c. Absolute thinking

A nurse is reviewing a genogram created for a family. When evaluating the information, which aspect would the nurse review first? a. Mental health patterns b. Relationship problems c. Family composition d. Recurring family medical problems

c. Family composition

Which type of cognitive intervention identifies the possible solutions before addressing the problem? a. Cognitive behavioral therapy b. Psychotherapy c. Solution-focused behavior therapy d. Rational emotive behavior therapy

c. Solution-focused behavior therapy

Considering that cognitive behavioral therapy (CBT) requires a clear understanding of one's own belief system, which client is not a candidate for effective CBT? a. The client diagnosed with post-traumatic stress disorder after being sexually assaulted. b. The client grieving the death of an infant child. c. The client diagnosed with schizophrenia 2 years ago. d. The client expressing an intense fear of closed-in spaces.

c. The client diagnosed with schizophrenia 2 years ago.

While interviewing a client, the client says, "I never will get promoted, no matter how hard I work or what great ideas I have. I'm just not as talented as my colleagues are." Which is the correct interpretation by the nurse about the client's statement? a. cognitive triad b. compliment c. cognitive distortion d. schema

c. cognitive distortion

When clients are asked to consider the points of view of significant others in their lives, the nurse is asking which type of question? a. exception b. compliments c. relationship d. scaling

c. relationship

Some families not only survive the day-to-day stresses of caring for a family member with a serious mental health problem but also seem to grow stronger and healthier. This is example of: a. family structure. b. family life cycle. c. resilience. d. transition times.

c. resilience.

A psychiatric-mental health nurse is interviewing a client who has come to the community mental health center for an evaluation of anger issues. Which client statement would the nurse interpret as an irrational belief? a. "Of course, I don't like it, but I can live with trying to learn about what to do." b. "I think I need to get help with my anger issues." c. "I really need to work on controlling my temper so I don't get into trouble." d. "Nobody understands the enormous stress I'm under, so what's the use."

d. "Nobody understands the enormous stress I'm under, so what's the use."

Which should be considered the fundamental principle of family therapy? a. Children are pivotal to family function. b. Parental involvement is the key to family health. c. A family is composed of individuals who care about each other. d. A family is a system of interrelated dependent relationships.

d. A family is a system of interrelated dependent relationships.

A nurse is constructing a genogram of a family. Assessment reveals that the maternal grandmother died at age 69. The nurse would depict this person on the genogram using which symbol? a. Triangle with a line through it b. Square with a line surrounding it c. Connecting line with 2 small lines through it d. Circle with an "x" through it

d. Circle with an "x" through it

A psychiatric-mental health nurse is reviewing information obtained from a family assessment. The assessment reveals that the family has been providing care to a member diagnosed with schizophrenia for several years. Over that time, the client has experienced numerous relapses which required hospitalizations as well as changes in medication. The family has continued to adjust to these changes and stresses positively. The nurse identifies this family as having which characteristic? a. Dyad b. Boundaries c. Engagement d. Resilience

d. Resilience

A nurse working in a psychiatric facility identifies the goal of cognitive therapy (CT) to be what? a. Change events in a person's life. b. Redirect all events in a person's life. c. Help the person maintain all thoughts and behaviors. d. Restructure how a person perceives events.

d. Restructure how a person perceives events.

Question 3 of 5 A client has completed treatment for an addiction to prescription pain medications. As part of the client's therapy, the family participates in a family therapy program. Which reason would best explain the need for a family system approach to therapy? a. The family needs to focus on helping the client until equilibrium is regained. b. The family needs to learn signs of relapse if the client begins taking pills again. c. The family has unresolved issues toward the client. d. The dynamics of the entire family have and will continue to shift to accommodate a change.

d. The dynamics of the entire family have and will continue to shift to accommodate a change.