Quiz 2 Mental Health

A client with diagnosed borderline personality disorder tells the nurse, "You're the best nurse here. I can talk to you and you listen. You're the only one here that can help me." Which response by the nurse is most therapeutic? "Thank you; you're a good person." "All of the nurses here provide good care." "Other clients have told me that too." "Mary and Sam are good nurses too.

"All of the nurses here provide good care."

A client who is hospitalized with depression tells the nurse, "I don't want to take the medication because I'm afraid I'll become suicidal. I read a lot about these medications on Google." Which response by the nurse would be most appropriate? "Have you ever thought about hurting yourself?" "It's important that you take this medication. Google is not a reliable source." "I agree with you. I wouldn't want to take this medication either because of my religion." "I don't see any problem. Another client took that medication, and he really felt better."

"Have you ever thought about hurting yourself?"

A 27-year-old patient with bipolar disorder, manic phase, states to the nurse, "You're looking good today. I'm taking you out to dinner." What reply by the nurse is most therapeutic? "Thank you for the compliment but I don't want to go out to dinner." "Thank you for the compliment but I can't go out to dinner with you." "It doesn't matter how I look; the answer is no." "I'm Beth Smith, a nurse working on this unit."

"I'm Beth Smith, a nurse working on this unit."

The nurse is caring for a family of an older adult with dementia who has been living in their home since the diagnosis and subsequent decline in functioning one year ago. The nurse has instructed the family about how to decrease the client's agitation. The nurse determines that the family has understood the instructions when they make what statement? "Restraints can help reduce my father's agitation, especially when my kids are around." "I should place my father in the bedroom with me so I can watch him more closely." "It's important that he gets out shopping with us so he can get some fresh air." "If I simplify our home environment, my father may be less agitated."

"If I simplify our home environment, my father may be less agitated."

A distraught father is waiting for his son to come out of surgery. He accidentally backed the car into his son, causing multiple fractures and a serious head injury. Which statement by the father would most alert the nurse to the need for a psychiatric consultation? "My son will be fine, but I may be charged with reckless driving." "If he dies, there will be nothing for me to do but join him." "This accident will probably cost me my marriage." "I just did not see him run behind the car."

"If he dies, there will be nothing for me to do but join him."

During a group session, a client who is depressed tells the group, "I just lost my job." Which response by the nurse is best? "You were probably too depressed to work." "Would you tell us about your job?" "You'll find another job when you're better." "It must have been very upsetting for you."

"It must have been very upsetting for you."

The nurse is preparing to care for a 33-year-old female client under severe stress, caused by her caregiver duties for her elderly aunt diagnosed with leukemia about 7 months ago. When assessing the client's emotional state, which question would the nurse ask first? "Let's talk about what you have been feeling." "Tell me about your depressed moods." "How long have you been caring for your aunt?" "Are you feeling overwhelmed by caring for your aunt?"

"Let's talk about what you have been feeling."

A 31-year-old client with acute stress disorder states to the nurse, "I keep having horrible nightmares about the car accident that killed my child. I should not have taken them with me to the store." Which response by the nurse is most therapeutic? "Don't keep torturing yourself with such horrible thoughts." "Stop blaming yourself. It's only hurting you." "Let's talk about something that's a bit more pleasant." "The accident just happened and couldn't have been predicted."

"The accident just happened and couldn't have been predicted."

Which intervention addresses the biologic domain? Bibliotherapy Psychoeducation Pain management Conflict resolution

Pain management

Which technique would be least effective in promoting therapeutic communication? Silence Reassurance Confrontation Observation

Reassurance

A group is in the honeymoon stage of development. Which action would most likely occur? Testing of members Sharing of ideas Forming a group personality Realizing the group's purpose

Testing of members

Which activity occurs during the orientation phase of the nurse-patient relationship? Testing the relationship Resolving the problem Engaging in problem-solving Identifying problems

Testing the relationship

Is the following statement true or false? Body language is important when engaging in therapeutic communication True False

True

Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit? "Have you had any previous psychiatric admissions?" "What brings you into the hospital today?" "Have you had any thoughts about trying to harm yourself?" "How would you describe your relationship with your spouse?"

"What brings you into the hospital today?"

A 49-year-old client who is a veteran with posttraumatic stress disorder tells the nurse about the horror and mass destruction of war that he has witnessed. The client states, "I killed all of those people for nothing." Which response by the nurse is most appropriate? "You did what you had to do at that time." "Maybe you didn't kill as many people as you think." "How many people did you kill?" War is a terrible thing."

"You did what you had to do at that time."

The nurse is caring for a severely depressed client. Which statement by the nurse is most therapeutic when talking to the client on the patient care unit? "Everybody feels down once in a while." "Things will get better." "You're wearing a new shirt today." "I like the shoes you wore yesterday."

"You're wearing a new shirt today."

In an outpatient addiction group, a recovering patient said that before her treatment, her husband drank on social occasions. "Now he drinks at home, from the time he comes home from work and drinks until he goes to bed. He says that he doesn't like me anymore and that I expect him to do more work on the house and yard. I used to ignore that stuff. I don't know what to do." In which order of priority from first (1) to last (4) would the nurse make the comments? All options must be used. -1.2.3.4. "What do you think you could do to have your husband come in for an evaluation?" "It can happen that as one person sobers up, the spouse deteriorates." "I hear how confused and frustrated you are." "What have you tried to do about your husband's behaviors?"

1. "I hear how confused and frustrated you are." 2."It can happen that as one person sobers up, the spouse deteriorates." 3."What have you tried to do about your husband's behaviors?" 4."What do you think you could do to have your husband come in for an evaluation?"

Which characteristic would the nurse anticipate observing in a person with type B personality? a. Introverted b. Easygoing c. Anxious d. Pessimistic

b. Easygoing

A nurse's ex-boyfriend enters the unit and states, "If I can't have her, then no one will." Hospital security escorts him out of the building and warns him not to return. The unit manager holds a staff meeting to confirm that which workplace violence policies and procedures will be implemented? Select all that apply. Ask the nurse to take a leave of absence until her ex-boyfriend is notified of the protective order. Ask security to help the nurse understand how to initiate a protective order against her ex-boyfriend. Give a quick overview of the hospital's workplace violence policies and procedures. Work with security and the nurse to initiate workplace precautions related to the ex-boyfriend. Offer counseling for the nurse and any other staff threatened by her ex-boyfriend.

Ask security to help the nurse understand how to initiate a protective order against her ex-boyfriend. Give a quick overview of the hospital's workplace violence policies and procedures. Work with security and the nurse to initiate workplace precautions related to the ex-boyfriend. Offer counseling for the nurse and any other staff threatened by her ex-boyfriend.

The home health nurse visits a client at home and determines that the 41-year-old woman is dependent on drugs. During the assessment, which action should the nurse take to plan appropriate nursing care? Ask the patient why she started taking illegal drugs. Ask the patient about the amount of drug use and its effect. Ask the patient how long she thought that she could take drugs without someone finding out. Not ask any questions for fear that the patient is in denial and will throw the nurse out of the home.

Ask the patient about the amount of drug use and its effect.

The nurse is monitoring a hospitalized client who abuses alcohol. Which findings should alert the nurse to the potential for alcohol withdrawal delirium? Hypotension, ataxia, hunger Stupor, lethargy, muscular rigidity Hypotension, coarse hand tremors, lethargy Hypertension, changes in level of consciousness, hallucinations

Hypertension, changes in level of consciousness, hallucinations

Which area should the nurse prioritize during the mental status examination? Body Image Stress level Coping patterns Insight

Insight

When an individual experiences cocaine intoxication, which of the following occurs first? Depression Mental altertness [euphoria] Anxiety Craving

Mental altertness [euphoria]

A psychiatric-mental health nurse is preparing to lead a medication group. Which characteristics would be most important for the nurse to assess? (Select all that apply.) Cognitive abilities Medication knowledge Reading skills Writing abilities Use of a specific medication

Cognitive abilities Medication knowledge Reading skills Writing abilities

Which interventions are most appropriate for caring for a 41-year-old female patient in alcohol withdrawal? Select all that apply. Monitor vital signs. Provide a safe environment. Address hallucinations therapeutically. Provide stimulation in the environment. Provide reality orientation as appropriate. Maintain NPO (nothing by mouth) status

Monitor vital signs. Provide a safe environment. Address hallucinations therapeutically. Provide reality orientation as appropriate.

Which of the following is used to treat a patient with an overdose of heroin? Naloxone Methadone Oxycodone Buprenorphine

Naloxone

Which of the following is considered a task role? Compromiser Group observer Elaborator Encourager

Elaborator

The PMH-RN is preparing to meet with a new patient. Which action should the nurse prioritize when developing a therapeutic relationship with this patient? Sympathy Compassion Empathy Kindness

Empathy

Is the following statement true or false? Groupthink is a common occurrence in psychoeducation groups. True False

False

Is the following statement true or false? Self-awareness is achieved primarily from feedback from others. True False

False

Which of the following would the nurse assess as part of the biologic domain for a patient experiencing crisis? a. Coping strengths b. Emotions c. Changes in health practices d. Person's ability to respond

c. Changes in health practices

The PMHRN is assessing a new patient who has recently been admitted to the inpatient psychiatric unit. Which factor should alert the nurse to the possibility this patient has experienced chronic stress? a. Decreased hormone levels b. Apparent inactive HPA axis c. Decreased WBC count d. History of multiple infections

d. History of multiple infections

Which of the following reflects a biologic theory of aggression and violence? a. Expression of aggression is rewarded b. Person and situation factors are involved in an ongoing social interaction c. Aggression is a learned response to a stimulus d. Inhibition of monoamine oxidase A gene affects neurotransmitters

d. Inhibition of monoamine oxidase A gene affects neurotransmitters

When applying the ABCs of psychological first aid, the nurse addresses which action with cognition? a. Providing for safety b. Assisting people to function more effectively c. Decreasing excitement d. Providing reality testing

d. Providing reality testing

Is the following statement true or false? A crisis is an event that typically occurs over a prolonged period of time and is associated with negative outcomes.

false

Is the following statement true or false? Confidence and awe are considered positive emotions. True False

false

Is the following statement true or false? Inhalants are considered a central nervous system stimulant. True False

false

Is the following statement true or false? Inwardly directed anger causes more problems than outwardly directed anger. True False

false

Is the following statement true or false? The disaster event marks the first phase of a disaster. True False

false

Is the following statement true or false? The first step of the patient interview is to use open-ended statements to gather data True False

false

Is the following statement true or false? The incidence of substance use has decreased among adolescents and young adults. True False

false

Is the following statement true or false? The terms "aggression" and "violence" can be used interchangeably, depending on the situation and outcome. True False

false

When coping becomes dysfunctional enough to require the patient to be admitted to the hospital, the nurse expects that the patient would be exhibiting what behaviors? objective and rational problem solving tension reduction activities and then problem solving minimal functioning with new problems developing anger management strategies with no problem solving

minimal functioning with new problems developing

A 75-year-old patient is newly diagnosed with diabetes. The nurse is instructing him about blood glucose testing. After the session, the patient states, "I can't be expected to remember all this stuff." The nurse should recognize this response as most likely related to which factor? moderate to severe anxiety disinterest in the illness early-onset dementia normal reaction to learning a new skill

moderate to severe anxiety

Is the following statement true or false? A key intervention for promoting safety and preventing violence is the development of the nurse-patient relationship. True False

true

Is the following statement true or false? A small group is typically more cohesive than a large group. True False

true