Sherpath quizzes

Which method is the best for the nurse to use to ensure that rights are respected and preserved for a patient being treated for a mental health disorder?

Being knowledgeable of the state laws that regulate patient rights

Which response is appropriate when the parent of a hospitalized adolescent enters the inpatient unit yelling, "What is wrong with you people? My daughter cut herself, and you let it to happen. I thought my child would be safe here."?

"I can't understand you when your voice is so loud. Let's go to a private area and talk about it."

Which statement made by a mental health nurse demonstrates the need for further education regarding active listening as a therapeutic communication technique?

"I generally find it helpful to ask the patient why they blame others for the mistakes they have made."

A man was killed during a robbery 10 days ago. His widow, who has a long history of mental illness, cries spontaneously when talking to the nurse about the loss. Which statement is the nurse's most therapeutic response?

"The sudden death of your husband is hard to accept. I am glad you are able to tell me about how you are feeling."

Which statement describes the basis of an ethical dilemma?

"There are only two treatment choices; both are very painful and neither has a high rate of success."

Which response is most appropriate when an older adult patient shouts, "I want to go home and see my children; they are waiting for me! They are very young and need to be fed"?

"You miss your children. Can you tell me something more about them?"

Which statement by the nurse demonstrates appropriate deescalation techniques? Select all that apply.

-"I can't allow you to hurt yourself or anyone else." -"Tell me what you need to regain control over your anger." -"I'm willing to stay here with you as long as you need me to." -"You have a right to be angry, but this isn't the way to express yourself."

Which information would the nurse include when discussing confidentiality with a newly admitted patient? Select all that apply.

-Confidential information will be shared with members of the patient's healthcare team. -Patient permission is required to allow family access to confidential information. -Individuals who will have access to the patient's confidential information are identified. -Confidentiality is a patient's legal right, as well as a nurse's legal responsibility.

Which statement describes a benefit of community-based psychiatric care? Select all that apply.

-Psychiatric emergency services, home-based services, and outpatient services are provided across the life span in a community mental health center. -Multidisciplinary teams participate in the care of patients in the community mental health setting. -Community-based care can assist patients in finding housing or additional resources. -Community mental health centers offer free or low-cost sliding scale-based care.

Which intervention is appropriate when caring for a patient who has been admitted involuntarily for mental health treatment? Select all that apply.

-The patient is informed of their right to legal consult. -The patient is educated about the expected effects of prescribed medication. -Restraints are used only as a last resort to manage the patient's aggressive behavior. =Information is given to the patient's spouse regarding making an application for admission.

While interacting with a patient, a nurse hears and observes the verbal and nonverbal responses made by the patient and encourages the patient to voice concerns openly. Which therapeutic communication technique is the nurse practicing while interacting with the patient?

Active listening

A psychiatric-mental health nurse is getting ready to provide education about their role in a community mental health setting. Which example would the nurse use to help describe how they may serve the patients in the community?

Collaborate with a social worker to help a patient find housing.

A man continues to speak of his spouse as though still alive 3 years after the death. This behavior suggests the use of which defense mechanism?

Denial

Which action is indicative of an effective nurse-patient interaction when assessing a patient who was physically and sexually abused?

Establishes trust and rapport

Which factor prevents patients from seeking psychiatric treatment? Select all that apply.

Feeling a sense of shame Experiencing thoughts of feeling flawed Awareness that mental illness has a social stigma

The nurse working on an inpatient psychiatric unit is caring for a patient who is becoming agitated. The nurse speaks with the patient one to one in a private setting to find out the reason for the agitation and then assists the patient with ways to calm down, possibly including as-needed medication to prevent further escalation of the patient's agitation, which could lead to seclusion or restraints. The nurse is making care decisions based on which concept?

Least restrictive alternative doctrine

Which therapeutic communication technique does the nurse implement when conducting a clinical interview with a patient?

Maintain silence Make observation Give broad openings

Which intervention will be most effective in preventing a nurse from making decisions that will lead to legal difficulties?

Maintaining currency in state laws affecting nursing practice

In which stage of the nurse-patient relationship does the use of empathy and support begin?

Orientation

The nurse reviews the chart of a woman diagnosed with paranoid thoughts directed toward her mother. Which notation suggests that the patient is engaging in transference?

Patient stated, "The art therapist reminds me of my mother."

Which goal is appropriate to set when leading a community meeting on an inpatient unit?

Promote and maintain a therapeutic milieu.

Which nursing activity demonstrates the role of a professional psychiatric nurse as identified by Hildegard Peplau?

Reducing anxiety levels

A nurse at a local mental health clinic prepares to give a patient with schizophrenia a regularly scheduled monthly antipsychotic medication injection. Just before the nurse gives the injection, the patient says, "Wait! I've changed my mind. I don't want to take that medicine anymore." Which initial action by the nurse would be legally and ethically appropriate?

Say, "You have a right not to take it, but let's talk about how that could affect your illness."

Which type of therapeutic communication is most important for the nurse to use when caring for a patient with major depression?

Silence

A patient being treated after a violent domestic argument was threatening intimate partner violence and violence toward children. The patient's symptoms are beginning to subside, and the team has documented improvement. However, several times in the course of group therapy, the patient has continued to express violent thoughts toward family members. Which action falls within the healthcare provider's responsibility?

The healthcare provider may have a duty to inform and protect third parties.

Which statement about nonverbal behavior is true?

The meaning of nonverbal behavior varies among cultures and individuals.

After work, a nurse posted on a social media page that a patient in a local psychiatric unit committed suicide by hanging. The post did not contain the name of the patient or the hospital. Which analysis is correct?

The nurse's actions were illegal, as well as unethical. The nurse is liable for the behavior.

intervention. Which person listed on the patient's medical record would the nurse contact to obtain permission for the surgery?

The patient's legal guardian

Which cause is responsible for a patient reacting to the nurse by saying, "You are indifferent and cold, just like my mother"?

Transference

Which therapeutic communication technique is MOST important for the nurse to use with a pt experiencing hallucinations who states, "I see green men in the dining room"?

Voicing doubt