Mental Health Quiz 1 Review Questions

The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? (Select all that apply) (a) "Is the patient expressing suicidal thoughts?" (b) "Does the patient have intact judgment and insight into his situation?" (c) Does the patient have experiences with either community or inpatient mental healthcare facilities? (d) "Does the patient require a therapeutic environment to support the management of psychotic symptoms?" (e) "Does the patient require the regular involvement of their family / significant other in planning and executing the plan of care?"

(a) "Is the patient expressing suicidal thoughts?" (b) "Does the patient have intact judgment and insight into his situation?" (d) "Does the patient require a therapeutic environment to support the management of psychotic symptoms?" (e) "Does the patient require the regular involvement of their family / significant other in planning and executing the plan of care?"

The nurse frequently includes daily sessions involving relaxation techniques. Which assessment data would most indicate a need for this intervention to be included in the initial plan of care for a patient? A. Family history of anxiety and symptoms of anxiety B. Significant other has a chronic health issue. C. Hopes to retire in 6 months. D. Recently adopted infant twins.

(a) Family history of anxiety and symptoms of anxiety

Which intervention demonstrates an attempt by nursing staff to meet the goals identified by the Joint Commission as National Patient Safety Goals? (Select all that apply) (a) Identifying patients using both name and date of birth before drawing blood. (b) Sitting with the patient diagnosed with an eating disorder during meals. (c) Administering the Beck Scale on each patient at the time of admission. (d) Performing a medication history assessment on each new patient. (e) Using appropriate hand washing technique at all times.

(a) Identifying patients using both name and date of birth before drawing blood. (c) Administering the Beck Scale on each patient at the time of admission. (d) Performing a medication history assessment on each new patient. (e) Using appropriate hand washing technique at all times.

Emma is a 40-year-old married female who has found it increasingly difficult to leave her home due to agoraphobia. Emma's family is appropriately concerned and suggests that she seek psychiatric care. After investigating her options, Emma decides to try: A. Telepsychiatry B. Assertive community treatment C. Psychiatric home care D. Outpatient psychiatric care.

(a) Telepsychiatry

A patient needs supportive care for the maintenance treatment of bipolar disorder. The new nurse demonstrates an understanding of the services provided by the various members of the patient's mental healthcare team when he makes which statement: A. Your social worker will help you learn to budget your money affectively B. "Your counselor asked me to remind you of the group session on critical thinking at 2:00 today." C. The mental health technician on staff today will administer the medication that you require D. Remember to ask the occupational therapist about sources of financial help that you are qualified for.

(b) "Your counselor asked me to remind you of the group session on critical thinking at 2:00 today."

Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? (Select all that apply) (a) Intermittent supervision is available in inpatient settings. (b) He requires stabilization of multiple symptoms. (c) He has nutritional and self-care needs. (d) Medication adherence will be mandated. (e) He is in imminent danger of harming himself.

(b) He requires stabilization of multiple symptoms. (c) He has nutritional and self-care needs. (e) He is in imminent danger of harming himself.

A patient has been voluntarily admitted to a mental health facility after an unsuccessful attempt to harm himself. Which statement demonstrates a need to better educate the patient on his patient rights? A. I understand why I was restrained when I was out of control. B. You can't tell my boss about the suicide attempt without my permission C. I have a right to know what all of you are planning to do to me. D. "I can hurt myself if I want too. It's none of your business."

(d) "I can hurt myself if I want too. It's none of your business."

An adolescent female is readmitted for inpatient care after a suicide attempt. What is the most important nursing intervention to accomplish upon admission? A. Allowing the patient to return to her previous room so that she will feel safe. B. Orienting the patient to the unit and introducing her patients and staff C. Building trust through therapeutic communications. D. Checking the patient's belongings for dangerous items

(d) Checking the patient's belongings for dangerous items

A newly divorced 36-year-old mother of three has difficulty sleeping. When she shares this information to her gynecologist, she suggests which of the following services as appropriate for her patient's needs? A. Assertive community treatment B. Patient-centered medical home C. Psychiatric home care. D. Primary care provider

(d) Primary care provider

A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? A. Offering advice B. Reflecting C. Listening attentively D. Giving information

A. Offering advice

A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? (Select all that apply) A. Priority restructuring B. Monitoring thoughts C. Diaphragmatic breathing D. Journal keeping E. Meditation

A. Priority restructuring B. Monitoring thoughts D. Journal keeping

Which statement made by either the nurse or the patient demonstrates an ineffective patient-nurse relationship? a. "I've given a lot of thought about what triggers me to be so angry." b. "Why do you think it's acceptable for you to be so disrespectful to staff?" c. "Will your spouse be available to attend tomorrow's family group session?" d. "I wanted you to know that the medication seems to be helping me fell less anxious."

B- "Why do you think it's acceptable for you to be so disrespectful to staff?"

A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (Select all that apply) A. "Client ate most of his breakfast." B. "Client was offered 8 oz. of water every hour." C. "Client shouted obscenities at assistive personnel." D. " Client received chlorpromazine 15 mg by mouth at 1000." E. "Client acted out after lunch."

B. "Client was offered 8 oz. of water every hour." C. "Client shouted obscenities at assistive personnel." D. " Client received chlorpromazine 15 mg by mouth at 1000."

A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy? A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks." B. "The therapist will focus on my past relationships during our sessions." C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors." D. "This therapy will address my conscious feelings about stressful experiences."

B. "The therapist will focus on my past relationships during our sessions."

A nurse is caring for a group of clients. Which of the following clients should a nurse consider for referral to an assertive community treatment (ACT) group? A. A client in an acute care mental health facility who has fallen several times while running down the hallway B. A client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic injection for schizophrenia C. A client in a day treatment program who says he is becoming more anxious during group therapy D. A client in a weekly grief support group who says she still misses her deceased husband who has been dead for 3 months.

B. A client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic injection for schizophrenia

A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? A. Invasion of privacy B. False imprisonment C. Assault D. Battery

B. False imprisonment

A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? A. Discussing ways to use new behaviors B. Practicing new problem-solving skills C. Developing goals D. Establishing boundaries

B. Practicing new problem-solving skills

A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? A. Notify the nurse manager B. Tell the nurse to stop discussing the behavior C. Provide an in-service program about confidentiality D. Complete an incident report

B. Tell the nurse to stop discussing the behavior

A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Which of the following information is appropriate to include in the discussion? (Select all that apply) A. The DSM-5 includes client education handouts for mental health disorders B. The DSM-5 establishes diagnostic criteria for individual mental health disorders C. The DSM-5 indicated recommended pharmacological treatment for mental health disorders D. The DSM-5 assists nurses in planning care for client's who have mental health disorders E. The DSM-5 indicates expected assessment findings of mental health disorders

B. The DSM-5 establishes diagnostic criteria for individual mental health disorders D. The DSM-5 assists nurses in planning care for client's who have mental health disorders E. The DSM-5 indicates expected assessment findings of mental health disorders

A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? A. The client asks the nurse whether she will go out to dinner with him B. The client accuses the nurse of telling him what to do just like his ex-girlfriend C. The client reminds the nurse of a friend who died from a substance overdose D. The client becomes angry and threatens harm to himself

B. The client accuses the nurse of telling him what to do just like his ex-girlfriend

A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the following statements should the nurse make? A. "I feel very sorry for the loneliness you must be experiencing." B. "Suicide is not the appropriate way to cope with loss." C. "Losing someone close to you must be very upsetting." D. "I know how difficult it is to lose a loved one.

C. "Losing someone close to you must be very upsetting."

A nurse is orienting a new client to a mental health unit. When explaining the unit's community meetings, which of the following statements by the nurse is appropriate? A. "You and a group of other clients will meet to discuss your treatment plans." B. "Community meetings have a specific agenda that is established by staff." C. "You and the other clients will meet with staff to discuss common problems." D. "Community meetings are an excellent opportunity to explore your personal mental health issues."

C. "You and the other clients will meet with staff to discuss common problems."

A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? A. A client who has schizophrenia with delusions of grandeur B. A client who has manifestations of depression and attempted suicide a year ago C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod D. A client who has bipolar disorder and paces quickly around the room while talking to himself

C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod

A nurse is caring for several clients who are attending community-based mental health programs. Which of the following clients should the nurse plan to visit first? A. A client who recently burned her arm while using a hot iron at home B. A client who requests that her antipsychotic medication be changed due to some new adverse effects C. A client who says he is hearing a voice that tells him he is not worthy of living anymore D. A client who tells the nurse he experienced manifestations of severe anxiety before and during the job interview

C. A client who says he is hearing a voice that tells him he is not worthy of living anymore

A nurse in an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following strategies should the nurse suggest as appropriate follow-up care? A. Receiving daily care from a home health aide B. Having a weekly visit from a nurse case worker C. Attending a partial hospitalization program D. Visiting a community mental health center on a daily basis

C. Attending a partial hospitalization program

A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary prevention? A. Educating clients on health promotion techniques to reduce the risk of depression B. Performing screenings for depression at community health programs C. Establishing rehabilitation programs to decrease the effects of depression D. Providing support groups for clients at risk for depression

C. Establishing rehabilitation programs to decrease the effects of depression

A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form of therapy? A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior B. Advise the client to say "stop" out loud every time he begins to feel an anxiety response related to an elevator C. Gradually expose the client to an elevator while practicing relaxation techniques D. Stay with the client in an elevator until his anxiety response diminishes

C. Gradually expose the client to an elevator while practicing relaxation techniques

A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all that apply) A. The needs of both participants are met B. An emotional commitment exists between the participants C. It is goal-directed D. Behavioral change is encouraged E. A termination date is established

C. It is goal-directed D. Behavioral change is encouraged E. A termination date is established

A nurse caring is for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's use of interpersonal communication? A. The nurse discusses the client's weight loss during a health care team meeting B. The nurse examines her own personal feelings about clients who have anorexia nervosa C. The nurse asks the client about her body image perception D. The nurse presents an educational session about anorexia nervosa to a large group of adolescents

C. The nurse asks the client about her body image perception

A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of this technique? A. "I will write down my dreams as soon as I wake up." B. "I may begin to associate my therapist with important people in my life." C. "I can learn to express myself in a non-aggressive manner." D. "I should say the first thing that comes to my mind."

D. "I should say the first thing that comes to my mind."

A nurse is caring for the parents of a child who has demonstrated recent changes in behavior and mood. When the mother of the child asks the nurse for reassurance about her son's condition, which of the following responses should the nurse make? A. "I think your son is getting better. What have you noticed?" B. "I'm sure everything will be okay. It just takes time to heal." C. "I'm not sure what's wrong. Have you asked the doctor about your concerns?" D. "I understand you're concerned. Let's discuss what concerns you specifically."

D. "I understand you're concerned. Let's discuss what concerns you specifically."

A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? A. Person space B. Posture C. Eye contact D. Intonation

D. Intonation

A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy B. Teach the client appropriate coping mechanisms C. Assess the client for co-morbid health conditions D. Monitor the client for adverse effects of medications

D. Monitor the client for adverse effects of medications

A nurse in an acute mental health facility is communication with a client. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? A. Offering general leads B. Summarizing C. Focusing D. Restating

D. Restating

A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A. Coordinate holistic care with social services B. Identify the client's perception of her mental health status C. Include the client's family in the interview D. Teach the client about her current mental health disorder

D. Teach the client about her current mental health disorder

Which statement made by a patient demonstrates a healthy degree of resilience? SATA a. "I try to remember not to take other people's bad moods personally." b. "I know that if I get really mad I'll end up being depressed." c. "I really feel that sometimes bad things are meant to happen." d. "I've learned to calm down before trying to defend my opinion." e. "I know that discussing issues with my boss would help me get my point across."

a. "I try to remember not to take other people's bad moods personally." d. "I've learned to calm down before trying to defend my opinion." e. "I know that discussing issues with my boss would help me get my point across."

Mary is a 39-year-old attending a psychiatric outpatient clinic. Mary believes that her husband, sister, and son cause her problems. Listening to Mary describe the problems the nurse displays therapeutic communication in which response? a. "I understand you are in a difficult situation." b. "Thinking about being wronged repeatedly does more harm than good." c. "I feel bad about your situation, and I am so sorry it is happening to you and your family." d. "It must be so difficult to live with uncaring people."

a. "I understand you are in a difficult situation."

Which statement made by the nurse concerning ethics demonstrates the best understanding of the concept? a. "It isn't right to deny someone healthcare because they can't pay for it." b. "I never discuss my patient's refusal of treatment." c. "The hospital needs to buy more respirators so we always have one available." d. "Not all ICU patients have the right to unbiased attention from the staff."

a. "It isn't right to deny someone healthcare because they can't pay for it."

The patient expresses sadness at "being all alone with no one to share my life with." Which response by the nurse demonstrates the existence of a therapeutic relationship? a. "Loneliness can be a very painful and difficult emotion." b. "Let's talk and see if you and I have any interests in common." c. "I use Facebook to find people who share my love of cooking." d. "Loneliness is managed by getting involved with people."

a. "Loneliness can be a very painful and difficult emotion."

Which patient statement demonstrates a value held regarding children? a. "Nothing is more important to me than the safety of my children." b. "I believe my spouse wants to leave both me and our children." c. "I don't think my child's success depends on going to college." d. "I know my children will help me through my hard times."

a. "Nothing is more important to me than the safety of my children."

Which situations demonstrate liable behavior on the part of the staff? Select all that apply. a. Forgetting to obtain consent for electroconvulsive therapy for a cognitively impaired patient b. Leaving a patient with suicidal thoughts alone in the bathroom to shower c. Promising to restrain a patient who stole from another patient on the unit d. Reassuring a patient with paranoia that his antipsychotic medication was not tampered with e. Placing a patient who has repeatedly threatened to assault staff in seclusion

a. Forgetting to obtain consent for electroconvulsive therapy for a cognitively impaired patient b. Leaving a patient with suicidal thoughts alone in the bathroom to shower c. Promising to restrain a patient who stole from another patient on the unit

Based on Maslow's hierarchy of needs, physiological needs for a restrained patient include: Select all that apply. a. Private toileting, oral hydration b. Checking the tightness of the restraints c. Therapeutic communication d. Maintaining a patent airway

a. Private toileting, oral hydration b. Checking the tightness of the restraints d. Maintaining a patent airway

When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse manager? a. "Depression seems to be a real problem among the teenage population." b. "My experience had been that the Irish have a problem with alcohol use." c. "Women are at a greater risk for developing suicidal thoughts then acting on them." d. "We've admitted several military veterans with post-traumatic stress disorder this month."

b. "My experience had been that the Irish have a problem with alcohol use."

Implied consent occurs when no verbal or written agreement takes place prior to a caregiver delivering treatment. Which of the following examples represents implied consent? a. The mother of an unconscious patient saying okay to surgery b. Care given to a heroin overdose victim c. Immobilizing a patient who has refused to take medication d. Signing general intake paperwork with specific parameters

b. Care given to a heroin overdose victim

How can a newly hired nurse best attain information concerning the state's mental health laws and statutes? a. Discuss the issue with the facility's compliance officer b. Conduct an internet search using the keywords "mental + health + statutes + (your state)" c. Consult the American Nurses Association's (ANA) Code of Ethics for Nurses d. Review the facility's latest edition of the policies manual

b. Conduct an internet search using the keywords "mental + health + statutes + (your state)"

Which patient outcome is directly associated with the goals of a therapeutic nurse-patient relationship? a. Patient will be respectful of other patients on the unit. b. Patient will identify suicidal feelings to staff whenever they occur. c. Patient will engage in at least one social interaction with the unit population daily. d. Patient will consume a daily diet to meet both nutritional and hydration needs.

b. Patient will identify suicidal feelings to staff whenever they occur.

A male patient frequently inquires about the female student nurse's boyfriend, social activities, and school experiences. Which is the best initial response by the student? a. The student requests assignment to a patient of the same gender as the student. b. She limits sharing personal information and stresses the patient-centered focus of the conversation. c. The student shares information to make the therapeutic relationship more equal. d. She explains that if he persists in focusing on her, she cannot work with him.

b. She limits sharing personal information and stresses the patient-centered focus of the conversation.

Epidemiological studies contribute to improvements in care for individuals with mental disorders by SATA: a. providing information about effective nursing techniques b. identifying risk factors that contribute to the development of disorders c. identifying individuals in the general population who will develop a specific disorder d. identifying wish individuals will respond favorably to a specific treatment

b. identifying risk factors that contribute to the development of disorders d. identifying wish individuals will respond favorably to a specific treatment

The world health organization describes health as "a state of complete physical, mental, and social wellbeing and not merely the absence of disease of infirmity." Which statement is true in regards to overall health? SATA a. the is no relationship between physical and mental health b. poor physical health can lead to mental distress and disorders c. poor mental health does not lead to physical illness d. there is a strong relationship between physical health and mental health e. mental health needs take precedence over physical health needs

b. poor physical health can lead to mental distress and disorders d. there is a strong relationship between physical health and mental health

Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention? a. including discussions on depression as part of school health classes b. providing regular depression screening for adolescent and teenage students c. increasing the number of community-based depression hotlines available to the public d. encouraging senior centers to provide information on accessing community depression resources

b. providing regular depression screening for adolescent and teenage students

Which of the following activities would be considered nursing care and appropriate to be performed by a basic level nurse for a patient suffering from mental illness? a. treating major depression b. teaching coping skills for a specific family dynamic c. conducting psychotherapy d. prescribing antidepressant medication

b. teaching coping skills for a specific family dynamic

Lucas has completed his inpatient psychiatric treatment, which was ordered by the court system. Which statement reveals that Lucas does not understand the concept of conditional release? a. "I will continue treatment in an outpatient treatment center." b. "My nurse practitioner has recommended group therapy." c. "I am finally free, no more therapy." d. "Attending therapy and taking my meds are a part of this conditional release."

c. "I am finally free, no more therapy."

Which statement demonstrates that nurse's understanding of the effect of environmental factors on a patient's mental health? a. "I'll need to assess how the patient's family views mental illness" b. "There is a history of depression in the patient's extended family." c. "I'm not familiar with the patient's Japanese's cultural view on suicide." d. "The patient's ability to pay for mental health services need to be assessed."

c. "I'm not familiar with the patient's Japanese's cultural view on suicide."

Morgan is a third-year nursing student in her psychiatric clinical rotation. She is assigned to an 80-year-old widow admitted for major depressive disorder. The patient describes many losses and sadness. Morgan becomes teary and says meaningfully, "I am so sorry for you." Morgan's instructor overhears the conversation and says, "I understand that getting tearful is a human response. Yet, sympathy isn't helpful in this field." The instructor urges Morgan to focus on: a. "Adopting the patient's sorrow as your own." b. "Maintaining pure objectivity." c. "Using empathy to demonstrate respect and validation of the patient's feelings." d. "Using touch to let her know that everything is going to be alright."

c. "Using empathy to demonstrate respect and validation of the patient's feelings."

When considering facility admissions for mental healthcare, what characteristic is unique to a voluntary admission? a. The patient poses no substantial threat to themselves or to others b. The patient has the right to seek legal counsel c. A request in writing is required before admission d. A mental illness has been previously diagnosed

c. A request in writing is required before admission

Emily is a 28-year-old nurse who works on a psychiatric unit. She is assigned to work with Jenna, a 27-year-old who was admitted with major depressive disorder. Emily and Jenna realize that they graduated from the same high school and each has a 2-year-old daughter. Emily and Jenna discuss getting together for a play date with their daughters after Jenna is discharged. This situation reflects: a. Successful termination b. Promoting interdependence c. Boundary blurring d. A strong therapeutic relationship

c. Boundary blurring

A nurse makes a post on a social media page about his peer taking care of a patient with a crime-related gunshot wound in the emergency department. He does not use the name of the patient. The nurse: a. Has not violated confidentiality laws because he did not use the patient's name. b. Cannot be held liable for violating confidentiality laws because he was not the primary nurse for the patient. c. Has violated confidentiality laws and can be held liable. d. Cannot be held liable because postings on a social media site are excluded from confidentiality laws.

c. Has violated confidentiality laws and can be held liable.

Which nursing intervention demonstrates the ethical principle of beneficence? a. Refusing to administer a placebo to a patient. b. Attending an in-service on the operation of the new IV infusion pumps c. Providing frequent updates to the family of a patient currently in surgery d. Respecting the right of the patient to make decisions about whether or not to have electroconvulsive therapy

c. Providing frequent updates to the family of a patient currently in surgery

A registered nurse is caring for an older male who reports depressive symptoms since his wife of 54 years died suddenly. He cries, maintains closed body posture, and avoids eye contact. Which nursing action describes attending behavior? a. Reminding the patient gently that he will "feel better over time" b. Using a soft tone of voice for questioning c. Sitting with the patient and taking cues for when to talk or when to remain silent d. Offering medication and bereavement services

c. Sitting with the patient and taking cues for when to talk or when to remain silent

Which statement about mental illness is true? a. mental illness is a matter of individual nonconformity with societal norms. b. mental illness is present when irrational and illogical behavior occurs c. mental illness changes with culture, time in history, political systems, and the groups defining it d. mental illness is evaluated solely by considering individual control over behavior and appraisal of reality

c. mental illness changes with culture, time in history, political systems, and the groups defining it

A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present ina specific psychiatric disorder. The best answer would be: a. Nursing Intervention Classification (NIC) b. Nursing Outcomes Classification (NOC) c. NANDA d. DSM-5

d. DSM-5

In providing care for patients of a mental health unit, Li recognizes the importance of standards of care. When Li notices that some policies fall short of the state licensing laws, which of the following statements represents the most appropriate standard of care pathway? a. Professional association, customary care, facility policy b. State board of nursing, facility policy, customary care c. Facility policy, professional associations, state board of nursing d. State board of nursing, professional association, facility policy

d. State board of nursing, professional association, facility policy

What is the greatest trigger for the development of a patient's nurse focused transference? a. The similarity between the nurse and someone the patient already dislikes b. The nature of the patient's diagnosed mental illness c. The history the patient has with their parents d. The degree of authority the nurse has over the patient

d. The degree of authority the nurse has over the patient

When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics? a. the manic patient in room 234 b. the patient in room 234 is manic c. the patient in room 234 is possibly manic d. the patient in room 234 is displaying manic behavior

d. the patient in room 234 is displaying manic behavior

A Gulf War veteran has been homeless since being discharged from military service. He is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive community treatment (ACT) is a good option for this patient since ACT provides: A. Psychiatric home care. B. Care for hard-to-engage, seriously ill patients C. Outpatient community mental health center care. D. A comprehensive emergency service model.

(b) Care for hard-to-engage, seriously ill patients

A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting if he drinks alcohol. Which of the following types of treatment is this method an example? A. Aversion therapy B. Flooding C. Biofeedback D. Dialectical behavior therapy

A. Aversion therapy

A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me." Which of the following actions should the nurse take? A. Keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince him to admit to hiding the knife B. Keep the client's communication confidential, but watch the client and his roommate closely C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others D. Report the incident to the health care team, but do not inform the client of the intention to do so

C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others

A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indications an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should have the client repeat a list of objects." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents."

A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence."

A nurse is working in a community mental health facility. Which of the following services does this type of program provide? (Select all that apply) A. Educational groups B. Medication dispensing programs C. Individual counseling programs D. Detoxification programs E. Family therapy

A. Educational groups B. Medication dispensing programs C. Individual counseling programs E. Family therapy