mental health quizzes

The nurse using therapeutic communication asks the client what the client would like to talk about. This is an example of what?

Broad opening

A client is being admitted to an inpatient unit for treatment of anorexia nervosa. Of the following assessment data, which should the nurse place as priority in the plan of care?

Frequent vomiting after meals

The nurse is teaching the client with anxiety about the mechanisms of benzodiazepines. Which is increased with this medication?

GABA

During a session with a client, the client asks the nurse what the client should do about the client's "cheating" spouse. The nurse replies, "You should divorce. You deserve better than that." The nurse used which nontherapeutic communication technique?

Giving advice

Which would the nurse expect to assess in a client with narcissistic personality disorder?

Grandiose and superior self-concept

Which statement is true of empathy? Select all that apply.

It is the ability to place oneself into the experience of another for a moment in time. It is developed by gathering information from the client.

Which is the most compelling reason for the nurse to discuss suicide?

It is the nurse's professional responsibility to keep safety needs first and foremost.

A nurse is formulating a teaching plan with the client and the client's family. The client has been newly diagnosed with depression, and the teaching plan includes medication, activities, and family support. For the client, the nurse knows that teaching is effective when the client and/or family state:

It may take a few weeks for the medication to become effective; activity will help to foster compliance.

The nurse is caring for a 16-year-old client with a history of sexual abuse. What might the nurse expect to assess in this client?

Long-term emotional trauma

A child who has witnessed the murder of a classmate while at school would experience which kind of loss?

Loss of safety

A young couple just ended a relationship after a 9-month engagement. One of the individuals is seeking short-term counseling to assist in grieving this loss. Which type of loss best describes what this client is experiencing?

Loss of security and sense of belonging

The newly licensed registered nurse has been hired at the local hospital in the geriatric-psychiatry unit. Today is the nurse's first day of orientation to this facility. What would be the nurse's priority action if a client becomes aggressive?

Maintain a safe distance from the client

Which characteristic of the abuser should the nurse look for when completing the family assessment of a victim of intimate partner violence?

Needy and possessive of the partner

A client has a lithium level of 1.2 mEq/L. Which intervention by the nurse is indicated?

No intervention is necessary at this time.

Which factor influencing assessment is under the nurse's control?

Nurse's attitude and approach

Which statement about the nurse and ethnocentrism is true?

Nurses may have a tendency to inwardly view their own culture as superior to others.

The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. The nurse should use a matter-of-fact approach with clients with which types of personality disorders? Select all that apply.

Paranoid Antisocial Narcissistic

A client states to a nurse, "They found a lump in my neck, and now they tell me I have an incurable disease." The client is young and appears to find this information hard to believe. What pattern of response does the client's statement reflect?

Shock and disbelief

Which statement about the neurobiologic causes of mental illness is most accurate?

Several mental disorders may be linked to genetic and nongenetic factors.

A client says to the nurse, "I just can't talk in front of the group. I'm trembling and I feel like I'm going to pass out." The nurse assesses the client's anxiety to be at which level?

Severe

A client has not been to work in three days. When she returns to work, she is wearing dark glasses. Facial and body bruises are visible. Her supervisor takes her to the occupational nurse. Which assessment is the priority for the nurse?

physical injuries

The primary goal of a psychiatric rehabilitation program is to promote:

quality of life.

A college student decides to go to a party the night before a major exam instead of studying. After receiving a low score on the exam, the student tells a fellow student, "I have to work too much and don't have time to study. It wouldn't matter anyway because the teacher is so unreasonable." The defense mechanisms the student is using are:

rationalization and projection.

A nurse is working with a client who has frequent angry outbursts. Which statement is most helpful when working with this client?

"Anger is a normal feeling, and you can use it to solve problems."

The client says to the nurse, "I wonder what's playing at the movies tonight." Which response by the nurse would be most therapeutic?

"Are you telling me you would like to go to the movies?"

A nurse is assessing a newly diagnosed depressed client. What question should the nurse prioritize?

"Are you thinking about killing yourself?"

A nurse is recording subjective information from the family of an aggressive client who was brought to the ED via ambulance. The client is non-compliant with the medication regimen. What statement by the family informs the nurse of their understanding of mental illness?

"Because of mental illness, my brother cannot think clearly or understand the need for meds."

The nurse is working with a client who has quit several jobs and no longer sends financial support to the client's two children living with their other parent. This behavior is in conflict with the nurse's values concerning responsible parenting. When discussing family roles with the client, the nurse shows positive regard through which statement?

"How is not working right now affecting you?"

A married client expresses to the nurse that the client's spouse's frequent nagging angers the client. The nurse role plays assertive communication techniques with the client. Which indicates that the client understands how to use assertive techniques effectively?

"I feel unappreciated when you criticize me."

A client diagnosed with bipolar disorder asks the nurse, "Why did I get this illness? I don't want to be sick." What response should the nurse provide to best answer the client's question?

"We don't fully understand the cause, but mental illnesses do seem to run in families."

A client with borderline personality disorder says to the nurse, "I feel so comfortable talking with you. You seem to have a special way about you that really helps me." Which would be the most appropriate response by the nurse?

"I'm here to help you just as all the staff members are."

The nurse is providing education to a female client with depression who is newly prescribed extended-release paroxetine. Which statement(s) by the client indicates additional teaching is needed? Select all that apply.

"If I experience hallucinations, I will stop taking this medication." "I was taking a monoamine oxidase inhibitor (MAOI), but stopped last week."

The client says to the nurse, "I have special powers because I am the mother of God. I can heal everyone in the hospital." The nurse's best response would be:

"It would be unusual for anyone to have that kind of power."

The nurse best assesses a client's memory by asking which question?

"Who is the current president?"

Friends of two teenagers recently killed in a car accident are discussing their sense of loss. Which comment best indicates that the friends are trying to make sense of the loss cognitively?

"Why did they have to die so young?"

The nurse understands that empathy is essential to the therapeutic relationship. When a client makes the statement, "I am just devastated that my marriage is falling apart," the nurse can best show empathy through which response?

"You feel like your world is falling apart right now."

A client states, "I feel fine. It's a good day." The nurse notes the client looking away and a decreasing pitch in the client's voice while speaking. Which is the most therapeutic response by the nurse?

"You say you feel fine, but you don't really sound fine."

A client says, "It's been so long since I've been with my family." Which statement by the nurse is an example of restating?

"You say you haven't seen your family in a while."

Convert 6.7 grams to kg.

0.0067

The nurse is preparing to administer PRN medication to a client of Japanese descent who is anxious. The prescription reads, "Alprazolam 0.25 to 1.0 mg PO PRN." The best dose for the nurse to give initially is what?

0.25 mg

Chloramphenicol 60 mg is ordered. The vial is labeled 1 gm/10 ml. How many ml would you give? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) _________mL

0.6

A nurse is preparing to administer benztropine 2 mg IM every 12 hr to a client who is experiencing an extrapyramidal reaction. Available is benztropine 1 mg/mL for injection. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) _________mL

2

A provider orders quetiapine 150 mg PO daily, divided equally every 12 hr for 3 days Available is quetiapine 25 mg tablets. How many tablets should the nurse administer per dose on day 3? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) __________tab(s).

3

The physician orders 750 mg of Depakote daily for your patient. The tablet strength is 250 mg. How many tablets per day will the nurse administer? (Round the answer to the nearest whole tablet. Do not use a trailing zero.) _________________tab(s).

3

Which client would most likely be mandated outpatient treatment?

A client who is addicted to alcohol who has two driving under the influence offenses

Three years after the nurse's father died in an intensive care unit, the nurse was reviewing a client's chart. The nurse looked at the client, who had the same diagnosis and similar features to the nurse's father. The nurse felt a sense of panic but quickly realized that the client in the bed was not their father. Which of these manifestations of PTSD did this nurse experience?

A flashback

What organization developed and maintains standards of practice that are used to determine safe quality care and that can be used legally if incorporated into the state practice act or nurse's rules and regulations that guide the nursing profession?

ANA (American Nurses Association)

Which statements about anger, hostility, and aggression are accurate? Select all that apply.

Anger is an emotional response to a real or perceived provocation.

A client has just been informed of a diagnosis of terminal cancer. The client states, "God has to have mercy on me because my children need me. He knows I'll change if he gets me through this." The nurse documents that the client is expressing signs of which of Kubler-Ross's stages of grief?

Bargaining

Which statement about the roles that biologic makeup plays in a client's emotional responses is most accurate?

Biologic differences can affect a client's response to treatment with psychotropic drugs.

A teenage client presents to the ED along with several other teenagers. The nurse can see they have a good support system. What two key components must be necessary for a support system to be effective?

Client's perception of the support system and the responsiveness of the support system.

A client who has depression is admitted to treatment on a voluntary basis. While in the hospital, the client makes several comments about wanting to "end it all." The client decides one day to leave against medical advice. Which would be the most appropriate action by the nursing staff?

Contacting the psychiatrist for initiation of commitment proceedings

The nurse in the psychiatric unit is aware the atmosphere can change at any time. At which point in the stages of aggressive incidents is intervention least likely to be effective in preventing physically aggressive behavior?

Crisis

The client expresses frustration that the doctor does not spend enough time with the client when making rounds. The nurse replies, "The doctors are very busy. What can I help you with?" The nurse incorporated which nontherapeutic technique in this response?

Defending

After being laid off from work, a client becomes increasingly withdrawn and fatigued, spends entire days in bed, is unkempt, and is eating and sleeping poorly. The nurse would recognize that the client is in which stage of grieving, according to Kubler-Ross?

Depression

A psychiatric-mental health nurse works to avoid using nontherapeutic communication techniques when engaging with clients. Which technique would the nurse most likely avoid using? Select all that apply.

Disapproving Challenging Agreeing

Which goal of therapeutic communication would the nurse strive to attain first?

Establish a therapeutic nurse-client relationship.

Which statement about posttraumatic stress disorder (PTSD) is accurate?

Estimates are that up to 60% of people at risk develop PTSD.

Which type of community residential treatment setting is most likely to be permanent in any state?

Evolving consumer household

Which is a psychosocial explanation for the development of personality disorders?

Failure to complete a developmental task jeopardizes future personality development.

Which is the best explanation for why family violence tends to occur over multiple generations of families?

Family violence may be perpetuated between generations of families by role modeling and social learning.

A nurse is administering an MAOI to a client with depression. Which information would the nurse most likely include in the teaching plan? Select all that apply.

Hypertensive crisis if food with tyramines are ingested Interaction with other MAOI's and antidepressants Risk for decreased libido and impotence

The nurse has established a therapeutic relationship with a client. The client is beginning to share feelings openly with the nurse. The relationship has entered which phase according to Peplau's theory?

Identification

Which is true regarding mental health and mental illness?

In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.

A client who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this client at this time?

Inpatient hospital treatment

During the assessment, the nurse asks the client to describe the client's problems. The purpose of this question is to obtain information about what?

Perception of the problem

A nurse is teaching a client with borderline personality disorder to reshape thinking patterns. Which is an example of a cognitive restructuring technique that would be helpful for this client?

Recognize negative thoughts and replace them with positive ones.

Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for nurses to deal with this discomfort includes what?

Recognizing that these areas may also be uncomfortable for the client to discuss.

A client made threats to harm the client's parents if they come too close to the client. The parents called 911, and the client is now held involuntarily for a psychiatric evaluation. During this time of involuntary admission, the client retains all client rights except for what?

Right to freedom

Which is the priority for admission to inpatient care?

Safety of self or others

Which antidepressant drug is a preferred drug for clients at high risk of suicide?

Sertraline

The nurse is sitting down with a client to begin a conversation. Which position should the nurse take to convey acceptance of the client?

Sitting upright facing the client with both feet on the floor

Spirituality is especially important in helping people cope primarily for which reason?

Spirituality guides beliefs about the meaning of life events.

Which is the most important data about a client's cultural beliefs?

Subjective data from the client

The client is getting ready to be discharged from the psychiatry unit. A nurse and client has just completed reviewing the client's take-home medications. The nurse is exemplifying which role during this intervention?

Teacher

The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which would the nurse identify as having a positive impact on the individual's mental health?

The ability to effectively manage stress

Which are common reasons why abused women remain with the abusive partner? Select all that apply.

The abused person is personally and financially dependent on the abuser. The abused person has low self-esteem and defines her success as a person by the ability to make the relationship work. The abused person believes that she is unable to function without her husband. The abused person is afraid that the abuser will kill her if she tries to leave.

The nurse is assessing the anxiety level of a young school-age child. The nurse encourages the child to express feelings through the use of toys in a play situation. The purpose for this approach to assessment is largely related to what?

The child may not have developed the language to fully describe the child's feelings.

Which behavior would first alert the school nurse or teacher to suspect sexual abuse in a 7-year-old child?

The child tells sexually explicit stories to peers.

A young female immigrant presents in the rural health clinic with facial bruising and a fractured nose. The client is reluctant to give details of the nature of her injuries. Which should be a consideration in providing care for this client?

The client may fear deportation if she seeks public assistance.

The nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome?

The client will resume the precrisis level of functioning.

Which factor is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?

The growth of managed care

A school nurse is educating a group of adolescents about rape and sexual assault. The nurse evaluates the students' understanding when they report which statement as correct regarding the incidence of rape?

The highest incidence of rape occurs in adolescents and young adult women.

A nurse cared for a terminally ill client over a period of a month. The nurse found that spending time with the client was a pleasure. When the client died, the nurse experienced feelings of sadness, sleeping poorly, lacking energy, and feeling mildly depressed. Eventually the nurse explained the feelings to the nurse supervisor. The nurse supervisor is aware of what?

The nurse is experiencing disenfranchised grief.

The nurse consults the DSM for what purpose?

To serve as a guide for client assessment

A client reports a pattern of being suspicious of others, causing difficulty in sustaining lasting relationships. Which stage according to Erikson's psychosocial development was not successfully completed?

Trust vs. mistrust

A client who has been grieving the loss of the client's spouse 2 weeks ago says to the nurse, "The best part of my day is when I am back at work. Is that wrong?" The nurse states to the client that work and other daily activities serve which purpose?

Working is letting you take an emotional break from grieving. There's nothing wrong with that."

Which referral would a nurse make for a client who was badly beaten by a spouse, has no place to go, and no financial means?

a women's shelter

What is a basic assumption of Freud's psychoanalytic theory?

all human behavior can be caused and can be explained.

A community health nurse visits a home and finds a child who stayed home from school to care for a younger sibling. The nurse observes that the house is cluttered and dirty. When asked about the parents, the child states he does not think his father likes him because he calls him "stupid." The nurse suspects which type of abuse?

emotional abuse

A client recently experienced a panic attack. A nurse has worked with the client to redirect the client's thoughts and to aid in calming the situation even though it is past the nurse's shift. This is an example of which pattern of knowing?

ethical

The nurse is initiating a therapeutic relationship with a client. Which information would the nurse most likely include when explaining the purpose of this relationship?

facilitating a positive change.

The factor having the most influence on the current trend in treatment settings is the fact in recent years:

funding for community programs has been inadequate

The client tells the nurse that her husband abuses her often with he drinks, just as his father had beaten him and his mother. He always apologizes and is remorseful after the event. Which stage is this in the cycle of violence?

honeymoon stage

A client has just been told she has cervical cancer. When asked about how this is impacting her, she states, "It's just an infection; it will clear up." The statement indicates that this client:

is using denial to protect herself from an emotionally painful thought.

According to Peplau, there are several roles of the nurse in a therapeutic relationship. These can be seen individually with the client or in a group setting. Which role would be used to offer direction to the client or group?

leader

A client with depression is admitted to an inpatient hospital unit for treatment. What type of therapy is most likely provided in this setting?

talk therapy.

A teenage client defies the nurse's repeated requests to turn off the video game and go to sleep. The client says angrily, "You sound just like my mother at home!" and continues to play the video game. What does the nurse understand that this statement likely indicates?

the presence of transference.

The client tells the nurse, "I don't think you can help me. Every time I talk to you, I am reminded of my mother, and I hated her." The nurse should recognize this as:

transference.

A nurse has interactions with several clients throughout the day. When would a formal setting for discussion be indicated?

when a client has difficulty maintaining boundaries