mental health test 1

"if you found yourself downtown without money or a car, how would you get home?"

Which of the following questions is the best to ask when assessing a clients judgement?

all human behavior can be caused and can be explained

a basic assumption of freuds psychoanaylic theory is that?

"I can sense you are angry this morning, tell me how you feel about being discharged today"?

a client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. the nurse can best assist the client in this stage of the relationship with which of the following responses?

clarity of ideas, self harm or suicide urges, what the client is thinking, how the client is thinking.

which of the following are components of the assessment of the thought process and content?

activities, family, hobbies, occupation

which of the following are the types of roles that are usually included when assessing roles and relationships? select all that apply

spirituality, resourcefulness, resilience, self efficacy, and hardiness

which of the following personal characteristics influence a clients response to stressors? select all that apply

hope and faith are two critical factors in psychiatric and physical rehabilitation. spirituality may include a relationship with the environment, religious activities have been shown to be linked with better health and a sense of well being. many clients with mental disorders have disturbing religious delusions.

which of the following statements about spirituality is true? select all that apply

inhibitory: modulates other neurotransmitters

y-aminobutryic acid

neuromodulator: enhance, prolong, inhibit, or limit the effects of principle neurotransmitter

Neuropeptides

in a quiet corner in the day room atleast 4 feet away from others

a client has been making sexual comments when communicating with the nurse. the nurse wants to spend some time talking with the client while respecting the clients right to privacy. which setting would be the most appropriate setting for the nurse to talk with the client?

hardiness

a client is actively involved in community service activities. the benefit of involvement in meaningful daily activities will most directly contribute in which of the following attributes?

denial

a client is admitted to a psychiatric unit for treatment of a psychotic disorder. the client is at the locked exit door and is shouting, "Let me out! there's nothing wrong with me! I don't belong here!" the nurse identifies this behavior as which defense mechanism?

fulfill daily responsibilities without supervision

a client is being transferred from a group home to an evolving consumer household. the goal of this transition is for the patient to eventually do what?

"herbs have pharmacological effects on the body and can interact with some prescription medications"

a client tells the nurse that he or she is using herbal supplements in addition to prescriptions medications. what would be the nurses best response?

client reports meeting with the same case manager monthly for the last 3 years

a client with bipolar disorder has a long history of both hospitalization and incarcerations. the client has no permanent residents and have infrequent contact with his family. upon admission to the impatient psychiatric unit for stabilization, the nurse documents all of the following in the record. which of the following data most suggests a positive outcome for this client?

the client is self motivated and asks for help when needed

a clients prognosis is said to be good due to high degree of self efficacy. which of the following best characterizes self efficacy?

rationalization and projection

a college student decides to go 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 wouldnt matter anyways because the teacher is so unreasonable. " the defense mechanism the student is using are?

it may take a few weeks for the medication to become affective; activity will help to foster compliance

a nurse is formulating a teaching plan with the client and the clients 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?

depression screening in an assisted living facility

a psychiatric nurse is planning activities aimed at secondary prevention of mental illness. which activity would be most appropriate to develop?

assisting high school students to effectively manage stress

a psychiatric nurse is planning an educational program addressing primary prevention strategies in the community. the nurse explores current research regarding which health care need?

psychotropic drugs became available for use

a significant change in treatment in the people with mental illness occurred in the 1950s when?

taking a patient at face value

acceptance

leader

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?

true

according to sigmund freud, the personality of 3 components.

both excitatory and inhibitory: controls sleep and wakefulness cycle; signals muscles to become alert

acetylcholine

excitatory: controls complex movement, motivation, cognition; regulates emotional response. it's happy!!

dopamine

giving advice

during a session with a client, the client asks the nurse what she should do about her "cheating" husband. the nurse replies, " you should divorce him. you deserve better then that" the nurse used which non therapeutic communication technique?

ability to understand what the patients is experiencing and finding ways to support them as they find a way to cope

empathy

excitatory: responsible for our fight , flight or freeze responses

epinephrine

being an active listener and displaying real feelings

genuine interest

excitatory: results in neurotoxicity if levels are too high

glutamate

working

group memebers are actively discussing a common topic. members are sharing that they identify with what others are saying. the nurse leader recongnizes that the group is in which stage of group development?

positron emission tomography (PET) scans can identify the amyloid plaques and tangles of alzheimer's disease in living

how should the nurse respond to a family member who asks how alzheimer's disease is diagnosed?

resilience

individuals who grew up in "at risk" environments but are able to become productive, successful citizens are believed to possess which of the following characteristics?

the widespread use of community based services

legislation enacted in 1963 was largely responsible for which of the following shifts in care for the mentally ill?

excitatory: causes changes in attention, learning and memory, sleep and wakefulness, mood

nonrepinephrine

national league of nursing

nursing education has become broad in practice settings. the addition of psychiatric nursing became a requirement in nursing education in 1950 by whom?

an increased number of admissions to available hospital services

one of the unforeseen effects of the movement toward community mental health service is?

respect for a persons condition, belief, way of life

positive regard

inhibitory: controls food intake, sleep and wakefulness, temperature regulation, pain control, sexual behaviors, regulation of emotion. many of our psychotropic medications work via this neurotransmitter?

serotonin

a negative emotion that does not assist the patient in learning to cope

sympathy

defending

the client expresses frustration that the doctor does not spend enough time with her 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?

provide food and shelter for the mentall ill

the creation of asylums during the 1800s was meant to?

funding for community programs has been inadequate

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

massachusetts

the first training of nurses to work with persons with mental illness was in 1882 in which state?

denstituitionalize state hospitals

the goal of the 1963 community mental health centers acts was to?

concrete messages are clear, direct, and easy to understand. abstract messages include figures or speech that are difficult to interpret.

the nurse and the client are using therapeutic communication skills. which statements are true of concrete and abstract messsages? select all that apply

nonverbal messages have different meanings in various cultures

the nurse consider cultural variations pertaining to a clients nonverbal communication. which of the following is the primary rationale for considering alternative meanings of nonverbal communication?

look for patterns that reflected in overall assessment

the nurse has completed the psychosocial assessment. which of the following is the best approach toward anaysis of the data to identify nursing diagnosis and develop an appropriate plan of care?

listening , maintaining a neutral response, restating, providing acknowledgment and feedback

the nurse in the mental health unit reviews the therapeutic and non therapeutic communication techniques with a nursing student. which are therapeutic communication techniques? select all that apply

vocabulary, perseveration, quality, quantity

the nurse is assessing a clients speech. which traits will be assessed? select all that apply

frontal lobe

the nurse is educating the client and family regarding schizophrenia. she explains to them that it is associated with an abnormality of which of the following structures of the cerebrum?

assisting police officers to recognize mental illness

the nurse is part of a group setting up a mobile crisis service in conjunction with the local police department. community education on which of the following will the teams focus include?

assist with making appropriate referrals

the nurse is preparing a client for the termination phase of the nurse-client relationship. which task would the nurse appropriately plan for during this phase?

find out as much as possible about the clients cultural values, beliefs, and health practices

the nurse is taking care of a haitian client. how might the nurse best provide culturally competent care?

GABA

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

body image, coping strategies, frequently experienced emotions.

the nurse plans to assess a clients self concept in the admission assessment knowing that self concept influences which of the following? select all that appky

broad opening

the nurse using therapeutic communication ask the client what he would like to talk about. this is an example of which of the following?

caring, honest dependable

trust

to assess the clients mental capacity, to assess the clients current emotional state, to assess the clients behavioral function.

when assessing a clients mental health status, which of the following describes the purpose of the psychosocial assessment? select all that apply

"you will have gradual improvement in symptoms over the next few weeks, but the changes may be so subtle that you may not notice them for a while. it is important for you to keep taking the medication".

when the client asks the nurse how long it will take before the SSRI antidepressant medication will be effective, which of the following replies is most accurate and therapeutic?