Module 1- Intro. to Foundations of Mental Health Nursing

Which statement made by a patient demonstrates a healthy degree of resilience? Select all that apply. 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 opinions." e. "I know that discussing issues with my boss would help me get my point across."

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

A client with superficial varicose veins says to the nurse, "I hate these things. They're so ugly! I wish I could get them to go away." Which response, by the nurse, is therapeutic? a."You should try sclerotherapy. It's great!" b."There's not much you can do once you get them." c."What have you been told about varicose veins and their management?" d."I understand how you feel, but they really don't look too bad."

"What have you been told about varicose veins and their management?"

What would a client experience during a progressive relaxation session? A. Instruction in sequential tensing and relaxing of various muscle groups until the entire body is relaxed B. Being attached to a machine that monitors a physical parameter and receiving audible feedback about the state of that parameter C. Having a nurse enter the client's energy field to rebalance it and bring harmony D. Being led into a positive imaginary sensory experience

Instruction in sequential tensing and relaxing of various muscle groups until the entire body is relaxed

Which statement best describes the Diagnostic and Statistical Manual, fifth edition (DSM-5) DSM-5? A. It is a medical psychiatric assessment system. B. It is a compendium of treatment modalities. C. It offers a complete list of nursing diagnoses. D. It suggests common interventions for mental disorders.

It is a medical psychiatric assessment system.

A client with newly diagnosed type 1 diabetes mellitus has been seen for 3 consecutive days in the emergency department with hyperglycemia. During the assessment, the client says to the nurse,"I'm sorry to keep bothering you every day, but I just can't give myself these awful shots." Which is the therapeutic response by the nurse? a."I couldn't give myself a shot either." b."You must learn to give yourself the shots." c."Let me see if the doctor could change your medication." d."Let's talk about what you know about administering the shots."

Let's talk about what you know about administering the shots."

What tool should the nurse use in assessing the amount of stress a client has experienced in the past year? A. NANDA Handbook B. DSM-IV-TR C. Quick Mental Status Assessment D. Life-Changing Event Questionnaire

Life-Changing Event Questionnaire

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.

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

A parent of a 13 year old adolescent who was just told of the child's diagnosis of Hodgkin disease tells a nurse, "I don't want my child to know the diagnosis." How should the nurse respond? a."It is best if your child knows the diagnosis." b."Did you know the cure rate for Hodgkin disease is high?" c."We can arrange for someone with Hodgkin disease to talk with you and your child." d."Let's talk about your feeling regarding your child's diagnosis."

"Let's talk about your feeling regarding your child's diagnosis."

Which question asked by a nurse demonstrates the effective implementation of cultural desire when caring for a client from a different culture? A. "Where can I find information on the concept of Yin-Yang?" B. "How do I go about arranging for a Chinese translator?" C. "What can I do to provide ethnic foods that are still low in fat?" D. "How can I explain why we can't provide for his request for acupuncture?"

"What can I do to provide ethnic foods that are still low in fat?"

Which assessment questions will support effective communication with a patient who recently emigrated from an Asian country? Select all that apply. a. "What do you call this kind of pain?" b. "What do you think is causing your pain?" c. "How do you think your pain should be treated?" d. "Do you consider this kind of pain a serious problem?" e. "Do you think American medicine will help your pain?"

"What do you call this kind of pain?", "What do you think is causing your pain?", "How do you think your pain should be treated?", "Do you consider this kind of pain a serious problem?"

The nurse identifies that a usually talkative patient is withdrawn. The appropriate nursing response is: a."You are very quiet today." b."What is it that's bothering you?" c."Tell me what you're upset about." d."Why are you so withdrawn today?"

"You are very quiet today."

A patient is being discharged to a nursing home. The patient says, "I feel that nobody cares about me." The appropriate therapeutic response is: a."You feel as if nobody cares?" b."We are all concerned about you." c."It's hard to be angry at your family." d."Your family doesn't have the skills to care for you."

"You feel as if nobody cares?"

A client who is scheduled for a cerebral angiogram says to the nurse, "I know I need it, but I'm not sure this procedure is the best idea." Which is the therapeutic response by the nurse? a. "How does your family feel about the procedure?" b."You should talk to your doctor about your concerns." c."You sound uncertain about the procedure. Please tell me more about what has you concerned." d."I know you're worried but you don't need to be - we are a Center of Excellence for this procedure."

"You sound uncertain about the procedure. Please tell me more about what has you concerned."

A patient asks for advice regarding a personal problem. The therapeutic nursing response is: a.Explain that nurses are not allowed to give advice to patients b.Encourage the patient to ask a family member c.Ask the patient what they think would be the best thing to do d.Offer an opinion after listening to the patient's problem

Ask the patient what they think would be the best thing to do

Which nursing intervention can assist a Hindu patient in maintaining his religious practice? a. Assisting the patient to choose his own food from the menu b. Contacting the hospital pastor for a visit c. Showing him which side of the room faces east d. Offering a Torah to the patient

Assisting the patient to choose his own food from the menu

Intergenerational conflict may arise in immigrant families because the process of acculturation may be: a. Ignored due to cultural beliefs b. Filled with traumatic experiences c. Easier for children d. A function of assimilation

Easier for children

Ling has a nursing diagnosis of risk for other-directed violence. Ling's Eastern culture family is having difficulty coping with the illness due to their beliefs. A favorable therapeutic modality for this patient might include: a. Outpatient therapy b. Family therapy c. Long-term inpatient care d. Assimilation therapy

Family therapy

How can a nurse best differentiate whether an Asian client is demonstrating a mental illness after having attempted suicide? A. Ask the client whether he views himself as being depressed. B. Identify the client's culture's view regarding suicide. C. Explain that suicide is often regarded as a desperate act. D. Assess the client for other examples of depressive behaviors.

Identify the client's culture's view regarding suicide.

When considering culturally competent care for a Muslim patient diagnosed with cardiac problems, which intervention is particularly important to implement initially when a low fat diet is prescribed? a. Requesting a dietary consult b. Identifying dietary considerations c. Explaining the importance of a low fat diet d. Including the family in conversation about food preparation

Identifying dietary considerations

Which nursing actions demonstrate cultural competence? Select all that apply. a. Planning mealtime around the patient's prayer schedule b. Helping a patient to visit with the hospital chaplain c. Researching foods that a lacto-ovo-vegetarian patient will eat d. Providing time for a patient's spiritual healer to visit e. Ordering standard meal trays to be delivered three times daily

Planning mealtime around the patient's prayer schedule, Helping a patient to visit with the hospital chaplain, Researching foods that a lacto-ovo-vegetarian patient will eat, Providing time for a patient's spiritual healer to visit

The World Health Organization describes health as "a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity." Which statement is true in regards to overall health? Select all that apply. a. There 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.

Poor physical health can lead to mental distress and disorders and There is a strong relationship between physical health and mental health.

A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient's adult son died in a car accident last month, the nurse suspects: a. Vulnerability b. Acid reflux c. Somatization d. Transference

Somatization

The mental health status of a particular client can best be assessed by considering which factor? A. The degree of conformity of the individual to society's norms B. The degree to which an individual is logical and rational C. Status placement on a continuum from health to illness D. Rate of demonstrated intellectual and emotional growth

Status placement on a continuum from health to illness

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

Teaching coping skills for a specific family dynamic

An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his apartment. When neighbors ask him to stop his frequent outbursts of operatic arias, he acts outraged and tells them he must sing daily and will not promise to be quieter. This behavior supports what conclusion about this client? A. The client is demonstrating symptoms of bipolar disorder. B. The client is demonstrating socially deviant behavior. C. The client is engaging in egocentric behaviors. D. The client is not conforming with social norms.

The client is not conforming with social norms.

What factor exerts the greatest influence on the degree to which various life events upset a specific individual? A. The individual's perception of the event B. The individual's degree of spirituality C. The effect of the individual's health-sustaining behaviors D. The amount of social support available to the individual

The individual's perception of the event

When assessing and planning treatment for a client who has recently arrived in the United States from China, the nurse should be alert to the possibility that the client's explanatory model for his illness reflects which cultural concept? A. Supernatural causes B. Negative forces C. Inheritance D. Yin-Yang

Yin-Yang

During a clinical interview the client falls silent after disclosing that she was sexually abused as a child. The nurse should engage in which intervention in response to the client's silence? A. Quickly break the silence and encourage the client to continue. B. Reassure the client that the abuse was not her fault. C. Reach out and gently touch the client's arm. D. Allow the client to break the silence.

allow the client to break the silence

A client with hypertension uses an automatic cycling blood pressure cuff with audible changing tones. The client uses relaxation techniques to lower her blood pressure and is informed of her ongoing success by the tone. This process describes A. biofeedback. B. guided imagery. C. therapeutic touch. D. assertiveness training.

biofeedback

Which approach to reducing client stress is most effective in people with low to moderate hypnotic ability? A. Meditation B. Breathing exercises C. Journal keeping D. Biofeedback

biofeedback

Which statement demonstrates the 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 needs to be assessed."

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

Which statement by the nurse demonstrates ethnocentrism toward the Hispanic patient? a. "What do you want us to do to help your symptoms?" b. "Tell me more about what you think is causing these symptoms." c. "I'm sure we can do something to make your symptoms more manageable." d. "How much have these symptoms made it more difficult for you to go to work?"

"I'm sure we can do something to make your symptoms more manageable."

Which statement indicates the beliefs and values that tend to be representative of a member of an indigenous culture? Select all that apply. a. "I've reinforced the importance of taking medications at the time they are prescribed." b. "The patient believes that illness is a result of being out of harmony with nature." c. "Spending money on medicine for his diabetes is not a comfortable concept for my patient." d. "The patient refuses treatment." e. "We discussed the patient's needs regarding warding off evil spirits before her surgery."

"I've reinforced the importance of taking medications at the time they are prescribed.", "The patient believes that illness is a result of being out of harmony with nature.", "Spending money on medicine for his diabetes is not a comfortable concept for my patient.", "We discussed the patient's needs regarding warding off evil spirits before her surgery."

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 has been that the Irish have a problem with alcohol use." c. "Women are at greater risk for developing suicidal thoughts then acting on them." d. "We've admitted several military veterans with posttraumatic stress disorder this month."

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

After a child's visit to a health care provider, a parent tells the nurse, "I am very upset. An antidepressant was prescribed for my child." What is the appropriate nursing response? a."Please tell me more about what's bothering you." b."Weren't you told why your child needs an antidepressant?" c."You need to speak with your healthcare provider about your concern." d."Lots of kids take antidepressants and don't have any side effects."

"Please tell me more about what's bothering you."

What is the most helpful nursing response to a client who reports thinking of dropping out of college because it is too stressful? A. "Don't let them beat you! Fight back!" B. "School is stressful. What do you find most stressful?" C. "I know just what you are going through. The stress is terrible." D. "You have only two more semesters. You will be glad if you stick it out."

"School is stressful. What do you find most stressful?"

Which statement applies to the involuntarily hospitalized client? The client has: a. forfeited the right to informed consent b. lost the right to control personal affairs c. retained the right of free will to leave at any time d. retained the right to receive and refuse treatment

retained the right to receive and refuse treatment

The nurse assesses the wellness beliefs and values of a client from another culture best when asking which question? A. "What do you think is making you ill?" B. "When did you first feel ill?" C. "How can I help you get better?" D. "Did you do something to cause the illness?"

"What do you think is making you ill?"

Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture? A. "Is there someone in your community who usually cures your illness?" B. "What usually helps people who have the same type of illness you have?" C. "What questions would you like to ask about your condition?" D. "What sorts of stress are you presently experiencing?"

"What usually helps people who have the same type of illness you have?"

A client with a diagnosis of hyperparathyroidism says to the nurse, "I can't stay on this diet. It's too difficult for me." Which is the therapeutic response by the nurse? a."Why do you think you find this diet plan difficult to follow?" b."It really isn't difficult to stick to this diet. Just avoid milk products." c."You are having a difficult time staying on the plan? Let's discuss this." d."It is very important that you stay on this diet to avoid forming renal calculi."

"You are having a difficult time staying on the plan? Let's discuss this."

A client is scheduled to have surgery the following day. The client tells the nurse, "I'm really scared. I have never had surgery before and I'm afraid I might not make it through." Which of the following responses by the nurse is appropriate? a."Why do you feel scared?" b."Don't worry. We'll take good care of you and you'll be just fine." c."Worrying can make it harder to recover." d."You're scared because this is your first surgery?"

"You're scared because this is your first surgery?"

With which client should the nurse make the assessment that not using touch would probably be in the client's best interests? A. A recent immigrant from Russia B. A deeply depressed client C. A Chinese American client D. A tearful client reporting pain

A Chinese American Client

What client assessment data demonstrates parity related to mental health care? A. The client is admitted for a 72-hour mental hygiene evaluation. B. Advance practice nurse can be certified as psychiatric nurse specialist. C. A client's mental health coverage is equal to his/her medical/surgical coverage. D. A client who has attempted suicide is hospitalized for a mental health evaluation.

A client's mental health coverage is equal to his/her medical/surgical coverage.

Self-help groups are useful for reducing stress because they provide the individual with the stress mediator that take what form? A. Social support B. Cultural support C. Life satisfaction D. Cognitive reframing

social support

During a therapeutic encounter, the nurse makes an effort to ensure the use of two congruent levels of communication. What is the rationale for this? A. The mental image of a word may not be the same for both nurse and client. B. One statement may simultaneously convey conflicting messages. C. Many of the client's remarks are no more than social phrases. D. Content of messages may be contradicted by process.

Content of messages may be contradicted by process

What is the physiologic basis for the success of guided imagery? A. β-Endorphin release raises the pain threshold. B. Imagery raises the body level of cortisol and epinephrine. C. The sympathetic nervous system is stimulated to produce a quiet state. D. Brain catecholamines are less available to transmit pain impulses.

β-Endorphin release raises the pain threshold.

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

DSM-5

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

Identifying risk factors that contribute to the development of a disorder., Identifying which individuals will respond favorably to a specific treatment.

Which intervention demonstrates the nurse's understanding of what guides effective nursing care with a diverse patient population? a. Treating all patients the same to avoid prejudicial actions. b. Identifying the cultural norms of the population being served. c. Recognizing that race and ethnicity result in specific illness management views. d. Addressing the physical and emotional needs that originate from genetic factors.

Identifying the cultural norms of the population being served.

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

Providing regular depression screening for adolescent and teenage students

A client tells the mental health nurse "I am terribly frightened! I hear whispering in my head that someone is going to kill me." Which criteria of mental health can the nurse assess as lacking? A. Self-control B. Rational thinking C. Learning and productivity D. Positive self-concept

Rational thinking

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 a manic c. The patient in room 234 is possibly a manic d. The patient in room 234 is displaying manic behavior

The patient in room 234 is displaying manic behavior

Which idea held by the nurse would best promote the provision of culturally competent care? A. Western biomedicine is one of several established healing systems. B. Some individuals will profit from use of both Western and folk healing practices. C. Use of cultural translators will provide valuable information into health-seeking behaviors. D. Need for spiritual healing is a concept that crosses cultural boundaries.

Western biomedicine is one of several established healing systems.

During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your voice when you spoke of your father. Tell me about that." What communication techniques is the nurse using? A. Giving information and encouraging evaluation B. Presenting reality and encouraging planning C. Clarifying and suggesting collaboration D. Reflecting and exploring

reflecting and exploring

When discussing her husband, a client shares that "I would be better off alone. At least I would be able to come and go as I please and not have to be interrogated all the time." What therapeutic communication technique is the nurse using when responding, "Are you saying that things would be better if you left your husband?" A. Focusing B. Restating C. Reflection D. Clarification

clarification

After a client discusses his/her relationship with his/her father, the nurse asks, "Tell me if I'm correct that you feel dominated and controlled by him?" What is the purpose of the nurse's question? A. Eliciting more information B. Encouraging evaluation C. Verbalizing the implied D. Clarifying the message

clarifying the message

An effective stress-reduction technique a nurse might teach an individual with performance anxiety is A. assertiveness. B. journal keeping. C. deep breathing. D. restructuring and setting priorities.

deep breathing