NUR 2890 Chapter Questions Exam 1
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.
A
Which statement best explains the term "worldview"? A. Beliefs and values held by people of a given culture about what is good, right, and normal B. .Ideas derived from the major health care system of the culture about what causes illness. C. Cultural norms about how, when, and to whom illness symptoms may be displayed. D. Valuing one's beliefs and customs over those of another group.
A
according to current information, what factor is associated w/ the most disabling mental disorders? a. biological influences b. psychological trauma c. learned ways of behaving d. faulty patterns of early nurturance
A
the nurse planning care for a mentally ill client bases interventions on which concept? a. every client has a certain degree of resilience b. it is a client right to be treated respectfully c. every client comes w/ experiences that contribute to their problem d. there are universal fears that are shared by all mentally healthy individuals
A
The nurse assesses the wellness beliefs and values of a client from another culture best when asking which question? A. "Did you do something to cause the illness?" B. "What do you think is making you ill?" C. "When did you first feel ill?" D. "How can I help you get better?"
B
The nurse is working with a client experiencing depression stemming from low self-esteem. The client is distrustful of unit staff and "just wants to go home." Initially what is the nurse's priority? A. Making the client feel physically and emotionally safe B. Teaching the client effective coping skills C. Identifying the client's positive traits D. Focusing on preparing the client for a speedy discharge
A
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
What is the premise underlying behavioral therapy? A. Behavior is learned and can be modified. B. Behavior is a product of unconscious drives. C. Motives must change before behavior changes. D. Behavior is determined by cognitions; change in cognitions produces new behavior.
A
What term is used to describe a deviation from expectations by members of the cultural group? A. Illness B. Hostility C. Lack of self-will D. Variation from tradition
A
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. Yin-Yang B. Negative Forces C. Inheritance D. Supernatural causes
A
Which criterion is NOT essential when the nurse plans nursing interventions designed to meet a specific goal? A. Economical B. Safe C. Realistic D. Individualized E. Evidence based
A
In the Chinese tradition, disease is believed to be caused by what factor? A. fluctuations in opposing forces b. Adoption of Western beliefs C. Members' disobedience D. Outside influences
A
The nurse is finding it difficult to provide structure and set limits for a client. The nurse should self-evaluate for which characteristic of a dysfunctional nurse-patient relationship? A. Boundary blurring B. Value dissonance C. Covert anger D. Empathy
A
During what stage of the therapeutic nurse-client relationship is a formal or informal contract between the nurse and client established? A. Preorientation B. Orientation C. Working D. Termination
B
Freud believed that individuals cope with anxiety by implementing which mechanism? A. The superego B. Defense mechanisms C. Security operations D. Cognitive distortions
B
Role-playing is associated with which type of psychotherapy?A.Psychoanalysis B. Modeling C. Operant conditioning D. Systematic desensitization
B
In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, "You are pretty like my mother." The nurse recognizes that the male is exhibiting: a. Transference b. Id expression c. Countertransference d. A cognitive distortion
A
A client states "That nurse never seems comfortable being with me." The nurse can be described as A. not seeming genuine to the client B. transmitting fear of clients C. unfriendly and aloof D. controlling.
A
A cognitive therapist would help a client restructure the thought "I am stupid!" to which statement? A. "What I did was stupid." B. "I am not as smart as others." C. "Things usually go wrong for me." D. "Things like this should not happen to anyone."
A
A male patient reports to the nurse, "I'm told I have memories of childhood abuse stored in my unconscious mind. I want to work on this." Based on this statement, what information should the nurse provide the patient? a. To seek the help of a trained therapist to help uncover and deal with the trauma associated with those memories. b. How to use a defense mechanism such as suppression so that the memories will be less threatening. c. Psychodynamic therapy will allow the surfacing of those unconscious memories to occur in just a few sessions. d. Group sessions are valuable to identify underlying themes of the memories being suppressed.
A
A nurse, active in local consumer mental health groups and in local and state mental health associations, keeps aware of state and national legislation affecting mental illness treatment. How can this nurse positively affect the climate for effective, mental health treatment? A By educating the public on the effects that stigmatizing has on mental health clients. B By becoming active in politics leading to a potential political career. C Advocating for reduced mental health insurance benefits to discourage abuse of the system by inappropriate psychiatric admissions. D Advocating for laws that would make the involuntary long-term commitment process easier and faster for caregivers of mentally ill persons.
A
A patient who recently loss a parent begins crying during a one-to-one session with the nurse. Which response by the nurse illustrates empathy? A. "That must have been such a hard situation for you to deal with." B. "You need to focus on yourself right now. You deserve to take time just for you." C. "I know that you will get over this. It just takes time." D. "I'm so sorry. My father died 2 years ago, so I know how you are feeling."
A
A registered nurse has accepted a position as staff nurse on a psychiatric unit. Which statement made by the nurse requires additional instructions regarding the therapies provided on the unit? A "You will attend a psychotherapy group that I lead that will help you care for yourself." B "You will be given a schedule daily of the groups we would like you to attend." C "You will see your provider daily in a one-to-one session." D "You will participate in unit activities and groups daily."
A
According to Maslow's hierarchy of needs, the most basic needs category for nurses to address is: a. Physiological b. Safety c. Love and belonging d. Self-actualization
A
Consider both Sullivan's term security operations and Freud's term defense mechanisms. Which statement suggests that the client's specialized treatment goal has been successfully met?" A I'm experiencing much less anxiety about school now." B "I know that I'm not the only person who has a difficult time in school." C "Going back to school is hard and I'll need support." D "I really think I can succeed in school now."
A
Consider the nurse-patient relationship on an inpatient psychiatric unit. Which statement made by the nurse reflects an accurate understanding of when the issue of termination should first be discussed? A. "Now that we've discussed your reasons for being here and how often we will meet; I'd like to talk about what we will do at the time of your discharge." B. "You are being discharged today, so I'd like to bring up the subject of termination—discussing your time here and summarizing what coping skills you have attained." C. "I haven't met my new patient yet, but I am working through my feelings of anxiety in dealing with a patient who wanted to kill herself." D. "Now that we are working on your problem-solving skills and behaviors, you'd like to change; I'd like to bring up the issue of termination."
A
The nurse would address which of the following goals in attempting to establish a therapeutic nurse-client relationship? (Select all that apply.) A. Facilitating communication of distressing thoughts and feelings B. Helping patients examine self-defeating behaviors and test alternatives C. Promoting self-care and independence D. Assisting patients with problem solving to help facilitate activities of daily living E. Providing the client with opportunities to socialize
A B C D
Which statements are true regarding the differences between a social relationship and a therapeutic relationship? (Select all that apply.) A. In a social relationship, both parties' needs are met; in a therapeutic relationship, only the patient's needs are to be considered. B. Giving advice is done in social relationships; in therapeutic relationships giving advice is not usually therapeutic. C. A social relationship is instituted for the main purpose of exploring one member's feelings and issues; a therapeutic relationship is instituted for the purpose of friendship. D. In a social relationship, both parties come up with solutions to problems and solutions may be implemented by both (a friend may lend the other money, etc.); in a therapeutic relationship, solutions are discussed but are only implemented by the patient. E. In a social relationship, communication is usually deep and evaluated; in a therapeutic r
A B D
When discussing therapy options, the nurse should provide information about interpersonal therapy to which patient? Select all that apply. a. The teenager who is the focus of bullying at school b. The older woman who has just lost her life partner to cancer c. The young adult who has begun demonstrating hoarding tendencies d. The adolescent demonstrating aggressive verbal and physical tendencies e. The middle-aged adult who recently discovered her partner has been unfaithful
A B E
Which severe mental illness has a prevalence of over 6% among the populace of the United States? (Select all that apply.) A Major depressive disorder B A personality disorder C Generalized anxiety disorder D Bipolar E Social phobia F Alzheimer's Disease
A B E F
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."
A D E
A recent Hispanic immigrate comes to the mental health clinic after being referred to by her primary care provider. Josefina came to live in the United States from Brazil 5 years ago. During the initial intake assessment, the client reports headaches and backaches "almost every day" and "can't sleep at night." The client looks away when asked about anxiety or depression and states, "I don't know why I was referred to the mental health clinic." Which assessment information should the nurse further explore to assess for possible somatization? A. Impaired sleep patterns B. Denial of anxiety or depression C. Unexplained physical pain D. Recent immigration to the United States
B
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention? A Conduct mental health assessments. B Prescribe psychotropic medication. C Establish therapeutic relationships. D Individualize nursing care plans
B
5. 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 than acting on them." d. "We've admitted several military veterans with posttraumatic stress disorder this month."
B
8. 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 depressive disorder b. Teaching coping skills for a specific family dynamic c. Conducting psychotherapy d. Prescribing antidepressant medication
B
A 52-year-old Chinese American client comes to the emergency room reporting anxiety and states, "I am a failure." During the assessment interview, the client shares that they have recently been reprimanded at work for an error they were responsible for. The nurse should explore which possible trigger for the client's anxiety and feelings of failure? A. The inability to achieve her personal goals in the workplace B. Shaming the family by being responsible for the error C. Feeling personally inadequate regarding dependability D. Traditional belief that failure may result in a changed fate
B
A nurse expresses an exclusive belief in the biological model for mental illness when stating "it's the only one I really believe." What conclusion should be drawn from this statement? A The biological model has been proven to be successful in finding the cause of most symptoms of mental illness. B In believing only in the biological model, other influences on mental health including cultural, environmental, social, and spiritual influences are not taken into account. C The biological model is the most popular theory among leading psychiatrists and therefore the one that should be fully embraced. D The biological model is the oldest and most reliable model for explaining mental illness.
B
A nurse on the psychiatric unit has a past history of alcoholism and has regular meetings with a mentor. Which statement made to the nurse's mentor would indicate the presence of countertransference? A. "My patient, is an elderly woman with depression. She calls me by her daughter's name because she says I remind her of her daughter." B. "My patient has been abusing alcohol. I told her that the only way to recover was to go 'cold turkey' and to get away from her dysfunctional family and to do it now!" C. "My patient is being discharged tomorrow. I provided discharge teaching and stressed the importance of calling the help line number should she become suicidal again." D. "My patient started drinking after 14 years of sobriety. We are focusing on his treatment plan of attending AA (Alcoholics Anonymous) meetings five times a week after discharge."
B
The nurse is caring for an adult client who experienced severe physical abuse from the age of 2 through 12. What information should the nurse provide the client concerning the function of the "id" and the ability to function as an adult? A. It has control over the emotional frustration felt as an adult. B. It is the source of one's survival instincts. C. It is severely damaged by abuse experienced before the age of 5 years. D. It provides an individual with the ability to differentiate believed and real experiences.
B
The nurse is conducting an admission interview with a client who was raped 2 weeks ago. When asked about the rape, the client becomes very anxious and upset and begins to sob. What should be the nurse's response to the client's reaction? A. Reassure the client that anything she says to you will remain confidential. B. Acknowledge that the topic of the rape is upsetting and reassure the client that it can be discussed at another time when she feels more comfortable. C. Use silence as a therapeutic tool and wait until the client is done sobbing to continue discussing the rape. D. Push gently for more information about the rape because the information needs to be documented.
B
Using Maslow's model of needs, the nurse providing care for an anxious client identifies which intervention as being a priority? A. Assessing the client's ability to fulfill appropriate developmental level tasks B. Assessing the client for strengths upon which a nurse-client relationship can be based C. Planning one-on-one time to assist in identifying the fears trigger the client's anxiety D. Evaluating the client's ability to learn and retain essential information regarding their current condition
B
When a nurse and client meet informally or have an otherwise limited but helpful relationship, what term is used to identify this relationship? A. Crisis intervention B. Therapeutic encounter C. Autonomous interaction D. Preorientation phenomenon
B
Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture? A. "What sorts of stress are you presently experiencing?" 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. "Is there someone in your community who usually cures your illness?"
B
Which nursing behavior best demonstrates the concept of cultural competence? A. Educating clients about the cultural norms of the United States B. Adjusting personal practice to meet the clients' cultural preferences, beliefs, and practices
B
Which nursing intervention demonstrates the theory behind operant conditioning? A Showing the client how to be assertive without being aggressive B Rewarding the client with a token for avoiding an argument with another client C Explaining to the client the consequences of not following unit rules D Demonstrating deep breathing techniques to a group of clients
B
Which question should the nurse ask when assessing for what Sullivan's Interpersonal Theory identifies as the most painful human condition? a. "Is self-esteem important to you?" b. "Do you think of yourself as being lonely?" c. "What do you do to manage your anxiety?" d. "Have you ever been diagnosed with depression?"
B
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 feel less anxious."
B
Which theorist is associated with behavioral therapy? A. Freud B. Skinner C. Sullivan D. Peplau
B
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
B
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 views regarding suicide c. explain that suicide is often regarded as a desperate act d. assess the client for other examples of depressive behaviors
B
Epidemiological studies contribute to improvements in care for individuals with mental disorders by: 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.
B D
The World Health Organization describes health as "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity." Which statement is true in regard 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.
B D
Which statement best describes the Diagnostic and Statistical Manual, fifth edition (DSM-5) DSM-5? A It suggests common interventions for mental disorders. B It is a compendium of treatment modalities. C It is a medical psychiatric assessment system. D It offers a complete list of nursing diagnoses.
C
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 cultural view on suicide." d. "The patient's ability to pay for mental health services needs to be assessed."
C
A 26-year-old client is brought to the emergency room by a friend. The client is unable to give any coherent history. Which response should the nurse provide when the client's friend offers to provide information regarding the client? A. "Yes, however, we will have to get a release signed from the client for you to be able to talk with me." B. "There is no need for that as I will call his primary care provider to obtain the information we need." C. "Yes, I will be happy to get any information and history that you can provide." D. "I'm sorry, but I cannot take any information from you as it would violate confidentiality laws."
C
A client states, "I will always be alone because nobody could ever love me." The nurse recognizes that the client is expressing what cognitive-behavioral concept? A actualization B Aversion C Schema D Emotional consequence
C
A nurse is providing care to a 28-year-old client diagnosed with bipolar disorder who was admitted in a manic state. According to Maslow's Hierarchy of Needs theory, the nurse should identify which client symptom as having priority? A Rapid, pressured speech B Grandiose thoughts C Lack of sleep D Hyperactive behavior
C
A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A client with a history of paranoia asks, "What does that title mean?" Keeping in mind the diagnosis of the patient, how should the nurse respond to this question? a. "don't be afraid, it means i am here to help, not hurt you." b. "psychiatric mental health nurses care for people w/ mental illnesses" c. "we have the specialized skills needed to care for those w/ mental illnesses" d. "the nurses who work in mental health facilities have that title"
C
A patient is telling a tearful story. The nurse listens empathically and responds therapeutically with: a. "The next time you find yourself in a similar situation, please call me." b. "I am sorry this situation made you feel so badly. Would you like some tea?" c. "Let's devise a plan on how you will react next time in a similar situation." d. "I am sorry that your friend was so thoughtless. You should be treated better."
C
According to Freud, a client experiencing dysfunction of the conscious as part of the mind will have problems with which aspect of memory? A. Recent memory B. Long-term memory C. All memories D. Painful memories
C
How does Harry Stack Sullivan's Interpersonal Theory view anxiety? A. An emotional experience felt after the age of 5 years. B. A sign of guilt in adults. C. A painful emotion arising from social insecurity. D. The result of trying to go beyond experiences of guilt and pain.
C
The nurse is planning care for a 14-year-old. The nurse demonstrates an understanding of the developmental task appropriate for this client by providing which experience? A. Spending one-on-one time with staff to establish trust B. Providing them with the opportunity to select which unit activities they will participate in to gain autonomy C. Encouraging them to talk about their school plans to help achieve identity D. Assign them to help clean up the dayroom to develop a sense of industry
C
What is the primary difference between a social and a therapeutic relationship? A. Type of information exchanged B. Amount of satisfaction felt C. Type of responsibility involved D. Amount of emotion invested
C
What term is used to describe the process implemented when members of a group are introduced to the culture's worldview, beliefs, values, and practices? A. acculturation B. ethnocentrism C. enculturation D. cultural encounters.
C
What three structural components comprise a nursing diagnosis? A. Unmet need, goal, outcome criterion B. Problem, outcome, intervention C. Problem, probable cause, supporting data D. Presenting symptom, treatment, goal
C
When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled? A Recovery B Attending C Advocacy D Evidence-based practice
C
When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations? a. Assessing the patient for unexpressed concerns and fears b. Evaluating the possible need for additional training and education c. Reflecting on personal behaviors and personal needs d. Avoiding power struggles with the manipulative patient
C
Which client statement demonstrates the mental health concept of resilience? A "My kids, happiness is worth any sacrifice I have to make." B "My mother made decisions about my husband's funeral when I just couldn't do that." C "Losing my job was hard but my skills will help me get another one." D "In spite of all the treatment, I know I'll never be really healthy."
C
Which nursing statement illustrates the concept of client advocacy? A "I'd like you tell me more about your depression and your suicide attempt?" B "Dr. Raye, during the admissions interview the client stated that there is a family history of three other suicide attempts in the past." C "Dr. Raye, during the admission interview, the client stated they will refuse fluoxetine because of adverse effects they experienced previously." D "I will take you on a tour of the unit and orient you to the rules so you can get adjusted here."
C
Which response should the nurse provide a client who asks, "Why you need to conduct an assessment interview"? A. "The assessment interview lets you have an opportunity to express your feelings." B. "You are able to tell me in detail about your past so that we can determine why you are experiencing mental health alterations." C. "We will be able to form a relationship together where we can discuss the current problems and come up with goals and a plan for treatment." D. "I need to find out more about you and the way you think in order to best help you."
C
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
Which statement made by the nurse would acknowledge that they understand the difference between the ethnicity and culture? A. "So, ethnicity refers to having the same life goals whereas culture refers to race." B. "So, ethnicity refers to norms within a culture, and culture refers to shared likes and dislikes." C. "So, ethnicity refers to shared history and heritage, whereas culture refers to sharing the same beliefs and values." D. "So, ethnicity refers to race, and culture refers to having the same worldview."
C
Which tool can the novice nurse might refer to when writing nursing outcomes? A. Nursing Interventions Classification (NIC) B. Joint Commission (formally JCAHO) C. International Classification for Nursing Practice (ICNP) D. North American Nursing Diagnosis Association (NANDA)
C
a nursing dx for a client w/ a psychiatric disorder serves what purpose with considering the plan of care? a. justifying the use of certain psychtropic medication b. providing data essential for insurance reimbursement c. establishing a framework for selecting appropriate interventions d. completing the medical diagnostic statement
C
the mental health status of a particular client can be best 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
C
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 psych nurse specialist c. a client's mental health coverage is equal to his/her med-surg coverage d. a client who has attempted suicide is hospitalized for a mental health evaluation
C
which branch of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated w/ ECT (electroconvulsive therapy)? a. experimental b. descriptive c. clinical d. analytic
C
According to the Western scientific view of health, what causes illness? A. Energy blockage B. Soul loss C. Pathogens D. Spirit invasion
C.
6. 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. National Institute of Mental Illness b. National Alliance on Mental Illness c. International Classification for Nursing Practice d. DSM
D
A 17-year-old client confides to the nurse that they have been thinking of ways to kill a peer. What response should the nurse give when the client states, "you have to keep it a secret because its confidential information"? A. "I will have to share this with the treatment team, but we will not share it with your parents." B. "Yes, I will keep it confidential. We have laws to protect clients' confidentiality." C. "I will keep it a secret, but you and I need to discuss ways to deal with this situation appropriately without committing a crime." D. "Issues of this kind have to be shared with the treatment team and your parents."
D
A 43-year-old client being seen in the mental health clinic states, "I have always been a practicing Jew, but in the past few months I am questioning everything. I just don't know if I believe in it anymore." Which of the following nursing diagnoses best describes the client's comment? A. Ineffective coping B. Risk for self-harm C. Hopelessness D. Spiritual distress
D
A client has been admitted to an inpatient psychiatric unit with suicidal ideation. In a one-to-one session with the nurse, he shares the terrible guilt he feels over sexually abusing his stepdaughter and wanting to die because of it. Which response reflects a helpful trait in a therapeutic relationship? A. "The biggest question is, will you do it again? You will end up having even worse guilt feelings because you hurt someone again." B. "It's good that you feel guilty. That means you still have a chance of being helped." C. "Of course you feel guilty. You did a horrendous thing. You shouldn't even forget what you did." D. "You are suffering with guilt over what you did. Let's talk about some goals we could work on that may make you want to keep living."
D
A client tells the nurse "I really feel close to you. You are like the friend I never had." The nurse can assess this statement as indicating the client may be experiencing which unconscious emotion? A. Congruence B. Empathetic feelings C. Countertransference D. Positive transference
D
A nurse is assessing a patient who graduated at the top of his class but now obsesses about being incompetent in his new job. The nurse recognizes that this patient may benefit from the following type of psychotherapy: a. Interpersonal b. Operant conditioning c. Behavioral d. Cognitive behavioral
D
A term is a synonym for the characteristic of genuineness? A. Respect B. Positive Regard C. Empathy D. Authentic
D
Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy? a. Behavioral b. Biofeedback c. Aversion d. Exposure and response prevention therapy
D
The mental status examination aids in the collection of what type of data? A. Covert B. Physical C. Subjective D. Objective
D
The nurse providing anticipatory operant conditioning guidance to the mother of a toddler should advise that childhood temper tantrums are best handled by which intervention? A. Giving the child what he/she is asking for B. Scolding the child when he/she displays tantrum behaviors C. Spanking the child at the onset of the tantrum behaviors D. Ignoring the tantrum and giving attention when the child acts appropriately
D
The outcome of the nurse's expressions of sympathy instead of empathy toward the client often leads to which outcome? A. Enhanced client coping B. Lessening of client emotional pain C. Increased hope for client improvement D. Decreased client communication
D
What is the primary source for data collection during a psychiatric nursing assessment? A. client's nonverbal responses. B. Clients medical treatment records C. client's family and friends. D. Clients own words and actions
D
What term is used to identify the quantitative study of the distribution of mental disorders in human populations? A prevalence B Clinical epidemiology C mortality D epidemiology
D
Which action reflects therapeutic practices associated with operant conditioning? a. Encouraging a parent to read to their children to foster a love for learning b. Encouraging a patient to make daily journal entries describing their feelings c. Suggesting to a new mother that she spend time cuddling her newborn often during the day d. acknowledging a patient who is often verbally aggressive for complimenting a picture another patient drew
D
Which client problem would be most suited to the use of interpersonal therapy? A. Disturbed sensory perception B. Impaired sensory perception C. Medication noncompliance D. Dysfunctional grieving
D
Which phase of the nurse-client relationship may cause client anxieties to reappear and past losses to be reviewed? A. Preorientation phase B. Orientation phase C. Working phase D. Termination phase
D
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 can I explain why we can't provide for his request for acupuncture?" C. "How do I go about arranging for a Chinese translator?" D. "What can I do to provide ethnic foods that are still low in fat?"
D
an individual is found to consistenly wear only a bathrobe and neglect the cleanliness of his apt. when neighbors ask him to stop his frequent outburts of operatic arias, he acts outrated and tells them he must sing daily and will not promise to be quieter. this behavior suppirts 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 w/ social norms
D
A nurse states, "I am so frustrated trying to communicate with clients when they insist on speaking in their language instead of English. I think if people want to live here, they ought to have to speak our language and act like we do!" Which response by a peer best promotes culturally competent care?Select all that apply. A. "You are right, but all patients do have a right to an interpreter, so you need to comply." B. "I agree that it is frustrating. We should work with their family members to help convince them to speak English." C. "They will have to learn to speak English eventually to live and work successfully in this country. Just try to be patient and encourage them to try speaking English." D. "What you are saying is actually considered cultural imposition, which is imposing our own culture onto someone from a different culture." E. "When their ability to speak and understand English is very limited, we need
D E
The nurse being aware that certain mental illnesses have a prevalence among a specific gender, will suspect which statement was made by a female client? (Select all that apply.) A "I'm so anxious, about everything." B "There is no way I could make a presentation to a group of people." C "I freeze in panic when I see a spider." D "I've been depressed most of my adult life." E "I've been arrested 6 times in the last 15 years."
D, E
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
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
d
