Psych Mixed Question Review

Considering that cognitive behavioral therapy (CBT) requires a clear understanding of one's own belief system, which client is not a candidate for effective CBT?

The client diagnosed with schizophrenia 2 years ago.

A 42-year-old client was recently diagnosed with hypertension. Which of the following occurrences would be a positive reaction to the acute stress of this new diagnosis?

Decreasing dietary sodium and fat intake

A nurse is conducting an information session at a local senior center about mental health problems and the older adult. Which information would the nurse most likely include?

Depression is often untreated in this population.

The nurse working with pediatric clients knows the importance of checking for developmental delays, which not only slow the child's progress but also are often associated with what?

Development of poor self-esteem

A client can protect himself from the negative effects of stress with which of the following?

Social and emotional resources

Which of the following are characteristics associated with resilience? Select all that apply.

Social engagement, optimism, and emotional well-being

The nurse is conducting a mental health assessment of a client who has been experiencing low mood, anxiety and loss of pleasure for the past month. The client tells the nurse he comes from a "really big family." Despite this, the client tells the nurse he continues to feel alone. Select the nurse's best response.

" You can have lots of people in your social network and still feel isolated."

A nurse is conducting a presentation for a local senior center on factors that protect an older adult's mental health. The nurse determines that additional teaching is needed based on which statement by the participants?

"Being underweight is a good thing when you're older."

The nurse is assessing a client who has been referred for disturbed sleep due to increased anxiety and low mood. In order to determine the role of emotions in the client's stress response, the nurse should ask which question?

"Can you tell me how you have been feeling most of the time for the past month?"

A group member arrives at a group session visibly upset. The member is attending a medication group that meets once a week. The group leader observes the member's appearance. Which response by the leader would be most appropriate?

"I can see you're upset right now. Let's take some time to talk after group."

A nurse is working in a mental health clinic. Which client statement should the nurse recognize as describing a type A personality?

"I work harder than anybody else in my job. I am not satisfied until I achieve each goal I set for myself."

A nurse is conducting presentation at a local community health center about caregiving in the home. One of the participants asks the nurse, "Who is the typical caregiver?" Which response by the nurse would be most appropriate?

"Most often, it's the woman in the household that is the caregiver."

A nursing instructor is teaching about mental health promotion for young and middle-aged adults. Which of the following statements by a student indicates a need for further instruction?

"Psychological changes in adulthood occur rapidly with age."

A group of psychiatric nurses working in a community mental health center are participating in a training program for preventing and managing aggressive behavior offered regularly by the center. Which statement by the nurses indicates that the program was successful in achieving its outcome?

"We have the most up-to-date information on the best ways to handle this problem."

A psychiatric-mental health nurse is working as part of the interdisciplinary team to develop the plan of care for a client who is to receive solution-focused behavior therapy. Which question would the nurse identify as being most appropriate to ask during the client's initial session?

"What brought you here today?"

The nurse is assessing a client of an Eastern culture who is admitted due to the need for anger management. What question should the nurse ask to determine the effect of culture on the client's expression of anger?

"What did you learn about anger when growing up?"

The nurse is working with a client who yells at the nurse, "I am angry about how you keep treating me without respect!" What is the nurse's best response?

"What have I done or said that is disrespectful?"

During a follow-up visit, a client asks the nurse, "Why is it that most mental disorders more commonly occur among young adults, and not as a person ages?" Which response by the nurse would be most appropriate?

"Young adults have increased demands being placed on them."

A nurse is assessing an older adult client's risk for suicide. Which statement by the client would the nurse interpret as placing the client at increased risk? Select all that apply.

- "I've been having some major health problems for the past several years." - "I'm still mourning the loss of my spouse who died over two years ago." - "I'm pretty much a homebody and stick to myself."

A nurse is assisting a middle-aged adult to adjust to the changes in bodily function and appearance that are occurring. When developing a teaching plan for this patient, which suggestion would be most appropriate for the nurse to include? Select all that apply.

- "Keep a regular routine for when you are getting ready to go to bed each night." - "Maintain regular visits to your health care provider for routine screenings." - "Ensure that you plan for times to relax and enjoy things you like to do."

A psychiatric-mental health nurse is interviewing the family members of a client diagnosed with Alzheimer's disease. The members mention that they feel all alone and are having problems dealing with the everyday and long-term issues of caring for the client. The nurse determines that a referral to a group would be beneficial. Which type of group would be most appropriate for the nurse to suggest?

A supportive therapy group

A psychiatric-mental health nurse is working with a client who is receiving rational emotive behavior therapy. While reviewing the client's history, the nurse identifies statements that reflect common themes associated with irrational beliefs. Which theme would the nurse most identify in these beliefs?

Absolute thinking

In viewing the stages of the family life cycle, those families in later life undergo which emotional transition?

Accepting the shifting of generational roles

An important part of the nurse's role as a family consultant is to do what?

Acknowledge and show respect for what the family has experienced.

A psychiatric-mental health nurse is presenting a program for a group of community leaders about mental health and children and adolescents. When describing the current status of out-of home placement, which group would the nurse most likely identify as accounting for the greatest percentage?

Adolescents

The nurse is seeing a client who experienced a traumatic event. The client describes being held at gunpoint while working at a convenience store. The client tells the nurse, "it's like my heart was going to beat through my chest." The nurse recognizes the client is describing which stage of general adaptation syndrome?

Alarm reaction

Which of the following would not be expected to occur during the sympathetic response (or the fight-or-flight reaction) to a stressor?

Blood clotting ability decreases.

A 10-year-old girl is brought to the emergency department. After conducting the assessment, the nurse suspects that the child may have been sexually abused. Which finding would support the nurse's suspicion? Select all that apply.

Bruising on the genitals, hyperalertness, and positive test for gonorrhea

Which term is used to describe an activity used to release anger?

Catharsis

A nurse is constructing a genogram of a family. Assessment reveals that the maternal grandmother died at age 69. The nurse would depict this person on the genogram using which symbol?

Circle with an "x" through it

Client 1 has been talking to Client 2 about Client 2's frequent denial in the group for two weeks. On the third week, Client 2 comes late to the group. When they begin to discuss Client 2's lateness, Client 2 gets up and leaves. The content of this exchange is the discussion. The process that is occurring may be that ...

Client 2 is angry with Client 1 for the confrontation.

The nurse decides to place an aggressive and violent client in mechanical restraints. The nurse bases this decision on what?

Client's safety

The nurse therapist is setting goals for a family in therapy. One goal is for the family to adopt a healthy family structure. Which would be an appropriate outcome criterion for this goal?

Conflicts are resolved in a rational manner

The efforts one takes to manage situations that have been appraised as being potentially harmful or stressful refers to ...

Coping

A nurse is reviewing the results of the Behavioral Risk Factor Surveillance System. Which factor would the nurse most likely expect to find as contributing to low well-being?

Disability

Which of the following conditions triggers the general adaptation syndrome?

Distress

A nurse is leading an anger management group in the inpatient program. A client says, "I'm feeling really tense, and I'm fidgety today." What is the nurse's most appropriate response to the client's comment?

Explore what is underlying the client's physical and emotional state

The Calgary family assessment model and the Calgary family intervention model are dimensional frameworks that conceptualize the family into categories of structural, developmental, and ...

Functional

A nurse is conducting a program for community health leaders about out-of-home placement and factors contributing to this situation. The nurse determines that the program was successful when the group identifies which factor as contributing to out-of-home placement?

Growing population of families living in poverty

A protective factor in older adults' mental health against suicide and despair in later life is ...

Having a sense of meaning or purpose

When the client is in restraints or seclusion, which of the following must occur?

He or she must be monitored continually.

During an interview, a child whose parent abuses alcohol tells the nurse, "When I get home from school every day, I pick up my younger brother and sister from the bus stop and get them a snack before I start making dinner for everyone. I also make sure that my parents eat." The nurse interprets this behavior as the child fulfilling which role?

Hero

Which indicates that the nurse, acting as a leader for a group of recovering clients with alcohol abuse, is addressing the responsibility of maintaining the group's process?

Keeping the group on task by restating goals

The mother of a 5-year-old girl who shows clinging behavior and gets anxious when not with either parent asks how to help the child relax enough to go to sleep without staying beside the child's bed. The nurse should recommend that the mother does which of the following?

Leave the door open so the child can hear the parents' voices while going to sleep.

A nurse must assess for characteristics that are predictive of violent behavior. Research suggests violent behavior is influenced by possession of which attribute?

Low self-esteem

An occupational health officer who works in the context of a large police force is attempting to understand the role that stress may play in the health of his clients. According to Selye, which of the following statements best captures an aspect of the phenomenon of stress?

Periods of stress can be developmentally positive or negative.

The older adult consumes two to six prescription medications and two to three over-the counter medications each day. This use of numerous medications that sometimes leads to drug abuse and adverse drug reactions is known as which of the following?

Polypharmacy

A psychiatric-mental health nurse is assisting with cognitive interventions used for clients. The nurse understands that increasingly the focus of practice iwth these interventions is in which setting? Select all that apply.

Private homes, community, and primary care settings

During a group session, a nurse leader observes a member look down at the floor and change position in the chair, each time the topic of anger and violence comes up. The nurse leader says to the member, "I've noticed that any time the discussion involves anger and violence you look away and change your position. Is something going on?" The nurse leader is using which technique?

Reflecting behavior

When clients are asked to consider the points of view of significant others in their lives, the nurse is asking which type of question?

Relationship

The nurse is caring for a client hospitalized in an inpatient psychiatric setting for a history of violent behaviors and delusions. The nurse should instruct the client's family that aggression has been linked to low levels of which bodily chemical?

Serotonin

The nurse is caring for a 16-year-old boy who says to the nurse, "I am the youngest. I get treated like a baby. My older brothers can do anything that they want and they treat me like I am 6 years old, not 16!" What does the nurse understand determines this behavior?

Sibling position

Which of the following is accurate regarding risk factors?

They influence the likelihood that symptoms will appear

A client states that she is anxious about separating from her emotionally abusive husband because she hasn't worked in many years. Using Beck's cognitive triad, the nurse understands that the client is concerned primarily about what?

Threats about her future

Which intervention would be most effective for friends and family members to implement in order to boost the self-esteem of a person who has just experienced trauma or abuse?

To help them to refocus their view of themselves from being victims to being survivors

A client reports anxiety over "sounding stupid" when talking to strangers. As a part of cognitive behavioral therapy, the client is expected to speak to a stranger on the bus ride home and to journal about the experience. What information will be evaluated to determine the effect the activity has on the client's irrational belief about "sounding stupid"?

What actually happened compared to what the client feared would happen

The nurse is counseling a couple who have just gotten divorced. The wife has custody of the two children, ages 7 and 9 years. The nurse should instruct the couple that divorce can affect the children and that ...

a structured home and school environment can lessen the emotional problems.

What comprises the largest source of long-term care services in the United States?

iInformal caregivers

A client with post-traumatic stress disorder is referred to a group to help the client deal with the issues associated with the trauma and its aftereffects. Which group would be most appropriate for this person?

psychotherapy group

A client diagnosed with schizophrenia is having hallucinations. Which type of group would be beneficial for this client?

symptom management