level 4 quiz 1
A nurse is discussing the effects adverse childhood experiences (ACE) have on the brain with a client who has a history of ACEs. Which of the following statements should the nurse include?
"ACEs force client to live in survival mode"
A nurse is leading a group session when a client begins cursing and running around the room shouting, Which of the following actions should the nurse take?
Suggest the client go someplace quiet and compose themselves
A nurse is caring for a school-age child who is experiencing significant functional impairment at school and reports feelings of worthlessness and hopelessness. Which of the following recommendations should the nurse give to the child's parents?
"Due to the severity of symptoms, it is recommended that you seek professional care for your child very soon and monitor their mood for any worsening symptoms."
A nurse on a mental health unit is discussing laws that guide the care of clients on the unit with a newly hired staff member. Which of the following statements by the staff member indicates an understanding.
"a physical injury does not need to occur for a client to make a claim of battery"
A newly licensed nurse asks a charge nurse, "what is the difference between a suicide attempt and self-ham?" which of the following responses should the charge nurse give?
"a suicide attempt is when a person harms themselves with the intent to die but does not. Self-harm is when a client intentionally inflict harm on themselves but does not have intention to kill themselves.
A nurse is discussing the purpose of ethics with a newly licensed nurse. Which of the following statements should the nurse make?
"ethics provides a system of moral principles or standards for governing conduct"
A nurse on a mental health unit is discussing types of admissions with a newly licensed nurse. Which of the following statements should the nurse make?
"most states require two providers to asses a client and confirm the need for an involuntary admission"
A nurse is reinforcing teaching with a group of adolescents about the effects of adverse childhood experiences (ACE). Which of the following statements should the nurse include?
"there can be issues with the brain development"
A nurse in a pediatric provider's clinic is caring for four adolescents. Which of the following adolescents should the nurse identify as having a risk of sustaining an adverse childhood experience (ACE)?
A 17-year-old adolescent who states their parent has alcohol use disorder
A newly hired nurse on a mental health unit is discussing the concept of client competency with the charge nurse. Which of the following information should the charge nurse include?
A client is considered mentally competent until they deemed incompetent by a judge in a legal hearing.
A nurse is assisting with teaching a group of newly licensed nurses about stigma. Which of the following client scenarios should the nurse include as an example of self-stigma?
A client refuses to pick up their prescription for an antidepressant because they do not want the pharmacist to know that they are on an antidepressant.
A nurse is caring for a group of clients at a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?
A client who is giving away their possessions
A nurse is reviewing the medical records of a group of clients. The nurse should identify that which of the following factors places a client at risk for mental illness?
A history of abuse
A nurse is collecting data about disparities in access to mental health care for clients who live in a rural area. Which of the following primary consequences should the nurse expect?
A longer period of time between the onset of symptoms of mental illness and treatment
A nurse should identify that which of the following is a U.S. congressional act that mandates health parity?
Affordable Care Act of 2010
A nurse is reviewing humanistic theorists. Which of the following theorists were primarily involved in developing the humanistic theory?
Abraham Maslow
A nurse is caring for a client who is in physical restraints. The nurse should identify that which of the following complications can result from inadequate monitoring of the client? SATA a. Positional asphyxia b. Food aspiration c. Cardiac arrest d. Infection e. Somnolence
Answer: a., b., c.
A nurse overhears unit staff workers making jokes about a nursing student. This is an example of which of the following?
Incivility
A nurse is talking with a client who says that although they do not have any mental illness, they have felt extremely depressed, and have considered suicide lately. The nurse should identify that this client is in which of the following zones of the mental health continuum?
Crisis
A nurse is discussing privacy and confidentiality with a client. Which of the following is a U.S. congressional act that sets the standards for client privacy and confidentiality?
HIPPA
A nurse is collecting data from a client who lives in a rural area and is seeking treatment for anxiety. Which of the following is the benefit of the nurse asking the questions about possible mental health care disparities?
Mental health disparities can lower the quality of life for the clients who experience them.
A nurse is caring for a newly admitted client who expresses concern that their insurance will not cover their care. The nurse should identify that which of the following is a U.S. congressional act that requires provides to inform their clients of the costs for treatment and whether their insurance will cover it?
No surprises act
A nurse is caring for a client who reports that they are having a hard time completing their ADLs due to feeling anxious. The client also reports feeling tired, difficulty sleeping, having poor appetite. The nurse should anticipate they would fall in which end of the mental health continuum?
The client would fall closer towards the mental illness end or struggling
A nurse is caring for a newly admitted client who states they are concerned about their privacy and rights while on the psychiatric unit. The nurse should explain to the client that they have which of the following rights?
The right to refuse treatment
A nurse on a mental health unit is caring for a client to return to their room to calm down. Which of the following de-escalation techniques is the nurse using?
Time out
A nurse is discussing different factors of determinants of mental health during a staff meeting. Which of the following factors should the nurse include in the discussion? (select all that apply)
Unsafe drinking water, exposure to an adverse childhood event, a playground in the neighborhood, national policy addressing cyber-bullying