Mental Health Final
A family adopts a 7-year-old boy from an international adoption agency with little information on the child's history. They bring the child to a therapist because the child is withdrawn, destroys things in the house, and hits his adoptive siblings without provocation. As the therapist develops a trusting relationship with the child, what type of intervention would be initially used to gain input from the child? a Psychoeducation b Art therapy c Joint stabilization plan d Development of coping strategies
b
A male client has a schizotypal personality disorder. A female client compliments him on his style of dressing, and he interprets this as her caring deeply for him and desiring to date him. What is the client experiencing? a Paranoia b Ideas of reference c Inappropriate affect d Delusions of grandeur
b
A male client has been diagnosed recently with a chronic illness. His family tells the nurse that they have noticed that he has not been attending his weekly card game night with his friends and does not return their calls. What reaction is this client most likely experiencing? a. Anxiety b. Withdrawal c. Shock d. Anger
b
A male client is being discharged from a mental health facility and is worried about what to tell his friends and co-workers regarding his time away. The nurse helps the client plan what to say to others about his disease. The nurse is functioning in the role of: a. Change agent b. Teacher c. Therapist d. Technician
b
A male client with the diagnosis of depression is taking a monoamine oxidase inhibitor (MAOI). Which is the most important teaching point the nurse must include in his care plan? a Avoid foods high in sodium content b Avoid alcoholic beverages c Ensure that protein intake is 60 grams per day d. Take a potassium supplement
b
Abuse during pregnancy endangers the health and well-being of the pregnant woman and her fetus. Which complicating factor is seen twice as much in women experiencing abuse during pregnancy? a. Postpartum hemorrhage b. Preterm delivery c. Maternal substance abuse d. Delivery by caesarean section
b
Abuse during pregnancy endangers the health and well-being of the pregnant woman and her fetus. Which complicating factor is seen twice as much in women experiencing abuse during pregnancy? a Postpartum hemorrhage b Preterm delivery c. Maternal substance abuse d. Delivery by caesarean section
b
Children who are smaller at birth, have small heads (microcephaly), and fail to develop normally have characteristics of: a Parents who smoke b Fetal alcohol syndrome c Fetal alcohol intoxication d Fetal accumulation syndrome
b
During a conversation with a male client, he voices that he really appreciates his family, likes his job, and enjoys groups in which he volunteers. According to Maslow's theory, what is this client experiencing? a. Symbolization b. Self-actualization c. Equilibriumd. Identification
b
During the mental status assessment, the nurse hands the client a piece of paper that reads "Please raise your left hand." If the client follows the command, the nurse has just assessed which ability of the client? a Abstract thinking b Reading c General knowledge d Memory
b
Eating disorders, substance abuse, delinquent behaviors, posttraumatic stress disorder, and suicide most commonly are seen as the result of abuse in this population: a. Children b. Adolescents c. Adults d. Elderly
b
Emotional or behavioral problems that develop in response to an identifiable source and last no longer than 6 months are called ____ disorders. a Conduct b Adjustment c Impulse-control d Oppositional defiant
b
Interventions for assaultive clients that focus on protecting the client and others from potential harm are level ____ interventions. a. One b. Two c. Three d. Four
b
The daughter of an elderly nursing home resident is crying outside her father's room. When the nurse comforts her, she states, "It is so hard to come here to visit when my father doesn't even know who I am." The nurse knows the client is in which stage of Alzheimer's disease? a Early stage b Intermediate stage c Severe stage d End stage
b
The elderly spouse of a 74-year-old male client states that she has noticed that her husband "doesn't remember as well as he used to." She explains that he has been putting on his coat before his shirt, and that he can never get their checkbook to balance as it did in the past. The client is exhibiting signs and symptoms typical of: a Vascular dementia b Alzheimer's disease c Acute delirium d Aging
b
The experience and suffering of living with mental illness: a. Decreases as one grows older b. Is unique to each person c. Follows a predictable course d. Is common to all mentally ill persons
b
The nurse begins discharge planning measures with a hospitalized client: a Near the time of discharge b At the time of admission c 3 days into the hospital stay d On the day before discharge
b
The nurse is reviewing information regarding a female client that was obtained with the psychiatric assessment tool. The client's ability to provide food and shelter for herself is included in which area of the assessment? a. Appraisal of health and illness b. Coping responses, discharge planning needs c. Knowledge deficits d. Previous psychiatric treatment
b
Three years after the loss of her husband of 35 years, the widow has a full-time job but finds that she cannot sleep well at night, has frequent mood changes, and attends the couple's night out with friends that she and her husband attended. Upon seeking counseling, she discovers that she is exhibiting symptoms of: a Bereavement-related depression b Complicated grief c Anticipatory grief d Caregiver grief
b
Vascular dementia is more common in individuals living in: a The United States b Japan c France d Australia
b
When should the nurse begin preparations for the termination phase of a therapeutic relationship? a During the orientation phase b Prior to the last meeting c During the last meeting d After all goals have been met
b
Which disorder is associated with persons with a body weight that is normal or even slightly above average? a Pica b Bulimia c Obesity d Anorexia nervosa
b
During the process of communication, a chain of events occurs as soon as the message is sent. Steps in this chain include transmission, perception, and evaluation. Place these steps in proper order. a. Transmission b. Perception c. Evaluation
b c a
The assessment phase of the nursing process refers to the phase when data collection occurs. Which methods does the nurse use to collect data? (Select all that apply.) a Interpreting client behaviors b Interviewing the client and significant others c Observing client behavior d Performing physical assessment e Reviewing diagnostic testing results
b c d e
The nurse anticipates that the normal aging process of losing neurons and shrinkage of brain size will result in which assessment findings in older adults? (Select all that apply.) a Confusion b Slower response times c Depression d Deficiencies in short-term memory
b d
The __________ theory explains aggression and violence as being caused by physical or chemical differences among people.
biological
A 19-year-old male client is being treated for a drug addiction. He continually voices his dread of being discharged because he knows he will have to live with his parents and follow their rules until he can earn enough money to live on his own. He is showing increasing resistance to treatment measures, such as attending group sessions, and is refusing to acknowledge that he has an addiction or that he needs treatment. Which behavior is the client demonstrating? a Transference b Primary resistance c Secondary resistance d Tertiary resistance
c
A 75-year-old man finds that he continually misplaces items he uses every day. In addition, his wife becomes annoyed when he asks the same question several times because he does not remember the answer. What advice is the most appropriate for his health care provider to give him? a These symptoms are a normal part of aging and he should accept it. b He has Alzheimer's disease and nothing can be done to help him. c Further assessment is needed to determine the cause of these symptoms. d Admission to a nursing home for more intensive care is needed.
c
A family experiences the loss of their wife and mother to a car accident. Which family member is most likely to react by asking "When is mommy coming back?" a The 17-year-old son b The 11-year-old daughter c The 4-year-old son d The 7-year-old daughter
c
A female client was given the diagnosis of schizophrenia and recently has lost her job. She tells the nurse that she has enough money for only two more house payments, and if she does not find a job, she fears she will become homeless. The nurse knows that this client falls into the group of nearly __________ of U.S. citizens who live below the poverty level. a. 1% b. 6% c. 12% d. 25%
c
A male client is seeking help in a mental health clinic for anger management problems. He voices that he is fearful that his wife may divorce him because of his anger problem, and he is willing to do "whatever it takes" to control his anger. Later in the week, the client's wife also seeks assistance because she is going to divorce her husband. The nurse who is caring for both of these clients tries to decide the correct action to take. The nurse is experiencing: a A moral dilemma b Value clarification c An ethical conflict (or dilemma) d A breach of confidentiality
c
A male client takes ibuprofen twice a day, every day, for his arthritis. He becomes very anxious when he does not take his normal doses. This client is experiencing: a Physical tolerance b Substance dependency c Psychological tolerance d Early-stage addiction
c
A physically or mentally impaired older woman who is living with a relative and has a history of unexplained bruises or injuries, burns in unusual places, or poor personal hygiene is likely a victim of: a Neglect b Child abuse c Elder abuse d Adolescent abuse
c
During a crisis assessment due to the diagnosis of a terminal illness, the nurse is trying to determine what the client's history is with regard to losses. Which question will best assess this area? a "How easily do you adapt to new situations?" b "What is your understanding of the current situation?" c "Who or what has helped you through crisis situations in the past?" d "How is this situation affecting your family?"
c
In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of mental health because it funded: a Research on drugs for the treatment of mental health disorders b Training of mental health professionals c Construction of psychiatric units in facilities throughout North America d Development of community mental health clinics
c
Refugees frequently experience depression, anxiety, and stress-related disorders caused by their particular circumstances. Therefore, in addition to a cultural assessment, what is important for the nurse to assess? (Select all that apply.) a Immigration history b History of arrival in the new country c How long the refugee has been in the new country d Whether anyone or anything was lost in coming to the new country e What type of medical insurance the refugee will be seeking to obtain
a b c d
During the sociocultural assessment of a client who is entering a mental health program, the nurse focuses on which information related to the client? (Select all that apply.) a Education b Income c Ethnicity d Age e Gender f Medications g Previous diagnoses h Belief system
a b c d e h
Which aspects of adult mental health care systems did the National Alliance on Mental Illness survey focus on? (Select all that apply.) a Availability of care b Access to care c Regulation of medications d Increased funding
a b d
Which of the following are characteristics of a therapeutic relationship? (Select all that apply.) a Acceptance b Rapport c Problem solving d Genuineness e Therapeutic use of self f Mutual support
a b d e
Which symptoms may be seen in a person who is having a panic attack? (Select all that apply.) a. Shortness of breath b. Fear of dying c. Recurrent persistent thoughts d. Palpitations e. Chills f. Feelings of depersonalization
a b d e f
Clients diagnosed with Type I-Positive Schizophreniasymptoms respond better to antipsychotic medications. Manifestations of Type I Schizophrenia include which of the following? (Select all that apply.) a. Delusions b. Hallucinations c. Apathy d. Anhedonia e. Illusions
a b e
Which functions of a person are diminished or impaired during illness? (Select all that apply.) a. Social b. Medical c. Emotional d. Physical e. Intellectual
a c d e
The use of protective devices may be considered false imprisonment. In order to assure the rights of the client are not violated, which practices must be implemented when using a device? (Select all that apply.) a A written medical order must be on the medical record b Client must be confined to bed. c Restraints must be removed and limb exercised every 2 hours. d Restraints must be implemented in the event of short staffing as a preventive measure. e Client must be assessed and monitored every 15 minutes.
a c e
Which of the following psychosocial nursing diagnoses are related to anger and aggression? (Select all that apply.) a Anxiety b Violence, risk for other-directed c Hopelessness d Violence, risk for self-directed e Coping ineffective, individual f Fear
a c e f
The characteristic of genuineness helps in establishing a therapeutic relationship with a client. Which nurse response is the best example of a display of genuineness to a client who is going through a difficult divorce? a. "I know exactly how you feel. My husband and I divorced 2 years ago because of his infidelity." b. "Divorcing my husband was the best thing I ever did." c. "I have friends who have gone through a divorce. It must be difficult for you." d. "I am sorry that you have to go through this difficult time."
c
The client interprets the proverb "A rolling stone gathers no moss" as "As long as the rock keeps moving, it won't turn green." This is an example of: a Mutism b Flight of ideas c Concrete thinking d Loose association
c
The nurse who feels the most beneficial part of the client's inpatient stay is the establishment of an interpersonal relationship with the nurse is an example of which nursing theorist? a. Orem b. Watson c. Peplau d. Roy
c
Throughout the life cycle, which age group has the most difficult time relating to their own death? a. Toddler b. Preschool c. Adolescent d. Adult
c
To cope with the devastating effects of schizophrenia and other serious mental illnesses, family members or significant others and clients will benefit most from: a Regular psychoanalysis b Intensive short-term therapy c. Ongoing treatment and support d. Continued medication adjustments
c
Trends that have contributed to the recent increase in eating disorders in the United States include a(n): a More competitive workplace b Increase in the number of divorces c Focus on being thin as a measure of attractiveness d Increase in the number of nonnutritional foods consumed
c
What is the first nursing priority in a client with the nursing diagnosis of "Personal identity, disturbed"? a Promote wellness b Assist the client to manage any threatening feelings c Assess causative and/or contributing factors d Determine which medications will work most effectively
c
Which client would be a candidate for ECT? a A client with mild depression b A severely depressed client with congestive heart failure c A client with severe, long-lasting depression d A severely depressed client with history of a brain tumor
c
Which of the following best describes the disorder that was first recognized in veterans following the Korean and Vietnam Wars? a Depression b Bipolar disorder c Post-traumatic stress disorder d Paranoid schizophrenic disorder
c
Which symptom of Alzheimer's disease is associated with disorientation to time and place? a Forgetting in what order to put clothes on b Forgetting simple words c Forgetting where one lives d Becoming suspicious of others
c
A therapeutic relationship has four phases. Place these phases in proper order. a. Orientation b. Termination c. Preparation d. Working
c a d b
Place in the proper order the steps in the process of growing as a result of failure. a. Consider one's failure as a learning experience b. Give oneself permission to fail c. Understand that failure is a necessary part of change d. Discover opportunities that are created by failure
c b a d
Place the steps of grieving in proper order. a. Acceptance and recovery b. Depression and identification c. Denial d. Yearning
c d b a
Which of the following CAM mental health therapies are indicated for a client with PTSD? (Select all that apply.) a Diet b Aromatherapy c Eye movement desensitization d Yoga e Biofeedback
c d e
Good problem-solving is necessary for the mentally healthy individual. Place the steps of the problem-solving process in order. (Separate letters by a comma and space as follows: A, B, C, D, E, F, G)a. Examine all possible options b. Examine outcomes of the option's application c. State the problemd. Evaluate and revise actions based on outcomes e. Collect information about the problem f. Choose the best option, and apply it to the problem g. Identify the causes or patterns of the problem
c e g a f b d
A 22-year-old woman is brought to the inpatient unit for attempting suicide. Her clothes are clean and her general appearance is neat and well groomed. She appears to be well nourished. In considering Maslow's hierarchy of needs, which is a priority for this client? a Physiologic b Love and belonging c Self-actualization d Safety and security
d
When reviewing the nursing notes from the previous shift, the nurse notices notations indicating that the client was experiencing a somnolent level of consciousness. The client's behavior would be described as: a. "Falling asleep easily and only awakening with strong verbal stimuli" b "Frequently sleeping and awakening only to strong physical stimuli" c. "Unresponsive to any verbal or painful stimuli" d. "Having alternating periods of excitability and drowsiness"
a
Whenever there is a history of unexplained lethargy, fussiness, or irritability in an infant, caregivers should suspect ____ syndrome. a Shaken baby b Drugged baby c Depressed infant d Feeding disorder
a
Which is the best way for the nurse to assist clients in managing their pain? a By setting mutual goals b By focusing on nursing care c By administering narcotic analgesics d By telling the clients to think of something else
a
Which is the best way that a nursing unit manager can assist his or her staff in maintaining a professional commitment to their job and profession? a Frequently offering and requiring a specific number of hours of in-service training on new care modalities within the facility b Requiring out-of-facility continuing education hours twice a year c Encouraging staff to subscribe to nursing journals to keep up-to-date on new information d Keeping nursing journals on the unit for easy access to staff
a
Freud's psychoanalytical theory states that an adult is more likely to be mentally healthy if there is a balance between which parts of the mind? (Select all that apply.) a. Id b. Ego c. Superego d. Conscience
a b c
The nurse who is caring for a 23-year-old client with bulimia knows that the most common method of purging to monitor this client for is: a Vomiting b Starvation c Excessive enema use d Use of syrup of ipecac
a
The set of emotional reactions that accompany a loss is called: a. Grief b. Anxiety c. Mourning d. Bereavement
a
Which treatments are used in biologically based practice? (Select all that apply.) a Dietary supplements b Aromatherapy c Herbal supplements d EDTA
a b c
A 15-year-old female is seen in the clinic for episodes of cutting herself since her parents divorced six months ago. Which nursing diagnosis is a priority for this client? a Behavior, risk-prone health b Spiritual distress c Social interaction, impaired d Family processes, interrupted
a
A female client admitted to a mental health facility for depression is frequently asking for help in deciding which foods to choose for her meals as well as which activities she should participate in. Which stage of illness is she experiencing? a Dependency b Symptoms c Recovery and rehabilitation d Sick role
a
A male client with a history of schizophrenia was admitted to the mental health facility after he was found on the street confused and uncooperative when approached by the police. One of the first assessments that should be performed on this client upon admission is a: a Physical assessment b Sociocultural assessment c Psychosocial assessment d Psychiatric assessment
a
A nurse is trying to develop trust with a client on an inpatient mental health unit. Which action by the nurse is going to best promote development of a mutually trusting relationship? a At the beginning of the shift, the nurse promises to play a game of cards with the client at some point during that day and does so before the end of the shift. b The nurse promises to play a game of cards with the client on the following day. c The nurse leads a group discussion with clients about ways to develop trust in a relationship. d The nurse gives the client written information about the medications he is taking.
a
Decisions about a terminally ill client's remaining time belong to the: a Person b Family members c Medical care team d Spiritual advisor
a
Selective serotonin reuptake inhibitors (SSRIs) are most health care providers' drug of choice for the treatment of depression because: a The side effects are more manageable than with other antidepressants. b They are the only class safe for long-term therapy. c This is the oldest class of antidepressants. d They are fast-acting medications.
a
Sleep terrors usually occur only once a night, during stages 3 and 4 of NREM sleep. They are often accompanied by which physical sign? a Intense stress b Sexual arousal c Physical strength d Intense motor activity
a
Symptoms of obsessive-compulsive disorder can occur in children as young as: a 3 years old b 5 years old c 7 years old d 9 years old
a
The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational soul could be compared with the belief of the more recent psychological theorist: a. Freud b. Pinel c. Fisher d. Rush
a
The drug most often abused by adolescents is: a. Alcohol b. Cocaine c. Tobacco d. Marijuana
a
The nurse is preparing an adult male client, who has been successfully treated for a social phobia, for the termination phase of the therapeutic relationship. During their last meeting, the client told the nurse that he noticed he has developed a nervous habit that started a few days ago of checking his door at home several times a day to be sure it is locked. This client is exhibiting the client response to termination known as: a. Continuation b. Regressionc. Withdrawald. Confabulation
a
According to Glaser and Strauss, the closed awareness model can be applied to family, friends, care providers, and the dying individual. Which of the following statements are true of the closed awareness model? (Select all that apply.) a Medical personnel and family keep the condition secret from the client. b Caregivers and client know about impending death but do not talk about it. c Caregivers and client accept death and have open conversations. d Dying client feels isolated from the ability to share with family. e Dying client becomes suspicious of the truth, and information is tightly controlled by family.
a d e
Short-term memory loss is seen in which of the following disorders? (Select all that apply.) a Depression b Dissociative disorder c Conversion disorder d Alzheimer's e Anxiety
a d e
An individual with an __________ personality disorder relies on deceit and manipulation to get his or her way.
antisocial
A client response to the termination phase of the therapeutic relationship is withdrawal. This response most often is manifested by client behaviors such as: a Bringing up new problems b Being absent from appointments c Returning to maladaptive behavior d Having increased anxiety
b
A client with a severe, treatment-resistant mental illness has been assigned to an assertive community treatment (ACT) team. An ACT treatment strategy that helps to prevent recurrent hospitalizations for mental health reasons is to meet with the client in the community setting: a Once per week b Two to four times per week c Five to six times per week d Seven to eight times per week
b
A Hmong man from Laos is a client at an outpatient mental health clinic and is being seen for his diagnosis of bipolar disorder. The importance of lithium testing was stressed in his discharge plans; however, it is discovered that he has had his lithium level checked only once, rather than the three scheduled times. What is the nurse's best action? a Remind the client about the importance of lithium level testing. b Make scheduled appointments for the client to get his lithium level tested. c Give the client written information regarding the importance of lithium level testing and written instructions on how to make appointments for testing. d Talk with the client to see if there is a reason that he is not getting his lithium levels checked as outlined in his discharge plans.
d
How many stages of the human life cycle did Erik Erikson identify? a. Two b. Four c. Six d. Eight
d
Level one interventions for potentially assaultive clients should be practiced as: a. Therapy b Control methods c Assessment measures d Preventive measures
d
The __________ constitute a class of drugs that are commonly prescribed for cardiac arrhythmias but also have been found to be effective treatment for social phobias. a. Benzodiazepines b. Tricyclics c. Azaspirones d. Beta-blockers
d
The client lives so completely in a world of his or her own that he or she is unable to recognize reality, relate to others, or cope with life's demands. This client is considered: a. Exotic b. Anorectic c. Neurotic d. Psychotic
d
The goal of treatment during the first phase of depression is to: a Develop a plan for treatment b Reduce uncooperative behaviors c Help the client to adjust to antidepressants d Reduce symptoms and inappropriate behaviors
d
The nurse is attempting to develop trust with a newly admitted female client for the purpose of establishing a therapeutic relationship. The nurse is currently administering medications to all clients on the unit. The newly admitted client asks the nurse to sit and talk with her for a while. What is the nurse's best response? a "I am busy right now, but I will come back later." b "Give me just a few more minutes to finish passing medication to the other clients." c "I will return in 20 minutes so we can talk." d "I have to finish giving all the clients their medications, but I will then come back so we can talk.
d
The nurse is planning goals for a male client with the diagnosis of personality disorder. What is the main goal of the client's therapy? a. To adjust to his medications b. To learn to get along with others c. To learn to control his environment d. To become aware of how his behavior affects his life
d
The nurse is planning goals for a male client with the diagnosis of personality disorder. What is the main goal of the client's therapy? a To adjust to his medications b To learn to get along with others c To learn to control his environment d To become aware of how his behavior affects his life
d
The nurse is talking with a male client recently admitted to a mental health facility. He is very anxious to begin his treatment for alcohol and drug addiction because he states that he "really wants to get well this time." Which stage of illness is the client experiencing? a Dependency b Symptoms c Recovery and rehabilitation d Sick role
d
The nurse should monitor the temperature of the environment of a client who becomes easily agitated, with awareness that increased temperatures sometimes may cause the client to become: a Calm b Confused c Cooperative d More distressed
d
The nurse who advocates for a health-oriented approach to clients is likely to encourage the development of which outcome? a. The client will maintain compliance in medication administration b. The client will adjust to the limitations of chronic illness c. The client will keep in mind his limitations as a barrier to achievement of goals d. The client will focus on continued progress and improvements in planning goals
d
The nurse's ability to interpret communication effectively in the mental health setting depends mostly on: a. How well the client communicates b. The nurse's relationship with the client c. The nurse's understanding of mental health disorders d. The nurse's ability to listen to and observe the client's verbal and nonverbal messages
d
When arranging community resource linkages for a client and her children who are victims of domestic violence, which resource is the most immediately appropriate? a Adult education program b Family recreation center c Mediation group d Women's shelter
d
__________ is the biochemical fight-or-flight response that is a survival tool against stressors.
general adaptation syndrome
__________ is a term that divides people into groups based on biological characteristics, including skin color, features, hair texture, and self-identification.
race
