Mental Health Quiz 1

The psychiatric community health nurse engages in secondary prevention when implementing which intervention? A) Visiting a homeless shelter to provide mental health screenings for its clients B) Discussing the need for proper nutrition with a depressed new mother C) Providing stress reduction seminars at the local senior center D) Visiting the home of a client currently displaying manic behavior

C) Providing stress reduction seminars at the local senior center

During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication. a. "I notice you keep looking toward the door." b. "This is our time together. No one is going to interrupt us." c. "It looks as if you are eager to end our discussion for today." d. "If you are uncomfortable in this room, we can move someplace else."

a. "I notice you keep looking toward the door."

During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved? a. Preorientation b. Orientation c. Working d. Termination

c. Working

What principle forms the basis of nursing outcome planning? A Individuals have the right to outcomes that is reflective of their abilities. B Nursing interventions are designed to solve individuals' problems for them. C The goal of nursing action is to create a dependency between the client and the caregiver. D Nurses have the best understanding of client problems and so they direct outcome selection.

A Individuals have the right to outcomes that is reflective of their abilities.

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? Boundary blurring Value dissonance Covert anger Empathy

Boundary Blurring

A patient states, "I'm not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up." Which nursing intervention should have the highest priority? a. self-esteem building b. anxiety self-control c. Sleep enhancement activities d. suicide precautions

d. suicide precautions

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

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

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? Quickly break the silence and encourage the client to continue. Reassure the client that the abuse was not her fault. Reach out and gently touch the client's arm. Allow the client to break the silence.

Allow the client to break the silence.

A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most therapeutic? A) Lets talk about something other than the CIA. B) It sounds like youre concerned about your privacy. C) The CIA is prohibited from operating in health care facilities. D) You have lost touch with reality, which is a symptom of your illness.

B) It sounds like youre concerned about your privacy.

When considering the ongoing, crucial responsibilities of nurses working on an inpatient psychiatric unit, which activity has highest priority? A) Fostering research B) Maintaining a therapeutic milieu C) Providing sympathetic listening D) Providing constructive negative feedback

B) Maintaining a therapeutic milieu

which statement best describes the diagnostic and statistical manual of mental disorders (dsm)-5

It is a medical psychiatric assessment system.

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? Making the client feel physically and emotionally safe Teaching the client effective coping skills Identifying the client's positive traits Focusing on preparing the client for a speedy discharge

Making the client feel physically and emotionally safe

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?Congruence Empathetic feelings Countertransference Positive transference

Positive transference

4. A patient says, "Please don't share information about me with the other people." How should the nurse respond? a. "I won't share information with others without your permission, but I will share information about you with other staff members." b. "A therapeutic relationship is just between the nurse and the patient. It's up to you to tell others what you want them to know." c. "It really depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others." d. "I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us."

a. "I won't share information with others without your permission, but I will share information about you with other staff members."

Inpatient hospitalization for persons with mental illness is generally reserved for patients who: a. present a clear danger to self or others. b. are noncompliant with medication at home. c. have limited support systems in the community. d. develop new symptoms during the course of an illness.

a. present a clear danger to self or others.

A nurse uses Maslow's hierarchy of needs to plan care for a patient with mental illness. Which problem will receive priority? The patient: a. refuses to eat or bathe. b. reports feelings of alienation from family. c. is reluctant to participate in unit social activities. d. is unaware of medication action and side effects.

a. refuses to eat or bathe.

A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents . . . so helpless." What feelings does the nurse describe? a. Transference b. Countertransference c. Catastrophic reaction d. Defensive coping reaction

b. Countertransference

A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is smoking, and the janitor's closet is locked. These observations relate to which of the following? a. Coordinating care of patients b. Management of milieu safety c. Management of the interpersonal climate d. Use of therapeutic intervention strategies

b. Management of milieu safety

A patient says to the nurse, "My father has been dead for over 10 years, but talking to you is almost as comforting as the talks he and I had when I was a child." Which term applies to the patient's comment? a. Superego b. Transference c. Reality testing d. Counter-transference

b. Transference

A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, "Encourage patient to attend one psychoeducational group daily"? a. Assessment b. Analysis c. Implementation d. Evaluation

c. Implementation

A new staff nurse completes orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients? a. Perform mental health assessment interviews. b. Establish therapeutic relationships. c. Prescribe psychotropic medications. d. Individualize nursing care plans.

c. Prescribe psychotropic medications.

A newly admitted patient diagnosed with major depression has gained 20 pounds over a few months and has suicidal ideation. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis. a. Imbalanced nutrition: more than body requirements b. Chronic low self-esteem c. Risk for suicide d. Hopelessness

c. Risk for suicide

A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm too busy taking care of myself to volunteer. I don't have time to help others." These comments contrast which developmental tasks? a. Trust versus Mistrust b. Industry versus Inferiority c. Intimacy versus Isolation d. Generativity versus Self-Absorption

d. Generativity versus Self-Absorption

The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? a. The patient who is feeling anxiety and a sad mood after separation from a spouse of 10 years. b. The patient who self-inflicted a superficial cut on the forearm after a family argument. c. The patient experiencing dry mouth and tremor related to taking haloperidol (Haldol). d. The patient who is a new parent and hears voices saying, "Smother your baby."

d. The patient who is a new parent and hears voices saying, "Smother your baby."