mental health units 1 and 2 review

when considering the scope of holistic nursing when practicing in nonpsychiatric health care facilities, which principle guides nursing care?

(c) initiate interventions to address client's psychosocial needs

a client appears to be denying the finality of a recent terminal diagnosis. the clients daughter expresses concern. which response by the nurse will best serve to explain the therapeutic value of denial

(a) denial allows your mother the time to prepare for her death

which nursing intervention provides the best method of educating a newly admitted client of their rights?

(a) discussing with all new clients the bill of rights that is posted on the unit

**SELECT ALL** which assessment data documented by the nurse supports the previous documentation that a family demonstrates closed family system?

(a) father reports a good relationship with just one of his 2 sons (e) mother interacts more often with the daughter, spending little time with the son

**SELECT ALL** after collecting data about a client, which data suggest the client demonstrates mental health and wellness?

(a) has been happily married for 35 years (b) identifies having a sense of humor as a personal strength (c) always views challenges with a sense of hope

**SELECT ALL** which considerations are relevant to the use of psychotropic drugs among the older client population?

(a) increase in body fat and loss of muscle (b) increased risk for dehydration (d) decrease in renal function (e) decrease in amount of albumin in blood

nursing documentation identifies a client diagnosed with depression as demonstrating solid self characteristics. which behavior is a nurse likely to observe when interacting with the client?

(a) is willing to change the time for their scheduled therapy session

a nurse is assessing a child. the nurse integrates understanding of Piaget's theory identifying which activity as demonstrating equilibrium?

(a) new learning

which intervention demonstrates the nurses best effort to maintain a milieu where clients are accepted regardless of the their mental illness?

(a) nurse makes sure its possible for every client regardless of their physical or mental limitations to take part in the units holiday program

an individual is diagnosed with a serious acute physical (something here cause someone sneezed and I couldn't hear) mental health issue. the client is evaluated by the nurse for existence of anxiety and depression for which reason?

(a) physical recovery process can be delayed by the existence of mental illness

which statement by the nurse best demonstrates the nurse as a counselor in the therapeutic process?

(a) I respect your right to disagree with your roommate, but lets talk about doing that without offending them.

a client is receiving care for a mental health disorder. which behavior demonstrates that the client has achieved the primary treatment goal?

(a) a client has held part-time job consistently for last 3 months.

which is the primary principle to consider when determining where mental health treatment can be received?

(a) care must be delivered in the least restrictive but safe environment

a nurse is attending an in-service presentation about the evolution of mental health care. the nurse demonstrates understanding of this information identifying which concept as having gained acceptance in the mid 1950's as antipsychotic drugs were being introduced?

(a) deinstitutionalization of mentally ill clients

**SELECT ALL** a nurse is providing care to a client who is experiencing problems associated with late childhood stage of development. which intervention would be appropriate?

(a) pointing out examples of compromise demonstrated by staff members (e) encouraging client to cooperate with others during group activities

a nurse is providing care to a client who has moderate to severe Alzheimer's. which action best demonstrates the nurses primary legal obligation to the client?

(a) protecting the client's rights

**SELECT ALL** the nurse is reviewing the health insurance portability and accountability act (HIPPA) of 1996 and the importance of confidentiality. the nurse demonstrates understanding of this information by identifying which as a responsibility?

(a) providing clients access to info contained in their medical records (b) disclosing what info contained in their medical record is being shared (c) protecting the clients privacy (d) informing client about whom they provide info contained in a clients medical record

**SELECT ALL** a client is admitted for severe depression and suicidal ideations. which responsibilities can be assigned to the LPN on the unit?

(a) providing one on one observation of the client (c) administering a PRN antidiarrheal medication (d) providing documentation about a rash noted after the client has begun a new antidepressant (e) changing the dressing on the wrist wound the client created during his/her suicide attempt

**SELECT ALL** which response by the nurse demonstrates reinforcement of the concepts of cognitive behavioral therapy?

(a) what do expect to happen if you trust me to do as I promised (e) you identified the misconception, now let's work on changing the behavior

client is admitted to an inpatient psychiatric facility via emergency protection custody order. the nurse would understand that the client can be held for how long?

(b) 48-72 hours

a student has become ill and unable to properly prepare for an exam. the situation has resulted in an elevated stress level. the student demonstrates palliative coping by which action?

(b) ask the instructor for a weeks postponement of the exam

according to Pavlov's theory, which is learned as a toddler?

(b) delayed self gratification

a client being treated for chronic stress and moderate anxiety questions the usefulness of relaxation techniques. which response by the nurse will best explain the benefit of relaxtion techniques

(b) each time you successfully use a technique, you increase your chances of being able to manage those feelings

which nursing intervention will have the greatest initial impact on establishing a therapeutic milieu with a newly admitted client?

(b) including a discussion of the unit rules as part of the admission process

a nurse is preparing information for a community focused presentation and is using the americans with disabilities act as a primary reference. which area is the likely focus of the nurse's presentation regarding patients rights of the mentally ill

(b) use and availability of public transportation

the nurse suspects a client is demonstrating signs of dysfunctional grief. which question would the nurse most likely use to help assess for that disorder?

(b) what gives your life meaning

a nurse is providing care to clients in a correctional facility. which statement demonstrates an understanding of the barriers presented to the delivery of nursing care in a correctional facility?

(b) you are aware of rules, you will get meds at 3 o'clock as always.

when considering the various effects of stress, which statement would accurately describe eustress?

(c) I generally do my best work when I feel some stress

which response best teaches a client about the events and outcomes expected with electroconvulsive therapy treatment?

(c) a controlled seizure that occurs to restore chemical balance in the brain

how can the nurse best determine that a client has an understanding of the psychiatric condition?

(c) ask client to use their own words to describe their illness

**SELECT ALL** a nurse is assisting a client to manage stress effectively. which aspect will the nurse suggest to have the greatest influence on an individuals ability to manage stress effectively

(c) being flexible when handling daily stress (e) learning to adapt to situation

a nurse is reading a journal article about individual characteristics and behavioral responses. which term would the nurse expect to find being used to describe a persons major individual qualities?

(c) central traits

an inmate arrives at a correctional facility and asks to speak to the nurse concerning the need for some pills to calm their nerves. considering the value inmates place on medical care, what should be the nurse's initial response?

(c) conduct the mental health assessment in a calm, matter of fact manner, being alert for possible manipulative behaviors on the part of the inmate

when working with a client who's grieving which nursing action best demonstrates understanding of the grieving process and the most effective means of facilitating the clients ability to bring about closure and display hope for the future?

(c) devoting time each meeting to discussing the feelings the client has described in daily journal entries.

the nurse is preparing to assist a client in dealing with grief associated with the death of a loved one. which interventions would the nurse do first?

(c) engage in self reflection regarding beliefs and values associated with death and dying

documentation in a clients record reveals that the child has demonstrated behaviors associated with the conventional level of moral development. which statement by the nurse will be most effective in securing the child's wiliness to follow rules?

(c) here is a list of the rules that the children on this unit have created for themselves.

a client is identified as experiencing psychosocial problems associated with the oral stage of behavioral development. which behavior would the nurse interpret as reflecting on a positive change?

(c) identifying when someone is being manipulative

**SELECT ALL** which statement demonstrates the best understanding of the complex process used to define the term mental illness?

(c) mental illness can be and is often defined differently based on specific views, beliefs and behaviors (e) mental illness can be described by problems involving the same areas as mental health

which statement made by the client best demonstrates the existence of a therapeutic nurse/client relationship?

(c) my nurse and I have discussed what changes I need to make in my life

a nurse is applying the theory of intrapersonal development to the care of a client. which intervention would the nurse include in the plan of care diagnosed with moderate anxiety and low self esteem?

(c) spending one on one time each day to foster the nurse/client relationship

young adult student recently failed an exam. while talking with the student, which statement by the student supports the nurse's belief that the client is using reframing to cope with resulting anxiety?

(d) I've arranged to join a study group so I will do better on the next exam

which is the expected outcome for a client undergoing feedback training?

(d) anxiety management through control of involuntary nervous system responses

nurse shadowing the staff nurse asks "where should I go to find info about the scope and minimum standard practice for the care I provide?" what should the staff nurse reply?

(d) check out your states nurse practice act

parent of a newborn is particulary interested in how to best prepare the child to interact and explore the environment now and as the child matures. which statement by the nurse demonstrates an understanding of the needs of this stage of the infant's development

(d) consistently meeting a childs basic needs helps your child develop a sense of trust needed to explore and interact with the world.

when asked by a client what type of treatment to expect for acute depression, how will the nurse respond?

(d) i'd expect that you will be prescribed both psychotherapy and medication

which statement by a nurse indicates a need for the nurse manager to initiate a discussion concerning the effects of countertransference on client care?

(d) i'm flattered that she says I remind her so much of her dear granddaughter

the theory of psychodynamic nursing purports that before being able to live successfully and interact as a member of society, the individual must accomplish what task?

(d) learning to practice self control

which individual meets the criteria for an involuntary psychiatric admission?

(d) person clearly intent upon hurting himself or others

a client uses humor as an ego defense mechanism. the nurse understands that humor has which effect?

(d) short term diffusing of a stressful situation

after attending a seminar about the theory of interpersonal development, a nurse demonstrates understanding of the info by identifying which type of relationship as key to providing mental health care to a client?

(d) therapeutic

a client is explaining a recent stressful experience, what client statement would indicate to the nurse that the client experienced the fight or flight response

when I feel stressed I get a surge of energy