metal health 1,2,3 ate
A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?
Upon admission
A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?
It can increase their risk for falls.
A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle
Justice
A nurse is speaking with a newly licensed nurse who reports that they fear a client might be dangerous to others due to the client's diagnosis of schizophrenia. Which of the following types of stigma should the nurse identify as being associated with this fear?
public
A nurse is admitting a client to the chemical dependency unit. The client asks, "Why do you all say that we alcoholics cannot completely be free of it?" Which of the following responses should the nurse give?
"It sounds like you are motivated to work toward healing. You can view recovery as a process and an outcome when you commit to abstinence."
A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?
"You should provide a copy to your providers, family members, and lawyer."
A nurse is reviewing the physical environment of a child inpatient unit. Which of the following contradicts milieu therapy?
A craft room with scissors and other art supplies
a nurse in a long-term care facility notices two residents arguing in the day room over a game they are playing. Which of the following interventions should the nurse use first?
Distract the clients by asking them to participate in an activity.
A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?
The nurse includes the client's own words when describing what happened.
A newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" 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 inflicts harm on themselves but does not have intention to kill themselves."
A nurse is planning to teach a client about behavioral therapy. Which of the following statements should the nurse plan to include? A nurse is planning to teach a client about behavioral therapy. Which of the following statements should the nurse plan to include?
"Behavioral therapy is a type of psychotherapy that helps you modify your maladaptive behavioral patterns."
A nurse on a mental health unit is discussing the concepts of competency and capacity with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concepts?"Capacity and competency are the same thing and can be used interchangeably."
"Competency and capacity are often discussed as being the same thing, but they are different.
A client tells a nurse that they don't think they can get insurance coverage for treatment of their mental illness because it was diagnosed before they got insurance through their new job. Which of the following statements should the nurse make?
"Congress passed the Affordable Care Act of 2010 to ensure everyone has the right to coverage for preexisting conditions
A nurse in a mental health facility is caring for a client who asks, "Why can't you be my therapist?" Which of the following therapeutic responses should the nurse give?
"I am glad you are comfortable talking with me, but your therapy is most beneficial from a therapist with additional training to best guide and talk with you."
A nurse in a substance use rehabilitation facility is preparing a client for discharge. The client states, "My landlord will not allow me to continue staying in my apartment because of my prior drug use. I have no place to live after I leave here." Which of the following statements should the nurse make?
"I will contact a social worker to set up housing for you
A nurse is caring for a client who is angry and demands to be transferred to a different psychiatrist. Which of the following statements should the nurse make?
"I will contact your primary care provider to assist you with finding a different psychiatrist."
A nurse is explaining to a client who has a mental illness why mental health promotion is important. The nurse should inform the client that mental health promotion has a wide variety of benefits including which of the following?
"Mental health promotion promotes positive mental health, which in turns helps prevent you from missing work due to mental illness."
A nurse is discussing the difference between mental illness and mental health with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding?
"Mental illness is when there is disruption in a person's ability to complete activities of daily living, whereas mental health is when the person can cope with daily stressors."
A nurse is reinforcing teaching with a client about the purpose of psychoanalytic therapy. Which of the following statements should the nurse include in the teaching?
"Psychoanalytic therapy helps you see yourself as an individual and learn adaptive coping skills."
A nurse is teaching another nurse about Freud's psychoanalytic theory related to human behavior. Which of the following statements regarding the id should the nurse include in the teaching?
"The id is often an area that is used for instant gratification."
A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?
"The milieu consists of the physical and psychosocial environmental factors."
A nurse is teaching a client about therapy. Which of the following statements should the nurse include?
"Therapy can be used in conjunction with your medications to improve your health."
A nurse is discussing bias issues in mental health with a newly licensed nurse. Which of the following statements should the nurse include in the discussion?
"There is a negative stigmatization for mental illnes
A newly licensed nurse has created a plan of care for a client. Which of the following statements should the charge nurse make to confirm the plan is client-centered?
"You have documented the client's preferred wake time in the morning."
A nurse is planning to add a client to an established therapy group on the unit. The group currently includes a 13-year-old adolescent who has depression, a 15-year-old adolescent who has a history of self-harm, and a 14-year-old adolescent who recently threatened to kill themselves. Which of the following adolescents should the nurse add to this group?
A 12-year-old adolescent who has anxiety and depression
A nurse is planning care for a group of clients. Which of the following clients would benefit from cognitive behavioral therapy (CBT)?
A client who has Tourette's syndrome
A nurse is reviewing room assignments for a group of clients. Which of the following clients should the nurse assign to a room that is near the nurses' station? (Select all that apply.)
A client who has engaged in cutting behaviors is correct. A client who was admitted for threatening to kill themselves is correct. A client who has frequent anger outbursts is correct.
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 teaching a newly licensed nurse about psychodynamic theory. Which of the following should the nurse include as an example related to this theory?
A client who reports being afraid of storms because they experienced a tornado as a child
A nurse is working with another nurse who engages in incivility and bullying toward another team member. The nurse should recognize that units with increased incivility and bullying most likely have which of the following?
A high staff turnover rate
A nurse is describing the concept of cultural competence to a newly licensed nurse. Which of the following examples should the nurse include?
A nurse asks a client if they have any cultural beliefs the nurse needs to be aware of.
A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?
A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?
A nurse is teaching a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include in the teaching?
A nurse is teaching a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include in the teaching?
A nurse is reviewing humanistic theorists. Which of the following theorists were primarily involved in developing the humanistic theory?
Abraham Maslow
A nurse is working with a client who reports following holistic practices at home. The nurse should identify that which of the following is an example of a holistic practice that the client might follow?
Acupuncture
A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?
An 8-year-old child is asked to return to their room after yelling at other children during a group therapy session.
A nurse on a mental health unit is planning to teach a group of newly hired nurses about evidence-based practice. Which of the following information should the nurse include?
An experienced nurse on a mental health unit can see cues before clients exhibit dangerous behaviors.
Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?
An intraprofessional team
A nurse manager and a newly licensed nurse are engaged in an interview with a client. The newly licensed nurse tells the client, "You look like my sister. I love my sister and would do anything for her." Which of the following actions should the nurse manager take?
Assign the newly licensed nurse to a different client.sign the newly licensed nurse to a different client.
A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?
Autonomy
A nurse is planning to teach a client about behavioral therapy. Which of the following statements should the nurse plan to include? A nurse is planning to teach a client about behavioral therapy. Which of the following statements should the nurse plan to include?
Behavioral therapy is a type of psychotherapy that helps you modify your maladaptive behavioral patterns."
A nurse is teaching about sources of psychological stress to a group of newly licensed nurses. The nurse should identify which of the following qualifies as a source of psychological distress?
Being the only person of their ethnicity in a school setting
A nurse notes that a colleague seems exhausted, discouraged, distracted, and expresses dissatisfaction with being a nurse. The nurse should identify these as manifestations of which of the following conditions?
Burnout
A nurse is caring for an adolescent who had an adverse childhood experience and was admitted to the inpatient unit with behavioral problems. The nurse should anticipate the provider prescribing which of the following types of treatment?
Cognitive therapy
A nurse on an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?
Compassion fatigue
A nurse is caring for an older adult client who has major depressive disorder. The client states, "I don't think I am financially prepared for retirement, yet I am eligible to retire this year." The nurse should identify that the client is in which of the following stages of Erikson's stages of development?
Ego integrity vs. despair
A nurse is assisting a client in getting ready to have their first telehealth appointment with their therapist. Which of the following actions should the nurse take to assist the client with this type of therapy?
Ensure the client's computer is connected to the internet.
A nurse and a newly licensed nurse in a mental health facility are discussing their roles related to therapy. Which of the following interventions should the nurse discuss with the newly licensed nurse?
Ensuring a therapeutic nurse-client relationship with those on the unit
A nurse is explaining to a newly hired nurse how mental health promotion can be used for clients. Which of the following examples should the nurse use in the explanation? (Select all that apply.)
Following suicide precautions for a client is correct. Assisting the client in using adaptive coping skills is correct. Allowing the client to use exercise equipment when anxious is correct.
A nurse on a mental health unit is reviewing the Code of Ethics for Nurses. Which of the following are examples of the provisions that help guide nurses throughout their practice? (Select all that apply.)
Nurses should practice with compassion and respect is correct. A nurse's primary commitment should be to the client is correct A client who has frequent anger outbursts is correct.
A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?
Fulfill a promise by allowing a client to visit with family members.
A newly hired nurse is providing report to a nurse. The nurse continuously interrupts the newly hired nurse during report. This is an example of which of the following?
Incivility
A nurse is caring for a client who is requesting a prescription for a new medication. Which of the following actions should the nurse take?
Inform the client that this will be discussed with their provider.
A nurse on a mental health unit is discussing consent with a newly licensed nurse. Which of the following information should the nurse include?
Informed consent must include information about potential alternative treatments that are available to the client.
A nurse is observing a group of children interacting. The nurse notes anytime a question is asked, all the children want to answer and will often talk over each other. The nurse should recognize that this behavior is indicative of which of the following stages of Kohlberg's theory?
Instrumental relativity orientation
A charge nurse is instructing a newly licensed nurse about mental health disorders. Which of the following statements by the nurse indicates an understanding of mental health disorders?
Mental health disorders are broken down by their manifestations."
A nurse is discussing the difference between mental illness and mental health with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding?
Mental illness is when there is disruption in a person's ability to complete activities of daily living, whereas mental health is when the person can cope with daily stressors.
A nurse is discussing torts with a newly licensed nurse. Which of the following information should the nurse include?
Negligence is the most common unintentional tort.
A nurse is reviewing a client's medical record. The nurse should anticipate which of the following as a classification within the Diagnostic and Statistical Manual of Mental Disorders 5th edition Text Revision (DSM-5 TR)?
Neurodevelopmental disorders
A nurse on a mental health unit is reviewing the Code of Ethics for Nurses. Which of the following are examples of the provisions that help guide nurses throughout their practice? (Select all that apply.)
Nurses should practice with compassion and respect is correct A nurse's primary commitment should be to the client is correct. Nurses are responsible for taking action to support social justice is correct. Nurses should support and establish an ethical environment is correct.
A nurse is discussing the different forms of complementary and alternative therapy with another nurse. Which of the following treatments would be considered in this list? (Select all that apply.)
Pet therapy is correct. Meditation is correct. Yoga is correct.
A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?
Providing case management
A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the client's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?
Psychiatric pharmacist
A nurse is completing an assessment of a client. Which of the following information should the nurse anticipate the provider will use in the diagnosis of a mental health disorder?
Psychosocial history
A nurse in the emergency department is caring for a client who has a mental illness. The nurse should identify that which of the following is a client right related to the Emergency Medical Treatment and Labor Act (EMTALA)?
Receive medical screening and treatment
A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?
Relapse
A nurse is caring for a client who has a mental illness and is without housing. The nurse should identify that which of the following interprofessional team members can help the client find housing?
Social worker
A nurse is teaching an adolescent client the importance of taking their prescribed medication in the afternoon so that they will be able to sleep an adequate number of hours at night. Which of the following Standards of Practice is this an example of?
Standard 5B Health Teaching and Health Promotion
A nurse is interviewing a client who wants to start an exercise regimen. Which of the following client behaviors indicates that the nurse has successfully focused with the client?
Talks about how a lack of exercise has impacted their relationship with their partner
A nurse is discussing mental health parity and policy with a newly licensed nurse. Which of the following statements should the nurse include in the discussion about the Mental Health Parity and Addiction Equity Act?
The act requires that there is insurance coverage for mental health conditions.
A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?
The client must be calm and cooperative.
A nurse is discussing the diathesis-stress model with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the model?
The diathesis-stress model assists in identifying risk factors or vulnerabilities for stress."
A client who reports being afraid of storms because they experienced a tornado as a child
They have feelings of incompetence and low self-esteem.
A nurse is caring for a client who has a serious mental illness. The client's temperature is 37° C (98.6° F), respiratory rate is 18/min, heart rate is 102/min, and blood pressure is 202/98 mm Hg. The client is wearing a heavy coat and scarf. The temperature is 37.8° C (100° F) outside. The client reaches for the nurse and says, "Kiss me baby! You know you want to!" Which of the following findings should the nurse address first?
blood pressure
A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?
nonmaleficence
A nurse on a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client
occupational therapist
A nurse is assessing a client who is disoriented to time and place, attempting to get out of bed without assistance, and reports left leg pain and weakness. According to Standard 2 of the standards of practice for mental health nurses, which of the following should the nurse identify as the priority finding?
safety
