Passpoint foundations of psychiatric nursing

The basis for building a strong, therapeutic nurse-client relationship begins with a nurse's: A. Sound knowledge of psychiatric nursing. B. Self-awareness and understanding. C. Sincere desire to help others. D. Acceptance of others.

B. Self-awareness and understanding.

The nurse is working with a client with depression in a mental health clinic. During the interaction, the nurse uses the technique of self-disclosure. In order for this technique to be therapeutic, which step must be a priority for the nurse? A. Asking for the client's perception of what the nurse has revealed B. Allowing the client time to ask questions about the nurse's experience C. Ensuring relevance to, and quickly refocusing upon, the client's experience D. Discussing the nurse's experience in detail

C. Ensuring relevance to, and quickly refocusing upon, the client's experience

A nurse is teaching the families of clients with chronic mental illnesses about causes of relapse and rehospitalization. What should the nurse include as the primary cause? A. Loss of family support B. Sudden changes in medications C. Noncompliance with medications D. Nonattendance at treatment programs

C. Noncompliance with medications

A client reveals a history of childhood sexual abuse. What question should the nurse ask first? A. "Does your abuser still have contact with young children?" B. "Was there a time when you did not remember the abuse?" C. "What other forms of abuse did you experience?" D. "How long did the abuse go on?"

A. "Does your abuser still have contact with young children?"

The nurse documents the initial care of a client who the nurse suspects is a victim of intimate partner violence. Which information would be most helpful for others to know when caring for the client? A. "Seems fearful to discuss how bruises on their body were caused." B. "Asks that their spouse not be called at work, stating that the spouse is very busy." C. "States that they are not employed outside the home." D. "Refuses a follow-up appointment, stating that they do not have time."

A. "Seems fearful to discuss how bruises on their body were caused."

As the nurse helps a client prepare for discharge, the client says, "You know, I've been in lots of hospitals, and I know when I'm sick enough to be there. I'm not that sick now. You don't need to worry about me." What would be the most therapeutic response by the nurse? A. "We're concerned about you. How can we help you before you leave?" B. "We could have helped you more if you had told us more." C. "Okay, you know what you need better than I do." D. "Is there any information you need before you leave the hospital?"

A. "We're concerned about you. How can we help you before you leave?"

A nurse is evaluating a family in which chronic child abuse has occurred and the parents have experienced chronic alcohol and drug abuse. Significant social supports have been established by social services and the parents have both received drug and alcohol treatment and parenting classes. Which indicates that the parents have progressed in their treatment?? A. The parents report continued use of spanking as discipline. B. The parents report high expectations for the young children to manage the household tasks. C. The parents say they hope to attend parenting classes. D. The parents report an understanding of normal growth and development.

D. The parents report an understanding of normal growth and development.

An older client is seeking crisis intervention in a community senior citizen center. The client states that there are very few financial resources available and the client's children never call or visit. The client is sobbing and states, "I can't take it anymore. My life is so lonely and hard. I am living too long and shouldn't be here anymore." What is the most important action for the nurse to take? A. Refer the client to outpatient counseling. B. Call the client's children. C. Assess the way the client has positively coped with stress in the past. D. Assess the meaning of the client's statement, "I cannot take it anymore."

D. Assess the meaning of the client's statement, "I cannot take it anymore."

During an appointment with the nurse, a client says, "I could hate God for that flood." The nurse responds, "Oh, don't feel that way. We're making progress in these sessions." The nurse's statement demonstrates a failure to do what? A. Explain to the client why they may think as they do. B. Give the client credit for solving their own problems. C. Add to the strength of the client's support system. D. Look for meaning in what the client says.

D. Look for meaning in what the client says.

A nurse makes a home visit to a client who was discharged from a psychiatric hospital. The client is irritable and walks about their room slowly and gloomily. After 10 minutes, the nurse prepares to leave, but the client plucks at the nurse's sleeve and quickly asks for help rearranging their belongings. They are also anxiously making inconsequential remarks to keep the nurse with them. In view of the fact that the client has previously made a suicidal gesture, which intervention by the nurse should be a priority at this time? A. Outline some alternative measures to suicide for the client to use during periods of sadness. B. To draw out the client, mention others the nurse has known who have acted like the client and attempted suicide. C. Avoid bringing up the subject of suicide to prevent giving the client ideas of self-harm. D. Ask the client frankly if she has suicidal thoughts or plans.

D. Ask the client frankly if she has suicidal thoughts or plans.