Psych

Which of the following is not a symptom of major depressive disorder?

Sad mood that lifts in a few days

Mrs. D has an appointment with the doctor. She began taking lithium 1 month ago as prescribed. She now states that her mouth and lips are constantly dry and she sometimes feels confused. She says, "I stagger like I'm drunk sometimes when I walk." You suspect

She is dehydrated

The nurse is explaining Skinner's theory of operant conditioning to a nursing student. Which statement will the nurse include when referring to the stimulus?

The event that immediately precedes or follows the operant behavior

Which statement can be applied to cultural competency?

The nurse is able to adapt care to meet the needs of patients from different cultures/backgrounds.

The nurse is preparing to request from a health-care provider a prescription for restraints for a patient after they attempted to hit a staff member. Which action will the nurse anticipate occurring?

The order for the restraints will be signed by the health-care provider within 24 hours

Psychopharmacology (psychotropic drug therapy) is used:

To decrease symptoms and facilitate other therapies

Which statement can be applied to the early asylums?

he clients were heavily medicated

What is considered a therapeutic lithium blood level in a stable patient?

0.5-1.2 milliequivalents per liter

The concepts of space, time, and waiting are: Show

Cultural

Which information will the nurse use to describe the term "culture" to a group of nursing students?

Culture is the combination of traditions and beliefs that bind a group of people together

All of the following are types of communication, except:

Intrusive communication

The nurse is preparing to assess a patient with a moderate level of anxiety. Which clinical finding will the nurse anticipate?

Nail biting.

Which response is the most accurate list of signs of lithium toxicity?

Nausea, tremors, confusion

Which style of parenting results in poor socializing ability?

Neglectful

The act of developing a clean environment (cleanliness) is a factor in providing effective health care as demonstrated by this Trailblazer

Nightingale

The mentally ill were once housed in mental institutions known as:

Asylums

Which question will the nurse ask a client when assessing their abstract thinking and judgment?

"What would you do if a small child was lost in the store?"

A patient asks the nurse to review the benefits of aromatherapy. Which statement will the nurse include in the education?

"Aromatherapy has direct pharmacological effects."

The nurse is preparing to conduct a cultural assessment. Which question will the nurse ask?

"Do you have any cultural considerations that I have to be aware of?"

The nurse is preparing to explain the benefits of yoga to a patient. Which topic of information will the nurse include in the teaching?

Reduction of stress.

The nurse is providing patient education about the purpose of The Joint Commission (TJC). Which topic of information will the nurse include in the teaching?

Reduction of the risk of undesirable patient outcomes.

A parent expresses concern that their child who is toilet trained and recently started day care has started wetting themselves and chooses to crawl instead of walk. Which defense mechanism will the nurse plan to discuss with the parent?

Regression

During a recent clinical rotation, the nursing student used the patient's full name on the assigned care plan. Which is the instructor's priority intervention?

Remind the student of the importance of maintaining patient confidentiality.

A client who is frightened and angry is readmitted to the hospital 16 hours after they have been discharged from an outpatient surgical procedure. To minimize the client's frustration during the admission process, which action will the nurse take?

Rephrase the open-ended questions.

A client states to the nurse, "I always feel angry towards one of my family members and I do not know why." Which defense mechanism is the client describing?

Repression

According to Hildegard Peplau, which stage of the nurse-client relationship focuses on the client developing self-responsibility and showing personal growth?

Resolution

A patient states "I think my marriage is over, my wife doesn't love me anymore." The nurse replies, "Don't worry, everything is going to be okay." What type of nontherapeutic communication is this?

False reassurance/social clichés

Audrey is a veteran who served in Afghanistan. It is very difficult for her to drive through a parking ramp because "There are people hiding behind the pillars! They have guns! Be careful!" Audrey is most likely experiencing:

Flashbacks

Which intervention will the nurse implement for a patient expressing distress related to a phobia?

Focus on a nonthreatening topic.

A patient states to the nurse, "I just know something bad is going to happen to me." Which type of anxiety is the patient experiencing?

Free-floating

Which of the following best describes bipolar I disorder?

Full manic cycles with possibility of depression

A patient states, "I don't know what the pills are for or why I am taking them, so I don't want them." Which therapeutic communication technique will best help this patien

Giving information (educating)

A client tells the nurse they drink a 12-pack of beer a night. Which additional statement made by the client reflects the defense mechanism of sublimation?

"I am a sponsor in Alcoholics Anonymous."

The telephone rings at the nurses' station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patient's rights and confidentiality?

"I cannot confirm or deny that Ms. Honey is admitted here."

Which statement made by the client reflects the defense mechanism of rationalization?

"I failed my driver's test because the instructor made me nervous."

Which statement by the patient correlates with the manic phase?

"I only needed two hours of sleep last night!"

Which describes the long-term goal for inpatient mental health treatment?

Return the patient to the community to be productive members of society

Which question will the nurse ask to help identify a client's ethnicity?

"What is your primary language"

The nurse is providing education to a patient prescribed an antiparkinsonian agent. Which information will the nurse include in the teaching?

"Hard sugarless candy will help with the dry mouth."

Which statement made by a nurse reflects the behavior of stereotyping?

"Muslims will only marry other Muslims."

A patient currently treated for schizophrenia calls the clinic stating, "I have had blurry vision and when I walk a shuffle over the past few days." Which response should the nurse provide the patient?

"Please go to the nearest emergency department."

The nurse is providing education to a patient about herbal and dietary supplements. Which statement will the nurse include in the teaching?

"The FDA does not regulate herbal and dietary supplements."

Based on Sigmund Freud's model for the components of the personality, which statement can be applied to the "superego"?

"The superego is referred to as the conscious."

Which information is true about abuse? (Select all that apply.)

1. A person gambling is displaying abusive behavior. 2. Violence is a learned behavior. 3. Abuse is misuse of a person, substance, or situation. 4.

The first psychotropic medications were introduced in the

1950s

During an emergency situation, the nurse has performed care to the best of their ability within the boundaries of their scope of practice. Which term describes the nurse's behavior?

Accountable

Which theorist developed a "Hierarchy of Needs" pyramid?

Abraham Maslow

Which act recognized the needs of people with mental health challenges and established mental health care as an essential part of complete health coverage?

Affordable Care Act

A patient states "I don't think I am going to go tonight, it doesn't seem right." The nurse replies, "I agree with you, I think that is the right decision." What type of nontherapeutic communication is this?

Agreeing/disagreeing

The Health Insurance Portability and Accountability Act:

Allows patients to have some say in what medical information can be divulged (make known) and to whom

Which organization will the nurse refer to for guidelines that provide a framework for taking ethical action?

American Nurses Association (ANA)

Which part of the brain is involved in the fight or flight response and processing of the memory of fear?

Amygdala

A 25-year-old client who lives with their parents explains to the nurse at the community clinic, "I really don't need to talk to anyone, even my parents." The client expresses that they are too busy and do not have the time to sit and talk. Which defense mechanism is the client using?

Avoidance

Identify which factor is not in the Mental Health Status Exam:

Awareness and delusion

A family member of a client actively dying of a terminal illness tells the nurse, "I told God that if He could allow my father to live a little longer, I would attend church every week." The nurse recognizes the family member is experiencing which stage of grief?

Bargaining

Your patient appears withdrawn and depressed. Which of the following would not be an effective intervention?

Be judgmental

The nurse is preparing to discuss the ethical principles in nursing with a nursing student. Which statement will the nurse include when discussing veracity?

Being honest with the patient

Holistic treatments address:

Both the illness and the person

A mental health nurse has noticed that every day before going to work, they start off with headaches, loose stools, and episodes of feeling light-headed. Which defense mechanism is the nurse experiencing?

Conversion

Which information will the nurse ask when assessing a client's orientation?

Can you tell me where you are right now?"

Which medical condition is associated with depression?

Cancer

A patient states "Do you think I will have to have bypass surgery? I'm so worried I will not get the results I have been hoping for." The nurse replies, "Did the doctor say anything about discharging you today?" What type of nontherapeutic communication is this?

Changing the subject

Which clinical finding will the nurse anticipate for a patient experiencing a panic attack?

Chest pain

Which describes the nurse's usual primary method of gathering data about a client?

Client interview

Which describes a component of the level 1 preconventional stage of Lawrence Kohlberg's theory of the development of moral reasoning

Concerned with having needs met.

Which intervention will the nurse implement to demonstrate an effective practice in mental health?

Demonstrate therapeutic communication

Identify the five stages of "Death and Dying."

Denial/Anger/Bargaining/Depression/ Acceptance

Which factor contributed to deinstitutionalization?

Development of phenothiazines (psychotropic medication)

Which developmental psychologist classified the three types of parenting?

Diana Baumrind ? I don't know if its correct

Which of the following trailblazers in nursing was NOT a nurse?

Dorothea Dix

A patient states "My husband died two months ago, and I can't seem to move on." The nurse replies, "It must be lonely without him, I can only imagine how difficult that must be for you." What type of therapeutic communication is this?

Empathy

A patient has a nursing diagnosis of low self-esteem. Based on the nursing diagnosis, which is an appropriate nursing action to take with the patient?

Encourage group therapy.

The nurse is preparing to transfer a patient to the procedure room for electric shock therapy. Which is a priority nursing intervention?

Ensure informed consent has been obtained.

Which is the nurse's priority action when a patient experiences a crisis?

Ensure safety.

Which of the following would be the most effective intervention for a depressed patient?s

Establish small achievable goals

The code of behavior that reflects professional expectations based on fundamental moral principles is called

Ethics

Which characteristic has prejudice resulted in?

Ethnocentrism

Which nursing theorist promoted the interpersonal theory/relationship between the nurse and the patient?

Hildegard Peplau

Which law protects people with mental illness who lack insurance coverage and live below the poverty line from being turned away for care?

Hill-Burton Act

A family member asks the nurse about a patient's diagnosis and treatment. Which response will the nurse provide the family member?

I am unable to disclose information without the patient's permission

The part of Freud's personality theory that relates to the gratification of oneself? (Me, Myself, I)

Id

The nurse is preparing to assess a client experiencing stress. Which physiological finding will the nurse anticipate?

Increased blood pressure

Which describes a reaction associated with uncomplicated grief?

Labile

Which statement describes a component of neurolinguistic programming?

Language cues are used to understand how an individual experiences their world.

Which of the following best describes what defense mechanisms are?

Learned response due to stress

Which laboratory information will the nurse anticipate monitoring a patient prescribed lithium carbonate?

Liver function

The nurse is preparing to provide information to a patient taking Sam-E, a dietary supplement. Which side effect will the nurse include in the teaching?

Loose stools

Karen Horney was a follower of Dr. Sigmund Freud. Dr. Horney believed that the abnormal behavior experienced by patients was the result of ineffective

Mother-child bonding

Which is an important factor for the nurse to understand when caring for a client experiencing homelessness?

Maintain all of the client's rights.

Identify which is not part of the "crisis phase."

Mid-crisis

A patient states "I feel overwhelmed, nothing I seem to do is right." The nurse replies, " We have all felt that way sometimes." What type of nontherapeutic communication is this?

Minimizing/belittling

The nurse is admitting a patient experiencing mania to the inpatient mental health unit. Which is the nurse's priority action?

Monitor the patient for self-injury

What is the name of the publication written by Florence Nightingale?

Notes on Nursing

The following is true about the "Good Samaritan Law":

Nurses, physicians, and other medically-trained personnel may not always be protected by Good Samaritan laws.

Within the nursing process, the registered nurse (RN) is responsible for the:

Nursing Diagnosis

A patients states, "I am feeling helpless." The nurses replies, "What can I do to help, Mrs. Smith?" What type of therapeutic communication is this?

Open-ended question

Which intervention will the nurse implement in the care of a patient experiencing major depression?

Patience and promoting therapeutic communication

Which classification of medication was the first to revolutionize the treatment of clients with mental illness?

Phenothiazines

A patient asks the nurse what side effects St. John's wort can have. Which topic of information will the nurse include in the teaching?

Photosensitivity

During which phase of the nursing process should both short-term and long-term goals be utilized?

Planning

Which statement can be applied to spirituality and religion?

Recuperation from illness may be tied to spirituality.

The condition of judging a person or situation before knowing all the facts is called:

Prejudice

Which of the following is a priority when caring for a highly anxious patient?

Provide support and a therapeutic milieu.

The nurse reviews the different cultural preferences for personal space. Which term describes this concept?

Proxemics

Which intervention will the nurse anticipate being included in the treatment of a patient with bipolar disorder to prevent relapse and promote medication compliance?

Psychotherapy

Which therapeutic communication intervention will the nurse consider implementing when a patient needs time to collect their thoughts and doesn't know what to say next?

Sit with the patient in silence

Ms. T complains of headaches and body pains whenever her husband mentions that the house needs to be cleaned. This has been a reoccurring problem for more than 6 months. Ms. T probably is suffering from what kind of disorder?

Somatic Symptom Disorder (SSD)

Which intervention will the nurse implement for a patient experiencing a panic attack?

Stay with the patient in the exam room

The nursing process is a method for:

Systematically organizing and implementing patient care

Which characteristic is most accurate about antidepressants?

Takes several weeks to demonstrate effects

Based on Jean Piaget's developmental theory, which statement is true

The client's development is related to experiential age more than cognitive age

Which statement can be applied to the role of the LPN/LVN and the nursing process?

The LPN/LVN can assist with the planning of care along with the RN.

The nurse is using Erikson's framework to assess an early childhood client. Which finding indicates the client is unsuccessful in completing the task of development?

The client has a low self-esteem

The nurse is using Erikson's framework to assess a preschool-age client. Which finding indicates the client is unsuccessful in completing the task of development?

The client has a passive personality

Which is an important factor for the nurse to understand about the involuntary commitment of a patient?

The patient has full ability to exercise their rights under the Civil Rights of Institutionalized Persons Act

A patient involuntarily committed to a mental health unit asks the nurse, "When can I have visitors?" Before responding to the patient, which information is important for the nurse to consider

The patient has the right to visit anyone they choose

Which is an accurate planning goal?

The patient will lose 1 to 2 pounds a week until the goal of 20 pounds is reached.

The purpose of therapeutic communication is to

The purpose of therapeutic communication is to

Which statement can be applied to the process of communication?

The sender is only partially responsible for the message

The nurse is preparing to provide community education about bipolar disorder. Which information will the nurse include in the teaching?

There is a high risk of recurrence after the first episode

Which information will the nurse include in the teaching to a nursing student about defense mechanisms?

They give the client the illusion they are alleviating their stress.