Psych Nursing Exam #1
A group is trying to handle issues related to dominance, control, and power within the group. In what stage of group development is this group? Mature Initial Termination Working
Working
Which question asked by the nurse demonstrates an attempt to implement cognitive behavioral therapy (CBT) with a client who has stated, "I'm worthless"? "When did you first begin feeling worthless?" "Can you identify one quality you admire in yourself?" "Do you think others see you as worthless?" "Do you believe me when I say you have many good qualities?"
"Can you identify one quality you admire in yourself?"
Which statement made by the client identifies a misconception of the goal of cognitive behavioral therapy (CBT) that the nurse should address initially? "My future isn't dictated by my past." "I've got to stop thinking of myself as a loser." "Concentrating on past mistakes will help me make better decisions in the future." "I want to change the way I perceive my experiences as usually being negative and hopeless."
"Concentrating on past mistakes will help me make better decisions in the future."
The nurse is conducting an interview with an adult client who is being treated for major depression. What question should the nurse prioritize in an effort to determine the client's risk for suicide? "Do you ever feel like your situation is hopeless?" "How would you describe your relationship with your parents?" "Do you feel like your antidepressant is helping your mood?" "What are your plans for the next few days?"
"Do you ever feel like your situation is hopeless?"
Which response by a client involved in solution focused brief therapy demonstrates an understanding of the fundamental principles of this form of therapy? "Finding ways to manage my anger will allow my relationships to be so much more fulfilling." "I have both strengths and weaknesses that are important to my health and happiness." "The basis for my beliefs were for formed during my middle childhood years." "My anger results in consequences that have a negative impact on my life."
"Finding ways to manage my anger will allow my relationships to be so much more fulfilling."
A group member arrives at a group session visibly upset. The member is attending a medication group that meets once a week. The group leader observes the member's appearance. Which response by the leader would be most appropriate? "If there is something wrong, maybe you should go home and come back next week." "It's okay to be upset. How do other members of the group feel right now?" "It's best that we deal with how you're feeling right here and right now." "I can see you're upset right now. Let's take some time to talk after group."
"I can see you're upset right now. Let's take some time to talk after group."
Which of the following components is part of the cognitive triad? Select all that apply. Oneself Demand World Tolerance Future
Oneself World Future
Which statement demonstrates a client's cognitive distortion about success in a course the client is enrolled in? "I didn't make an A on that test; I'm never going to pass this course." "I wish the test wasn't on Tuesday; I do better on tests scheduled on Mondays." "Tests just aren't the best way to evaluate my knowledge of the subject." "Everyone says the course is hard but I really like the subject so I'll do well."
"I didn't make an A on that test; I'm never going to pass this course."
A client with schizophrenia is seen sitting alone and talking out loud. Suddenly, the client stops and turns as if listening to someone. The nurse approaches and sits down beside the client. Which is the best response by the nurse? "You must be pretty bored to be sitting here talking to an invisible person." "I don't hear or see anyone else; what are you hearing and seeing?" "I can tell you are hearing voices, but they are not real." "How long have you known the person you are talking to?"
"I don't hear or see anyone else; what are you hearing and seeing?"
During a night shift, a hospitalized client with depression tells a nurse that the client is going to kill himself or herself. The client is placed on constant observation. When the client asks to use the toilet, the nurse follows the client into the bathroom. The client says, "You don't need to follow me into the bathroom. Give me some space." Which response by the nurse is most appropriate? "You're right. I don't need to come into the bathroom with you. I will wait outside the door." "I must stay with you until we are sure you will not hurt yourself." "If you think you are going to be OK, I will check on you in 5 minutes." "I can't imagine anything dangerous is in the bathroom. Go ahead. I will wait for you in the hallway."
"I must stay with you until we are sure you will not hurt yourself."
The nurse is seeing a client for counselling in a mental health clinic. The nurse notes the client has new superficial cuts to the inside of the upper forearm. Which is the best way for the nurse to discuss this observation with the client? "I notice some cuts on your arm. Am I correct to think that things have been difficult?" "I notice some cuts on your arm. Have you not been using the coping skills I taught you?" "I notice some cuts on your arm. Do you want me to put a dressing on the wounds?" "I notice some cuts on your arm. Are our counseling sessions not working for you?"
"I notice some cuts on your arm. Am I correct to think that things have been difficult?"
Which statement by a client would indicate the need for additional education regarding a prescribed lithium treatment regimen? "I will take my medications with food." "I will have my blood drawn on schedule." "I will drink 8 to 12 glasses of liquids daily." "I will restrict my intake of processed foods high in sodium."
"I will restrict my intake of processed foods high in sodium."
The nurse is interviewing a client with a diagnosis of depression and the client states, "Honestly, I know my family would be a lot better off if I wasn't around to be a burden on them. That's just between you and me, though, okay?" What is the nurse's best response? "I'm obliged to share what we talk about with the other people on your care team." "Why is it important to you that this be kept between you and I?" "In my experience, nothing good ever comes of keeping secrets." "What can I do to get your permission to share with the other members of the care team?"
"I'm obliged to share what we talk about with the other people on your care team."
An instructor is teaching a class about the use of cognitive therapies in psychiatric nursing. Which statement made by a student identifies a need for further instruction? "Solution-focused approaches have been effective with hospitalized people experiencing delusions." "Lengths of stay for clients in inpatient settings are becoming longer each year." "The context of practice has changed considerably over the years for psychiatric nurses." "Lengths of stay for clients in inpatient settings are becoming shorter each year."
"Lengths of stay for clients in inpatient settings are becoming longer each year."
In a report, the nurse learns that a client with mania has not slept since admission 2 days ago. On entering the day room, the nurse finds this client dancing to loud music. The best response by the nurse would be ... "Do you think you could sit still for a few minutes so we can talk?" "How are you ever going to get any rest if you keep that music on?" "Let's go to the conference room and talk for a while." "Turn the radio down so we can hear ourselves talk."
"Let's go to the conference room and talk for a while."
The client is receiving cognitive behavioral therapy and is in the Intervention Framework stage. Which statement by the client is appropriate? "I'm looking for help to find some joy in life again." "I've thought about it and I think the problems started right after my daughter died." "Looking at pictures of my daughter reminded me of happy times." "Losing our daughter has been so difficult for both her father and me."
"Looking at pictures of my daughter reminded me of happy times."
A 52-year-old client with bipolar disorder tells the nurse, "I read that there are chemicals in my brain that can cause my symptoms." Knowing that the client is referring to neurotransmitters, which would be the best response by the nurse? "Recent studies have found that neurotransmitters do not play a role in bipolar disorders." "Clients with bipolar disorder often have high levels of gamma-aminobutyric acid (GABA) in manic states." "Low levels of the neurotransmitter serotonin are associated with mania." "Low levels of the neurotransmitter dopamine are associated with mania."
"Low levels of the neurotransmitter serotonin are associated with mania."
Which statement by the psychiatric nurse identifies the goal of rational emotive behavior therapy (REBT)? "We will work at helping you develop rational beliefs about eating and how you look." "Today's session will focus on identifying the rational consequences of your eating habits." "Tell me about what you learned from the journaling you did this week." "Let's discuss your family's view about eating and weight when you were growing up."
"We will work at helping you develop rational beliefs about eating and how you look."
The nurse is working with a client who makes the statement, " I don't have anyone in my life who cares what happens to me." What is the nurse's most appropriate response? "What you are going through right now must be so difficult for you. Please tell me why you think no one cares." "I am here with you now. I care about you very much." "You are safe with me. There is so much you have to live for." "You likely haven't been sleeping well and that can decrease mood significantly. Some additional sleep will help."
"What you are going through right now must be so difficult for you. Please tell me why you think no one cares."
A group member is describing some of the painful events experienced during childhood. The member does not elaborate on the feelings surrounding the events apart from saying that they made the member feel "upset." How should the group leader best apply the leadership technique of probing? "When you say that these things made you 'upset,' how exactly did you feel?" "Do you feel like someone else in similar circumstances would have felt that way too?" "It sounds like the events you're describing were very upsetting." "It's important that you know that these events were in no way your fault."
"When you say that these things made you 'upset,' how exactly did you feel?"
A client who is depressed begins to cry and states, "I'm just really sick of feeling this way. Nothing ever seems to go right in my life." Which would be the most appropriate response by the nurse? "Don't cry. Try to look at the positive side of things." "You are feeling really sad right now. It's a hard time." "Hang in there. Your medication will start helping in a few days." "Nothing ever goes right?"
"You are feeling really sad right now. It's a hard time."
Which client would the nurse assess as having the priority need for attendance at a life and social skills group? A 29-year-old waitress who works two jobs and plans to go back to college A 20-year-old university student who has difficulty speaking in front of large groups A 38-year-old homeless man with a history of chronic paranoid schizophrenia A 46-year-old mother of two teenage children recently divorced and entering the dating scene
A 38-year-old homeless man with a history of chronic paranoid schizophrenia
Who developed cognitive therapy for persons with depression? Aaron Beck Albert Ellis Sigmund Freud Jean Piaget
Aaron Beck
A psychiatric-mental health nurse is working with a client who is receiving rational emotive behavior therapy. While reviewing the client's history, the nurse identifies statements that reflect common themes associated with irrational beliefs. Which theme would the nurse most identify in these beliefs? Absolute thinking Minimizing the event High frustration tolerance View of "can" instead of "must"
Absolute thinking
The nurse is told by a client that the client is having suicidal thoughts. Which intervention has lowest priority? Assessing the client for past history of suicidal attempts Determining the client's concerns and if the client has a plan Administering a mental status exam to assess for psychosis Maintaining a safe, secure environment
Administering a mental status exam to assess for psychosis
A client has just been diagnosed as having major depression. At which time would the nurse expect the client to be at highest risk for self-harm? Immediately after a family visit On the anniversary of significant life events in the client's life During the first few days after admission Approximately 2 weeks after starting antidepressant medication
Approximately 2 weeks after starting antidepressant medication
A psychiatric-mental health nurse is admitting a client to the facility. How should the nurse best apply the principles of the Patient Self-Determination Act (PSDA) during this process? Ask the client about any advance care directives that that the client has established Assure the client that evidence-based care will be provided at all times during the admission Assure the client that Medicare and Medicaid reimbursement will be pursued at all times Inform the client that no information will be provided to his or her insurer without explicit permission
Ask the client about any advance care directives that that the client has established
A support group member talks at length about the situations that trigger the member's anxiety. Other group members offer thoughtful suggestions from time to time, and the member consistently agrees with them but then goes on to explain why they would be ineffective. What is the nurse leader's best action? Ask the member to suggest specific alternatives to what the other members suggest Confront the member with the fact that the member's responses devalue the contributions of the other members Remind the member that the ultimate purpose of the group is to offer solutions to other members Ask the member whether the member believes the situation to be unsolvable
Ask the member to suggest specific alternatives to what the other members suggest
The nurse is threatening to give the client an injection in order to restrain the client for inappropriate behavior. This is an example of Assault Battery False imprisonment Abuse
Assault
A psychiatric-mental health nurse will soon begin a medication group for clients who have been prescribed atypical antipsychotics. What is the nurse's best initial action? Assess each member's knowledge of his or her drug regimen. Educate the members about the roles of nutrition and exercise in managing adverse effects perform a mini mental state examination (MMSE) with each member. partner each member with another member to hold each other accountable for adherence to treatment.
Assess each member's knowledge of his or her drug regimen.
The policies and procedures at a community psychiatric-mental health center include an emphasis on case finding. How can a nurse at the center best perform case finding? Assessing all clients carefully to identify those at risk for suicide Modifying the center's environment to maximize client safety Organizing the layout of the center to allow observation of clients Encouraging clients not to be ashamed of previous suicide attempts or suicidal thoughts
Assessing all clients carefully to identify those at risk for suicide
An inappropriately dressed client has not slept for 3 days and has been making excessive long-distance phone calls. When the client can be heard singing loudly in the examining room, the nurse makes initial plans to focus on what? Setting strict limits on dress and behavior Assessing needs for food, liquids, and rest Conducting an in-depth suicide assessment Obtaining a complete psychosocial assessment
Assessing needs for food, liquids, and rest
Which statement is true about delusional disorder? The disease onset is usually gradual. Psychosocial functioning is often markedly impaired. Behavior is relatively normal except when focused on the delusion. The individual's personality changes dramatically.
Behavior is relatively normal except when focused on the delusion.
A nursing instructor is teaching about mood disorders and informs the class that bipolar disorder is divided into types/groups related to demonstrated characteristics. What are these groups/types? Select all that apply. Bipolar I Bipolar II Bipolar III Bipolar mixed Cyclothymic
Bipolar I Bipolar II Cyclothymic
The nurse has been asked to sit in and observe a support group for individuals who were once addicted to drugs. The nurse notices that one group member disagrees with statements made by all other group members. What role is this individual playing in the group? Blocker Dominator Follower Gatekeeper
Blocker
A nurse working on a psychiatric unit is helping clients to understand how individual perceptions determine a person's response or behavior in stressful situations. Which therapeutic approach is the nurse employing? Psychoanalytic therapy Group therapy Cognitive therapy Humanistic therapy
Cognitive therapy
Three cognitive processes are involved in the development of common mental disorders. These include which of the following? Select all that apply. Environment Cognitive triad Cognitive distortion Schema Family systems
Cognitive triad Cognitive distortion Schema
The working stage of group therapy is marked by which characteristic? Conflict and cooperation among group members. Members' propensity to leave the group. Therapists' tendency to "back off" to allow the group to work. Group members' concern about confidentiality issues.
Conflict and cooperation among group members.
Which increases the risk for neuroleptic malignant syndrome (NMS)? Overhydration Intake of vitamins Dehydration Vegetarian diet
Dehydration
A nurse leader identifies that the group is experiencing a conflict. When addressing the situation, which action would be most important for the nurse leader to do first? Determine the source of the conflict Implement conflict resolution strategies Suspend the group sessions for a time Terminate the group
Determine the source of the conflict
A nurse is planning to start a new group on the unit. To ensure a well-functioning and successful group, the nurse needs to consider individual suitability for membership and consider: Can a potential member bring anything that will benefit the rest of the group? Does the purpose of the group match the treatment goals of the potential member? Can the potential member lead the group in case the leader is unable to attend? Does the purpose of the group suit the potential member's needs and, if not, could the client observe by sitting outside of the actual group and watching?
Does the purpose of the group suit the potential member's needs and, if not, could the client observe by sitting outside of the actual group and watching?
Which disorder is characterized by at least 2 years of depressed mood for more days than not with some additional, less severe symptoms that do not meet the criteria for a major depressive episode? Dysthymic disorder Cyclothymic disorder Seasonal affective disorder Hypomania
Dysthymic disorder
A psychiatric-mental health nurse is conducting a medication group for clients at the health center on the use of herbal supplements with psychopharmacological agents. When developing and leading the group, which aspect would be most important for the nurse to employ? Using a large group format to promote coverage of a greater amount of information Sharing the names of the each member's prescribed medications with other members Conveying information primarily through a lecture format for consistency Encouraging members to write down information to aid in remembering
Encouraging members to write down information to aid in remembering
A client has been successfully treated on the psychiatric mental health unit following a suicide attempt. In preparation for discharge, the nurse should prioritize what action? Ensuring a plan is in place for the client's community-based care Ensuring that the client has created a commitment to treatment statement Documenting the client's psychiatric advance directive Communicating with the pharmacy where the client will obtain prescribed medications
Ensuring a plan is in place for the client's community-based care
A nurse who plans to use cognitive therapy (CT) with a client knows that in the first meeting with the client it is important to do what? Summarize all issues identified. Establish rapport. Introduce strategies independent of the patient. Discourage self-reliance.
Establish rapport.
Following the failure of a woman's recent in vitro fertilization (IVF), the nurse recognizes that she may be at risk of depression. Which intervention is considered a primary suicide prevention measure? Establishing a support system for the woman and teaching her some coping measures Beginning treatment with a selective serotonin reuptake inhibitor Placing the woman on suicide precautions and establishing a no-suicide contract Beginning a course of therapy with a nurse-therapist or psychologist
Establishing a support system for the woman and teaching her some coping measures
A client is receiving solution-focused behavior therapy. Which type of question would be appropriate to examine beliefs associated with the concept that there are fluctuations in how the client experiences "the problems"? Scaling Exception Miracle Relationship
Exception
Which type of antipsychotic medication is most likely to produce extrapyramidal effects? Atypical antipsychotic drugs First-generation antipsychotic drugs Third-generation antipsychotic drugs Dopamine system stabilizers
First-generation antipsychotic drugs
Following a change in job position, a minister asks a client how the client likes the new job. The client states, "Oh everything is great. I can really see myself going far in this new position." However, the client's voice is monotone and the client's face is nearly absent of affective expression. The minister is worried about this client and describes this facial expression as what? Inappropriate Blunted Flat Constricted
Flat
During a group session, one of the members states, "Let's keep this discussion going so that everyone can participate, but let's keep the time each person speaks to about 3 minutes." The leader interprets this member as acting in which role? Group observer Gatekeeper Encourager Energizer
Gatekeeper
A psychiatric-mental health nurse has just reviewed the group rules at the first session. During this time, the nurse observed the verbal and nonverbal interactions among the group. The nurse is assessing for which group concept? Groupthink Group dynamics Group themes Group process
Group dynamics
In group, Client 1 talks about how stressful and important Client 1's job is. Client 2 comments that Client 1 seems to think Client 1 is "better than the rest of us." Client 3 supports Client 1's comment and says Client 3 doesn't understand why everyone wants Client 1 to "break down and cry." This dynamic illustrates what? Content communication Group process Transference Countertransference
Group process
The psychiatric nurse engages in evidence-based best practices when including nursing interventions into the care plan of a client diagnosed with bipolar disorder. This care plan supports both the administration of prescribed medications and ... Group psychoeducation Electroconvulsive therapy (ECT) Behavior modification Music therapy
Group psychoeducation
From the standpoint of cognitive therapy, the term cognition refers to what? Faulty thought patterns that result in abnormal behavior How clients think about themselves and their world An idea Dysfunctional ways of responding to situations
How clients think about themselves and their world
A psychiatric-mental health clinical nurse specialist is preparing to conduct a program for staff members about bipolar disorders. When describing the various theories associated with bipolar disorder, which concept would the nurse most likely address as reflecting chronobiological theories? Allostatic load Kindling Hypothalamic clock center Gene sequencing
Hypothalamic clock center
During which type of leadership does the group leader offer little guidance to the group? Indirect Direct Co-leadership Autocratic
Indirect
Which is the central focus of persecutory delusions? Injustice that must be remedied by legal action Involving bodily functions or sensations Unfaithfulness A great, unrecognized talent
Injustice that must be remedied by legal action
Which is an accurate statement regarding an advance care directive? It must be witnessed by two people and notarized. It needs to be written by an attorney. It applies to those who can make their own decisions. It needs to be signed by an attorney.
It must be witnessed by two people and notarized.
Which indicates that the nurse, acting as a leader for a group of recovering clients with alcohol abuse, is addressing the responsibility of maintaining the group's process? Keeping the group on task by restating goals Deciding how often the group will meet Selecting individuals for membership in the group Determining that the group's format will be closed
Keeping the group on task by restating goals
When leading a medication group, which educational method is least effective? Lecture Audiovisual materials Videotapes Handouts
Lecture
A client is prescribed lithium to treat mania. The client also has a history of hypertension for which the client takes lisinopril and hydrocholorothiazide. When monitoring this client, the nurse would be especially alert for signs and symptoms of which condition? Lithium toxicity Hypokalemia Hypertensive crisis Hypernatremia
Lithium toxicity
Which is an example of group cohesiveness? Using a member as a scapegoat Members wearing T-shirts that they made to a group session Monopolizing the therapy session Discussing a client's personal issues in front of other group members
Members wearing T-shirts that they made to a group session
A psychiatric-mental health nurse is leading a group that is in the honeymoon stage. Which behavior by group members would the nurse most likely observe? Select all that apply. Politeness toward other members of the group Intellectualization of the problems Attempts to test the trust of others Interactions involving the sharing of ideas Requests for special favors
Politeness toward other members of the group Intellectualization of the problems Attempts to test the trust of others
During a group session, a nurse leader observes a member look down at the floor and change position in the chair, each time the topic of anger and violence comes up. The nurse leader says to the member, "I've noticed that any time the discussion involves anger and violence you look away and change your position. Is something going on?" The nurse leader is using which technique? Reflecting feelings Reflecting behavior Clarification Summarizing
Reflecting behavior
A psychiatric-mental health nurse is assisting a client who is receiving solution-focused behavior therapy. The nurse is working to reinforce the client's positive responses to other questions. Which type of question would be most appropriate to use? Complimentary Scaling Relationship Exception
Relationship
A nurse working in a psychiatric facility identifies the goal of cognitive therapy (CT) to be what? Change events in a person's life. Restructure how a person perceives events. Help the person maintain all thoughts and behaviors. Redirect all events in a person's life.
Restructure how a person perceives events.
Dysfunctional consequences follow which type of belief? Fair Rational Flexible Rigid
Rigid
Which type of question is useful in making the client's problem or issue more specific? Relationship questions Miracle questions Scaling questions Exception questions
Scaling questions
An individual's life rules that act as a filter for cognitive distortions are known as what? Activating event Engagement Schema Demand
Schema
Which type of cognitive intervention identifies the possible solutions before addressing the problem? Psychotherapy Cognitive behavioral therapy Rational emotive behavior therapy Solution-focused behavior therapy
Solution-focused behavior therapy
When acting as the nurse leader for a group, the nurse implements a technique that creates a climate for members to express unpopular ideas while at the same time informs the group about what the leader thinks is important. The nurse is using which technique? Support Confrontation Summarizing Clarification
Support
During which group may the client learn how to avoid relapse? Anger management Symptom management Reminiscence Self-care
Symptom management
The student nurse correctly recognizes that which finding is best supported by genetic studies in the etiology of schizophrenia? That if a person has schizophrenia, distant relatives are also at risk. That there is no relationship at all between schizophrenia and genetics. That there is a weak correlation between genetics and schizophrenia. That schizophrenia is at least partially inherited.
That schizophrenia is at least partially inherited.
A client has been voluntarily admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization? The client can sign a written request for discharge. The client cannot be released without medical advice. The client retains all of his or her rights. The client has a right to leave if not a danger to self or others.
The client cannot be released without medical advice.
Considering that cognitive behavioral therapy (CBT) requires a clear understanding of one's own belief system, which client is not a candidate for effective CBT? The client diagnosed with post-traumatic stress disorder after being sexually assaulted. The client grieving the death of an infant child. The client diagnosed with schizophrenia 2 years ago. The client expressing an intense fear of closed-in spaces.
The client diagnosed with schizophrenia 2 years ago.
A client with a diagnosis of schizophrenia has been admitted to the psychiatric mental health unit following a suicide attempt. Shortly after admission, the client has agreed to a commitment to treatment statement (CTS). What effect will the CTS have on the client's inpatient care? The client explicitly agrees to participate in all aspects of treatment The client specifies which treatments he is willing to participate in The client waives his status as legally competent The client waives his right to make decisions about his care
The client explicitly agrees to participate in all aspects of treatment
A nurse is reviewing a journal article about mental health care and voluntary and involuntary treatment. After reading the article, the nurse demonstrates a need for additional review when the nurse identifies which element as being most commonly included as part of the statute? The client must be mentally disordered. The client must be a danger to self or others. The client must be refusing medication. The client is unable to provide for basic needs.
The client must be refusing medication.
A client is using cognitive therapy as an adjunct treatment for bipolar disorder. Which would be an overall goal for this client related to the use of cognitive therapy for this condition? The client will no longer have to take medication. The client will engage in self-care independent of professional assistance. The client will relinquish all control. The client will continue to have sessions with the therapist once a week for life.
The client will engage in self-care independent of professional assistance.
When teaching a group of new mental health nurses about the major difference between bipolar I and bipolar II disorders, which would be most appropriate for the nurse to include? Unlike bipolar II, bipolar I disorder involves no symptoms of mania, but only depression. Bipolar II is more often recognized than bipolar I. The mania symptoms of bipolar II disorder have little effect on functioning. Both disorders are the same, except the risk for suicide is greater with bipolar I disorder.
The mania symptoms of bipolar II disorder have little effect on functioning.
The main difference between growth groups and psychotherapeutic groups is what? The members' functional level The leader's educational preparation The members' ability to tolerate the group setting The leader's willingness to share leadership with a cotherapist group member
The members' functional level
A client states that she is anxious about separating from her emotionally abusive husband because she hasn't worked in many years. Using Beck's cognitive triad, the nurse understands that the client is concerned primarily about what? Threats from the world Threats to her self Threats about her future Threats from her past
Threats about her future
The client is taking a monoamine oxidase inhibitor (MAOI) for depression. The nurse educates the client to avoid foods containing what while taking this medication? Tyramine Calcium Potassium Sugar
Tyramine
A client reports anxiety over "sounding stupid" when talking to strangers. As a part of cognitive behavioral therapy, the client is expected to speak to a stranger on the bus ride home and to journal about the experience. What information will be evaluated to determine the effect the activity has on the client's irrational belief about "sounding stupid"? What physical manifestations the client felt during the conversation What actually happened compared to what the client feared would happen What the stranger said during the conversation What self-talk the client employed to prepare for the conversation.
What actually happened compared to what the client feared would happen
A basic function of psychiatric nurses is to implement a group that focuses on helping individuals coping with their illness. This refers to ... an interactive group. a supportive therapy group. a psychoeducational group. a cognitive behavior therapy group.
a supportive therapy group.
Which types of questions reinforce the client's successes and the strengths needed to achieve those successes? compliments relationship scaling exception
compliments
Which mental health disorder has the most significant risk factor for suicide? depression anxiety schizophrenia mania
depression
The education provided to a client receiving cognitive behavioral therapy provides the client with information on the nature and course of the disorder and ... identifies client weaknesses. promotes the relationship with therapist for indefinite period of time. examines the pros and cons of receiving cognitive behavior therapy. empowers clients to engage in a collaborative approach to their care.
empowers clients to engage in a collaborative approach to their care.
A nurse is working with a client that has been diagnosed with delusional thoughts. Which is an initial short-term outcome appropriate for this client? accept that the delusion is illogical distinguish external boundaries explain the basis for the delusions engage in reality oriented conversation
engage in reality oriented conversation
A nurse is trying to manage the situation of a disliked member in the group and is encountering difficulties in managing the situation. The best action of the nurse is to ... ask the person to leave the group. get supervision from an experienced group leader. identify another leader to take over the group. disband the group.
get supervision from an experienced group leader.
Which therapeutic factor refers to the group members' relationships to the therapist and other group members? group cohesion catharsis altruism universality
group cohesion
Which maintenance role is responsible for mediating differences among group members and relieves tension in conflict situations? harmonizer encourager compromiser gatekeeper
harmonizer
A client who is depressed tells the nurse, "If I'm honest, I really see suicide as the only way out." In order to challenge the client's belief, the nurse should ... help the client to identify and explore other options. encourage the client to identify and attend outpatient support groups. provide distraction by organizing therapeutic recreation. organize a family meeting.
help the client to identify and explore other options.
Electroconvulsive therapy would be contraindicated for a client with: increased intracranial pressure. myocardial infarction, five years ago. stroke, 10 years ago. hypertension.
increased intracranial pressure.
The client just received a diagnosis of end-stage renal disease. After hearing options, the client visited a lawyer and documented what treatment is to be held in the event that the client is unable to make decisions. The nurse asks for a copy of this document for the chart. The name of this document is: living will durable power of attorney patient rights informed consent
living will
A psychiatric-mental health nurse is assessing a client and evaluating a client's beliefs. The nurse determines that the client's beliefs are rational because the belief: reflects flexibility. is absolute. is self-defeating. reflects infallibility.
reflects flexibility.
A psychiatric-mental health nurse is assessing a client's cognitive triad. The nurse would focus the assessment on the client's thoughts about which area? Select all that apply. family members self past events world present situation
self world
A psychiatric-mental health nurse is interviewing the family members of a client diagnosed with Alzheimer's disease. The members mention that they feel all alone and are having problems dealing with the everyday and long-term issues of caring for the client. The nurse determines that a referral to a group would be beneficial. Which type of group would be most appropriate for the nurse to suggest? psychoeducation group supportive therapy group psychotherapy group self-help group
supportive therapy group
A client diagnosed with schizophrenia is having hallucinations. Which type of group would be beneficial for this client? symptom management self-care anger management medication
symptom management
A group has been given the assignment of completing the arrangements for a day trip to the aquarium. This is an example of which type of group? task decision making supportive therapy psychotherapy
task
A nurse is reading a journal article about cognitive behavior therapy and cognitive processes involved in the development of common mental disorders such as depression. The nurse demonstrates understanding of the information by identifying which area as being included in the cognitive triad? Select all that apply. oneself world future present nurse
world future oneself
