Essentials of Psychiatric Mental Health Nursing

Chapter 27: Community Mental Health Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A nursing instructor is teaching about the Community Health Centers Act of 1963. What was a deterring factor to the proper implementation of this act? 1. Many prospective clients did not meet criteria for mental illness diagnostic-related groups. 2. Zoning laws discouraged the development of community mental health centers. 3. States could not match...

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Chapter 1: Mental Health and Mental Illness Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed. How should the nurse interpret the client’s behaviors? 1. The client’s behaviors demonstrate mental illness in the form of depression. 2. The c...

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Chapter 7: The Nursing Process in Psychiatric/Mental Health Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems? 1. Medical history is of little significance and can be eliminated from the nursing assessment. 2. Assessment provides a holistic view of the client, including biopsychosocial aspects. 3. Comprehensive assessments can be ...

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Chapter 8: Milieu Therapy—The Therapeutic Community Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. An angry client on an inpatient unit approaches a nurse stating, “Someone took my lunch! People need to respect others, and you need to do something about this now!” The nurse’s response should be guided by which basic assumption of milieu therapy? 1. Conflict should be avoided at all costs on inpatient psychiatric units. 2. Conflict...

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Chapter 14: Substance Use and Addictive Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. What should be the priority nursing diagnosis for a client experiencing alcohol withdrawal? 1. Risk for injury R/T central nervous system stimulation 2. Disturbed thought processes R/T tactile hallucinations 3. Ineffective coping R/T powerlessness over alcohol use 4. Ineffective denial R/T continued alcohol use despite negative consequences ...

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Chapter 15: Schizophrenia Spectrum and Other Psychotic Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which nursing action should be prioritized to maintain this client’s safety? 1. Assess for medication nonadherence. 2. Note escalating behaviors and intervene immediately. 3. Interpret attempts at communication. 4. Assess triggers for bizarre...

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Chapter 16: Depressive Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The nurse educator is lecturing a group of nursing students on depression in adolescents. Which statement indicates that teaching has been effective? 1. “Adolescents are not likely to suffer from depression.” 2. “Depressed adolescents always seek immediate treatment.” 3. “Many symptoms are attributed to normal adjustments of adolescents.” 4. “Sui...

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Chapter 18: Anxiety, Obsessive-Compulsive, and Related Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A nursing instructor is teaching about specific phobias. Which student statement indicates to the instructor that teaching has been effective? 1. “These clients recognize their fear as excessive and frequently seek treatment.” 2. “These clients have a panic level of fear that is overwhelming and unreasonable.” 3. “Thes...

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Chapter 21: Issues Related to Human Sexuality and Gender Dysphoria Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A 52-year-old client states, “My husband is upset because I don’t enjoy sex as much as I used to.” Which priority client data should a nurse initially collect? 1. History of hysterectomy 2. Date of last menstrual cycle 3. Use of birth control methods 4. History of thought disorder ____ 2. In the course of an assessment...

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Chapter 26: Survivors of Abuse or Neglect Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child’s face and arms. What other symptom should indicate to the nurse that the child may have been physically abused? 1. The child shrinks at the approach of adults. 2. The child begs or steals food or money. 3. The child is frequentl...

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Chapter 27: Community Mental Health Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A nursing instructor is teaching about the Community Health Centers Act of 1963. What was a deterring factor to the proper implementation of this act? 1. Many prospective clients did not meet criteria for mental illness diagnostic-related groups. 2. Zoning laws discouraged the development of community mental health centers. 3. States could not match...

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•  • 14 pages • 
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Chapter 21: Issues Related to Human Sexuality and Gender Dysphoria Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A 52-year-old client states, “My husband is upset because I don’t enjoy sex as much as I used to.” Which priority client data should a nurse initially collect? 1. History of hysterectomy 2. Date of last menstrual cycle 3. Use of birth control methods 4. History of thought disorder ____ 2. In the course of an assessment...

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•  • 14 pages • 
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Chapter 21: Issues Related to Human Sexuality and Gender Dysphoria Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A 52-year-old client states, “My husband is upset because I don’t enjoy sex as much as I used to.” Which priority client data should a nurse initially collect? 1. History of hysterectomy 2. Date of last menstrual cycle 3. Use of birth control methods 4. History of thought disorder ____ 2. In the course of an assessment...

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Chapter 22: Eating Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which statement regarding a client’s home environment should a nurse associate with the development of anorexia nervosa? 1. The home environment maintains loose personal boundaries. 2. The home environment places an overemphasis on food. 3. The home environment is overpro...

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Chapter 23: Personality Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. During an assessment interview, a client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions. Which is the appropriate nursing response to this behavior? 1. “You are very disrespectful. You need to learn to control yourself.” 2. “I understand that you are angry, but this behavior will not be tolerated.” 3. “...

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Chapter 24: Children and Adolescents Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Which developmental characteristic should a nurse identify as typical of a client diagnosed with severe intellectual developmental disorder (IDD)? 1. The client can perform some self-care activities independently. 2. The client has more advanced speech development. 3. Other than possible coordination problems, the client’s psychomotor skills are not affe...

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Chapter 25: The Aging Individual Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A client has recently been placed in a long-term care facility, because of marked confusion and inability to perform most activities of daily living. Which nursing intervention is most appropriate to maintain the client’s self-esteem? 1. Leave the client alone in the bathroom to test ability to perform self-care. 2. Assign a variety of caregivers to increase...

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Chapter 26: Survivors of Abuse or Neglect Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child’s face and arms. What other symptom should indicate to the nurse that the child may have been physically abused? 1. The child shrinks at the approach of adults. 2. The child begs or steals food or money. 3. The child is frequentl...

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Chapter 28: The Bereaved Individual Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A client is diagnosed with terminal cancer. Which situation represents Kübler-Ross’s grief stage of “anger”? 1. The client registers for an Ironman marathon to be held in 9 months. 2. The client is a devout Catholic but refuses to attend church and states that his faith has failed him. 3. The client promises God to give up smoking if allowed to live ...

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Chapter 29: Military Families Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Approximately two million American children have experienced the deployment of a parent to Iraq or Afghanistan. How many of these children either lost a parent or have a parent who was wounded in these conflicts? 1. 48,000 2. 26,000 3. 11,000 4. 8,000 ____ 2. Research has shown that an adolescent (13 to 18 years) would typically exhibit which behavior as a reac...

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