Canadian Practice Latest Edition - Ch. 1-35,
9781496384874, with Rationales
Contemporary Psychiatric-Mental Health Nursing (test 1) chaps 1-5 8-10, 13, 23
During the shift report, a nurse describes a client as crazy. Which approach by the nurse
would be best?
Suggest that staff use the term mentally ill.
The psychiatric mental health nursing student is preparing to attend a meeting of the
psychiatric mental health care team to discuss possible updates to clients diagnoses. In
preparing for this meeting, the nursing student should consult which of the following
references?
Diagnostic and Statistical Manual of Mental Disorders
The nurse is sharing client assessment data with the multidisciplinary health care team.
Which comment by the nurse is irrelevant and indicates a misunderstanding of the concept
of a mental disorder?
The client has some very inappropriate religious ideas and spiritual beliefs.
The nursing assistant verbalizes to the psychiatric nurse that normal people dont have
mental disorders. Which approach by the nurse would be best?
Instruct the nursing assistant that anyone can have a mental health problem.
The nurse is teaching the client regarding the concept of mental disorders. In instructing
the client, what areas should be covered in the explanation of what impacts the
determination of a mental disorder?
Standard Text: Select all that apply.
Social conditions
Biochemistry
,Brain structure
Culture
The nurse is teaching staff at a community mental health clinic about what constitutes a
mental disorder. Which comment by staff indicates to the nurse the need for further
teaching?
Grieving after a loss may signal a mental disorder.
The nurse is told that the client most likely has the diagnosis of obsessive-compulsive
disorder. The nurse is not sure of the assessment data and behaviors that accompany this
disorder. Which action would be most appropriate for the nurse to take?
Consult the Diagnostic and Statistical Manual of Mental Disorders for diagnostic criteria.
During an admission assessment on an adult unit, the nurse is thinking that the clients
beliefs and actions regarding commonly accepted health practices are bizarre. To help
establish the presence of a mental disorder, the nurse should first collect information about
the clients:
Standard Text: Select all that apply.
Occupational history.
Psychiatric history.
Culture.
The nurse is caring for a client who was recently admitted to the unit. During the nursing
assessment of the client, the nurse finds the clients beliefs and actions related to many
health practices to stray from the norm. Which action would be most appropriate for the
nurse to take at this time?
Inquire as to the culture with which the client identifies.
The new nurse is working with a preceptor on a medical-surgical unit. The nurse has just
assessed a client and states to the preceptor, This client has many odd notions regarding
several common health practices. He seems like a deviant to me. In planning a response, the
preceptor is guided by:
, The knowledge that beliefs and behaviors are judged by cultural and social considerations.
A nurse educator is teaching a group of students the definition of a mentally healthy
individual. The nurse educator knows that an individual is considered mentally healthy
when which of the following concepts give evidence to psychological, emotional, and social
health?
Behavior
The nurse is asked to provide traits of a mentally healthy individual at a hospital in-service.
The nurse knows that mentally healthy individuals are:
Independent and autonomous.
The client has frequently presented to the clinic with multiple physical complaints. The
multiple physical complaints would warrant the nurse to screen the client for:
A mental disorder.
The nurse is researching statistics of the five psychiatric disorders that comprise the top 10
causes of disability worldwide. Given this information, the nurse chooses which of the
following as a priority screening for clients?
Depression
The nurse is planning care for the client who presents with frequent reports of multiple
physical complaints. Given knowledge of the leading causes of mental disability, the nurse
should plan to include further data collection in which of the following priority areas?
Alcohol usage
The nurse plans to implement health promotion activities at the local senior citizen center.
To meet the goal of promoting knowledge related to maximizing mental health and
functional ability, the nurses teaching is guided by World Health Organization research
and should include discussion of which priority area specific to the leading causes of mental
disability?
Alcohol