Psychiatric Mental Health Nurse Certification 177 Questions with Verified Answers,100% CORRECT

Psychiatric Mental Health Nurse Certification 177 Questions with Verified Answers According to traditional definitions of mental health, which of the following would the nurse be most likely to describe as mentally healthy? a. Jerry Jones, a Vietnam veteran with no family ties, who has been unemployed for 10 years b. Tom Sarris, a CEO, who spends 14 hours at work each day and is too tired to do anything with his family on weekends c. George Connors, a shoe salesman who delights in playing affectionately with his children but has been unable to hold a steady job since they were born d. Sam Thomas, a restaurateur who loves his work, but sets limits on the hours he spends there in order to enjoy his family and friends - CORRECT ANSWER d. Sam Thomas, a restaurateur who loves his work, but sets limits on the hours he spends there in order to enjoy his family and friends Which of the following would be described as a component of mental health according to Johnson? a. Refusing to be involved in any relationship that limits independence b. Absence of anxiety under any circumstances c. Dependence on friends and family to assist with crises d. Ignoring cues from the environment when deciding what to do - CORRECT ANSWER c. Dependence on friends and family to assist with crises In helping a client change, the nurse should: a. Encourage the client to move rapidly to avoid delay b. Realize that the problems the client is facing will make him or her eager to change c. Encourage feelings of hope d. Understand that change is a natural process that never involves anxiety and fear - CORRECT ANSWER c. Encourage feelings of hope In facilitating change the nurse should: a. Avoid deliberate goal-directed activity since this will inhibit the process b. Restrict clients to few choices to avoid overwhelming them c. Give up if resistance is encountered d. Form a helping relationship and collaborate with clients - CORRECT ANSWER d. Form a helping relationship and collaborate with clients John Korman is a 36-year-old male recently admitted to a psychiatric unit. The nurse taking his history observes that his speech is slurred, and he states that he cannot remember where he has been for the past 12 hours, but the police who brought him in stated that he was arrested driving the wrong way on a one-way street. Which of the following items on the mental status exam would the nurse NOT mark "impaired"? a. Behavior b. Judgment c. Memory d. Affect - CORRECT ANSWER d. Affect Which of the following is NOT necessary for the nurse to make a spiritual assessment? a. Assure that the client has a religious affiliation. b. Determine if client believes in a higher power. c. Evaluate the client's relationship to others. d. Determine the client's philosophy of life. - CORRECT ANSWER a. Assure that the client has a religious affiliation. Which of the following interventions would be labeled as an independent nursing intervention on a psychiatric unit? a. Giving medications b. Making discharge plans c. Deciding privileges d. Assuring safety - CORRECT ANSWER d. Assuring safety The staff of a day treatment program have determined that all clients must participate in a group outing to a local museum because all of the staff want to see the exhibit. Two women clients in the group voice their opposition to visiting the museum because they do not wish to risk being identified as psychiatric clients by others in the community. The staff refuse to listen to their concerns and insist that they go on the trip, but do not describe any particular reason. Which adjective describes the type of goal planning evident in this situation? a. Specific b. Individualized c. Collaborative d. Authoritarian - CORRECT ANSWER d. Authoritarian Which of the following behaviors would indicate a good client response to a nursing action? a. The client's body is noticeably less tense and he or she has stopped pacing. b. The client stops interacting with others on the unit. c. The client states "If I don't do what people want they won't like me." d. The client refuses to listen to feedback from other members of the community. - CORRECT ANSWER a. The client's body is noticeably less tense and he or she has stopped pacing. A nurse brings a client the Clozapine medication that she has been taking. The client does not look well and complains of a sore throat. The nurse notes that her temperature is elevated and concludes that the client has an upper respiratory infection. After giving the client the medication, she states that she will ask the doctor for a PRN aspirin order. The doctor orders a CBC and determines that the client has agranulocytosis. At which step of the nursing process did this nurse's problem begin? a. Diagnosis b. Planning c. Intervention d. Revision of plan - CORRECT ANSWER b. Planning Which of the following is NOT true of the Resolution or Termination phase of the nurse-client relationship? a. Preliminaries for this phase are introduced in the Orientation phase. b. Talk about the impending separation should be avoided so that the client does not decompensate. c. The client should be encouraged to review his progress and goals. d. The nurse should model appropriate expression of feelings. - CORRECT ANSWER b. Talk about the impending separation should be avoided so that the client does not decompensate. Which of the following statements would the nurse NOT make in negotiating a contract with the client within the nurse-client relationship? a. "I would like to meet with you on a once a week basis while we are trying to resolve this crisis." b. "We need about 10 sessions to work on this problem." c. "I have malpractice insurance in case there is any problem." d. "We will not be exploring your past, but only looking at things that are going on now." - CORRECT ANSWER c. "I have malpractice insurance in case there is any problem." In a session with the nurse, the client begins to whine about his inability to complete his assigned task from the previous session. The nurse responds by scolding him for his failure. This is an example of: a. Transference b. Counter-transference c. Transference and Counter-transference d. Goal setting - CORRECT ANSWER c. Transference and Counter-transference Sarah has been at least 10 minutes late for each of her previous sessions. Today she arrives 20 minutes late. The nurse should: a. Express anger towards Sarah. b. Confront Sarah firmly and set limits on her behavior. c. Discuss terminating their sessions if she continues this d. Comment on her observations and assist Sarah to understand her behavior. - CORRECT ANSWER d. Comment on her observations and assist Sarah to understand her behavior. Jim, a 14-year-old client, is discussing his drug abuse problem with his nurse. When she asks him to clarify the types of substances he routinely uses, he responds by saying "How about you, have you ever used marijuana?" How should the nurse respond? a. "That's none of your business, Jim, now let's get back to your problem." b. "Why, yes I have, but I was older and more responsible." c. "As you recall, Jim, we agreed to work on your problems with drugs in our sessions. I wonder what concerns you about whether I have used drugs." d. "That's an inappropriate question. I don't have to answer that and wonder why you'd even ask it." - CORRECT ANSWER c. "As you recall, Jim, we agreed to work on your problems with drugs in our sessions. I wonder what concerns you about whether I have used drugs." According to the Communication Process, at the end of the feedback loop, the sender becomes the receiver. a. True a. False - CORRECT ANSWER a. True Which of the following statements is true concerning communication? a. Some behavior is random and does not communicate a message. b. The message sent by the sender is obvious and does not have to be interpreted by the receiver. c. The main goal of communication is understanding. d. The only real form of communication is the verbal message, either written or spoken. - CORRECT ANSWER c. The main goal of communication is understanding. Sobbing and grunting would be forms of what kind of nonverbal messages? a. Kinesics b. Paralanguage c. Proxemics d. Appearance - CORRECT ANSWER b. Paralanguage Terry Barr is describing to the nurse that he sees himself as extremely patient and laid back. As he speaks, he drums his fingers on the arm of the chair. What can the nurse infer from this communication? a. Terry is obviously lying and trying to fool the nurse. b. Terry's verbal and nonverbal communications are not congruent. c. Terry is in touch with his feelings and expressing them openly and honestly. d. Terry's culture is interfering with his ability to communicate. - CORRECT ANSWER b. Terry's verbal and nonverbal communications are not congruent. As they are walking down the hall, the nurse and client are discussing their favorite movies. This is an example of: a. Social communication b. Therapeutic communication c. Inappropriate communication d. Lack of communication - CORRECT ANSWER a. Social communication Which of the following would be the best example of an open-ended question? a. How did you come to be in the hospital? b. Did your husband bring you over to the hospital? c. Who brought you to the hospital? d. When did you come into the hospital? - CORRECT ANSWER a. How did you come to be in the hospital? Adrienne has just finished describing how devastated she was at the recent loss of her mother. Which of the following responses by the nurse would NOT be a barrier to therapeutic communication? a. "I know how you feel. I lost my mother recently, too." b. "Well, it's better to have loved and lost, if you know what I mean." c. "When did she die? Of what? Does anyone else in your family have that problem?" d. "It sounds like it's been a really tough period for you." - CORRECT ANSWER d. "It sounds like it's been a really tough period for you." Timmy, a 6-year-old, is accompanying his parents to a family therapy session to deal with his school phobia. Which of the following behaviors by the nurse would NOT constitute therapeutic communication skills with a child? a. "Let's pick out some toys from the closet to play with while I talk to your Mom and Dad." b. "What do you like best about school, Timmy? What do you like least?" c. "Tell me about the picture you drew of your family." d. "Is there something that makes you anxious about going to school, Timmy?'' - CORRECT ANSWER d. "Is there something that makes you anxious about going to school, Timmy?'' In a peer supervision group a nurse is discussing a recent self-disclosure to a client. The group is most likely to question the appropriateness of the behavior if: a. The nurse has been using a humanistic theoretical approach. b. The nurse-client relationship was in the termination phase. c. The nurse-client relationship was in the working phase. d. The nurse-client relationship was in the orientation phase. - CORRECT ANSWER d. The nurse-client relationship was in the orientation phase. Susan, a new graduate, has recently joined the staff of an inner-city mental health clinic. She is shocked at some of the parenting behaviors of her initial client and tells other clinicians that she thinks her client should know better. How could her attitude be labeled? a. Stereotyping b. Culturally relativistic c. Ethnocentric d. Culturally deprived - CORRECT ANSWER c. Ethnocentric Susan finds herself frustrated when her client uses some money she receives to buy winter coats for her nephews instead of saving it to buy a car so she could commute to a better job. Susan's client is demonstrating which cultural values? a. Present oriented, individualistic b. Future oriented, individualistic c. Present oriented, collectivist d. Future oriented, collectivist - CORRECT ANSWER c. Present oriented, collectivist A Middle Eastern client comes to the nurses' station and stands face to face less than a foot away from the nurse. The nurse should be aware that: a. The client is becoming aggressive and trying to intimidate the nurse. b. The client has a different sense of personal space than the predominant American culture. c. The client is testing the nurse and needs to be confronted. d. The client is being seductive with the nurse. - CORRECT ANSWER b. The client has a different sense of personal space than the predominant American culture. An Asian American client arrives for her first session with the nurse. She speaks softly and avoids discussion of her problem directly. The nurse should: a. Understand that she has low self-esteem and suggest that they work on this problem. b. Realize that this behavior is due to extreme guilt and shame and indicates a secret that needs disclosing. c. Be aware that this is defensive behavior and probably foreshadows a great deal of resistance. d. Understand that this is culturally appropriate behavior and should be respected and mirrored. - CORRECT ANSWER d. Understand that this is culturally appropriate behavior and should be respected and mirrored. In a well-functioning mental health team who is the most important member? a. The doctor b. The nurse c The psychologist d. The client - CORRECT ANSWER d. The client Which of the following characteristics is most indicative of success in a mental health team? a. A team leader with a decisive authoritarian approach b. A set of firm rules and regulations to cover most situations that could arise c. Many diverse philosophies of treatment d. Open communication - CORRECT ANSWER d. Open communication The goal of Art therapy and Music therapy is: a. To assist clients in passing time in the hospital productively. b. To teach clients a new skill or hobby. c. To evaluate clients for possible job training. d. To stimulate the expression of feelings. - CORRECT ANSWER d. To stimulate the expression of feelings. Which of the following is not a responsibility of the generalist nurse? a. Psychotherapy b. 24-hour care c. Milieu management d. Safety - CORRECT ANSWER a. Psychotherapy Which of the following is most true about a psychiatric and mental health advanced practice nurse who testifies in court on behalf of a child who has been sexually abused? a. The nurse is functioning as an advocate for the child. b. The nurse is functioning as a case manager for the child. c. The nurse is exceeding her capabilities as a psychiatric and mental health advanced practice nurse. d. The nurse is functioning as a Psychiatric Liaison Nurse. - CORRECT ANSWER a. The nurse is functioning as an advocate for the child. Of the following advocacy guidelines, which is true? a. All clients are in need of advocacy as provided by the nurse. b. Joining forces with other groups with similar goals should be avoided since this leads to a large group that is difficult to handle. c. The maximum power possible should be brought to the task to ensure the maximum benefit. d. Patience and persistence are important characteristics of successful client advocates. - CORRECT ANSWER d. Patience and persistence are important characteristics of successful client advocates. Jerry Coleman is a 46-year-old client with Bipolar Disorder who has recently had an exacerbation of his manic symptoms. He has been referred for appropriate services to a psychiatric and mental health advanced practice nurse by his disability insurance company. What kind of services might he expect to receive from his case manager? a. A thorough evaluation of his case and coordination of all services b. Referral for medication evaluation and maintenance c. Referral for vocational rehabilitation if necessary d. Weekly reports to his boss concerning the details of his disability - CORRECT ANSWER d. Weekly reports to his boss concerning the details of his disability Sharon Getty has been admitted to a neurological unit with a complaint of chronic pain. She has been referred to the psychiatric and mental health advanced practice nurse who functions as the Psychiatric Liaison Nurse for that unit. Which might be a response of the liaison nurse? a. Discussion with R.N.s on the unit about the need for them not to talk with the client about the emotional components of her pain b. Avoiding talking with the client's family because they will probably be upset to learn that they might be contributing to the client's problems with pain c. Realizing that individual psychotherapy with the client is the role of the psychiatrist d. Referring the client to occupational therapy if appropriate - CORRECT ANSWER d. Referring the client to occupational therapy if appropriate Which of the following is NOT true? a. Milieu therapy implies that all activity is therapeutic. b. A therapeutic environment cannot exist without community meetings. c. Token communities use privileges to reward appropriate behavior. d. The physical environment is an important part of the milieu. - CORRECT ANSWER b. A therapeutic environment cannot exist without community meetings. To which of the following values would the nurse working within the therapeutic milieu probably NOT subscribe? a. The need for accessible team members and cooperative working relationships b. Empowerment of clients and staff to make decisions that affect the group c. Emphasis on the individual at the expense of the group d. Encouragement of risk taking and growth - CORRECT ANSWER c. Emphasis on the individual at the expense of the group Carmine d'Angelo is a 29-year-old client with a diagnosis of Schizophrenia, Paranoid Type. When he is denied off-unit privileges at a community meeting, he becomes hostile and accuses certain community members of "having it in for me." What would be the most appropriate response of the nurse? a. Ignore the behavior because it is inappropriate. b. Confront Mr. D'Angelo with his inappropriate behavior and put him in seclusion. c. Meet with him at their usual time and clarify his misperceptions. d. Ask the community members that he accused to have nothing more to do with him. - CORRECT ANSWER c. Meet with him at their usual time and clarify his misperceptions. What types of things would the nurse NOT work on with Mr. D'Angelo over the next few sessions? a. How his thoughts and feelings influence his behavior b. Whether or not his behavior at the previous community meeting achieved his purpose c. What other coping strategies might be more effective d. Who seems to be "most out to get" him - CORRECT ANSWER d. Who seems to be "most out to get" him In a therapy group, a client makes inappropriate demands of the psychiatric and mental health advanced practice nurse who is the group therapist. The psychiatric and mental health advanced practice nurse responds assertively and effectively resolves the problem to the satisfaction of all concerned. What curative factor, according to Yalom does this situation exemplify? a. Altruism b. Catharsis c. Interpersonal Learning d. Universality - CORRECT ANSWER c. Interpersonal Learning Mrs. C. S. is an extremely shy individual who was admitted to the hospital with a depressive disorder. What characteristics of therapy groups will best serve her needs? a. The realization that no one else in the group has anything like the problem she has b. The fact that two members of the group are talking constantly without interruption will protect her from feeling like she must participate. c. The experience of being left alone by other group members will protect her autonomy and decrease her performance anxiety. d. The fact that others support one another in learning to change will encourage her to take the risks needed to grow. - CORRECT ANSWER d. The fact that others support one another in learning to change will encourage her to take the risks needed to grow. A psychiatric and mental health advanced practice nurse is called in as a consultant to a nursing home seeking to enhance the morale of its residents. The psychiatric and mental health advanced practice nurse decides to begin an ongoing Resocialization Group since many of the clients have been pretty much isolated from others in their previous living situations. How would such a group be classified? a. Homogeneous, closed ended b. Heterogeneous, open ended c. Open ended, task d. Closed ended, psychotherapy - CORRECT ANSWER b. Heterogeneous, open ended Ann and John lose their first child to Sudden Infant Death Syndrome. They decide to attend a hospital-sponsored group for people who have had this experience. What type of group will they be attending? a. Teaching group b. Psychotherapy group c. Task group d. Supportive/Therapeutic group - CORRECT ANSWER d. Supportive/Therapeutic group A psychiatric and mental health advanced practice nurse working as a group psychotherapist makes observations about the effective way members handled a participant who was acting out in the group. What type of leadership style does this nurse exhibit? a. Autocratic b. Democratic c. Laissez faire d. Materialistic - CORRECT ANSWER b. Democratic After a particularly difficult community meeting, the staff of a unit sit down and begin to talk about which clients were seated in close proximity and who agreed with whom on the issues that came up. What is the staff discussing? a. Gossip b. Rank and Status c. Group Content d. Group Process - CORRECT ANSWER d. Group Process A nursing group has convened to make decisions about renovation plans for a psychiatric unit. One of the members is discussing how little the hospital ever pays attention to input from nursing staff. Which member role is this participant exhibiting? a. Maintenance role b. Task role c. Individual role d. Gatekeeper role - CORRECT ANSWER c. Individual role A psychiatric and mental health advancedterm-46 practice nurse has had several meetings with a therapy group. On this particular occasion it is noted that members seem angry with the nurse each other to see who can refrain from breaking the silence longest. Which stage of group development do these behaviors signify? a. Storming b. Norming c. Performing d. Mourning - CORRECT ANSWER a. Storming A psychiatric and mental health advanced practice nurse notes that members of her therapy group have become most supportive of one another and very attached to the group. Which stage of group development do these behaviors signify? a. Forming b. Storming c. Norming d. Performing - CORRECT ANSWER c. Norming Whose responsibility is it to deal with transference issues in group therapy? a. The nurse b. The group members c. The nurse and the group members d. The group member who is involved in the transference - CORRECT ANSWER c. The nurse and the group members How should a member terminating be handled in groups? a. Little attention should be paid to it since this person is now ready to leave and other members are more in need of assistance. b. Members may discuss it if they wish, but should be allowed to avoid it if it causes anxiety. c. Members should be encouraged to focus only on the positive aspects of the leaving so that negative feelings do not arise. d. Members should be encouraged to express whatever feelings arise in the process of leaving. - CORRECT ANSWER d. Members should be encouraged to express whatever feelings arise in the process of leaving. Which of the following best summarizes the family therapist's position on how mental illness occurs? a. The symptomatic person is the innocent victim of other members of the family. b. If other family members are given education and support, they can help the symptomatic person. c. The symptomatic person is the result of pathology throughout the entire family system. d. If other family members set limits and confront the symptomatic person with reality, they can help him or her. - CORRECT ANSWER c. The symptomatic person is the result of pathology throughout the entire family system. A psychiatric and mental health advanced practice nurse is the family therapist for a family whose youngest child is the identified patient. The child has been brought in for therapy because he has been doing poorly and acting out at school. How will the nurse begin the initial session with the family? a. By asking the child why he is doing poorly in school b. By asking the parents why they think he is doing poorly at school c. By asking each family member how they did in school d. By asking questions about the family in general - CORRECT ANSWER d. By asking questions about the family in general In working with the family, the nurse finds that the child is waking many times during the night and climbing into the parents' bed. Which of the following would the nurse probably NOT use as an intervention in this situation? a. Suggesting that one of the parents sleep in the child's room so everyone can get a good night's sleep b. Encouraging the parents to work together to set limits on the child's sleeping in their bed c. Asking the parents to talk together about how they will handle the situation when the child wakes up in the night d. Encouraging each member of the family to talk about his/her feelings in the matter - CORRECT ANSWER a. Suggesting that one of the parents sleep in the child's room so everyone can get a good night's sleep The nurse suggests that if the child cannot sleep, that he play a cassette tape on his recorder and try to listen to as many cassettes as he can, making sure that he gets out of bed, so that he does not fall asleep in the process. This intervention is known as: a. Homework b. Paradoxical prescription c. Sculpting d. Triangling - CORRECT ANSWER b. Paradoxical prescription The nurse also asks the parents to keep a record of the number of nights the child stays in his own room and to reward him with a treat if he can do it three nights in a row. This intervention is known as: a. Homework b. Paradoxical prescription c. Sculpting d. Triangling - CORRECT ANSWER a. Homework A family with extremely rigid boundaries will probably NOT have: a. Positive links to society b. Clear boundaries c. Strong parental coalition d. Efficient negotiation and task performance - CORRECT ANSWER a. Positive links to society Members of a therapeutic community decide at a community meeting that it is not right for two extremely demanding clients to determine the activities for the entire group. This decision can best be classified under which ethical perspective? a. Egoism b. Utilitarianism c. Deontology d. Formalism - CORRECT ANSWER b. Utilitarianism When the nurse asks potentially suicidal clients to relinquish any sharp objects they have in their possession, which ethical principle is being utilized? a. Autonomy b. Beneficence c. Nonmaleficence d. Justice - CORRECT ANSWER b. Beneficence A government agency doing a security check on an individual calls a psychiatric and mental health advanced practice nurse seeking information about any mental health problems that the individual might have. What initial response is the best for the psychiatric and mental health advanced practice nurse? a. Turn all written records over to the investigators. b. Submit a treatment summary describing the client's problems. c. Write a report that describes the client's problems in the least damaging way possible. d. Refuse to acknowledge that the client is in therapy until a release of information form is signed by the client. - CORRECT ANSWER d. Refuse to acknowledge that the client is in therapy until a release of information form is signed by the client. A psychiatric and mental health advanced practice nurse has been treating a client for several months. Recently the client has become increasingly agitated and expressed a great deal of hostility towards his ex-wife. At their last session, the client described a detailed plan to kill her and kidnap his children. What is the psychiatric and mental health advanced practice nurse's response? a. Call the client's ex-wife and inform her that she may be in danger. b. Call the police and discuss the case with them. c. Consult a lawyer about the case. d. Preserve the client's right to confidentiality - CORRECT ANSWER a. Call the client's ex-wife and inform her that she may be in danger. A mother brings her adolescent son in to be seen by a psychiatric and mental health advanced practice nurse. The mother wishes to hospitalize the boy. She indicates that she can no longer control his behavior and that he is dating girls of whom she does not approve and staying out past his curfew. Based on the boy's right to treatment in the least restrictive setting, what is the psychiatric and mental health advanced practice nurse's best response? a. Determine the most secure facility to hospitalize the child because he is probably a "run risk." b. Seek a Day Treatment Program since the child's behavior is not dangerous. c. Offer to work with the mother and son in regard to appropriate expectations and discipline. d. Tell the mother that all adolescents act that way and that she is wrong to be upset about this normal behavior. - CORRECT ANSWER c. Offer to work with the mother and son in regard to appropriate expectations and discipline. Leroy Jones was committed to an inpatient psychiatric unit because of hallucinations that have not been controlled by oral medications prescribed on an outpatient basis. In the hospital, Mr. Jones has been prescribed I.M. Prolixin. When the nurse brings the first injection, Mr. Jones refuses the medication. What is the nurse's best immediate response in this situation? a. Talk with Mr. Jones about his objections to the medication. b. Tell Mr. Jones that he cannot refuse the medication since it is necessary for his treatment. c. Call his doctor and tell him/her that Mr. Jones has refused the medication. d. Call an emergency team to restrain Mr. Jones while the medication is being given. - CORRECT ANSWER a. Talk with Mr. Jones about his objections to the medication. Which of the following is NOT an accurate statement regarding client rights? a. Committed clients may petition the courts for release. b. Committed clients may demand an evaluation by any physician. c. Committed clients may not have letters restricted. d. Committed clients may not be hospitalized involuntarily. - CORRECT ANSWER d. Committed clients may not be hospitalized involuntarily. A nurse who is unaware of standards of care and fails to provide care that results in harm to the client is not subject to being charged with malpractice. a. True b. False - CORRECT ANSWER b. False The parents of an autistic child consult a psychiatric and mental health advanced practice nurse about their failure to relate to their child. The nurse decides that some education would be helpful to this family in dealing with the problem. What could the family NOT expect to receive as a result of the nurse's teaching intervention? a. An objective perspective b. Decreased blame and guilt c. Clarification of expectations d. A solution to their problems - CORRECT ANSWER d. A solution to their problems In an assertiveness group, a nurse encourages a client to role play a distressing interaction she has had repeatedly with her mother-in-law. The nurse has the client play herself while the nurse plays the mother-in-law. Which methods of learning are exemplified in this situation? a. Lecture b. Experiential c. Self-instruction d. Audio presentation - CORRECT ANSWER b. Experiential Alice Walsh is a 46-year-old admitted to a psychiatric unit with Major Depression. Her doctor prescribes an MAO inhibitor that she will be taking when she leaves the hospital in four days. Her nurse wants to teach her about the side effects of her medication, particularly the dietary restrictions. She prepares a 45-minute presentation that covers everything about the medication. Afterwards Mrs. Walsh seems confused and still cannot relate several essential facts about the medication. What is the best nursing response to the situation? a. Phone the doctor and suggest that Mrs. Walsh be placed on another medication with fewer restrictions. b. Realize that Mrs. Walsh will probably not be able to understand the essentials regarding her medication and teach a relative instead. c. Realize that Mrs. Walsh's depression is probably inhibiting her ability to learn and repeat the presentation in a few days when she is a little - CORRECT ANSWER d. Break down the essential facts into a few brief sessions that can be repeated over the next several days and assess Mrs. Walsh's knowledge of the previous session before proceeding. Prescription writing is: a. A standard of practice granted to nurses by the American Medical Association b. A standard of practice granted to all nurses by the American Nurses Association c. A standard of practice granted to advanced practice nurses by federal and state law d. The singular function of advanced practice psychiatric nurse practitioners - CORRECT ANSWER c. A standard of practice granted to advanced practice nurses by federal and state law In the mental health setting, the best prescribing practice includes: a. Assessing thoughts of harm to self or other b. Writing patient's height and weight on all prescriptions c. Selecting the appropriate medication for the identified patient d. Both a and c are correct - CORRECT ANSWER d. Both a and c are correct The purpose of a theory is to: a. Describe, explain, predict or control a phenomenon b. Encourage the development of more research c. Prove that there can be one way to describe a phenomenon d. Prove that a phenomenon exists - CORRECT ANSWER a. Describe, explain, predict or control a phenomenon Characteristics of theories include: a. They provide laws by which to govern practice. b. They have little in common with practice. c. They can guide and improve practice. d. They need not be logical. - CORRECT ANSWER c. They can guide and improve practice. Inductive theory construction: a. Consists largely of concepts borrowed from other disciplines b. Validates deductive theory construction c. Proceeds from the general to the specific d. Proceeds from the specific to the general - CORRECT ANSWER d. Proceeds from the specific to the general Which of the following do theories NOT do? a. Guide practice b. Guide research c. Provide a common language for practitioners and researchers d. Limit autonomy of practice - CORRECT ANSWER d. Limit autonomy of practice The concepts central to nursing theoretical models are: a. Self-care, self-care deficit, and nursing systems b. Caring and curing c. Assessment, diagnosis, intervention, and evaluation d. Person, environment, health, and nursing - CORRECT ANSWER d. Person, environment, health, and nursing Dorothea Orem's theory of nursing is also called the theory of: a. Behavioral Systems b. Self-care c. The environment d. Adaptation - CORRECT ANSWER b. Self-care In Orem's theory, Nursing Systems are described as: a. Descriptions of a variety of ideal hospital staffing models b. The theories that she drew from c. Simple, complex, and combined d. Wholly compensatory, partly compensatory, and supportive-educative - CORRECT ANSWER d. Wholly compensatory, partly compensatory, and supportive-educative Nurse A, who utilizes Orem's theory, is caring for Patient B. Patient B requires a complete bed bath. When charting, Nurse A will describe Patient B's inability to provide complete selfcare as: a. A health deviation b. Illness c. A self-care deficit d. A diagnostic indication - CORRECT ANSWER c. A self-care deficit Imogene King's theory of nursing is: a. A theory of personal systems b. A theory of goal attainment c. A theory of adaptation d. A behavioral systems theory - CORRECT ANSWER b. A theory of goal attainment In King's theory, a set of behaviors expected of a person occupying a certain position is called a: a. Role b. Perception c. Transaction d. Developmental position - CORRECT ANSWER a. Role One of the basic assumptions in the theory of Martha Rogers is that: a. People come together to help and be helped to maintain health. b. The universe is a continuously expanding, evolving, growing field of energy. c. The person and environment are continually exchanging matter and energy with each other. d. Energy fields are four dimensional, unidirectional, expanding sources of knowledge. - CORRECT ANSWER c. The person and environment are continually exchanging matter and energy with each other. According to Rogers, which of the following does NOT describe the human being? a. Characterized by the capacity for abstraction and imagery b. Characterized by the capacity for reversibility and multidirectionality c. Characterized by the capacity for language and thought d. Characterized by the capacity for sensation and emotion - CORRECT ANSWER b. Characterized by the capacity for reversibility and multidirectionality The building blocks of Rogers' theory are: a. Energy, openness, pattern and four dimensionality b. Person, life process, pattern and organization, energy c. Person, environment, health, nursing d. Openness, environment, pattern and energy - CORRECT ANSWER a. Energy, openness, pattern and four dimensionality Sister Callista Roy's theory of nursing is: a. The Interpersonal Relations Model b. The Problem Solving Model c. The Communication Model d. The Adaptation Model - CORRECT ANSWER d. The Adaptation Model Roy's adaptive modes are: a. Physiological function, self-concept, role function, and interdependence b. Regulator, cognator, external, and informational c. Value, belief, thought, and emotion d. Adaptive response, ineffective response, output - CORRECT ANSWER a. Physiological function, self-concept, role function, and interdependence The nurse who utilizes Roy's model in providing nursing care would first: a. Identify focal stimuli b. Manipulate focal stimuli c. Identify input and internal processes d. Conduct a first-level assessment - CORRECT ANSWER d. Conduct a first-level assessment The nurse who utilizes Roy's model in providing nursing care will include in the second-level assessment: a. Identification of ineffective responses b. Identification of nursing diagnosis c. Identification of goals d. Patterns of physical functioning - CORRECT ANSWER a. Identification of ineffective responses The main concept in Leininger's Theory of Culture Care Diversity and Universality is that: a. Culture is the learned, shared, and transmitted values, beliefs, norms, and lifeways of a group. b. Care is the essence of nursing. c. There is diversity and universality in every culture. d. Nurses should seek to know the universality of Transcultural nursing. - CORRECT ANSWER b. Care is the essence of nursing. According to Leininger, the important factors to study in cultural care include: a. Religious factors b. Nutritional factors c. Rest patterns d. Prenatal care - CORRECT ANSWER a. Religious factors Cultural care accommodation refers to: a. Actions and decisions to help people of a given culture negotiate for a beneficial outcome with health caregivers b. Actions and decisions to help a client modify their lifeways for beneficial health care, while respecting their cultural values and beliefs c. Actions and decisions that help people retain relevant cultural care values d. Actions and decisions that are based on universal cultural care - CORRECT ANSWER a. Actions and decisions to help people of a given culture negotiate for a beneficial outcome with health caregivers The two most famous psychoanalytic theorists are: a. Homey and Adler b. Freud and Jung c. Kohlberg and Gilligan d. Adler and Sullivan - CORRECT ANSWER b. Freud and Jung According to Freudian theory, unconscious actions or thoughts to protect the ego from anxiety are called: a. Freudian slips b. Unconscious motivation c. Defense mechanisms d. Transference - CORRECT ANSWER c. Defense mechanisms According to Freudian theory, thoughts, feelings, and desires that are not in immediate awareness, but can be recalled to consciousness, are considered: a. Conscious b. Preconscious c. Subconscious d. Unconscious - CORRECT ANSWER b. Preconscious According to Freudian theory, the personality has three main components. The component characterized by the desire for immediate and complete satisfaction is the: a. Reality principle b. Id c. Ego d. Superego - CORRECT ANSWER b. Id Freud suggests that children of 4 or 5 fall in love with the parent of the opposite sex. This is known as: a. Projection b. Transference c. The pleasure principle d. The Oedipus complex - CORRECT ANSWER d. The Oedipus complex According to Freud, whatever inhibits a person from producing material from the unconscious is considered: a. Resistance b. Transference c. Countertransference d. Fixation - CORRECT ANSWER a. Resistance In Jungian theory, the unconscious collective intangible idea, image, or concept is the: a. Persona b. Shadow c. Archetype d. Rebirth - CORRECT ANSWER c. Archetype Jung's archetypes do NOT include: a. The animus b. The shadow c. Stock characters d. The id - CORRECT ANSWER d. The id The functional types described by Jung include: a. Extrovert and introvert b. The hero, the trickster, and the sage c. Thinking, feeling, sensing, intuiting d. Animus and anima - CORRECT ANSWER c. Thinking, feeling, sensing, intuiting Adler developed the Theory of Individual Psychology. The main concern of Adler's theory is: a. The individual going through the stages of development b. Personal growth through compensating for inferiority c. Providing client-centered therapy d. The effect of relationships on unconscious behaviors - CORRECT ANSWER b. Personal growth through compensating for inferiority Adler identified effects of the birth order of siblings. According to his theory, the child most likely to be interested in authority and organization is: a. The first-born b. The second-born c. The middle child in a large family d. The youngest child - CORRECT ANSWER a. The first-born The key concept in the personality theory of Horney is: a. Neurosis b. Hostility c. Basic anxiety d. Satisfaction of needs - CORRECT ANSWER c. Basic anxiety According to Horney, which of the following is NOT a way by which people protect themselves? a. Moving toward other people b. Moving against other people c. Moving away from other people d. Moving in accord with other people - CORRECT ANSWER d. Moving in accord with other people Erikson identified eight stages of growth and development. The stage characterized by a focus on genital needs and the acquisition of a purpose is: a. Trust vs mistrust b. Autonomy vs shame c. Initiative vs guilt d. Industry vs inferiority - CORRECT ANSWER c. Initiative vs guilt If a child's activities are primarily social interaction, doing homework and practicing basketball, then according to Erikson, he is in the following stage of development: a. Trust vs mistrust b. Autonomy vs shame c. Initiative vs guilt d. Industry vs inferiority - CORRECT ANSWER d. Industry vs inferiority According to Erikson, the stage of development characterized by the acquisition of wisdom is: a. Identity vs identity diffusion b. Intimacy vs isolation c. Generativity vs stagnation d. Integrity vs despair - CORRECT ANSWER d. Integrity vs despair Jean Piaget developed a theory of: a. Psychosexual development b. Cognitive development c. Moral development d. Social development - CORRECT ANSWER b. Cognitive development In the developmental theory of Piaget, the period characterized by egocentric thinking, expressed in artificialism, realism, and magical thinking is the: a. Sensory motor period b. Pre-operational period c. Concrete operations period d. Formal operations period - CORRECT ANSWER b. Pre-operational period In the developmental theory of Piaget, the period characterized by the development of logic and reasoning, and second-order thoughts, that is, "thinking about thoughts," is the: a. Sensory motor period b. Preoperational period c. Concrete operations period d. Formal operations period - CORRECT ANSWER d. Formal operations period The nurse is working with Mrs. L., who has been sexually promiscuous and manipulative with her family. While developing a treatment plan for Mrs. L., the nurse recognizes that her behavior is consistent with the behavior in Stage 2 of Kohlberg's theory of moral development. Mrs. L. will be motivated by: a. Avoidance of punishment b. Desire for reward or benefit c. Anticipation of disapproval of others d. Anticipation of dishonor - CORRECT ANSWER b. Desire for reward or benefit If Mrs. L.'s behavior was consistent with the behavior of Stage 4 of Kohlberg's theory of moral development, she would be motivated by: a. Anticipation of disapproval of others b. Anticipation of dishonor c. A legalistic orientation d. Belief in universal ethical principles - CORRECT ANSWER b. Anticipation of dishonor In Kohlberg's theory of moral development, behavior in Stage 6 is motivated by: a. Anticipation of disapproval of others b. Anticipation of dishonor c. A legalistic orientation d. Belief in universal ethical principles - CORRECT ANSWER d. Belief in universal ethical principles According to the work of Gilligan on moral development: a. In applying Kohlberg's theory, women are generally more moral than men. b. Most women achieve the moral reasoning in Stage 6 of Kohlberg's theory. c. Women and men have the same moral reasoning. d. The moral development of women is based on different motivations than that of men. - CORRECT ANSWER d. The moral development of women is based on different motivations than that of men. The main focus of social-interpersonal theories of personality is: a. Neurosis b. Anxiety about relationships c. The effects of interactions with others d. Inferiority and superiority feelings - CORRECT ANSWER c. The effects of interactions with others In the interpersonal theory of Harry Stack Sullivan, the "self-system" is: a. The part of the personality that satisfies the drive for security b. A construct to describe the narcissism inherent in all interpersonal relationships c. A construct built from the child's experience, made up of reflected appraisals by significant others d. The part of the personality that satisfies the drive for satisfaction - CORRECT ANSWER c. A construct built from the child's experience, made up of reflected appraisals by significant others According to Sullivan, the basic drives that underlie human behavior are: a. The drive to reduce anxiety and the drive to avoid fear b. The drive for satisfaction and the drive for security c. The drive to fulfill basic physical needs and the drive to fulfill sexual needs d. The drive for love and work - CORRECT ANSWER b. The drive for satisfaction and the drive for security The existential theories of personality focus on: a. The meaning of life for the individual b. Present experience, with little attention to the past c. One's philosophy of life d. Conforming to societal demands - CORRECT ANSWER b. Present experience, with little attention to the past According to Carl Rogers, the important attributes of the therapist are: a. Congruence, unconditional positive regard, and empathetic understanding b. Knowledge of Rogers' theory, patience, and ability to interpret dreams c. Knowledge of Rogers' theory, congruence, and interest in human development d. Willingness to drop facades, openness to individual meanings, and compassion - CORRECT ANSWER a. Congruence, unconditional positive regard, and empathetic understanding According to Monat and Lazarus which of the following would be considered as part of emotion-focused coping? a. Defining the problem b. Physical exercise c. Generating alternative solutions d. Weighing alternatives re cost and benefits - CORRECT ANSWER b. Physical exercise The therapist utilizing Gestalt therapy recognizes that introjection is: a. A fantasy about what another person is experiencing b. Accepting the beliefs and opinions of others without question c. Turning back on oneself that which is meant for someone else d. Merging with the environment - CORRECT ANSWER b. Accepting the beliefs and opinions of others without question T - CORRECT ANSWER - CORRECT ANSWER - CORRECT ANSWER Inhalants: Intoxication affects - CORRECT ANSWER Withdrawal effects Euphoria Dizziness Blurred vision loss of inhibition muscle weakness depressed reflexes slurred speech loss of coordination Assess motivation and stage of/readiness for change Prochaska DiClemente and Norcross - CORRECT ANSWER Stages 1 Precontemplation personal realization and decreased defensiveness and rationalization through social pressure dramatic experience media consequences and social norms 2 Contemplation Shifting decisional balance making a commitment to a change attempt and resolving ambivalence 3 Preparation commitment plan and concrete strategies 4 Action daily implementation of plan coping with withdrawal and desire to use behavioral coping activities 5 Maintenance lifestyle changes shifts in social network behavioral coping activities GGT - CORRECT ANSWER gammaglutamyltransferase deontology - CORRECT ANSWER The right act 4 ethical principles of deontology - CORRECT ANSWER justice beneficence autonomy nonmalificence beneficence - CORRECT ANSWER Promoting the good of others and preventing them from harm nonmalificence - CORRECT ANSWER Responsibility to do no harm group process Long and McMahon - CORRECT ANSWER activities in a group how interactions occur amoung members timing of interactions roles of members seating arrangements tone of voice of members non verbal behaviors catharsis - CORRECT ANSWER the act or process of releasing a strong emotion recapituation - CORRECT ANSWER summarizing and restating existential - CORRECT ANSWER Existence triangling - CORRECT ANSWER another family member is brought in inorder to stabilize the emotional process scapegoating - CORRECT ANSWER another family member is blamed paradoxical prescription - CORRECT ANSWER instructions are given to perform the opposite of what is intended in order to produce change category a - CORRECT ANSWER controlled studies in humans have demonstrated no risk category b - CORRECT ANSWER animal trials show no risk no evidence of risk in2nd or 3rd trimester category c - CORRECT ANSWER human risk unknown and can not be ruled out category d - CORRECT ANSWER positive risk to fetus must weigh benefit to pregnant women vs risk category x - CORRECT ANSWER the drug is contraindicated in women who are or may become pregnant nonverbal messages are observed by the receiver in 4 ways - CORRECT ANSWER appearance paralabguage proxemics kinesics appearane - CORRECT ANSWER personal image clothing makeup hair beard paralanguage - CORRECT ANSWER tone of voice inflection emphasis pauses sighs laughter proximics - CORRECT ANSWER use of personal space territory backing away or moving closer selection of a particular seating arrangement kinesics - CORRECT ANSWER body motion facial expression posture position of arms and legs eye contact touch sexual masochism - CORRECT ANSWER receiving physical mental pain from sexual partner frotteurism - CORRECT ANSWER body contact with strangers in public places usually involves the rubbing of the clothed body of a stranger with male genetalia mild anxiety - CORRECT ANSWER slight physical arousal sharp perception ability to learn well Moderate anxiety - CORRECT ANSWER Physical symptoms apparent narrowing of perceptual field selective attention severe anxiety - CORRECT ANSWER Physical symptoms problematic difficulty concentrating very apprehensive may develop ritualistic behavior panic - CORRECT ANSWER terror little ability to concentrate difficulty breathing palpitations fear of dying may be suicidal depersonalization disorder - CORRECT ANSWER dissociative disorder in which client experiences recurrent alterations in perception of self dissociative identity disorder did or multiple personality disorder mpd - CORRECT ANSWER dissociative disorder in which person has two or more separate distinct personalities alters each with relatively enduring pattern of perceiving relating to and thinking about self and environment medications for did - CORRECT ANSWER antidepressants ssris tcas maols clonidine anticonvulsants benzodiazrpines medications to treat fictitious didorders - CORRECT ANSWER ssris of limited use managed care - CORRECT ANSWER Healthcare strategy designed to achieve the positive outcomes that can result from adopting price competition while controlling for unfavorable effects leadership - CORRECT ANSWER the process of influencing others toward goal setting cyproheptadine - CORRECT ANSWER for allergies and hives medication to treat anorexia nervosa - CORRECT ANSWER cyproheptadine amitriptyline neurotransmitter hypothesis for depression - CORRECT ANSWER depression occurs due to an imbalance of norepinephrine at the postsynaptic receptor site tricyclics antidepressants do what - CORRECT ANSWER block the transporter site for norepinephrine and serotonin elevated in nms - CORRECT ANSWER wbc cpk inductive theory - CORRECT ANSWER procedes from the specific to the general jung's functional types - CORRECT ANSWER feeling intuting thinking sensing archetypes of jung - CORRECT ANSWER way self animus and anima rebirth persona shadow stock characters (hero trickster sage) power number tuckman - CORRECT ANSWER group development forming (orientation) - CORRECT ANSWER orientation group leader is more directive snd active, members look to leader for structure and approval. leader describes group contract (goals confidentiality and communication rules) encourages interaction amoung group and maintains working level of anxiety. members develop initial roles storming - CORRECT ANSWER conflict develops regarding control power and authority. anxiety increases and resistence may occur as evidenced by client absence, shared silence, excessive dependency on leader, formation of subgroups and acting out. leader encourages healthy expression of anger norming (cohesiveness stage) - CORRECT ANSWER members express positive feelings toward one anither and feelnstrongly attracted to group. self disclosure occurs and new roles are adopted performing(working phase) - CORRECT ANSWER leader's activity decreases and usually consists of keeping group on course or dealing with resistence of group and individuals within. responsibility of the group is more equally shared. anxiety of group is decreased, and energy is channeled to completing tasks mourning (termination) - CORRECT ANSWER begins during the first phase but is most accurately felt in closed group when it approaches end and in open group when members ir leaders leave. Leaders encourage discussion of ending and expression of pain snd loss experienced in grieving process. members may try to avoid, experience anxiety, anger, or regression; they should also be encouraged to reminisce, evaluate, and experience sense of accomplishment and give feedback to one another isocarboxazid - CORRECT ANSWER marplan phenelzine - CORRECT ANSWER nardil selegiline - CORRECT ANSWER eldepryl, emsam(transdermal) tranylcypromine - CORRECT ANSWER parnate