mental health exam 1 - practice questions with 100% correct answers

mental health exam 1 - practice questions with 100% correct answers A client hates her mother because of childhood neglect. The nurse determines which client statement represents the use of the defense mechanism of reaction formation? A. "I don't like to talk about my relationship with my mother." B. "My mother hates me." C. "I have a very wonderful mother whom I love very much." D. "My mom always loved my sister more than she loved me." -Answer-C A widow of 23 years has not removed any of her husband's possessions including his slippers beside their bed. Which pathological grief response is being exhibited by this client? A. Inhibited grief response B. Prolonged grief response C. Delayed grief response D. Distorted grief response -Answer-B A nurse is conducting an assertiveness training class. Which of the following characteristics of assertive behavior should the nurse include? A. Eye contact should be steady and continuous. B. Invasion of intimate space can be interpreted as assertive behavior. C. While interacting, individuals should turn slightly away from the other person. D. The facial expression is congruent with the verbal message. -Answer-D Two clients disagree on what movie to watch during free activity time. One client says to the other, "I would like to watch the comedy instead of the murder mystery." The nurse recognizes this as which form of communication response pattern? A. Nonassertive B. Assertive C. Aggressive D. Passive-Aggressive -Answer-B The unit manager needs to meet with a client who is exhibiting escalating hostility. Which would be the most appropriate location for the nurse to meet with this client? A.The client's room with the door shut B. A quiet corner of the day room C. The nurse's station D. The unit's treatment room -Answer-B As the move-out date to leave the shelter gets closer, a battered wife states, "I'm afraid to leave here. I'm afraid for my safety and the safety of my children." Which nursing statement is most supportive? A. "This is a difficult transition. Let's formulate a plan to keep you all safe in the community." B. "It's the policy that clients can only live here 30 days. Maybe we can ask for more time." C. "You've had a month to come up with a plan for keeping you and your family safe." D. "Hopefully, your husband has been in counseling. I'm sure this will work out fine." - Answer-A The nurse is performing an initial assessment on a newly admitted client who is oriented times four. Which of the following communication techniques would best facilitate obtaining accurate and complete client data? A. Closed-ended questions B. Requesting an explanation C. Open-ended questions D. Interpreting -Answer-C Which of the following best describes the role of the psychiatric social worker as a member of the interdisciplinary treatment team? A. Provides ongoing assessment of client's mental and physical condition B. Functions under the supervision of the psychiatric nurse C. Serves as the leader of the treatment team D. Conducts individual, group, and family therapy -Answer-D A client, diagnosed with borderline personality disorder, approaches the nursing station often with various requests. The nurse intervenes by stating, "You may approach the nurse's station only once an hour." Which nursing intervention has been employed? A. Providing reality orientation B. Ensuring physical need fulfillment C. Setting limits on behavior D. Providing client education -Answer-C A client expresses a desire to begin attending the self-help group Alcoholics Anonymous (AA). Which nursing response gives the client pertinent information about this type of group? A. "In this type of group, membership is always within a fixed time frame." B. "Group members receive comfort and advice from others undergoing similar experiences." C. "The purpose of this type of group is to convey information to a number of individuals." D. "The function of this type of group is to accomplish a specific outcome." -Answer-B After a supportive-therapeutic group, a nurse hears one client say to another, "I never thought that other people had the same problems that I have." The nurse ascertains that this statement represents which curative factors described by Yalom? A. Catharsis B. Group cohesiveness C. Universality D. Imitative behavior -Answer-C During a group meeting, a client raises the concern that noise at the nurses' station keeps him awake at night. The nurse, present in the meeting, interrupts, stating, "I'll handle this matter. We need to move on." The nurse is demonstrating which type of leadership style? A. Democratic B. Autocratic C. Laissez-faire D. Surrogate -Answer-B A client, diagnosed with depression, tells the nurse that marriage and children were chosen over law school. The client states, "My mother was furious with my decision." The nurse recognizes this as an example of which maladaptive family behavior? A. Avoiding B. Demanding proof of love C. Attacking D. Ignoring individuality -Answer-D In assessing a family, which behavior would the nurse identify as a functional family interaction pattern? A. Triangling B. Differentiation of self C. Family projection process D. Scapegoating family members -Answer-B Which contemporary family therapy emphasizes the role of the stories people construct about their experiences?