Test Bank: Psychiatric and Mental Health Nursing for
Canadian Practice, 4th Edition by Austin - Chapters 1-35,
9781496384874 | Rationals Included
A nurse working on a unit in a psychiatric hospital is responsible for performing a variety of functions.
Which are the ones that a registered nurse is legally permitted to perform? Select all that apply.
1. Psychotherapy
2. Health promotion
3. Case management
4. Prescribing medication
5. Treating human responses - ANSWER: 2. Health promotion
3. Case management
5. Treating human responses
The psychiatrist orders "Restraints PRN" for a client who has a history of violent behavior. Then nurse
should:
1. Utilize the restraint order if the client begins to act-out
2. Ask the psychiatrist to clarify the type of restraint order
3. Ensure that the entire staff is aware of the restraint order
4. Recognize that PRN orders for restraints are unacceptable - ANSWER: 4. Recognize that PRN orders
for restraints are unacceptable
New orders must be written each time a client requires restraints. When a client is acting-out, the
nurse may use restraints or a seclusion room and then obtain the necessary order.
A client on the psychiatric unit asks the nurse about psychiatric advance directives (PAD). The nurse
explains that these advanced directives:
1. Make the appointment of a surrogate decision maker unnecessary
2. Permit the client to dictate what treatment will be given during the future hospitalizations
3. Eliminate the need for involuntary admissions when the client is a threat to self or others
4. Allow the client, while having the capacity, to consent or refuse potential psychiatric treatments in
the event of a future incapacitating mental health crisis - ANSWER: 4. Allow the client, while having
the capacity, to consent or refuse potential psychiatric treatments in the event of a future
incapacitating mental health crisis
The purpose of a PAD is to allow psychiatric clients the opportunity to provide input into future
treatment decisions.
The statement that best describes the practice of psychiatric nursing is:
1. Helps people with present or potential mental health problems
2. Ensures clients' legal and ethical rights by acting as a client advocate
3. Focuses interpersonal skills on people with physical or emotional problems
4. Acts in a therapeutic way with people who are diagnosed as having a mental disorder - ANSWER: 1.
Helps people with present or potential mental health problems
An important aspect of the role of the psychiatric nurse is primary, secondary, and tertiary
interventions to promote emotional equilibrium.
, A 45-year-old physician is admitted to the psychiatric unit of a community hospital. The client is
restless, loud, aggressive, and resistive during the admission procedure and states, "I will take my own
blood pressure." What is the most therapeutic response by the nurse?
1. "Right now, doctor, you are just another client."
2. "If you would rather, doctor, I'm sure you will do it OK."
3. "If you do not cooperate, I will get the attendants to hold you down."
4. "I am sorry, but I cannot allow that. I must take your blood pressure." - ANSWER: 4. "I am sorry, but
I cannot allow that. I must take your blood pressure."
This simply states facts without getting involved in role conflict.
For most nurses the most difficult part of the nurse-client relationship is:
1. Remaining therapeutic and professional
2. Being able to understand and accept the client's behavior
3. Developing an awareness of self and the professional role in the relationship
4. Accepting responsibility in identifying and evaluating the real needs of the client - ANSWER: 3.
Developing an awareness of self and the professional role in the relationship
The nurse's major tool in psychiatric nursing is the therapeutic use of self. Psychiatric nurses must
learn to identify their own feelings and understand who they affect the situation.
The father of a 16-year-old boy who has just been diagnosed with Hodgkin's disease tells the nurse he
does not want his son to know the diagnosis. What response by the nurse is best in this situation?
1. "It is best is he knows the diagnosis."
2. The cure rate for Hodgkin's disease is high."
3. "Would you like someone with Hodgkin's to talk to you?"
4. "Let's talk about why you don't want him to know." - ANSWER: 4. "Let's talk about why you don't
want him to know."
This statement does not prejudge the father; if encourages communication.
A male nurse is caring for a client. The client states, "You know, I've never had a male nurse before."
The nurse's best reply should be:
1. "Does it bother you to have a male nurse?"
2. "There aren't many of us; we're a minority."
3. "How do you feel about having a male nurse?"
4. "You sound upset. I will get a female nurse to care for you." - ANSWER: 3. "How do you feel about
having a male nurse?"
This statement encourages the client to express and explore feelings; also, it is open and
nonjudgmental.
A male nurse reminds a client that it is time for group therapy. The clients responds by yelling at the
nurse, "You are always telling me what to do, just like my father." This clients response is an example
of:
1. Regression
2. Transference
3. Reaction formation
4. Counter transference - ANSWER: 2. Transference
With transference a client assigns to someone the feelings and attitudes originally associated with an
important significant other.
Canadian Practice, 4th Edition by Austin - Chapters 1-35,
9781496384874 | Rationals Included
A nurse working on a unit in a psychiatric hospital is responsible for performing a variety of functions.
Which are the ones that a registered nurse is legally permitted to perform? Select all that apply.
1. Psychotherapy
2. Health promotion
3. Case management
4. Prescribing medication
5. Treating human responses - ANSWER: 2. Health promotion
3. Case management
5. Treating human responses
The psychiatrist orders "Restraints PRN" for a client who has a history of violent behavior. Then nurse
should:
1. Utilize the restraint order if the client begins to act-out
2. Ask the psychiatrist to clarify the type of restraint order
3. Ensure that the entire staff is aware of the restraint order
4. Recognize that PRN orders for restraints are unacceptable - ANSWER: 4. Recognize that PRN orders
for restraints are unacceptable
New orders must be written each time a client requires restraints. When a client is acting-out, the
nurse may use restraints or a seclusion room and then obtain the necessary order.
A client on the psychiatric unit asks the nurse about psychiatric advance directives (PAD). The nurse
explains that these advanced directives:
1. Make the appointment of a surrogate decision maker unnecessary
2. Permit the client to dictate what treatment will be given during the future hospitalizations
3. Eliminate the need for involuntary admissions when the client is a threat to self or others
4. Allow the client, while having the capacity, to consent or refuse potential psychiatric treatments in
the event of a future incapacitating mental health crisis - ANSWER: 4. Allow the client, while having
the capacity, to consent or refuse potential psychiatric treatments in the event of a future
incapacitating mental health crisis
The purpose of a PAD is to allow psychiatric clients the opportunity to provide input into future
treatment decisions.
The statement that best describes the practice of psychiatric nursing is:
1. Helps people with present or potential mental health problems
2. Ensures clients' legal and ethical rights by acting as a client advocate
3. Focuses interpersonal skills on people with physical or emotional problems
4. Acts in a therapeutic way with people who are diagnosed as having a mental disorder - ANSWER: 1.
Helps people with present or potential mental health problems
An important aspect of the role of the psychiatric nurse is primary, secondary, and tertiary
interventions to promote emotional equilibrium.
, A 45-year-old physician is admitted to the psychiatric unit of a community hospital. The client is
restless, loud, aggressive, and resistive during the admission procedure and states, "I will take my own
blood pressure." What is the most therapeutic response by the nurse?
1. "Right now, doctor, you are just another client."
2. "If you would rather, doctor, I'm sure you will do it OK."
3. "If you do not cooperate, I will get the attendants to hold you down."
4. "I am sorry, but I cannot allow that. I must take your blood pressure." - ANSWER: 4. "I am sorry, but
I cannot allow that. I must take your blood pressure."
This simply states facts without getting involved in role conflict.
For most nurses the most difficult part of the nurse-client relationship is:
1. Remaining therapeutic and professional
2. Being able to understand and accept the client's behavior
3. Developing an awareness of self and the professional role in the relationship
4. Accepting responsibility in identifying and evaluating the real needs of the client - ANSWER: 3.
Developing an awareness of self and the professional role in the relationship
The nurse's major tool in psychiatric nursing is the therapeutic use of self. Psychiatric nurses must
learn to identify their own feelings and understand who they affect the situation.
The father of a 16-year-old boy who has just been diagnosed with Hodgkin's disease tells the nurse he
does not want his son to know the diagnosis. What response by the nurse is best in this situation?
1. "It is best is he knows the diagnosis."
2. The cure rate for Hodgkin's disease is high."
3. "Would you like someone with Hodgkin's to talk to you?"
4. "Let's talk about why you don't want him to know." - ANSWER: 4. "Let's talk about why you don't
want him to know."
This statement does not prejudge the father; if encourages communication.
A male nurse is caring for a client. The client states, "You know, I've never had a male nurse before."
The nurse's best reply should be:
1. "Does it bother you to have a male nurse?"
2. "There aren't many of us; we're a minority."
3. "How do you feel about having a male nurse?"
4. "You sound upset. I will get a female nurse to care for you." - ANSWER: 3. "How do you feel about
having a male nurse?"
This statement encourages the client to express and explore feelings; also, it is open and
nonjudgmental.
A male nurse reminds a client that it is time for group therapy. The clients responds by yelling at the
nurse, "You are always telling me what to do, just like my father." This clients response is an example
of:
1. Regression
2. Transference
3. Reaction formation
4. Counter transference - ANSWER: 2. Transference
With transference a client assigns to someone the feelings and attitudes originally associated with an
important significant other.
