A psychiatric-mental health nurse is providing care for a client with a mental disorder. The client
is participating in the decision-making process. The nurse interprets this as which component
of recovery?
a.) Self-direction
b.) Person-centered
c.) Holistic
d.) Collaborative - AnswersCollaborative
A nurse is explaining recovery to the family of a client diagnosed with a mental disorder. Which
statement would be most appropriate for the nurse to include about this process?
a.) "The client is helped to live a meaningful life to their fullest potential."
b.) "It is a step-by-step process from being ill to being well."
c.) "The client focuses mainly on the emotional aspects of their condition."
d.) "Although peer support is important, the self-acceptance is essential." - Answers"The client is
helped to live a meaningful life to their fullest potential."
When assessing a client with a mental illness, the nurse determines that the client is
experiencing label avoidance when the client states which of the following?
a.) "I really don't need to see anyone."
b.) "I'm as crazy as everybody thinks I am."
c.) "I'll never be able to function in the world."
d.) "I'm at the cause of my illness." - Answers"I really don't need to see anyone."
A psychiatric-mental health nurse is working with a client who is being treated for depression.
Which client statement would indicate that their spirituality is intact?
a.) "I know God must be punishing me for all my sins."
,b.) "I know I am as well off as I can be under the circumstances."
c.) "Nothing will ever be the same again; my life is not worth living."
d.) "My church friends came to visit me this past Sunday afternoon." - Answers"I know I am as
well off as I can be under the circumstances."
A client is being treated for prostate cancer; his prognosis is very poor. The client has a strong
faith, and he has been active in his church for many years. He is concerned about his health and
the challenges he faces as his cancer progresses. Which comment by the nurse reflects the
most appropriate spiritual nursing intervention for the client?
a.) "Would you like me to bring you a guided imagery audiotape?"
b.) "You have to belong to the same church I do if you're going to go to heaven."
c.) "We can pray together if you'd like."
d.) "I'll take you to visit my church if you can get a pass." - Answers"We can pray together if you'd
like."
A psychiatric-mental health nurse determines that a client is competent when they are able to
do which action?
a.) Write a "living will"
b.) Comply with the medical regimen
c.) Communicate their choices
d.) Speak coherent English - AnswersCommunicate their choices
The nurse is providing care to a client who is hospitalized with a diagnosis of schizophrenia.
Which statement would be appropriate for the nurse to include in the client's medical record?
a.) "Acted crazily throughout the night; kept hearing voices and noises."
b.) "Had a typical night without incidence of insomnia or nightmares."
c.) "Client stated that they had a good night with no complaints."
d.) "Reported they are unable to sleep because he heard voices throughout the night." -
Answers"Reported they are unable to sleep because he heard voices throughout the night."
, A nurse working on the psychiatric unit receives a telephone call from the employer of one of
the clients on the unit. The employer asks to be sent a copy of Mr. Murray's latest laboratory
work and psychological testing results so Mr. Murray's medical records in employee health can
be kept up-to-date. Based on the nurse's knowledge about issues surrounding breach of
confidentiality, which response would be the most appropriate?
a.) "I'm sorry; we're not allowed to give out that information about our client."
b.) "Sure, give me your address, and I will see that the information is sent to you."
c.) "I am unable to acknowledge whether or not a Mr. Murray is a client on this unit."
d.) "I'll have to get the client's signed consent before we can send that information to you." -
Answers"I am unable to acknowledge whether or not Mr. Murry is a client on this unit."
A client is involuntarily committed without a court order. The nurse understands that the
emergency, short-term hospitalization can occur for how long?
a.) A maximum of 24 hours
b.) three to five days
c.) 48 to 92 hours
d.) One week - Answers48 to 92 hours
A psychiatric-mental health client has an advance care directive on their medical record. A
clinician provides treatment that disregards the client's directive. The clinician would be liable
for which of the following?
a.) False Imprisonment
b.) Assault
c.) Medical Battery
d.) Battery - AnswersMedical Battery
A psychiatric nursing class is discussing current trends in mental health care. A student voices
the opinion that there should be equitable access to mental health care and resources for those
who live in rural areas, for those without health insurance, and for those with very little income.
The student nurse's opinion most closely reflects which ethical principle?