PSYCHIATRIC/MENTAL HEALTH
NURSING
PSYCHIATRIC-MENTAL HEALTH
NURSING, MENTAL HEALTH NURSING
CHAPTER 1-10, CONTEMPORARY
PSYCHIATRIC-MENTAL HEALTH
NURSING (TEST 1) CHAPS 1-5 8-10, 13,
23, PSYCHIATRIC NURSING - PRELIMS,
MIDTERM
After meeting with a client experiencing extreme anxiety the nurse notes personal feelings of
nervousness. Which action should the nurse take first to address these feelings?
plan sessions to occur after the client receives medication
investigate transferring to another care area
analyze the source of the feelings
suggest another nurse meet with client going forward –
A+ TEST BANK 1
, PSYCHIATRIC/MENTAL HEALTH
NURSING
Correct Answer :analyze the source of the feelings
Explanation:
It is important for the nurse to be aware of empathic linkages, or the direct communication of
feelings. This commonly occurs with anxiety where the nurse may become aware of subjective
feelings of anxiety. It may be difficult for the nurse to determine if the anxiety was
communicated interpersonally or if the nurse is personally reacting to some of the content of
what the client is communicating. Being aware of personal feelings and analyzing them is crucial
to determining the source of the feeling and addressing associated problems. It would be
premature for the nurse to investigate transferring to another care area. Switching nurses could
harm the nurse-client relationship. Planning sessions after the client is medicated may not be
beneficial to the client's healing process.
A nurse is assigned to care for a client whose sexual orientation differs from the nurse's sexual
orientation. At which time should the nurse seek guidance from the supervisor?
When the nurse desires to assist the client to change values
When the nurse wants to discuss goals and the plan of care
When the nurse begins to empathize with the client
When the nurse accepts the client's values and sexuality –
Correct Answer :When the nurse desires to assist the client to change values
Explanation:
It is not the nurse's role to change the values of the client. This would be a cause for concern and
an indication the the nurse's personal beliefs are interfering with the therapeutic relationship. In
this case the nurse should seek out the guidance of the supervisor. Discussing goals,
empathizing, and accepting differences are not situations that require additional guidance from
the supervisor.
A+ TEST BANK 2
, PSYCHIATRIC/MENTAL HEALTH
NURSING
The manager is reviewing the implementation of the Transitional Relationship Model (TRM) on a
care area. Which data should the manager identify that supports the successful implementation
of this model? Select all that apply.
discharge of clients 5 days earlier than in the past
nurse reassignment increased 8% over the last month
number of readmissions down 6% over the last 2 months
client dissatisfaction with care up 10% over the last month
staff attendance at educational programs down 9% over the last month –
Correct Answer :discharge of clients 5 days earlier than in the past
number of readmissions down 6% over the last 2 months
Explanation:
In addition to producing positive therapeutic outcomes, the Transitional Relationship Model also
reduces time spent in hospital and readmissions. Discharging clients earlier and a lower number
of readmissions indicates the model has been successful. Reassigning nurses, client
dissatisfaction, and low attendance at educational programs are not indicators to measure the
effectiveness of this model.
The nurse is initiating a therapeutic relationship with a client. Which information will the nurse
include when explaining the purpose of this relationship to the client?
Alleviating stressors in life
Facilitating a positive change
Allowing the client to know the nurse's feelings
Establishing a friendship –
A+ TEST BANK 3
, PSYCHIATRIC/MENTAL HEALTH
NURSING
Correct Answer :Facilitating a positive change
Explanation:
The focus of the therapeutic relationship is on the client's needs, not the nurse's. Positive change
is necessary for all clients, though the characteristics and foci of this change will vary widely.
Therapeutic relationships are a means to this outcome of positive change, rather than an end in
and of themselves. Friendship and the nurse's feelings are not a valid focus of the therapeutic
relationship, which focuses solely on the client's needs. Alleviation of stressors may be needed
for some, but not all, clients.
The nurse educator is teaching the class about communication. Which statement by the student
nurse best describes the basic elements of communication?
"The basic elements of communication include message, sender, feedback, and gesture."
"The basic elements of communication include feedback, sender, receiver, and messages."
"The basic elements of communication include sender, receiver, flow and message."
"The basic elements of communication include receiver, feedback, flow, and expression." –
Correct Answer :"The basic elements of communication include feedback, sender, receiver, and
messages."
Explanation:
Communication includes the elements of sender delivers the message, messages are the content
of the communication, receiver receives and decodes the message, and feedback is the message
returned by the receiver and indicates whether the sender's message was understood. Flow,
expression, and gesture are not included in the basic elements of communication.
Which form of nonverbal communication would be least effective for the nurse to engage in to
demonstrate interest in and acceptance of the client?
Leaning slightly forward toward the client
A+ TEST BANK 4
NURSING
PSYCHIATRIC-MENTAL HEALTH
NURSING, MENTAL HEALTH NURSING
CHAPTER 1-10, CONTEMPORARY
PSYCHIATRIC-MENTAL HEALTH
NURSING (TEST 1) CHAPS 1-5 8-10, 13,
23, PSYCHIATRIC NURSING - PRELIMS,
MIDTERM
After meeting with a client experiencing extreme anxiety the nurse notes personal feelings of
nervousness. Which action should the nurse take first to address these feelings?
plan sessions to occur after the client receives medication
investigate transferring to another care area
analyze the source of the feelings
suggest another nurse meet with client going forward –
A+ TEST BANK 1
, PSYCHIATRIC/MENTAL HEALTH
NURSING
Correct Answer :analyze the source of the feelings
Explanation:
It is important for the nurse to be aware of empathic linkages, or the direct communication of
feelings. This commonly occurs with anxiety where the nurse may become aware of subjective
feelings of anxiety. It may be difficult for the nurse to determine if the anxiety was
communicated interpersonally or if the nurse is personally reacting to some of the content of
what the client is communicating. Being aware of personal feelings and analyzing them is crucial
to determining the source of the feeling and addressing associated problems. It would be
premature for the nurse to investigate transferring to another care area. Switching nurses could
harm the nurse-client relationship. Planning sessions after the client is medicated may not be
beneficial to the client's healing process.
A nurse is assigned to care for a client whose sexual orientation differs from the nurse's sexual
orientation. At which time should the nurse seek guidance from the supervisor?
When the nurse desires to assist the client to change values
When the nurse wants to discuss goals and the plan of care
When the nurse begins to empathize with the client
When the nurse accepts the client's values and sexuality –
Correct Answer :When the nurse desires to assist the client to change values
Explanation:
It is not the nurse's role to change the values of the client. This would be a cause for concern and
an indication the the nurse's personal beliefs are interfering with the therapeutic relationship. In
this case the nurse should seek out the guidance of the supervisor. Discussing goals,
empathizing, and accepting differences are not situations that require additional guidance from
the supervisor.
A+ TEST BANK 2
, PSYCHIATRIC/MENTAL HEALTH
NURSING
The manager is reviewing the implementation of the Transitional Relationship Model (TRM) on a
care area. Which data should the manager identify that supports the successful implementation
of this model? Select all that apply.
discharge of clients 5 days earlier than in the past
nurse reassignment increased 8% over the last month
number of readmissions down 6% over the last 2 months
client dissatisfaction with care up 10% over the last month
staff attendance at educational programs down 9% over the last month –
Correct Answer :discharge of clients 5 days earlier than in the past
number of readmissions down 6% over the last 2 months
Explanation:
In addition to producing positive therapeutic outcomes, the Transitional Relationship Model also
reduces time spent in hospital and readmissions. Discharging clients earlier and a lower number
of readmissions indicates the model has been successful. Reassigning nurses, client
dissatisfaction, and low attendance at educational programs are not indicators to measure the
effectiveness of this model.
The nurse is initiating a therapeutic relationship with a client. Which information will the nurse
include when explaining the purpose of this relationship to the client?
Alleviating stressors in life
Facilitating a positive change
Allowing the client to know the nurse's feelings
Establishing a friendship –
A+ TEST BANK 3
, PSYCHIATRIC/MENTAL HEALTH
NURSING
Correct Answer :Facilitating a positive change
Explanation:
The focus of the therapeutic relationship is on the client's needs, not the nurse's. Positive change
is necessary for all clients, though the characteristics and foci of this change will vary widely.
Therapeutic relationships are a means to this outcome of positive change, rather than an end in
and of themselves. Friendship and the nurse's feelings are not a valid focus of the therapeutic
relationship, which focuses solely on the client's needs. Alleviation of stressors may be needed
for some, but not all, clients.
The nurse educator is teaching the class about communication. Which statement by the student
nurse best describes the basic elements of communication?
"The basic elements of communication include message, sender, feedback, and gesture."
"The basic elements of communication include feedback, sender, receiver, and messages."
"The basic elements of communication include sender, receiver, flow and message."
"The basic elements of communication include receiver, feedback, flow, and expression." –
Correct Answer :"The basic elements of communication include feedback, sender, receiver, and
messages."
Explanation:
Communication includes the elements of sender delivers the message, messages are the content
of the communication, receiver receives and decodes the message, and feedback is the message
returned by the receiver and indicates whether the sender's message was understood. Flow,
expression, and gesture are not included in the basic elements of communication.
Which form of nonverbal communication would be least effective for the nurse to engage in to
demonstrate interest in and acceptance of the client?
Leaning slightly forward toward the client
A+ TEST BANK 4
