Psychiatric/Mental health nursing -
Foundations and modes of care
Questions with 100% Correct Answers
The nurse should first discuss terminating the nurse-client relationship with a
client during which phase?
1. Working phase, when the client initiates it
2. Orientation phase, when a contract is established
3. Working phase, when the client shows some progress
4. Termination phase, when discharge plans are being made Correct Answer: 2.
When the nurse and client agree to work together, a contract should be
established and the length of the relationship should be discussed in terms of its
ultimate termination. The client may discuss termination during the working
phase; however, the subject should initially be discussed during the orientation
phase. Termination and discharge plans may be discussed more thoroughly
during this phase, but the subject should initially be discussed during the
orientation phase.
(P. 611-614)
What is it imperative for a mental health nurse to prevent clients from doing?
1. Breaking contracts
,2. Using delusional thinking
3. Harming themselves or others
4. Engaging further in hallucinatory thoughts or behaviors Correct Answer: 3.
The physical safety of the client and others is the priority. Although it is important
for clients to avoid breaking contracts, it is not imperative and cannot always
be prevented. The nurse cannot control clients' thinking and perceptions.
A client in the mental health clinic who has been seeing a therapist for more
than 6 months begins to talk and act like a therapist who is analyzing coworkers.
What defense mechanism does the nurse identify?
1. Undoing
2. Projection
3. Introjection
4. Intellectualization Correct Answer: 3.
Introjection is treating something outside the self as if it is actually inside the self;
it is unconsciously incorporating the wishes, values, and attitudes of another as if
they were one's own.
Undoing is taking some action to counteract or make up for a wrongdoing.
Projection is attributing to another person or group one's own unacceptable
attitudes or characteristics.
,Intellectualization is using logical explanations without feelings or an affective
component.
(P. 274)
During group therapy, the working phase usually begins when the group
displays what?
1. Cohesiveness
2. Confrontation
3. Imitative behavior
4. Corrective recapitulation Correct Answer: 1.
When the group becomes united (cohesive), the clients can feel accepted,
valued, and part of the group; this is the optimal time for the working phase to
begin.
Confrontation, imitative behavior, and corrective recapitulation all occur later
in the working phase of group process, not in the beginning.
(P. 611-614)
What is the priority outcome in the planning of care for a client in crisis?
1. Referring the client for occupational therapy
, 2. Arranging follow-up counseling for the client
3. Restoring the client's psychological equilibrium
4. Having the client work to gain insight into the problem Correct Answer: 3
Crisis intervention is short-term therapy with the major outcome of restoring the
client to the precrisis state.
Referring the client for occupational therapy is not an outcome, but an action
to help achieve an outcome; it is not part of crisis intervention.
Scheduling the client for follow-up counseling is not an outcome, but rather an
intervention that may be necessary if psychological equilibrium cannot be
restored.
Having the client gain insight into the problem is not always necessary for a
client to be able to function effectively.
(P. 491-503)
Which psychotherapeutic theory uses hypnosis, dream interpretation, and free
association as methods to release repressed feelings?
1. Behaviorist model
2. Psychoanalytic model
3. Psychobiologic model
Foundations and modes of care
Questions with 100% Correct Answers
The nurse should first discuss terminating the nurse-client relationship with a
client during which phase?
1. Working phase, when the client initiates it
2. Orientation phase, when a contract is established
3. Working phase, when the client shows some progress
4. Termination phase, when discharge plans are being made Correct Answer: 2.
When the nurse and client agree to work together, a contract should be
established and the length of the relationship should be discussed in terms of its
ultimate termination. The client may discuss termination during the working
phase; however, the subject should initially be discussed during the orientation
phase. Termination and discharge plans may be discussed more thoroughly
during this phase, but the subject should initially be discussed during the
orientation phase.
(P. 611-614)
What is it imperative for a mental health nurse to prevent clients from doing?
1. Breaking contracts
,2. Using delusional thinking
3. Harming themselves or others
4. Engaging further in hallucinatory thoughts or behaviors Correct Answer: 3.
The physical safety of the client and others is the priority. Although it is important
for clients to avoid breaking contracts, it is not imperative and cannot always
be prevented. The nurse cannot control clients' thinking and perceptions.
A client in the mental health clinic who has been seeing a therapist for more
than 6 months begins to talk and act like a therapist who is analyzing coworkers.
What defense mechanism does the nurse identify?
1. Undoing
2. Projection
3. Introjection
4. Intellectualization Correct Answer: 3.
Introjection is treating something outside the self as if it is actually inside the self;
it is unconsciously incorporating the wishes, values, and attitudes of another as if
they were one's own.
Undoing is taking some action to counteract or make up for a wrongdoing.
Projection is attributing to another person or group one's own unacceptable
attitudes or characteristics.
,Intellectualization is using logical explanations without feelings or an affective
component.
(P. 274)
During group therapy, the working phase usually begins when the group
displays what?
1. Cohesiveness
2. Confrontation
3. Imitative behavior
4. Corrective recapitulation Correct Answer: 1.
When the group becomes united (cohesive), the clients can feel accepted,
valued, and part of the group; this is the optimal time for the working phase to
begin.
Confrontation, imitative behavior, and corrective recapitulation all occur later
in the working phase of group process, not in the beginning.
(P. 611-614)
What is the priority outcome in the planning of care for a client in crisis?
1. Referring the client for occupational therapy
, 2. Arranging follow-up counseling for the client
3. Restoring the client's psychological equilibrium
4. Having the client work to gain insight into the problem Correct Answer: 3
Crisis intervention is short-term therapy with the major outcome of restoring the
client to the precrisis state.
Referring the client for occupational therapy is not an outcome, but an action
to help achieve an outcome; it is not part of crisis intervention.
Scheduling the client for follow-up counseling is not an outcome, but rather an
intervention that may be necessary if psychological equilibrium cannot be
restored.
Having the client gain insight into the problem is not always necessary for a
client to be able to function effectively.
(P. 491-503)
Which psychotherapeutic theory uses hypnosis, dream interpretation, and free
association as methods to release repressed feelings?
1. Behaviorist model
2. Psychoanalytic model
3. Psychobiologic model
