What is the primary factor considered when determining the need for an involuntary
mental health commitment?
a. The cognitive status of the client
b. The behaviors being demonstrated
c. The danger posed by the behaviors
d. The criminal nature of the behaviors
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, C
Involuntary admission is made without the patient's consent. Generally,
involuntary admission is necessary when a person is in need of psychiatric
treatment, presents a danger to self or others or is unable to meet his or
her own basic needs. None of the other options, standing alone is a
relevant factor when considering the need for an involuntary commitment.
A timid client is frequently insulted by another aggressive client. In group session
today the client spoke out to the bully about his or her behavior. Which statement by
the nurse demonstrates a therapeutic attempt to show approval for the client's
actions?
a. "How did it feel to be assertive and stand up for yourself?"
b. "You did a good job of defending yourself today in group."
c. "Did it feel good to defend yourself against that rude behavior?"
d. "I hope that you will be able to defend yourself again when you are bullied."
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A
Providing approval is a complicated task. It is all too easy for the client to
misinterpret the praise for permission to engage in the behavior at
inappropriate times and situations. Asking the client how he or she felt
about his or her actions opens up a dialogue between client and nurse that
allows for constructive conversation about the new behavior. None of the
remaining options provide the opportunity for further discussions.
The nurse recognizes the influence of a dysfunctional hypothalamus when including
which intervention for a specific client?
a. Sleep hygiene measures for a 40 year old diagnosed with acute depression
b. Limit setting for a 14 year old diagnosed with oppositional defiance disorder (ODD)
,c. Staff to accompany a 30 year old diagnosed with anorexia nervosa to the bathroom
d. Frequent re-orientation to time and place for a 79 year old diagnosed with
dementia
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A
The hypothalamus maintains homeostasis. It regulates temperature, blood
pressure, perspiration, libido, hunger, thirst, and circadian rhythms, such as
sleep and wakefulness. Sleep hygiene is appropriate in this scenario. None
of the remaining options are directly associated with the hypothalamus.
Which historical nursing leader helped focus practice to recognize the importance of
science in psychiatric nursing?
a. Abraham Maslow
b. Hildegard Peplau
c. Kris Martinsen
d. Harriet Bailey
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B
Although all these leaders included science as an important component of
practice, Hildegard Peplau most
influenced its development in psychiatric nursing. Maslow was not a nurse,
but his theories influence how nurses prioritize problems and care. Bailey
wrote a textbook in the 1930s on psychiatric nursing interventions. Kris
Martinsen emphasized the importance of caring in nursing practice.
A nurse has worked on a mental health unit for an extended period of time. Which
statement is best associated with behaviors demonstrated as a result of compassion
, fatigue?
a. "These clients are like living with my mother and aunt."
b. "I'm really looking forward to the day I can retire and travel."
c. "I'm so tired having a 4-day stretch off will be so wonderful."
d. "The clients often behave in a manner that makes them unlikable."
Give this one a try later!
A
Nurses should be alert to secondary traumatic stress/compassion fatigue.
The secondary traumatic stress/compassion fatigue symptoms include
having difficulty separating work from personal life. The statement about
the nurse's family members suggests a problem with countertransference.
Recognizing the difficulty of interacting with certain clients is not a
concrete indication of being ineffective when working with them. The
remaining options are expressions that are typical and not associated with
burnout.
Which question will the nurse ask in order to assess a client's ability to think critically?
a. "Are you employed full time?"
b. "Do you feel guilty about your recent divorce?"
c. "How do you plan to afford getting your own apartment?"
d. "What do you think is your most valuable personal characteristic?"
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C
Critical thinking is demonstrated by the ability to problem solve using good
judgment and logically reasoning to arrive at an insightful conclusion. Clear
thinking would be demonstrated by arriving at a plan to live independently
that demonstrates those qualities. Employment
Demonstrates productivity
identifying valuable personal characteristics is associated with a healthy
mental health commitment?
a. The cognitive status of the client
b. The behaviors being demonstrated
c. The danger posed by the behaviors
d. The criminal nature of the behaviors
Give this one a try later!
, C
Involuntary admission is made without the patient's consent. Generally,
involuntary admission is necessary when a person is in need of psychiatric
treatment, presents a danger to self or others or is unable to meet his or
her own basic needs. None of the other options, standing alone is a
relevant factor when considering the need for an involuntary commitment.
A timid client is frequently insulted by another aggressive client. In group session
today the client spoke out to the bully about his or her behavior. Which statement by
the nurse demonstrates a therapeutic attempt to show approval for the client's
actions?
a. "How did it feel to be assertive and stand up for yourself?"
b. "You did a good job of defending yourself today in group."
c. "Did it feel good to defend yourself against that rude behavior?"
d. "I hope that you will be able to defend yourself again when you are bullied."
Give this one a try later!
A
Providing approval is a complicated task. It is all too easy for the client to
misinterpret the praise for permission to engage in the behavior at
inappropriate times and situations. Asking the client how he or she felt
about his or her actions opens up a dialogue between client and nurse that
allows for constructive conversation about the new behavior. None of the
remaining options provide the opportunity for further discussions.
The nurse recognizes the influence of a dysfunctional hypothalamus when including
which intervention for a specific client?
a. Sleep hygiene measures for a 40 year old diagnosed with acute depression
b. Limit setting for a 14 year old diagnosed with oppositional defiance disorder (ODD)
,c. Staff to accompany a 30 year old diagnosed with anorexia nervosa to the bathroom
d. Frequent re-orientation to time and place for a 79 year old diagnosed with
dementia
Give this one a try later!
A
The hypothalamus maintains homeostasis. It regulates temperature, blood
pressure, perspiration, libido, hunger, thirst, and circadian rhythms, such as
sleep and wakefulness. Sleep hygiene is appropriate in this scenario. None
of the remaining options are directly associated with the hypothalamus.
Which historical nursing leader helped focus practice to recognize the importance of
science in psychiatric nursing?
a. Abraham Maslow
b. Hildegard Peplau
c. Kris Martinsen
d. Harriet Bailey
Give this one a try later!
B
Although all these leaders included science as an important component of
practice, Hildegard Peplau most
influenced its development in psychiatric nursing. Maslow was not a nurse,
but his theories influence how nurses prioritize problems and care. Bailey
wrote a textbook in the 1930s on psychiatric nursing interventions. Kris
Martinsen emphasized the importance of caring in nursing practice.
A nurse has worked on a mental health unit for an extended period of time. Which
statement is best associated with behaviors demonstrated as a result of compassion
, fatigue?
a. "These clients are like living with my mother and aunt."
b. "I'm really looking forward to the day I can retire and travel."
c. "I'm so tired having a 4-day stretch off will be so wonderful."
d. "The clients often behave in a manner that makes them unlikable."
Give this one a try later!
A
Nurses should be alert to secondary traumatic stress/compassion fatigue.
The secondary traumatic stress/compassion fatigue symptoms include
having difficulty separating work from personal life. The statement about
the nurse's family members suggests a problem with countertransference.
Recognizing the difficulty of interacting with certain clients is not a
concrete indication of being ineffective when working with them. The
remaining options are expressions that are typical and not associated with
burnout.
Which question will the nurse ask in order to assess a client's ability to think critically?
a. "Are you employed full time?"
b. "Do you feel guilty about your recent divorce?"
c. "How do you plan to afford getting your own apartment?"
d. "What do you think is your most valuable personal characteristic?"
Give this one a try later!
C
Critical thinking is demonstrated by the ability to problem solve using good
judgment and logically reasoning to arrive at an insightful conclusion. Clear
thinking would be demonstrated by arriving at a plan to live independently
that demonstrates those qualities. Employment
Demonstrates productivity
identifying valuable personal characteristics is associated with a healthy
