Mental Health Nursing Care 2nd Ed by Eby Brown - Test Bank

Chapter 2 Ethical and Legal Issues MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) 
The employer of a client in an inpatient psychiatric unit calls and says, "I understand that Mr. X is a client in your psychiatric unit. I am his boss, and I am concerned about his condition. How soon do you think he can return to work?" Which of the following would be the appropriate response from the nurse? A) 
"I don't have any idea about his discharge date. I suggest you ask his family." B) 
"I cannot confirm that we have a client here by that name." C) 
"I am not allowed to give out any information concerning your employee without his permission." D) 
"You might want to try calling his physician for that information." Answer: 
B 
 2) 
The nurse is caring for a client who is yelling at staff and refusing medication. The most accurate documentation for this client would be: A) 
"Client noncompliant." B) 
"Client yelling at staff, refused AM medications." C) 
"Client agitated and uncooperative." D) 
"Client loud and obnoxious." Answer: 
B 
 3) 
Which of the following is the best example of an ethical dilemma for the nurse? A) 
 A legally competent client who is experiencing psychosis refuses the antipsychotic medication offered by the nurse. B) 
A client with pneumonia decides to comply with the ordered antibiotic therapy. C) 
A client decides to have laparoscopic surgery instead of open abdominal surgery. D) 
A client decides not to go to the doctor for his chest pain. Answer: 
A 
 4) 
A nurse forgot to give a hospitalized client his antibiotic medication on two consecutive days. Because of this, the client required 10 days of additional therapy with a new antibiotic. The client suffered diarrhea and consequent dehydration from the second antibiotic. Was nursing malpractice involved? A) 
No, because the nurse did not commit an overt act (she omitted the drug). B) 
No, because the mistake was a human error that could have happened to anyone. C) 
Yes, because it was the nurse's duty to give the medication; the nurse did not, and the client suffered harm as a result of the mistake. The outcome was foreseeable. D) 
Yes, because the nurse was assigned to the client, and his care was her job. Answer: 
C 
 5) 
A client is yelling, "Spiderman is stronger than Superman!" The nurse says, "It's not OK to yell in here. Talk quietly." The client continues to yell about Spiderman. What is the best nursing intervention at this point? A) 
Tell the client that Spiderman is not worth getting upset about. B) 
Redirect the client to his room. C) 
Give the client p.r.n. medication for agitation. D) 
Place the client in a seclusion room where he cannot interrupt the unit's activities. Answer: 
B 
 6) 
The nurse is caring for four clients. One of these clients has been hospitalized with cirrhosis of the liver due to alcoholism. The nurse provides minimum care for this client, and devotes the majority of time and attention to the other three clients. Which ethical principle of nursing has the nurse violated? A) 
Beneficence B) 
Fidelity C) 
Veracity D) 
Justice Answer: 
D 
 7) 
Which of the following clients would be the most likely to be admitted involuntarily to a psychiatric unit? A) 
The client who cannot hold a job B) 
The client who tells you that aliens have been trying to abduct him C) 
The client who is stalking and making threatening phone calls to her sister D) 
The client who tells you about her dead grandmother, who visits her daily Answer: 
C 
 8) 
The nurse on the unit witnesses the client's signature on a consent form for the use of electroshock therapy. That signature verifies that the nurse: A) 
Saw the client sign the consent form. B) 
Explained the procedure and consequences to the client. C) 
Is sure the client understands the procedure that is to be done. D) 
Answered all of the client's questions about the procedure. Answer: 
A 
 9) 
A client who was voluntarily admitted to the inpatient psychiatric facility is refusing her medication, telling the nurse, "It makes me feel funny." Which of the following responses by the nurse would be most appropriate? A) 
"You know you have to take your medicine, or I will have to call the doctor." B) 
"This medicine will make you feel better, so you need to take it." C) 
"You do have the right to refuse the medicine, but I would like to talk to you about how it makes you feel." D) 
"If you do not take this medicine, I will probably have to restrain you later tonight, which you will dislike even more than taking the medicine." Answer: 
C 
 10) 
A client is admitted to an inpatient psychiatric facility. The client is entitled to which of the following rights? Select all that apply. A) 
The right to confidentiality, even if it involves a threat of violence to a potential victim B) 
The right to informed consent C) 
The right to the least restrictive treatment alternative D) 
The right to bring personal items to the unit E) 
The right to continue receiving the illegal substances he has been abusing to prevent withdrawal Answer: 
B, C, D 
 1) 
B 
 2) 
B 
 3) 
A 
 4) 
C 
 5) 
B 
 6) 
D 
 7) 
C 
 8) 
A 
 9) 
C 
 10) 
B, C, D 
 Chapter 3 Personality Theory MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) 
In order to better understand clients, the nurse should recognize that the purpose of a defense mechanism is to: A) 
Prevent painful ideas and feelings from entering conscious awareness. B) 
Find a logical excuse for inappropriate behavior. C) 
Consciously repress inappropriate thoughts. D) 
Allow someone to behave inappropriately without feelings of guilt. Answer: 
A 
 2) 
A mother asks the office nurse about a recent change in the behavior of her 4-year-old son, who has begun to wet himself since the birth of his brother. The nurse's best explanation of this is that the 4-year-old is using the defense mechanism of: A) 
Compensation. B) 
Regression. C) 
Repression. D) 
Sublimation. Answer: 
B 
 3) 
A client who is very angry about his terminal prognosis yells at the nurse when she brings in his pain medication, "Why do you bother? You know this medicine won't make me well." The best response by the nurse would be: A) 
"Do not take your anger out on me. I'm just trying to make you comfortable." B) 
"It won't make you well, but it will make you more comfortable." C) 
"Yelling at me is not going to make you well either. Calm down." D) 
"I understand that you are angry over your illness. Would you like to talk about it now, or after your pain has eased?" Answer: 
D 
 4) 
 According to Alfred Adler, birth order can affect personality development. When a pediatric client is faced with hospitalization for a short-term, acute illness, which of the following behaviors might the nurse expect from a child who is firstborn? A) 
Showing concern for the welfare of a roommate B) 
Asking the nurse for something each time the nurse enters in response to the roommate's call light C) 
Constantly telling everyone how much better he is doing than others he knows who have had the same illness D) 
Trying to see how long he can go without asking for a pain medication Answer: 
A 
 5) 
Based upon Erikson's theory of psychosocial development, the nurse should recognize that the hospitalized adolescent (12-18 years) has which of the following needs? A) 
To have family as the only visitors B) 
To be given specific directions in all aspects of care C) 
To be allowed to participate in her health care decisions D) 
To be allowed to make inappropriate comments to staff without repercussions Answer: 
C 
 6) 
A 45-year-old man has been hospitalized with an accidental gunshot wound to the thigh. Since the bullet shattered the femur, he will require long-term hospitalization and rehabilitation. The nurse overhears him say to his wife, "I'm supposed to be the breadwinner. How will we manage while I'm off work?" The most appropriate nursing diagnosis for this man based on Erikson's psychosocial development stages is: A) 
Ineffective Role Performance R/T alteration in physical health. B) 
Self-care Deficit: Dressing R/T physical disability. C) 
Social Isolation R/T impaired mobility. D) 
Disturbed Thought Processes R/T recent accident. Answer: 
A 
 7) 
Which of the following statements by the nurse provides positive reinforcement to an anorexic client who recently gained five pounds? A) 
"You still have a lot more weight to gain." B) 
"That's a great start!" C) 
"Isn't this better than looking like someone out of the concentration camp?" D) 
"Aren't you glad you don't have to throw up any more?" Answer: 
B 
 8) 
According to Piaget's cognitive development theory, which of the following activities would be most appropriate for a 14-year-old adolescent? A) 
Putting a simple 250-piece puzzle together B) 
Playing hide-and-seek C) 
Working a Sudoku puzzle D) 
Flying a kite Answer: 
C 
 9) 
The nurse has been teaching a new diabetic client the importance of counting carbohydrates in diet planning, exercising, and taking her prescribed medications. Which of the following statements by the client demonstrates the use of an adaptive behavior? A) 
"I need to be more aware of what foods I am eating, and how often I am eating during the day." B) 
"I can pretty much eat whatever I want as long as I am taking my anti-diabetic medications." C) 
"This sounds like a huge lifestyle change for me. I'll do the best I can." D) 
"I think I can do the food and pills, but I don't have time for exercise." Answer: 
A 
 10) 
Which of the following behaviors by the nurse would promote self-efficacy in clients? Select all that apply. A) 
Be a role model for healthy behavior. B) 
Praise desirable behavior. C) 
Encourage clients to trust the caregivers and not question procedures. D) 
Encourage clients to discuss how they feel about behavior change. E) 
Provide negative experiences, so clients will learn to deal with these. Answer: 
A, B, D 
 11) 
When the nurse uses the therapy approach in implementing interventions for the client dealing with ineffective coping strategies, the focus would be on: A) 
Advising the client about what to do and when to do it. B) 
Making decisions for the client and his family. C) 
Implementing changes for the client in order to eliminate stress. D) 
Helping the client to think about a problem and consider ways to deal with it. Answer: 
D 
 SHORT ANSWER. Write the word or phrase that best completes each statement or answers the question. 12) 
Based upon Maslow's Hierarchy of Needs, number the following clients in the order of their need-based descriptions, with #1 being the client with the most basic of needs: 1. A client who needs supplemental oxygen 2. A client who is lonely 3. A client who wants a volunteer to provide a CD of a current Broadway show 4. A client who has no bath mat in front of the shower 5. A client who has a disfiguring skin disorder Answer: 
1; 4; 2; 5; 3 
 1) 
A 
 2) 
B 
 3) 
D 
 4) 
A 
 5) 
C 
 6) 
A 
 7) 
B 
 8) 
C 
 9) 
A 
 10) 
A, B, D 
 11) 
D 
 12) 
1; 4; 2; 5; 3 
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