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CHAPTER 1
Nurse Jon is caring for a client with severe anxiety. Their anxiety has recently
increased so much that the client is unable to go to work. Nurse Jon realizes that
according to the mental health to mental illness continuum, this client is in the
category of:
a) emotional problems or concerns
b) well-being
c) mental illness
d) between well-being and emotional problems ---------CORRECT ANSWER-----------
------C)
What is the scope of psychiatric-mental health nursing practice?
a) assessment, education, medication administration, and screening for suicide
risk
b) assessment, medical diagnosis, giving orders, writing prescriptions, admitting,
and discharging
c) assisting providers, assisting with ADLs, monitoring clients, offering support,
promoting safety
,d) assessment, counseling, teaching coping skills, giving advice, listening ---------
CORRECT ANSWER-----------------A
A client of the local mental health clinic arrives for their appointment out of
breath, hair a mess, and clothing askew. The receptionist tells the client, "You are
fifteen minutes late. I will have to see if the doctor can still see you." The client
responds, "I know I am late. I can explain, my mother-in-law had a bad night. She
lives with my husband and me. I am just so tired of taking care of her." This
example falls under which category of risk factors?
a) genetic comorbidities
b) psychological factors
c) social factors
d) victimization ---------CORRECT ANSWER-----------------C
To keep the plan of care client-centered, what important assessment should the
nurse do after identifying several risk factors for substance abuse in a client?
a) contact a rehab center for an intake assessment
b) perform a client strengths assessment
c) ask the psychiatrist to screen for depression
d) complete a health assessment ---------CORRECT ANSWER-----------------B
A person with mental illness does not want to seek care because of the shame
they feel for being sick. What type of stigma is this related to?
a. self-stigma
,b. caregiver stigma
c. institutional stigma
d. public stigma ---------CORRECT ANSWER-----------------A
A student nurse is studying for an exam on the recovery process. It is evident that
they understand the concept when they explain to their study group:
a. "The majority of people with mental illness or substance use do not recover."
b. "The recovery process is dictated by the health-care team."
c. "Recovery is a nonlinear process based on instilling hope."
d. "In recovery, a client needs to advocate for themselves right from the start." ---
------CORRECT ANSWER-----------------C
What should the psychiatric nurse do to assist individuals and families to
understand the recovery process and the resources available to them?
a. psychoeducation
b. create a care plan for them
c. refer them to a psychiatrist
d. refer them to a website to read on their own ---------CORRECT ANSWER-----------
------A
Nurse Sheila makes adjustments to the client's plan of care after talking with the
client. This is most likely an example of the ________ component of the EBP
model.
, a. best available research
b. client preferences
c. nursing expertise
d. review of evidence ---------CORRECT ANSWER-----------------B
What should the nurse do to locate credible sources of research in order to
practice evidence-based interventions?
a. The nurse should ask a supervisor for help locating credible sources.
b. The nurse should access CINAHL or another professional database.
c. The nurse should perform a Wikipedia search.
d. The nurse should ask a librarian to gather information for them. ---------
CORRECT ANSWER-----------------B
CHAPTER 2
When caring for a client in the psychiatric unit, the new nurse in the unit
approaches the client with the morning medications. The client responds to the
nurse with, "I know I can't trust you!" What should the nurse consider when
attempting to understand the client's statement?
a. The statement is inappropriate for the client to express to a professional nurse.
b. The statement could be an example of transference to the nurse.
c. The statement is an example of countertransference to the nurse.