Psychiatric Mental Health Nurse Cer fica on
According to tradi onal defini ons of mental
health, which of the following would the nurse
be most likely to describe as mentally healthy?
a. Jerry Jones, a Vietnam veteran with no
family es, who has been unemployed for 10
years
b. Tom Sarris, a CEO, who spends 14 hours at
work each day and is too red to do anything
with his family on weekends
c. George Connors, a shoe salesman who
delights in playing affec onately with his
children but has been unable to hold a
steady job since they were born
d. Sam Thomas, a restaurateur who loves his
work, but sets limits on the hours he spends
there in order to enjoy his family and friends
d. Sam Thomas, a restaurateur who loves his
work, but sets limits on the hours he spends
there in order to enjoy his family and friends
Which of the following would be described as
a component of mental health according to
Johnson?
a. Refusing to be involved in any rela onship
that limits independence
b. Absence of anxiety under any circumstances
c. Dependence on friends and family to assist
with crises
d. Ignoring cues from the environment when
deciding what to do
c. Dependence on friends and family to assist
with crises
,In helping a client change, the nurse should:
a. Encourage the client to move rapidly to
avoid delay
b. Realize that the problems the client is facing
will make him or her eager to change
c. Encourage feelings of hope
d. Understand that change is a natural process
that never involves anxiety and fear
c. Encourage feelings of hope
In facilita ng change the nurse should:
a. Avoid deliberate goal-directed ac vity since
this will inhibit the process
b. Restrict clients to few choices to avoid overwhelming
them
c. Give up if resistance is encountered
d. Form a helping rela onship and collaborate
with clients
d. Form a helping rela onship and collaborate
with clients
John Korman is a 36-year-old male recently admi8ed to a psychiatric unit. The nurse taking his
history observes that his speech is slurred, and he states that he cannot remember where
he has been for the past 12 hours, but the police who brought him in stated that he was
arrested driving the wrong way on a one-way street. Which of the following items on the mental
status exam would the nurse NOT mark
"impaired"?
a. Behavior
b. Judgment
c. Memory
d. Affect
d. Affect
Which of the following is NOT necessary for the
nurse to make a spiritual assessment?
,a. Assure that the client has a religious
affilia on.
b. Determine if client believes in a higher
power.
c. Evaluate the client's rela onship to others.
d. Determine the client's philosophy of life.
a. Assure that the client has a religious
affilia on.
Which of the following interven ons would be
labeled as an independent nursing interven on
on a psychiatric unit?
a. Giving medica ons
b. Making discharge plans
c. Deciding privileges
d. Assuring safety
d. Assuring safety
The staff of a day treatment program have
determined that all clients must par cipate in a
group ou ng to a local museum because all of
the staff want to see the exhibit. Two women
clients in the group voice their opposi on to
visi ng the museum because they do not wish
to risk being iden fied as psychiatric clients by
others in the community. The staff refuse to
listen to their concerns and insist that they go
on the trip, but do not describe any par cular
reason. Which adjec ve describes the type of
goal planning evident in this situa on?
a. Specific
b. Individualized
c. Collabora ve
d. Authoritarian
d. Authoritarian
, Which of the following behaviors would indicate
a good client response to a nursing ac on?
a. The client's body is no ceably less tense and
he or she has stopped pacing.
b. The client stops interac ng with others on
the unit.
c. The client states "If I don't do what people
want they won't like me."
d. The client refuses to listen to feedback from
other members of the community.
a. The client's body is no ceably less tense and
he or she has stopped pacing.
A nurse brings a client the Clozapine medica on that she has been taking. The client does not
look well and complains of a sore throat. The nurse notes that her temperature is elevated and
concludes that the client has an upper respiratory infec on. A@er giving the client the
medica on, she states that she will ask the
doctor for a PRN aspirin order. The doctor orders a CBC and determines that the client has
agranulocytosis. At which step of the nursing process did this nurse’s problem begin?
a. Diagnosis
b. Planning
c. Interven on
d. Revision of plan
b. Planning
Which of the following is NOT true of the Resolu on
or Termina on phase of the nurse-client
rela onship?
a. Preliminaries for this phase are introduced in
the Orienta on phase.
b. Talk about the impending separa on should
be avoided so that the client does not decompensate.
c. The client should be encouraged to review his progress and goals.
d. The nurse should model appropriate expression of feelings.
According to tradi onal defini ons of mental
health, which of the following would the nurse
be most likely to describe as mentally healthy?
a. Jerry Jones, a Vietnam veteran with no
family es, who has been unemployed for 10
years
b. Tom Sarris, a CEO, who spends 14 hours at
work each day and is too red to do anything
with his family on weekends
c. George Connors, a shoe salesman who
delights in playing affec onately with his
children but has been unable to hold a
steady job since they were born
d. Sam Thomas, a restaurateur who loves his
work, but sets limits on the hours he spends
there in order to enjoy his family and friends
d. Sam Thomas, a restaurateur who loves his
work, but sets limits on the hours he spends
there in order to enjoy his family and friends
Which of the following would be described as
a component of mental health according to
Johnson?
a. Refusing to be involved in any rela onship
that limits independence
b. Absence of anxiety under any circumstances
c. Dependence on friends and family to assist
with crises
d. Ignoring cues from the environment when
deciding what to do
c. Dependence on friends and family to assist
with crises
,In helping a client change, the nurse should:
a. Encourage the client to move rapidly to
avoid delay
b. Realize that the problems the client is facing
will make him or her eager to change
c. Encourage feelings of hope
d. Understand that change is a natural process
that never involves anxiety and fear
c. Encourage feelings of hope
In facilita ng change the nurse should:
a. Avoid deliberate goal-directed ac vity since
this will inhibit the process
b. Restrict clients to few choices to avoid overwhelming
them
c. Give up if resistance is encountered
d. Form a helping rela onship and collaborate
with clients
d. Form a helping rela onship and collaborate
with clients
John Korman is a 36-year-old male recently admi8ed to a psychiatric unit. The nurse taking his
history observes that his speech is slurred, and he states that he cannot remember where
he has been for the past 12 hours, but the police who brought him in stated that he was
arrested driving the wrong way on a one-way street. Which of the following items on the mental
status exam would the nurse NOT mark
"impaired"?
a. Behavior
b. Judgment
c. Memory
d. Affect
d. Affect
Which of the following is NOT necessary for the
nurse to make a spiritual assessment?
,a. Assure that the client has a religious
affilia on.
b. Determine if client believes in a higher
power.
c. Evaluate the client's rela onship to others.
d. Determine the client's philosophy of life.
a. Assure that the client has a religious
affilia on.
Which of the following interven ons would be
labeled as an independent nursing interven on
on a psychiatric unit?
a. Giving medica ons
b. Making discharge plans
c. Deciding privileges
d. Assuring safety
d. Assuring safety
The staff of a day treatment program have
determined that all clients must par cipate in a
group ou ng to a local museum because all of
the staff want to see the exhibit. Two women
clients in the group voice their opposi on to
visi ng the museum because they do not wish
to risk being iden fied as psychiatric clients by
others in the community. The staff refuse to
listen to their concerns and insist that they go
on the trip, but do not describe any par cular
reason. Which adjec ve describes the type of
goal planning evident in this situa on?
a. Specific
b. Individualized
c. Collabora ve
d. Authoritarian
d. Authoritarian
, Which of the following behaviors would indicate
a good client response to a nursing ac on?
a. The client's body is no ceably less tense and
he or she has stopped pacing.
b. The client stops interac ng with others on
the unit.
c. The client states "If I don't do what people
want they won't like me."
d. The client refuses to listen to feedback from
other members of the community.
a. The client's body is no ceably less tense and
he or she has stopped pacing.
A nurse brings a client the Clozapine medica on that she has been taking. The client does not
look well and complains of a sore throat. The nurse notes that her temperature is elevated and
concludes that the client has an upper respiratory infec on. A@er giving the client the
medica on, she states that she will ask the
doctor for a PRN aspirin order. The doctor orders a CBC and determines that the client has
agranulocytosis. At which step of the nursing process did this nurse’s problem begin?
a. Diagnosis
b. Planning
c. Interven on
d. Revision of plan
b. Planning
Which of the following is NOT true of the Resolu on
or Termina on phase of the nurse-client
rela onship?
a. Preliminaries for this phase are introduced in
the Orienta on phase.
b. Talk about the impending separa on should
be avoided so that the client does not decompensate.
c. The client should be encouraged to review his progress and goals.
d. The nurse should model appropriate expression of feelings.
