https://www.stuvia.com/
,https://www.stuvia.com/
Stuvia.com - The Marketplace to Buy and Sell your Study Material
1.On the first day of a psychiatric-mental health nursing clinical, a student nurse is assigned
to work with a 24-year-old male client who is being treated for major depression due to a
recent diagnosis of AIDS. Which of the following questions of the nurse would reflect
prejudice regarding the client?
A) “Does depression often occur when young people get a diagnosis of AIDS?”
B) “What is the physiological reason that depression might happen in conjunction with
this diagnosis?”
C) “Does the client's family know he is depressed and in treatment? I haven't seen any
visitors since he was admitted.”
D) “Why do gay men seem to get depressed more often? Could it be related to IV drug
abuse?”
Ans: D
Feedback:
Prejudice is a judgment or opinion (“preconceived notion”) that has been made or formed
before any knowledge or facts have been gathered. In option D, the student has already
assumed that because the client has AIDS, he is gay and also may use IV drugs, and
m
er as
therefore, the student's question reflects prejudice. Asking a question regarding the
development of depression following a diagnosis of AIDS in young people, investigating
co
eH w
the physiologic reason for depression occurring in a client diagnosed with AIDS, and
determining if the client's family has knowledge of the depression are all relevant
o.
questions posed by the student nurse.
rs e
ou urc
2.Which of the following would be the most therapeutic student nurse response to the
client's question, “Hi. What is your name?”
o
A) “My name is Dorothy, and I am a student nurse at Oakdale University School of
aC s
Nursing.”
vi y re
B) “Why do you ask?”
C) “It is interesting that you would ask about my name. What is your name?”
D) “I would like to tell you; however, it is against the policy at Oakdale Hospital to
reveal personal information.”
ed d
Ans: A
ar stu
Feedback:
There are clinical situations in which it is unadvisable to provide personal information
about oneself. However, other situations merit the cautious sharing of personal
is
information; this is one. Providing her name gives the student credibility and establishes
trust. To withhold this type of information would make the client uncomfortable and
Th
possibly suspicious of the student.
3.The student nurse is beginning her first day of clinical in a mental health unit. The nurse
sh
realizes that therapeutic communication can occur even if the nurse is not certain of how
to initiate the conversation. This is because?
A) It does not matter what you say to the client.
B) Sincerity, honesty, respect, and caring are the most important elements in
communication and will overcome anything you may say that could be
Page 1
This study source was downloaded by 100000825977768 from CourseHero.com on 05-15-2021 08:13:24 GMT -05:00
https://www.coursehero.com/file/36854221/Chapter-1-Self-Awarenessrtf/
Downloaded by: clintonson |
Distribution of this document is illegal
,https://www.stuvia.com/
Stuvia.com - The Marketplace to Buy and Sell your Study Material
nontherapeutic.
C) Psychiatric-mental health clients do not really understand what you say most of the
time anyway.
D) Clients in most mental health settings are cognitively impaired.
Ans: B
Feedback:
Sincerity, honesty, respect, and caring are hallmarks of being an effective psychiatric-
mental health care provider. If the student nurse is sincere and honest, shows respect for
the client, and displays a caring attitude, the staff and clients will give the student their
trust.
4.A Hispanic man employed as a sales representative goes into a local department store to
pick up a gift for his wife. As he walks around the store, the security guard appraises the
man's race, comes up to him, and says, “You need to leave the store because of your
suspicious behavior.” This is an example of
m
er as
A) Cultural isolation
B) Dislocation
co
eH w
C) Prejudice
D) Discrimination
o.
Ans: D
Feedback: rs e
ou urc
Discrimination occurs when there is treatment or consideration that is based on class or
category rather than on individual merit. In this case, the man has been treated differently
(asked to leave) based on his race, because there is no other defining characteristic or
o
behavior that he is exhibiting that would lead to his expulsion from the store.
aC s
vi y re
5.A mental health nurse has been assigned to a client diagnosed with schizophrenia. Upon
entering the room, the client yells, “Get out of here, you little brat! You're bigger than my
kid sister, who is horrible!” The initial action of the nurse would include which of the
ed d
following?
ar stu
A) Sit down on the client's bed and initiate a conversation.
B) Run out of the client's room yelling, “I need some help here!”
C) Tell the client that her behavior is not acceptable and will not be tolerated.
is
D) Slowly back out of the client's room, and summon for help.
Ans: D
Th
Feedback:
Nursing staff and clinicians are experienced in assessing the client's potential for violence
and have specific protocols to utilize when this occurs. The nurse should be familiar with
these protocols. The nurse should neither try to confront the client nor create a disruption.
sh
Initiating any type of conversation when the client is confrontational would not be
appropriate. Running from the room and yelling may cause increased agitation in this
client. Telling the client that her behavior is unacceptable does not resolve the current
situation. The most appropriate nursing action in this situation would be to leave the
client's room and summon help.
Page 2
This study source was downloaded by 100000825977768 from CourseHero.com on 05-15-2021 08:13:24 GMT -05:00
https://www.coursehero.com/file/36854221/Chapter-1-Self-Awarenessrtf/
Downloaded by: clintonson |
Distribution of this document is illegal
,https://www.stuvia.com/
Stuvia.com - The Marketplace to Buy and Sell your Study Material
6.Which of the following is a characteristic of an introvert?
A) Outgoing personality
B) Relates easily to people
C) Exhibits leadership qualities
D) Prefers to be a follower
Ans: D
Feedback:
An introvert is a quiet individual who relates better to the inner world of ideas, thoughts,
and feelings. He or she prefers to be a follower and usually lets other initiate and direct
interactions. An extrovert is an outgoing person who relates more easily to people and
things in the environment, likes to take charge of situations, and has little difficulty
socializing.
m
er as
7.When caring for a depressed client, the nurse made a comment that all depressed people
are weak. This is categorized as which type of attitude displayed by the nurse?
co
eH w
A) Affective incongruence
B) Judgmental
o.
C) Jealous
D) Open-minded rs e
ou urc
Ans: B
Feedback:
Persons who display judgmental attitudes are often inflexible and run the risk of
o
neglecting the perception of others, possibly arriving at an opinion based on their values
aC s
without enough facts or enough regard for what other people may feel or think. Affective
vi y re
incongruence occurs when the client's mood is not congruent with the situation. The
nurse in this instance is not being open-minded or conveying jealousy.
ed d
8.One of the students completing her mental health clinical states that “All those people
ar stu
seem very crazy.” It is important that the student display which type of attitude when
dealing with mentally ill clients?
A) Biased
is
B) Judgmental
C) Introverted
Th
D) Open-minded
Ans: D
Feedback:
Individuals who display an open-minded attitude do not make decisions until they are
sh
aware of all the facts of the situation. It is especially important to be open-minded when
dealing with clients from various cultures and ethnic backgrounds. The student is
displaying a judgmental or biased opinion of the mentally ill. Introversion is a personality
trait.
Page 3
This study source was downloaded by 100000825977768 from CourseHero.com on 05-15-2021 08:13:24 GMT -05:00
https://www.coursehero.com/file/36854221/Chapter-1-Self-Awarenessrtf/
Downloaded by: clintonson |
Distribution of this document is illegal
,https://www.stuvia.com/
Stuvia.com - The Marketplace to Buy and Sell your Study Material
1.On the first day of a psychiatric-mental health nursing clinical, a student nurse is assigned
to work with a 24-year-old male client who is being treated for major depression due to a
recent diagnosis of AIDS. Which of the following questions of the nurse would reflect
prejudice regarding the client?
A) “Does depression often occur when young people get a diagnosis of AIDS?”
B) “What is the physiological reason that depression might happen in conjunction with
this diagnosis?”
C) “Does the client's family know he is depressed and in treatment? I haven't seen any
visitors since he was admitted.”
D) “Why do gay men seem to get depressed more often? Could it be related to IV drug
abuse?”
Ans: D
Feedback:
Prejudice is a judgment or opinion (“preconceived notion”) that has been made or formed
before any knowledge or facts have been gathered. In option D, the student has already
assumed that because the client has AIDS, he is gay and also may use IV drugs, and
m
er as
therefore, the student's question reflects prejudice. Asking a question regarding the
development of depression following a diagnosis of AIDS in young people, investigating
co
eH w
the physiologic reason for depression occurring in a client diagnosed with AIDS, and
determining if the client's family has knowledge of the depression are all relevant
o.
questions posed by the student nurse.
rs e
ou urc
2.Which of the following would be the most therapeutic student nurse response to the
client's question, “Hi. What is your name?”
o
A) “My name is Dorothy, and I am a student nurse at Oakdale University School of
aC s
Nursing.”
vi y re
B) “Why do you ask?”
C) “It is interesting that you would ask about my name. What is your name?”
D) “I would like to tell you; however, it is against the policy at Oakdale Hospital to
reveal personal information.”
ed d
Ans: A
ar stu
Feedback:
There are clinical situations in which it is unadvisable to provide personal information
about oneself. However, other situations merit the cautious sharing of personal
is
information; this is one. Providing her name gives the student credibility and establishes
trust. To withhold this type of information would make the client uncomfortable and
Th
possibly suspicious of the student.
3.The student nurse is beginning her first day of clinical in a mental health unit. The nurse
sh
realizes that therapeutic communication can occur even if the nurse is not certain of how
to initiate the conversation. This is because?
A) It does not matter what you say to the client.
B) Sincerity, honesty, respect, and caring are the most important elements in
communication and will overcome anything you may say that could be
Page 1
This study source was downloaded by 100000825977768 from CourseHero.com on 05-15-2021 08:13:24 GMT -05:00
https://www.coursehero.com/file/36854221/Chapter-1-Self-Awarenessrtf/
Downloaded by: clintonson |
Distribution of this document is illegal
,https://www.stuvia.com/
Stuvia.com - The Marketplace to Buy and Sell your Study Material
nontherapeutic.
C) Psychiatric-mental health clients do not really understand what you say most of the
time anyway.
D) Clients in most mental health settings are cognitively impaired.
Ans: B
Feedback:
Sincerity, honesty, respect, and caring are hallmarks of being an effective psychiatric-
mental health care provider. If the student nurse is sincere and honest, shows respect for
the client, and displays a caring attitude, the staff and clients will give the student their
trust.
4.A Hispanic man employed as a sales representative goes into a local department store to
pick up a gift for his wife. As he walks around the store, the security guard appraises the
man's race, comes up to him, and says, “You need to leave the store because of your
suspicious behavior.” This is an example of
m
er as
A) Cultural isolation
B) Dislocation
co
eH w
C) Prejudice
D) Discrimination
o.
Ans: D
Feedback: rs e
ou urc
Discrimination occurs when there is treatment or consideration that is based on class or
category rather than on individual merit. In this case, the man has been treated differently
(asked to leave) based on his race, because there is no other defining characteristic or
o
behavior that he is exhibiting that would lead to his expulsion from the store.
aC s
vi y re
5.A mental health nurse has been assigned to a client diagnosed with schizophrenia. Upon
entering the room, the client yells, “Get out of here, you little brat! You're bigger than my
kid sister, who is horrible!” The initial action of the nurse would include which of the
ed d
following?
ar stu
A) Sit down on the client's bed and initiate a conversation.
B) Run out of the client's room yelling, “I need some help here!”
C) Tell the client that her behavior is not acceptable and will not be tolerated.
is
D) Slowly back out of the client's room, and summon for help.
Ans: D
Th
Feedback:
Nursing staff and clinicians are experienced in assessing the client's potential for violence
and have specific protocols to utilize when this occurs. The nurse should be familiar with
these protocols. The nurse should neither try to confront the client nor create a disruption.
sh
Initiating any type of conversation when the client is confrontational would not be
appropriate. Running from the room and yelling may cause increased agitation in this
client. Telling the client that her behavior is unacceptable does not resolve the current
situation. The most appropriate nursing action in this situation would be to leave the
client's room and summon help.
Page 2
This study source was downloaded by 100000825977768 from CourseHero.com on 05-15-2021 08:13:24 GMT -05:00
https://www.coursehero.com/file/36854221/Chapter-1-Self-Awarenessrtf/
Downloaded by: clintonson |
Distribution of this document is illegal
,https://www.stuvia.com/
Stuvia.com - The Marketplace to Buy and Sell your Study Material
6.Which of the following is a characteristic of an introvert?
A) Outgoing personality
B) Relates easily to people
C) Exhibits leadership qualities
D) Prefers to be a follower
Ans: D
Feedback:
An introvert is a quiet individual who relates better to the inner world of ideas, thoughts,
and feelings. He or she prefers to be a follower and usually lets other initiate and direct
interactions. An extrovert is an outgoing person who relates more easily to people and
things in the environment, likes to take charge of situations, and has little difficulty
socializing.
m
er as
7.When caring for a depressed client, the nurse made a comment that all depressed people
are weak. This is categorized as which type of attitude displayed by the nurse?
co
eH w
A) Affective incongruence
B) Judgmental
o.
C) Jealous
D) Open-minded rs e
ou urc
Ans: B
Feedback:
Persons who display judgmental attitudes are often inflexible and run the risk of
o
neglecting the perception of others, possibly arriving at an opinion based on their values
aC s
without enough facts or enough regard for what other people may feel or think. Affective
vi y re
incongruence occurs when the client's mood is not congruent with the situation. The
nurse in this instance is not being open-minded or conveying jealousy.
ed d
8.One of the students completing her mental health clinical states that “All those people
ar stu
seem very crazy.” It is important that the student display which type of attitude when
dealing with mentally ill clients?
A) Biased
is
B) Judgmental
C) Introverted
Th
D) Open-minded
Ans: D
Feedback:
Individuals who display an open-minded attitude do not make decisions until they are
sh
aware of all the facts of the situation. It is especially important to be open-minded when
dealing with clients from various cultures and ethnic backgrounds. The student is
displaying a judgmental or biased opinion of the mentally ill. Introversion is a personality
trait.
Page 3
This study source was downloaded by 100000825977768 from CourseHero.com on 05-15-2021 08:13:24 GMT -05:00
https://www.coursehero.com/file/36854221/Chapter-1-Self-Awarenessrtf/
Downloaded by: clintonson |
Distribution of this document is illegal
