CLINICAL TEST BANK CH. 1 ,2,4,5&6
EXAM QUESTIONS WITH CORRECT
ANSWERS
Which aspect of direct care is an experienced, inpatient psychiatric nurse most likely
to provide for a client?
Hygiene assistance
Diversional activities
Assistance with job hunting
Building assertiveness skills - ANSWER-Building assertiveness skills
Which characteristic would be more applicable to a community mental health nurse
than to a nurse working in an operating room?
a. Kindness b. Autonomy
c. Compassion d. Professionalism - ANSWER-autonomy
What is an example of primary prevention?
Assisting a person diagnosed with a serious mental illness to fill a pill-minder
Helping school-age children identify and describe normal emotions
Leading a psychoeducational group in a community care home
Medicating an acutely ill client who assaulted a staff person - ANSWER-Helping
school-age children identify and describe normal emotions
Primary preventions are directed at healthy populations with a goal of preventing
health problems from occurring. Helping school-age children describe normal
emotions people experience promotes coping, a skill that is needed throughout life.
Which level of prevention activities would a nurse in an emergency department
employ most often?
a. Primary b. Secondary c. Tertiary - ANSWER-secondary
An emergency department nurse would generally see clients in crisis or with acute
illness, so secondary prevention is used.
Which scenario best depicts a behavioral crisis?
A client is waving fists, cursing, and shouting threats at a nurse.
A client is curled up in a corner of the bathroom, wrapped in a towel.
A client is crying hysterically after receiving a phone call from a family member.
A client is performing push-ups in the middle of the hall, forcing others to walk
around. - ANSWER-A client is waving fists, cursing, and shouting threats at a nurse.
,What is the initial action of a case manager who plans to discuss the treatment plan
with a client's family?
Determine an appropriate location for the conference.
Support the discussion with examples of the client's behavior.
Obtain the client's permission for the exchange of information.
Determine which family members should participate in the conference. - ANSWER-
Obtain the client's permission for the exchange of information.
After a Category 5 tornado hits a community and destroys many homes and
businesses, a community mental health nurse encourages victims to describe their
memories and feelings about the event. What does this action by the nurse best
demonstrate?
triage.
primary prevention.
psychosocial rehabilitation.
psychiatric case management. - ANSWER-primary prevention.
Tornado victims are at risk for psychiatric problems as a consequence of stress and
trauma. Primary prevention occurs before any problem is manifested and seeks to
reduce the incidence, or rate of new cases. Primary prevention may prevent or delay
the onset of symptoms in predisposed individuals. C
A nurse makes an initial visit to a homebound client diagnosed with a serious mental
illness. A family member offers the nurse a cup of coffee. What is the nurse's best
response?
"Thank you. I would enjoy having a cup of coffee with you."
"Thank you, but I would prefer to proceed with the assessment."
"No but thank you. I never accept drinks from clients or families."
"Our agency policy prohibits me from eating or drinking in clients' homes." -
ANSWER-"Thank you. I would enjoy having a cup of coffee with you."
Accepting refreshments or chatting informally with the client and family represent
therapeutic use of self and help to establish rapport
A nurse performed these actions while caring for clients in an inpatient psychiatric
setting. Which action violated clients' rights?
Prohibited a client from using the telephone
In client's presence, opened a package mailed to client
Remained within arm's length of client with homicidal ideation
Permitted a client with psychosis to refuse oral psychotropic medication - ANSWER-
Prohibited a client from using the telephone
The client has a right to use the telephone. The client should be protected against
possible harm to self or others. Clients have rights to send and receive mail and be
present during package inspection. Clients have rights to refuse treatment.
, The health care team at an inpatient psychiatric facility drafts these criteria for
admission. Which criteria should be included in the final version of the admission
policy? (Select all that apply.)
Clear risk of danger to self or others
Adjustment needed for doses of psychotropic medication
Detoxification from long-term heavy alcohol consumption needed
Respite for caregivers of persons with serious and persistent mental illness
Failure of community-based treatment, demonstrating need for intensive treatment -
ANSWER-Clear risk of danger to self or others
Detoxification from long-term heavy alcohol consumption needed
Failure of community-based treatment, demonstrating need for intensive treatment
A psychiatric nurse discusses rules of the therapeutic milieu and clients' rights with a
newly admitted client. Which rights should be included? (Select all that apply.)
The right to have visitors.
The right to confidentiality.
The right to a private room.
The right to report inadequate care.
The right to select the nurse assigned to their care. - ANSWER-The right to have
visitors.
The right to confidentiality.
The right to report inadequate care.
Which statements most clearly reflect the stigma of mental illness? (Select all that
apply.)
"Many mental illnesses are hereditary."
"Mental illness can be evidence of a brain disorder."
"People claim mental illness so they can get disability checks."
"Mental illness results from the breakdown of American families."
"If people with mental illness went to church, their symptoms would disappear." -
ANSWER-"People claim mental illness so they can get disability checks."
"Mental illness results from the breakdown of American families."
"If people with mental illness went to church, their symptoms would disappear."
Which Western cultural feature may result in establishing unrealistic outcomes for
clients of other cultural groups?
Interdependence
Present orientation
Flexible perception of time
Direct confrontation to solve problems - ANSWER-Direct confrontation to solve
problems
EXAM QUESTIONS WITH CORRECT
ANSWERS
Which aspect of direct care is an experienced, inpatient psychiatric nurse most likely
to provide for a client?
Hygiene assistance
Diversional activities
Assistance with job hunting
Building assertiveness skills - ANSWER-Building assertiveness skills
Which characteristic would be more applicable to a community mental health nurse
than to a nurse working in an operating room?
a. Kindness b. Autonomy
c. Compassion d. Professionalism - ANSWER-autonomy
What is an example of primary prevention?
Assisting a person diagnosed with a serious mental illness to fill a pill-minder
Helping school-age children identify and describe normal emotions
Leading a psychoeducational group in a community care home
Medicating an acutely ill client who assaulted a staff person - ANSWER-Helping
school-age children identify and describe normal emotions
Primary preventions are directed at healthy populations with a goal of preventing
health problems from occurring. Helping school-age children describe normal
emotions people experience promotes coping, a skill that is needed throughout life.
Which level of prevention activities would a nurse in an emergency department
employ most often?
a. Primary b. Secondary c. Tertiary - ANSWER-secondary
An emergency department nurse would generally see clients in crisis or with acute
illness, so secondary prevention is used.
Which scenario best depicts a behavioral crisis?
A client is waving fists, cursing, and shouting threats at a nurse.
A client is curled up in a corner of the bathroom, wrapped in a towel.
A client is crying hysterically after receiving a phone call from a family member.
A client is performing push-ups in the middle of the hall, forcing others to walk
around. - ANSWER-A client is waving fists, cursing, and shouting threats at a nurse.
,What is the initial action of a case manager who plans to discuss the treatment plan
with a client's family?
Determine an appropriate location for the conference.
Support the discussion with examples of the client's behavior.
Obtain the client's permission for the exchange of information.
Determine which family members should participate in the conference. - ANSWER-
Obtain the client's permission for the exchange of information.
After a Category 5 tornado hits a community and destroys many homes and
businesses, a community mental health nurse encourages victims to describe their
memories and feelings about the event. What does this action by the nurse best
demonstrate?
triage.
primary prevention.
psychosocial rehabilitation.
psychiatric case management. - ANSWER-primary prevention.
Tornado victims are at risk for psychiatric problems as a consequence of stress and
trauma. Primary prevention occurs before any problem is manifested and seeks to
reduce the incidence, or rate of new cases. Primary prevention may prevent or delay
the onset of symptoms in predisposed individuals. C
A nurse makes an initial visit to a homebound client diagnosed with a serious mental
illness. A family member offers the nurse a cup of coffee. What is the nurse's best
response?
"Thank you. I would enjoy having a cup of coffee with you."
"Thank you, but I would prefer to proceed with the assessment."
"No but thank you. I never accept drinks from clients or families."
"Our agency policy prohibits me from eating or drinking in clients' homes." -
ANSWER-"Thank you. I would enjoy having a cup of coffee with you."
Accepting refreshments or chatting informally with the client and family represent
therapeutic use of self and help to establish rapport
A nurse performed these actions while caring for clients in an inpatient psychiatric
setting. Which action violated clients' rights?
Prohibited a client from using the telephone
In client's presence, opened a package mailed to client
Remained within arm's length of client with homicidal ideation
Permitted a client with psychosis to refuse oral psychotropic medication - ANSWER-
Prohibited a client from using the telephone
The client has a right to use the telephone. The client should be protected against
possible harm to self or others. Clients have rights to send and receive mail and be
present during package inspection. Clients have rights to refuse treatment.
, The health care team at an inpatient psychiatric facility drafts these criteria for
admission. Which criteria should be included in the final version of the admission
policy? (Select all that apply.)
Clear risk of danger to self or others
Adjustment needed for doses of psychotropic medication
Detoxification from long-term heavy alcohol consumption needed
Respite for caregivers of persons with serious and persistent mental illness
Failure of community-based treatment, demonstrating need for intensive treatment -
ANSWER-Clear risk of danger to self or others
Detoxification from long-term heavy alcohol consumption needed
Failure of community-based treatment, demonstrating need for intensive treatment
A psychiatric nurse discusses rules of the therapeutic milieu and clients' rights with a
newly admitted client. Which rights should be included? (Select all that apply.)
The right to have visitors.
The right to confidentiality.
The right to a private room.
The right to report inadequate care.
The right to select the nurse assigned to their care. - ANSWER-The right to have
visitors.
The right to confidentiality.
The right to report inadequate care.
Which statements most clearly reflect the stigma of mental illness? (Select all that
apply.)
"Many mental illnesses are hereditary."
"Mental illness can be evidence of a brain disorder."
"People claim mental illness so they can get disability checks."
"Mental illness results from the breakdown of American families."
"If people with mental illness went to church, their symptoms would disappear." -
ANSWER-"People claim mental illness so they can get disability checks."
"Mental illness results from the breakdown of American families."
"If people with mental illness went to church, their symptoms would disappear."
Which Western cultural feature may result in establishing unrealistic outcomes for
clients of other cultural groups?
Interdependence
Present orientation
Flexible perception of time
Direct confrontation to solve problems - ANSWER-Direct confrontation to solve
problems
