Psychotherapy
Psychotherapy for the Advanced Practice Psychiatric
Nurse: A How-To Guide for Evidence-Based Practice
3rd Edition |100% Q&A
_____________________________________________________________________________________
Which of the following programs are often available to mentally ill clients in community treatment
settings?
✓ Halfway houses
Sheltered workshops
Day treatment centers
Adult day care centers
The nurse has completed a new clients orientation to the inpatient psychiatric unit and asks if the
client has any questions. Which of the following questions indicates further teaching is needed
regarding the clients rights in a therapeutic environment?
✓ What happens if I refuse to attend a group activity?
Which of the following client behaviors is the best illustration of a positive response to the
therapeutic environment in an inpatient ward?
✓ Signing up during the community meeting for ward duties
Which of the following aspects of the structural environment pose the greatest risk to client safety in
the hospital setting?
✓ Program schedules posted on bulletin boards behind glass doors
A client on the inpatient psychiatric unit asks the nurse, Why is the daily schedule so full of activities
and why do we have so many rules to follow? Which of the following is the best response by the
nurse?
✓ A daily routine helps you keep on track and organize your thoughts. The rules help people live
together respectfully.
A client admitted to the inpatient psychiatric unit after a recent suicide attempt tells the nurse, Even
though suicide is against my religion, I was in so much emotional distress that I didnt think I could
keep on living. Im really struggling with my spiritual conscience and dont know what I should do.
Which of the following nurse responses is most appropriate?
✓ It sounds like spirituality plays a significant role in your life. Tell me what beliefs are most
important to you.
,A client and his wife are visiting in the day room of an inpatient psychiatric unit when a client with
acute psychosis experiencing auditory hallucinations sits down next to them and begins talking to the
voices. Which of the following nursing actions is most appropriate?
✓ Remind the client with psychosis to respect the privacy of the other client and his wife.
A client with chronic paranoid schizophrenia is scheduled to be discharged from the inpatient
psychiatric unit in two days. The nurse is working with the clients family to develop a plan for
managing psychotic symptoms and emergency behaviors after discharge. Which of the following
nursing diagnoses is most appropriate?
✓ Knowledge Deficit: Symptom Management related to inadequate understanding of disease
processes
A psychiatric home care nurse knocks on the clients door for the first time and is told by the client, Go
away and leave me alone. I dont want to buy any Girl Scout cookies. What should the nurse do in this
instance?
✓ Show the client identification and explain the purpose of the visit
The psychiatric home health nurse has made repeated attempts to make a home visit to a
homebound client, only to find that the client is not at home at the scheduled time. What is the best
action by the nurse?
✓ Reevaluate the clients homebound status.
A psychiatric home health nurse makes home visits in a neighborhood that has a high incidence of
reported crimes. What reasonable safety measures should the nurse implement during home visits?
✓ Make all visits in the daytime
Ask for a police escort during visits
Call the client before arrival at the home
Carry a cell phone at all times
Ask to be accompanied on visits by a co-worker
A nurse case manager is assigned to a client with recurring substance abuse issues. Which of the
following strategies would be most important in providing care to this client?
✓ Assessment and problem identification
The nurse case manager is participating in a treatment team meeting where members are discussing
treatment options for a client with a history of medication and treatment nonadherence. The clients
health insurance plan does not cover the cost of expensive atypical antipsychotic depot medications.
Which of the following is not an appropriate action by the nurse in this situation?
✓ Enrolling the client in another health insurance plan
The interdisciplinary treatment team is discussing appropriate strategies for a homebound client who
has a history of medication nonadherence. Which of the following rationales should the nurse case
manager use when a treatment team member suggests that the nurse case manager make daily home
visits to administer medications?
, ✓ My role as case manager is to remain objective and look at the whole picture. If I deliver direct
care, I may lose this perspective.
Which of the following activities is the central element that differentiates case management from
other types of care?
✓ Coordinating one episode of care across multiple treatment settings
Which of the following qualifications best explains why nurses are better suited for the role of case
management than social workers?
✓ Nurses have thorough training in psychobiology and pharmacology.
Which of the following statements regarding the impact of managed health care on the delivery of
psychiatric services is true?
✓ Managed mental health care has resulted in shorter, more intense psychiatric hospital stays to
keep costs down.
Which of the following services are typically performed by psychiatric nurses employed in managed
care organizations?
✓ Performing mental health assessments
Providing stress management classes
Contacting medication prescribers to arrange for changes
Triaging initial requests for services
Which of the following community support programs should the nurse recommend to family
members of a client with severe and persistent mental illness (SPMI) who is living independently in
the community?
Standard Text: Select all that apply.
✓ Case management
Medication management
While taking care of a client at the mental health clinic, the student nurse notices scars and healing
lacerations on the clients arms. The client states, I did all of that. The student nurse knows this type of
behavior is:
Standard Text: Select all that apply.
✓ Self-destructive.
A maladaptive measure.
A coping mechanism.
When teaching students about suicide, the nursing instructor knows to include facts such as:
✓ Suicide is the 11th leading cause of death among Americans, and as many as 44% of psychiatric
emergency clients are at increased risk for suicide.
The student nurse realizes that individuals who self-mutilate may:
Psychotherapy for the Advanced Practice Psychiatric
Nurse: A How-To Guide for Evidence-Based Practice
3rd Edition |100% Q&A
_____________________________________________________________________________________
Which of the following programs are often available to mentally ill clients in community treatment
settings?
✓ Halfway houses
Sheltered workshops
Day treatment centers
Adult day care centers
The nurse has completed a new clients orientation to the inpatient psychiatric unit and asks if the
client has any questions. Which of the following questions indicates further teaching is needed
regarding the clients rights in a therapeutic environment?
✓ What happens if I refuse to attend a group activity?
Which of the following client behaviors is the best illustration of a positive response to the
therapeutic environment in an inpatient ward?
✓ Signing up during the community meeting for ward duties
Which of the following aspects of the structural environment pose the greatest risk to client safety in
the hospital setting?
✓ Program schedules posted on bulletin boards behind glass doors
A client on the inpatient psychiatric unit asks the nurse, Why is the daily schedule so full of activities
and why do we have so many rules to follow? Which of the following is the best response by the
nurse?
✓ A daily routine helps you keep on track and organize your thoughts. The rules help people live
together respectfully.
A client admitted to the inpatient psychiatric unit after a recent suicide attempt tells the nurse, Even
though suicide is against my religion, I was in so much emotional distress that I didnt think I could
keep on living. Im really struggling with my spiritual conscience and dont know what I should do.
Which of the following nurse responses is most appropriate?
✓ It sounds like spirituality plays a significant role in your life. Tell me what beliefs are most
important to you.
,A client and his wife are visiting in the day room of an inpatient psychiatric unit when a client with
acute psychosis experiencing auditory hallucinations sits down next to them and begins talking to the
voices. Which of the following nursing actions is most appropriate?
✓ Remind the client with psychosis to respect the privacy of the other client and his wife.
A client with chronic paranoid schizophrenia is scheduled to be discharged from the inpatient
psychiatric unit in two days. The nurse is working with the clients family to develop a plan for
managing psychotic symptoms and emergency behaviors after discharge. Which of the following
nursing diagnoses is most appropriate?
✓ Knowledge Deficit: Symptom Management related to inadequate understanding of disease
processes
A psychiatric home care nurse knocks on the clients door for the first time and is told by the client, Go
away and leave me alone. I dont want to buy any Girl Scout cookies. What should the nurse do in this
instance?
✓ Show the client identification and explain the purpose of the visit
The psychiatric home health nurse has made repeated attempts to make a home visit to a
homebound client, only to find that the client is not at home at the scheduled time. What is the best
action by the nurse?
✓ Reevaluate the clients homebound status.
A psychiatric home health nurse makes home visits in a neighborhood that has a high incidence of
reported crimes. What reasonable safety measures should the nurse implement during home visits?
✓ Make all visits in the daytime
Ask for a police escort during visits
Call the client before arrival at the home
Carry a cell phone at all times
Ask to be accompanied on visits by a co-worker
A nurse case manager is assigned to a client with recurring substance abuse issues. Which of the
following strategies would be most important in providing care to this client?
✓ Assessment and problem identification
The nurse case manager is participating in a treatment team meeting where members are discussing
treatment options for a client with a history of medication and treatment nonadherence. The clients
health insurance plan does not cover the cost of expensive atypical antipsychotic depot medications.
Which of the following is not an appropriate action by the nurse in this situation?
✓ Enrolling the client in another health insurance plan
The interdisciplinary treatment team is discussing appropriate strategies for a homebound client who
has a history of medication nonadherence. Which of the following rationales should the nurse case
manager use when a treatment team member suggests that the nurse case manager make daily home
visits to administer medications?
, ✓ My role as case manager is to remain objective and look at the whole picture. If I deliver direct
care, I may lose this perspective.
Which of the following activities is the central element that differentiates case management from
other types of care?
✓ Coordinating one episode of care across multiple treatment settings
Which of the following qualifications best explains why nurses are better suited for the role of case
management than social workers?
✓ Nurses have thorough training in psychobiology and pharmacology.
Which of the following statements regarding the impact of managed health care on the delivery of
psychiatric services is true?
✓ Managed mental health care has resulted in shorter, more intense psychiatric hospital stays to
keep costs down.
Which of the following services are typically performed by psychiatric nurses employed in managed
care organizations?
✓ Performing mental health assessments
Providing stress management classes
Contacting medication prescribers to arrange for changes
Triaging initial requests for services
Which of the following community support programs should the nurse recommend to family
members of a client with severe and persistent mental illness (SPMI) who is living independently in
the community?
Standard Text: Select all that apply.
✓ Case management
Medication management
While taking care of a client at the mental health clinic, the student nurse notices scars and healing
lacerations on the clients arms. The client states, I did all of that. The student nurse knows this type of
behavior is:
Standard Text: Select all that apply.
✓ Self-destructive.
A maladaptive measure.
A coping mechanism.
When teaching students about suicide, the nursing instructor knows to include facts such as:
✓ Suicide is the 11th leading cause of death among Americans, and as many as 44% of psychiatric
emergency clients are at increased risk for suicide.
The student nurse realizes that individuals who self-mutilate may:
