Mental Health Exam 1 Lippincott Chapter Practice Questions With correct Answers

The primary purpose of the Community Mental Health Center Act of 1963 was to a. get better treatment in larger, more urban areas. b. move clients to their home communities for treatment. c. provide former clients with employment opportunities. d. remove the stigma of living in an institution. - ANSWERSb. move clients to their home communities for treatment (Ch. 1) Managed care is designed to a. control health care costs by limiting access to care. b. keep health care costs from increasing over time. c. limit the amount of money paid to physicians and hospitals. d. maintain a balance between the quality and costs of health care. - ANSWERSd. Maintain a balance between the quality and costs of health care (Ch. 1) Hospitals established by Dorothea Dix were designed to provide a. asylum. b. confinement. c. therapeutic milieu. d. public safety. - ANSWERSa. asylum (Ch. 1) Hildegard Peplau is best known for her writing about a. community-based care. b. humane treatment. c. psychopharmacology. d. therapeutic nurse-client relationship. - ANSWERSd. Therapeutic nurse-client relationship (Ch. 1) Mental health parity laws ensure a. better quality mental health treatment. b. equality in insurance coverage for mental illness. c. mental health treatment without stigma. d. that persons receiving treatment really need it. - ANSWERSb. Equality in insurance coverage for mental illness (Ch. 1) The nurse is teaching a client taking an MAOI about foods with tyramine that they should avoid. Which statement indicates that the client needs further teaching? a. "I'm so glad I can have pizza as long as I don't order pepperoni." b. "I will be able to eat cottage cheese without worrying." c. "I will have to avoid drinking nonalcoholic beer." d. "I can eat green beans on this diet." - ANSWERSa. "I'm so glad I can have pizza as long as I don't order pepperoni." (Ch. 2) A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is now ready to leave the hospital to go home. Which is a concern for the nurse as discharge plans are finalized? a. The client may need a prescription for diphenhydramine (Benadryl) to use for side effects. b. The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant. c. The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrom - ANSWERSb. The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant. (Ch. 2) The signs of lithium toxicity include which? a. Sedation, fever, and restlessness b. Psychomotor agitation, insomnia, and increased thirst c. Elevated WBC count, sweating, and confusion d. Severe vomiting, diarrhea, and weakness - ANSWERSd. Severe vomiting, diarrhea, weakness (Ch. 2) Which is a concern for children taking stimulants for ADHD for several years? a. Dependence on the drug b. Insomnia c. Growth suppression d. Weight gain - ANSWERSc. growth suppression (Ch. 2) The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness, cannot sit still, and has muscle stiffness. Of the following prn medications, which would the nurse administer? a. Haloperidol (Haldol), 5 mg PO b. Benztropine (Cogentin), 2 mg PO c. Propranolol (Inderal), 20 mg PO d. Trazodone, 50 mg PO - ANSWERSB. Benztropine (Cogentin), 2 mg PO (Ch. 2) Client teaching for lamotrigine (Lamictal) should include which instructions? a. Eat a well-balanced diet to avoid weight gain. b. Report any rashes to your doctor immediately. c. Take each dose with food to avoid nausea. d. This drug may cause psychological dependence. - ANSWERSB. Report any rashes to your doctor immediately (Ch. 2) Which physician order would the nurse question for a client who has stated, "I'm allergic to phenothiazines?" a. Haldol, 5 mg PO bid b. Navane, 10 mg PO bid c. Prolixin, 5 mg PO tid d. Risperdal, 2 mg bid - ANSWERSC. Prolixin, 5mg PO tid (Ch. 2) Clients taking which type of psychotropic medications need close monitoring of their cardiac status? a. Antidepressants b. Antipsychotics c. Mood stabilizers d. Stimulants - ANSWERSB. Antipsychotics (Ch. 2) Which theorist believed that a corrective interpersonal relationship with the therapist was the primary mode of treatment? a. Sigmund Freud b. William Glasser c. Hildegard Peplau d. Harry Stack Sullivan - ANSWERSD. Harry Stack Sullivan (Ch. 3) Dream analysis and free association are techniques in which modality? a. Client-centered therapy b. Gestalt therapy c. Logotherapy d. Psychoanalysis - ANSWERSD. psychoanalysis (Ch. 3) Four levels of anxiety were described by a. Erik Erikson. b. Sigmund Freud. c. Hildegard Peplau. d. Carl Rogers. - ANSWERSC. Hildegard Peplau (Ch. 3) Correcting how one thinks about the world and oneself is the focus of a. behaviorism. b. cognitive therapy. c. psychoanalysis. d. reality therapy. - ANSWERSB. cognitive therapy (Ch. 3) The personality structures of id, ego, and superego were described by a. Sigmund Freud. b. Hildegard Peplau. c. Frederick Perls. d. Harry Stack Sullivan. - ANSWERSA. Sigmund Freud (Ch. 3) The nursing role that involves being a substitute for another, such as a parent, is called a. counselor. b. resource person. c. surrogate. d. teacher. - ANSWERSC. surrogate (Ch. 3) Psychiatric rehabilitation focuses on a. client's strengths. b. medication compliance. c. social skills deficits. d. symptom reduction. - ANSWERSA. Client's strengths (Ch. 3) When a nurse develops feelings toward a client that are based on the nurse's past experience, it is called a. countertransference. b. role reversal. c. transference. d. unconditional regard. - ANSWERSA. countertransference (Ch. 3) A group that was designed to meet weekly for 10 sessions to deal with feelings of depression would be a(n) a. closed group. b. educational group. c. open group. d. support group. - ANSWERSA. closed group (Ch. 3) All are characteristics of ACT except which? a. Services are provided in the home or community. b. Services are provided by the client's case manager. c. There are no time limitations on ACT services. d. All necessary support systems are involved in ACT. - ANSWERSB. services are provided by the client's case manager (Ch. 4) Inpatient psychiatric care focuses on all the following except a. brief interventions. b. discharge planning. c. independent living skills. d. symptom management. - ANSWERSC. independent living skills (Ch. 4) Which intervention is an example of primary prevention implemented by a public health nurse? a. Reporting suspected child abuse b. Monitoring compliance with medications for a client with schizophrenia c. Teaching effective problem-solving skills to high school students d. Helping a client apply for disability benefits - ANSWERSC. Teaching effective problem-solving skills to high school students (Ch. 4) The primary purpose of psychiatric rehabilitation is to a. control psychiatric symptoms. b. manage clients' medications. c. promote the recovery process. d. reduce hospital readmissions. - ANSWERSc. provide community skills training (Ch. 4) Managed care provides funding for psychiatric rehabilitation programs to a. develop vocational skills. b. improve medication compliance. c. provide community skills training. d. teach social skills. - ANSWERSc. provide community skills training (Ch. 4) The mentally ill homeless population benefits most from a. case management services. b. outpatient psychiatric care to manage psychiatric symptoms. c. stable housing in a residential neighborhood. d. a combination of housing, rehabilitation services, and community support. - ANSWERSd. a combination of housing, rehabilitation services, and community support (Ch. 4) Building trust is important in a. the orientation phase of the relationship. b. the problem identification subphase of the relationship. c. all phases of the relationship. d. the exploitation subphase of the relationship. - ANSWERSA. the orientation phase of the relationship (Ch. 5) Abstract standards that provide a person with their code of conduct are a. values. b. attitudes. c. beliefs. d. personal philosophy. - ANSWERSA. values (Ch. 5) Ideas that one holds as true are a. values. b. attitudes. c. beliefs. d. personal philosophy - ANSWERSc. beliefs (Ch. 5) The emotional frame of reference by which one sees the world is created by a. values. b. attitudes. c. beliefs. d. personal philosophy. - ANSWERSb. attitudes (Ch. 5) The client tells the nurse, "My biggest problem right now is trying to deal with a divorce. I didn't want a divorce and I still don't. But it is happening anyway!" Which of the following responses by the nurse will convey empathy? a. "Can you tell me about it?" b. "I'm so sorry. No wonder you're upset." c. "Sounds like it has been a difficult time." d. "You must be devastated." - ANSWERSc. "Sounds like it has been a difficult time." (Ch. 5) Which are specific tasks of the working phase of a therapeutic relationship? Select all that apply. a. Begin planning for termination. b. Build trust. c. Encourage expression of feelings. d. Establish a nurse-client contract. e. Facilitate behavior change. f. Promote self-esteem. - ANSWERSc. Encourage expression of feelings. e. Facilitate behavior change. f. Promote self-esteem. (Ch. 5) Confidentiality means respecting the client's right to keep their information private. When can the nurse share information about the client? Select all that apply. a. The client threatens to harm a family member. b. Sharing the information is in the client's best interest. c. The client gives written permission. d. The client's legal guardian asks for information. e. The client is discharged to the parent's care. f. The client admits to domestic abuse. - ANSWERSa. The client threatens to harm a family member. c. The client gives written permission. d. The client's legal guardian asks for information. (Ch. 5) Client: "I had an accident." Nurse: "Tell me about your accident." This is an example of which therapeutic communication technique? a. Making observations b. Offering self c. General lead d. Reflection - ANSWERSc. General lead (Ch. 6) "Earlier today you said you were concerned that your son was still upset with you. When I stopped by your room about an hour ago, you and your son seemed relaxed and smiling as you spoke to each other. How did things go between the two of you?" This is an example of which therapeutic communication technique? a. Consensual validation b. Encouraging comparison c. Accepting d. General lead - ANSWERSa. Consensual validation (ch. 6) "Why do you always complain about the night nurse? She is a nice woman and a fine nurse and has five kids to support. You're wrong when you say she is noisy and uncaring." This example reflects which nontherapeutic technique? a. Requesting an explanation b. Defending c. Disagreeing d. Advising - ANSWERSb. Defending (ch. 6) "How does T. make you upset?" is a nontherapeutic communication technique because it a. gives a literal response. b. indicates an external source of the emotion. c. interprets what the client is saying. d. is just another stereotyped comment. - ANSWERSb. indicates an external source of the emotion. (Ch. 6) Client: "I was so upset about my sister ignoring my pain when I broke my leg." Nurse: "When are you going to your next diabetes education program?" This is a nontherapeutic response because the nurse has a. used testing to evaluate the client's insight. b. changed the topic. c. exhibited an egocentric focus. d. advised the client what to do. - ANSWERSb. changed the topic. (Ch. 6) When the client says, "I met J. at the dance last week," what is the best way for the nurse to ask the client to describe her relationship with Joe? a. "J. who?" b. "Tell me about J." c. "Tell me about you and J." d. "J., you mean that blond guy with the dark blue eyes?" - ANSWERSc. "Tell me about you and J." (Ch. 6) Which of the following is a concrete message? a. "Help me put this pile of books on M.'s desk." b. "Get this out of here." c. "When is she coming home?" d. "They said it is too early to get in." - ANSWERSa. "Help me put this pile of books on M.'s desk." (Ch. 6) The advantages of assertive communication are (select all that apply) a. all persons' rights are respected. b. it gains approval from others. c. it protects the speaker from being exploited. d. the speaker can say no to another person's request. e. the speaker can safely express thoughts and feelings. f. the speaker will get their needs met. - ANSWERSa. all persons' rights are respected. c. it protects the speaker from being exploited. d. the speaker can say no to another person's request. e. the speaker can safely express thoughts and feelings. (Ch. 6) Which of the following are examples of a therapeutic communication response? Select all that apply. a. "Don't worry; everybody has a bad day occasionally." b. "I don't think your mother will appreciate that behavior." c. "Let's talk about something else." d. "Tell me more about your discharge plans." e. "That sounds like a great idea." f. "What might you do the next time you're feeling angry?" - ANSWERSd. "Tell me more about your discharge plans." f. "What might you do the next time you're feeling angry?" (Ch. 6) Which states the naturalistic view of what causes illness? a. Illness is a natural part of life and therefore unavoidable.