MH Exam 1 - Openstax Psychiatric MH Nursing
GUARANTEED PASS !!
Nurse Jon is caring for a client with severe anxiety. Their anxiety has recently increased so much that the client
is unable to go to work. Nurse Jon realizes that according to the mental health to mental illness continuum, this
client is in the category of:
a) emotional problems or concerns
b) well-being
c) mental illness
d) between well-being and emotional problems - (ANSWER)C)
What is the scope of psychiatric-mental health nursing practice?
a) assessment, education, medication administration, and screening for suicide risk
b) assessment, medical diagnosis, giving orders, writing prescriptions, admitting, and discharging
c) assisting providers, assisting with ADLs, monitoring clients, offering support, promoting safety
d) assessment, counseling, teaching coping skills, giving advice, listening - (ANSWER)A
A client of the local mental health clinic arrives for their appointment out of breath, hair a mess, and clothing
askew. The receptionist tells the client, "You are fifteen minutes late. I will have to see if the doctor can still see
you." The client responds, "I know I am late. I can explain, my mother-in-law had a bad night. She lives with
my husband and me. I am just so tired of taking care of her." This example falls under which category of risk
factors?
a) genetic comorbidities
b) psychological factors
c) social factors
d) victimization - (ANSWER)C
To keep the plan of care client-centered, what important assessment should the nurse do after identifying
several risk factors for substance abuse in a client?
a) contact a rehab center for an intake assessment
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,b) perform a client strengths assessment
c) ask the psychiatrist to screen for depression
d) complete a health assessment - (ANSWER)B
A person with mental illness does not want to seek care because of the shame they feel for being sick. What
type of stigma is this related to?
a. self-stigma
b. caregiver stigma
c. institutional stigma
d. public stigma - (ANSWER)A
A student nurse is studying for an exam on the recovery process. It is evident that they understand the concept
when they explain to their study group:
a. "The majority of people with mental illness or substance use do not recover."
b. "The recovery process is dictated by the health-care team."
c. "Recovery is a nonlinear process based on instilling hope."
d. "In recovery, a client needs to advocate for themselves right from the start." - (ANSWER)C
What should the psychiatric nurse do to assist individuals and families to understand the recovery process and
the resources available to them?
a. psychoeducation
b. create a care plan for them
c. refer them to a psychiatrist
d. refer them to a website to read on their own - (ANSWER)A
Nurse Sheila makes adjustments to the client's plan of care after talking with the client. This is most likely an
example of the ________ component of the EBP model.
a. best available research
b. client preferences
c. nursing expertise
d. review of evidence - (ANSWER)B
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, What should the nurse do to locate credible sources of research in order to practice evidence-based
interventions?
a. The nurse should ask a supervisor for help locating credible sources.
b. The nurse should access CINAHL or another professional database.
c. The nurse should perform a Wikipedia search.
d. The nurse should ask a librarian to gather information for them. - (ANSWER)B
CH. 2 - (ANSWER)...
When caring for a client in the psychiatric unit, the new nurse in the unit approaches the client with the morning
medications. The client responds to the nurse with, "I know I can't trust you!" What should the nurse consider
when attempting to understand the client's statement?
a. The statement is inappropriate for the client to express to a professional nurse.
b. The statement could be an example of transference to the nurse.
c. The statement is an example of countertransference to the nurse.
d. The statement is the way the client chooses to express their feelings to the nurse. - (ANSWER)B
A twenty-eight-year-old client enters the family therapy meeting clutching a blanket and holds the blanket
throughout the session while rocking back and forth in the chair. The nurse recognizes the defense mechanism
of ________.
a. denial
b. repression
c. undoing
d. regression - (ANSWER)D
What theorist defined growth as development in stages with a positive and negative consequence if not met?
a. Peplau
b. Orenstein
c. Freud
d. Erikson - (ANSWER)D
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GUARANTEED PASS !!
Nurse Jon is caring for a client with severe anxiety. Their anxiety has recently increased so much that the client
is unable to go to work. Nurse Jon realizes that according to the mental health to mental illness continuum, this
client is in the category of:
a) emotional problems or concerns
b) well-being
c) mental illness
d) between well-being and emotional problems - (ANSWER)C)
What is the scope of psychiatric-mental health nursing practice?
a) assessment, education, medication administration, and screening for suicide risk
b) assessment, medical diagnosis, giving orders, writing prescriptions, admitting, and discharging
c) assisting providers, assisting with ADLs, monitoring clients, offering support, promoting safety
d) assessment, counseling, teaching coping skills, giving advice, listening - (ANSWER)A
A client of the local mental health clinic arrives for their appointment out of breath, hair a mess, and clothing
askew. The receptionist tells the client, "You are fifteen minutes late. I will have to see if the doctor can still see
you." The client responds, "I know I am late. I can explain, my mother-in-law had a bad night. She lives with
my husband and me. I am just so tired of taking care of her." This example falls under which category of risk
factors?
a) genetic comorbidities
b) psychological factors
c) social factors
d) victimization - (ANSWER)C
To keep the plan of care client-centered, what important assessment should the nurse do after identifying
several risk factors for substance abuse in a client?
a) contact a rehab center for an intake assessment
Page 1 of 21
,b) perform a client strengths assessment
c) ask the psychiatrist to screen for depression
d) complete a health assessment - (ANSWER)B
A person with mental illness does not want to seek care because of the shame they feel for being sick. What
type of stigma is this related to?
a. self-stigma
b. caregiver stigma
c. institutional stigma
d. public stigma - (ANSWER)A
A student nurse is studying for an exam on the recovery process. It is evident that they understand the concept
when they explain to their study group:
a. "The majority of people with mental illness or substance use do not recover."
b. "The recovery process is dictated by the health-care team."
c. "Recovery is a nonlinear process based on instilling hope."
d. "In recovery, a client needs to advocate for themselves right from the start." - (ANSWER)C
What should the psychiatric nurse do to assist individuals and families to understand the recovery process and
the resources available to them?
a. psychoeducation
b. create a care plan for them
c. refer them to a psychiatrist
d. refer them to a website to read on their own - (ANSWER)A
Nurse Sheila makes adjustments to the client's plan of care after talking with the client. This is most likely an
example of the ________ component of the EBP model.
a. best available research
b. client preferences
c. nursing expertise
d. review of evidence - (ANSWER)B
Page 2 of 21
, What should the nurse do to locate credible sources of research in order to practice evidence-based
interventions?
a. The nurse should ask a supervisor for help locating credible sources.
b. The nurse should access CINAHL or another professional database.
c. The nurse should perform a Wikipedia search.
d. The nurse should ask a librarian to gather information for them. - (ANSWER)B
CH. 2 - (ANSWER)...
When caring for a client in the psychiatric unit, the new nurse in the unit approaches the client with the morning
medications. The client responds to the nurse with, "I know I can't trust you!" What should the nurse consider
when attempting to understand the client's statement?
a. The statement is inappropriate for the client to express to a professional nurse.
b. The statement could be an example of transference to the nurse.
c. The statement is an example of countertransference to the nurse.
d. The statement is the way the client chooses to express their feelings to the nurse. - (ANSWER)B
A twenty-eight-year-old client enters the family therapy meeting clutching a blanket and holds the blanket
throughout the session while rocking back and forth in the chair. The nurse recognizes the defense mechanism
of ________.
a. denial
b. repression
c. undoing
d. regression - (ANSWER)D
What theorist defined growth as development in stages with a positive and negative consequence if not met?
a. Peplau
b. Orenstein
c. Freud
d. Erikson - (ANSWER)D
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