Introductory Mental Health Nursing 4th Edition By Womble Kincheloe Test Bank

Introductory Mental Health Nursing 4th Edition Womble Kincheloe Test Bank Chapter 1 Mental Health and Mental Illness 1. When studying mental health and mental illness, the student nurse learns that which of the following is evidence of our mental health? A) Our ability to function well with others B) Our ability to defend what we believe C) Our ability to perform demanding tasks on the job D) Our ability to defend those weaker than we are 2. A mental health nurse is teaching a class in anger management. She teaches the patients that recognizing what triggers their anger response allows them to do which of the following? A) Manipulate the situation to get what you want B) Stand up for ones beliefs against the cultural beliefs of a community C) Gives them the opportunity to gain control of their anger D) Control the things that trigger their anger 3. Which of the following are factors that could be part of a persons cultural identity? (Select all that apply.) A) Common family customs B) Common language C) Common stressors D) Gender E) Adaptive resources A) Common family customs B) Common language C) Common stressors D) Gender E) Adaptive resources 4. What would a culturally competent nurse know that some cultural and ethnic groups feel that mental illness is caused by? A) Demon possession B) Pretense C) The stars D) Hypnosis 5. A staff educator is discussing stress and its impact on a disease process, whether it is physical or mental. What would be the best statement about stress that the educator could give? A) Stress can be prostress or distress. B) Stress can never enhance the feeling of well-being. C) Stress can be either physically or emotionally exhausting, but not both. D) Distress is actually harmful to ones health. 6. A patient comes to the clinic to see the Mental Health Nurse Practitioner. The patient states, I seem to be miserable and upset all the time. My marriage is crumbling because my wife refuses to understand how I feel. What does the nurse practitioner understand about the factors contributing to the patients stress? A) Internal situations often make us miserable and upset B) External situations often make us miserable and upset C) We choose to make ourselves miserable and upset D) We choose to live with chronic stress B) External situations often make us miserable and upset C) We choose to make ourselves miserable and upset D) We choose to live with chronic stress 7. As a mental health nurse, you know that when a person feels insulted, mental images of resentment and animosity may be formed. These images generate what? A) The need to fight back B) The need to change their behavior C) The need to project blame onto the other person D) The need to manipulate the situation 8. Mental health nurses know that stress management is an important part of patient care. What is one way a mental health nurse could help the patient cope with stress? A) Teach mentalization B) Teach hypnosis C) Teach imagination D) Teach visualization 9. To help patients deal with their stress, nurses must also learn to cope with their own. Which of the following is an adaptive coping strategy that might be used by the nurse? A) Reframing B) Mediation C) Asset training D) Mental blocking 10. An 18-year-old college student is very anxious about auditioning for the schools famous chorale. Which of the following ways of dealing with this anxiety would the nurse recognize as being maladaptive? A) Arranging for voice lessons B) Practicing the songs used in the audition C) Going to a concert D) Singing with a group of friends 10. An 18-year-old college student is very anxious about auditioning for the schools famous chorale. Which of the following ways of dealing with this anxiety would the nurse recognize as being maladaptive? A) Arranging for voice lessons B) Practicing the songs used in the audition C) Going to a concert D) Singing with a group of friends 11. Several steps occur in the crisis sequence. What is one of these steps? A) Organization recurs B) Violence C) Autonomic response D) Peripheral nervous system response 12. A 70-year-old man is admitted to the hospital in a severe state of malnutrition. The nurse learns that he lost his wife 3 months ago and is living alone in a rural area. His family lives at a great distance and rarely visits him. He is not eating for several days at a time and is not paying his bills. He is now without electricity and phone service at his home. When his son asks the nurse what is wrong with his father, what would be the nurses best response? A) He is grieving for his wife. B) He has colon cancer and is dying. C) He has a malabsorption disorder. D) He feels alone and useless. 13. A 28-year-old woman, whose husband and two children were killed in a hurricane 3 years ago, has dated several men in the past 18 months. She has never allowed a serious relationship to develop, always finding a reason to end the relationship after a couple of months. What is a reason that this woman may not be able to form a serious, lasting relationship with a man? A) Unresolved grieving from a loss when she was 15 years old B) The patient has had multiple losses C) Guilt with regard to circumstances at or near the time of loss D) The patient has ambivalent feelings toward the lost person she was 15 years old B) The patient has had multiple losses C) Guilt with regard to circumstances at or near the time of loss D) The patient has ambivalent feelings toward the lost person 14. A new nurse has just begun work in a mental health facility. During orientation, the nurse learns about chronic sorrow. What should this nurse learn that is considered chronic sorrow? A) Twelve continuous months of coping with a loss B) Inability to complete the coping process C) A prolonged and intensified resolution D) A prolonged and intensified reaction 15. A patient who responds to acute stress by fleeing from the situation is demonstrating the fight-or-flight response. Which of the following describes this response? A) A surge of adrenalin into the bloodstream in response to an immediate threat B) A lapse of judgment that causes a person to avoid consequences C) A positive response to an insulting situation D) A result of chronic stress 16. The nurse is caring for a patient whose husband is dying. The patient says that the doctors caring for her husband are very good and that she knows her husband will recover. The nurse recognizes that the patient is likely in which stage of grief? A) Anger B) Denial C) Acceptance D) Bargaining 17. As a mental health nurse, you are initiating therapeutic strategies for a patient who is in psychological crisis. You initiate therapeutic strategies that are designed to do what? A) Teach the person in crisis a lesson B) Assist in preventing future emotional states of dysfunction C) Assist in identifying future behaviors D) Teach the person in crisis how to diffuse the anger 18. During the mental health clinical rotation, a student nurse asks what types of triggers increase stress levels. What would be the most likely answer the student nurse could get? A) Expected triggers B) One-time triggers C) Intense triggers D) Controllable triggers 19. A patient on the medical/psychiatric unit has been seen pacing back and forth in his room. The nurse asks him what is wrong. The patient responds, I dont know. What is this an example of? A) Stress B) Anxiety C) Distress D) Grief 20. A nurse is collecting data on a new patient in the clinic. What is the best question the nurse might ask the patient to elicit data on the patients mental health? A) What family members do you live with? B) Do you often change things in your life? C) How do you feel about yourself? D) What do you do for a living? question the nurse might ask the patient to elicit data on the patients mental health? A) What family members do you live with? B) Do you often change things in your life? C) How do you feel about yourself? D) What do you do for a living? Answer Key 1. A 2. C 3. A, B, D 4. A 5. D 6. C 7. A 8. D 9. A 10. C 11. C 12. A 13. B 14. D 15. A 16. B 17. B 18. C 19. B 20. C Chapter 2 The Delivery of Mental Health Care 1. Who was the first nurse trained in mental health nursing in the United States? A) Florence Nightingale B) Linda Richards C) Harriet Bailey D) Dorothea Dix 2. A 19th century school teacher worked to expose the conditions of patients with mental problems. Because of this person, mental hospitals that had standards of care were constructed. Who was this person? A) Benjamin Rush B) Linda Richards C) Harriet Bailey D) Dorothea Dix 3. What act of legislation provided funds for research, advanced nursing degree programs, and improved community service for individuals with mental illness? A) Joint Commission on Mental Illness and Health in 1955 B) National League for Nursing 1953 C) National Institute of Mental Health 1949 D) National Mental Health Act of 1946 4. In the mid 1950s, antipsychotic drugs were introduced. As medications made caring for the mentally ill somewhat easier, what movement gained momentum? A) The move to deinstitutionalize mentally ill clients B) The move to use electric shock therapy for depressed clients C) The move to use antipsychotic drugs instead of restraints D) The move to improve the conditions in mental health hospitals anktank. com A) The move to deinstitutionalize mentally ill clients B) The move to use electric shock therapy for depressed clients C) The move to use antipsychotic drugs instead of restraints D) The move to improve the conditions in mental health hospitals 5. Research has shown that people in minority groups do not always receive the care they need for mental illness. The barriers to accessing mental health care include what? (Mark all that apply.) A) High abuse rate in family B) Low socioeconomic status C) Low educational levels D) Limited income E) High physical needs of family 6. The nurse is admitting a 36-year-old Arabic female diagnosed with severe postpartum depression to the mental health unit. The culturally sensitive nurse is aware that cultural incompetence among mental health providers and professionals is what? A) The reason minorities do not seek health care B) Nonexistent in the United States C) The single most pivotal barrier to equality in delivery of mental health care D) Rampant in third world countries 7. When admitting a patient to a mental health setting, what does the nurse do to aid in preserving the rights of the client? A) Give the client the opportunity to read the Mental Health Systems Act Bill of Rights B) Send a copy of the Mental Health Systems Act Bill of Rights home with a family member C) Read the client the Mental Health Systems Act Bill of Rights D) Tell the client of his or her rights anktank. com to aid in preserving the rights of the client? A) Give the client the opportunity to read the Mental Health Systems Act Bill of Rights B) Send a copy of the Mental Health Systems Act Bill of Rights home with a family member C) Read the client the Mental Health Systems Act Bill of Rights D) Tell the client of his or her rights 8. In the child behavioral unit on which you work with the family of a prospective patient, you are having a discussion with the mother. The mother asks you how she knows her child will not be mistreated when he misbehaves. What is the best statement in the Patient Bill of Rights to discuss with this mother regarding her childs treatment? A) Be treated with dignity, concern, and respect at all times B) Expect quality care provided by trained and competent professional providers C) Be treated in the least restrictive setting D) Receive explanations of treatment and be involved in the planning of care 9. A client is admitted on an emergent basis to a local mental health facility after being detained by the police when he was found walking naked down the middle of a four-lane highway. The nurse knows that the client can be held for what length of time? A) 7284 hours B) 4872 hours C) 3648 hours D) 2436 hours 10. You work in a mental health facility and are admitting a client who has been brought to the emergency department of a local hospital after being picked up while attempting to jump from the rail of a bridge. The physician feels that the patient is serious about attempting suicide and so sends the patient to you for admission. What type of admission would you document this as? A) Emergent B) Routine C) Voluntary D) Involuntary anktank. com 10. You work in a mental health facility and are admitting a client who has been brought to the emergency department of a local hospital after being picked up while attempting to jump from the rail of a bridge. The physician feels that the patient is serious about attempting suicide and so sends the patient to you for admission. What type of admission would you document this as? A) Emergent B) Routine C) Voluntary D) Involuntary 11. On admittance to a mental health unit, a client tells the nurse that he or she does not want anyone to know that he or she is a patient there. The next day the nurse receives a phone call requesting information about the client. The nurse refuses to acknowledge that the client is a patient on the unit. What is the best way to describe how this nurse is acting? A) Confidently B) Legally C) Ethically D) Privately 12. What does the Health Insurance Portability and Accountability Act (HIPAA) of 1996 hold mental health care professionals legally and ethically responsible for? A) Portability of medical records B) Accurate documentation C) Correct billing of insurance companies D) Client confidentiality 13. As a student nurse, you are accountable for the care that you provide. Where would you find the scope and minimum standard of practice for the care you provide? A) Student Nurses Practice act for the United States B) American Nurses Association website C) Student Nurses Association website D) Nurse practice act of your state anktank. com 14. While providing care to a client who has moderate to severe Alzheimer disease, a mental health nurse has what responsibility? A) Protecting the clients rights B) Disclosing information only to family members C) Keeping the patient on a locked unit D) Being within arms length of the patient at all times 15. Federal regulations and Joint Commission standards regulate the use of seclusion and restraints by health care workers. What do these regulations mandate with regard to the use of restraints? A) Restraints can only be applied in the presence of a physician B) Restraints can be applied under the supervision of a licensed nurse C) Restraints can only be applied under the supervision of a registered nurse D) Restraints can only be applied if nursing orders are on the chart 16. You are caring for a client who is under 24-hour suicide watch when the client becomes very aggressive and belligerent. When you are trying to talk the client down, the client hits you. What would you recommend for this client? A) Seclusion B) Restraints C) Time-out D) Demerits 17. As a mental health nurse, your possible practice settings include what? (Mark all that apply.) A) Long-term care facilities B) Home-health care C) Outpatient surgery clinics D) Hospital units anktank. com 17. As a mental health nurse, your possible practice settings include what? (Mark all that apply.) A) Long-term care facilities B) Home-health care C) Outpatient surgery clinics D) Hospital units E) Ophthalmic clinics 18. As an emergency department nurse, you deal with some mentally healthy clients who are experiencing a temporary mental instability. What type of nursing would you practice in this situation? A) Family care nursing B) Crisis intervention nursing C) Adult health nursing D) Situational nursing 19. Holistic nursing is practiced in every practice setting. Because of this, no matter what the health care setting, what should the nurse be prepared to do? A) Help others follow the policies of the institution they are working in B) Practice nursing according to Peplaus theory C) Be prepared to initiate interventions to address the psychosocial needs of each client D) Care for the physical needs of the patient exclusively 20. What must a nurse in a correctional facility provide to a patient newly diagnosed with HIV? A) Compassion and strength B) Counseling and support C) Empathy and strength D) Sympathy and support anktank. com A) Compassion and strength B) Counseling and support C) Empathy and strength D) Sympathy and support Answer Key 1. B 2. D 3. D 4. A 5. B, C, D 6. C 7. A 8. A 9. B 10. D 11. C 12. D 13. D 14. A 15. C 16. B 17. A, B, D 18. B 19. C 20. B Chapter 3 Theories of Personality Development anktank. com 1. A nurse researcher is conducting a study on how a mother perceives her infant at the age of 4 months. The researcher is asking the mother to identify general prominent features, some of which are seen in all the infants behavior patterns and are most often used as descriptors of the infant. What is the best term for these features? A) Personality traits B) Secondary traits C) Central traits D) Humanistic traits 2. What type of the following personality theories views a person as a whole? A) Altruistic B) Humanistic C) Theistic D) Allopathic 3. Which of the following are components of an individuals personality? (Select all that apply.) A) Pattern of interacting with oneself and the environment B) Pattern of perceiving oneself and the environment C) Pattern of relating to oneself and the environment D) Pattern of thinking about oneself and the environment E) Pattern of admiring oneself and the environment 4. When caring for patients, the nurse recognizes that each person has a certain disposition. How else could disposition be described? A) Personality B) Core traits C) Temperament D) Secondary traits anktank. com 4. When caring for patients, the nurse recognizes that each person has a certain disposition. How else could disposition be described? A) Personality B) Core traits C) Temperament D) Secondary traits 5. The nurse knows that as persons grow from childhood to adulthood, they respond to the realization that they are an autonomous being and therefore capable of controlling themselves. This realization forms what? A) Patterns of thinking B) Patterns of behavior C) Secondary traits D) Core traits 6. The nurse reads the admission notes in the chart of a new patient. The admitting nurse mentions that the patient uses humor as a defense mechanism. If this defense mechanism is used short term, how would its use be described? A) Maladaptive B) Predetermined C) Patterns of conflict D) Adaptive 7. Eriksons theory of psychosocial development recognizes that not everyone will be successful at each stage of development. Eriksons view emphasizes that failure in one stage of development means what for the person in later stages of development? A) The failure can be corrected by successes B) The failure can never be corrected C) Repetition of the previous stage until success is achieved D) Going back to a previous stage to work through more tasks anktank. com 8. What basic psychologic needs did William Glasser cite that determine a persons behavioral response in a given situation? (Select all that apply.) A) Fun B) Dependence C) Love D) Trust E) Choice 9. Piaget theorizes that as humans grow and move from one stage to another, they seek cognitive balance. What term does Piagets theory use to describe this process of achieving cognitive balance? A) Equilibration B) Trust C) Assimilation D) Accommodation 10. A pediatric nurse is caring for a 5-year-old female patient. When giving the child an injection preoperatively, the patient cries and states, Now everything will leak out. The nurse knows that this is an example of what? A) Impulsivity B) Fear C) Magical thinking D) Egocentrism 11. Based on Piagets work, Kohlberg developed a theory of moral development. According to Kohlbergs theory, each of the levels builds on the one prior with what? A) A chance to go back and rework the prior level B) A chance to be successful at prior levels C) A more complex view of a moral issue D) A less complex view of a moral issue anktank. com with what? A) A chance to go back and rework the prior level B) A chance to be successful at prior levels C) A more complex view of a moral issue D) A less complex view of a moral issue 12. A mental health nurse must develop what with the clients to be able to provide patient care? A) A personal relationship B) An informal relationship C) A social relationship D) A therapeutic relationship 13. When working with a patient on the behavioral unit, a mental health nurse notes that the patient does not demonstrate an understanding of own actions or the results of those actions. Practicing Peplaus theory, the nurse sees what as a basis for therapeutic interaction with this client? A) Stages of developmental growth B) Levels of psychosocial growth C) Stages of interpersonal growth D) Levels of interactive growth 14. A nurse working on the pediatric unit is caring for a toddler. The nurse knows that according to Peplaus theory, the child is learning what? A) Learning independence B) Delaying self-gratification C) Learning to cooperate D) Learning to behave in a way that is acceptable to others anktank. com 15. A mother and daughter are seeing a mental health advanced practice nurse. The daughter, 15 years old, ran away a month ago and was found at a friends home 3 days later. The daughter says she ran away because her mother beat her. The mother tells the APN that she is raising her daughter the way she was raised. What theory would the mental health APN use to treat this patient dyad? A) Cognitive theory B) Psychodynamic nursing C) Family Systems theory D) Psychosocial theory 16. Bowen, in the Family Systems theory, proposes that anxiety, an individual reaction to stress, is directly correlated to the persons what? A) Distancing B) Level of differentiation C) Pseudoself D) Solid self 17. Peplaus theory of psychodynamic nursing purports that an individual must do what before being able to live successfully and interact as a member of society? A) Pass through all the developmental stages of Erikson B) Be a solid self C) Understand Piagets cognitive levels of development D) Learn to practice self-control 18. The nurse caring for a child is explaining to the mother about development. At what age would the nurse tell the mother the superego starts developing? A) 12 years B) 23 years C) 34 years D) 45 years anktank. com 18. The nurse caring for a child is explaining to the mother about development. At what age would the nurse tell the mother the superego starts developing? A) 12 years B) 23 years C) 34 years D) 45 years 19. You are working on a mental health unit that follows the theory of interpersonal development. You would know that this theorys major concepts include what? A) There is one solid image of self B) There are two images of self C) The person develops three images of self D) It is necessary to integrate four unconscious images of self 20. The mental health APN is counseling with a family that he has identified as being made up of individuals who are predominantly a solid self. This means that the nurse is interacting with what type of family system? A) Open B) Closed C) Differentiated D) Pseudocohesive Answer Key 1. C 2. B 3. B, C, D 4. C 5. B 6. D 7. A 8. A, C, E 9. A 10. C 11. C 12. D anktank. com 6. D 7. A 8. A, C, E 9. A 10. C 11. C 12. D 13. A 14. B 15. C 16. B 17. D 18. C 19. C 20. A Chapter 4 Treatment of Mental Illness 1. A client is admitted to the mental health unit with a diagnosis of bipolar disorder. What is the aim of this clients treatment? A) To allow the client to live and function in society with improved personal and interpersonal skills B) To allow the client to become successful in society C) To allow the client to mentally even out D) To allow the client to become used to the medication 2. The support of the nurse for the client in a therapeutic relationship encourages what from the client? A) Submission and growth B) Change and goal setting C) Growth and change D) Interpersonal stability anktank. com 2. The support of the nurse for the client in a therapeutic relationship encourages what from the client? A) Submission and growth B) Change and goal setting C) Growth and change D) Interpersonal stability 3. The parents of a 10-year-old child being admitted to the childrens behavioral unit ask the nurse what a therapeutic milieu is. What is the nurses best answer? A) The dayroom on our unit B) The school room on our unit C) A safe and secure structured environment D) A place where the client and the patients can interact 4. A mental health nurse on an inpatient unit is often in a position to maintain the milieu as a place where there is what? A) Toleration of acting out B) A place to practice in the pool C) Laughter and good will D) Dignity and acceptance 5. A new LVN/LPN is being oriented to the psychiatric unit at a local hospital. At the end of the day, the new nurse asks the preceptor to explain what the RN is accountable for on the unit. What would be the preceptors best answer? A) Both the physical and the mental health care of the clients B) Everything C) The physical care of the client D) The mental health care of the client anktank. com 6. An LPN/LVN is working on a closed (locked) mental health unit. What would his or her responsibilities include? A) Administering medications and searching client rooms daily B) Observing behaviors and administering medications C) Documenting in the client record and preparing meals D) Interacting with clients and notifying insurance companies 7. As an LVN/LPN on a mental health unit, a basic part of your nursing assessment is what? A) Performing the admission assessment of each client B) Reinforcing inappropriate behavior C) The observation of inappropriate behaviors D) Teaching the client new skills 8. A client asks the nurse to explain what is wrong with the client. What is the nurses responsibility in this instance? A) Copy the diagnosis from the DSM-IV for the client B) Tell the client that he or she needs to speak with the physician about this C) Explain the diagnosis in medical terms D) Provide an explanation at the clients level of understanding 9. An essential part of the nurses role in the therapeutic process is what? A) Unconditionally accepting the client as a person B) Explaining to the client why the clients behavior is inappropriate C) Unconditionally accepting the clients behavior anktank. com 9. An essential part of the nurses role in the therapeutic process is what? A) Unconditionally accepting the client as a person B) Explaining to the client why the clients behavior is inappropriate C) Unconditionally accepting the clients behavior D) Raising the clients ego 10. As the nurse sees the situation from the clients perspective and demonstrates an empathetic positive regard for client needs, what usually improves in the client? A) Appropriate behaviors B) Compliance with treatment C) Regard for the nurse D) Clients ego 11. A mental health APN is talking with a client and the spouse about treatment for depression. The client asks what the most common method of treatment is. What would be the APNs best answer? A) Inpatient treatment and medication B) Outpatient treatment and psychotherapy C) Medication and electroconvulsive therapy D) Psychotherapy and medication 12. A client in psychotherapy asks the mental health practitioner what the goal of this treatment is. What would be the practitioners best response? A) The goal is to reduce the symptoms of the emotional disturbance. B) The goal is to allow clients to make choices. C) The goal is to help clients have the inner courage to act on their priorities. D) The goal is to give advice to the client. anktank. com A) The goal is to reduce the symptoms of the emotional disturbance. B) The goal is to allow clients to make choices. C) The goal is to help clients have the inner courage to act on their priorities. D) The goal is to give advice to the client. 13. A mental health nurse is passing drugs on an inpatient unit. Clients ask why they have to take medicine. What would the nurse include in the explanation to the clients? A) The medicine helps you get better faster than counseling does B) The medicine helps you to have a manageable level of existence C) The medicine helps you act more inappropriately D) When the drugs work in your system, you can go home 14. How do psychotropic drugs work? (Mark all that apply.) A) By affecting a clients psychiatric viewpoint B) By affecting a clients psychiatric function C) By affecting a clients behavior D) By affecting a clients experience E) By affecting a clients psychiatric desires 15. What type of individual therapy is nondirective and focuses on helping the client to clarify his or her own feelings? A) Behavioral B) Cognitive therapy C) Group D) Humanistic anktank. com 16. A nurse is getting a patient ready for the first electroconvulsive therapy treatment. The clients spouse asks what the expected outcome of ECT is. What would be the nurses best response? A) We expect this treatment to cause short seizures. B) We expect this treatment to cure the client. C) We expect this treatment to restore a chemical balance within the brain. D) We expect this treatment to make the patient sleep for a period of time. 17. On a mental health unit, the nurse spends a great deal of time with the clients. Because of this, the nurse is seen as what? A) An authority figure B) Part of the health care team C) An authority on games D) A role model for social behaviors 18. What type of therapy uses monitoring devices during situations that trigger specific types of anxiety? A) Play therapy B) Biofeedback C) Electroconvulsive therapy D) Agitation therapy 19. What are the functions of a mental health technician on most mental health units? (Mark all that apply.) A) Assisting clients with physical and hygiene needs when needed B) Planning recreational activities C) Preparing meals and snacks D) Monitoring unit activities E) Assisting with group activities anktank. com units? (Mark all that apply.) A) Assisting clients with physical and hygiene needs when needed B) Planning recreational activities C) Preparing meals and snacks D) Monitoring unit activities E) Assisting with group activities 20. As a nurse leader in an outpatient setting, the mental health nurse maintains a therapeutic milieu by giving clients the opportunity to do what? (Select all that apply.) A) Improve social relationships B) Discuss their social plans C) Voice complaints D) Give feedback on other clients E) Talk about the environment in general Answer Key 1. A 2. C 3. C 4. D 5. A 6. B 7. C 8. D 9. A 10. B 11. D 12. A 13. B 14. B, C, D 15. D 16. C 17. D 18. B anktank. com 12. A 13. B 14. B, C, D 15. D 16. C 17. D 18. B 19. A, D, E 20. C, D, E Chapter 5 Establishing and Maintaining a Therapeutic Relationship 1. The nurse is explaining roles and boundaries to a newly admitted patient. These actions are part of which phase of the therapeutic relationship? A) Preinteraction B) Orientation C) Working D) Termination 2. The nurse is assisting the client to overcome his fear of public places. The nurse and the client are in which of the following phases of the therapeutic relationship? A) Preinteraction B) Orientation C) Working D) Termination 3. When the nurse tried to perceive a situation from the clients perception, which characteristic of the nurseclient relationship is being utilized? A) Self-awareness B) Empathy C) Genuineness D) Acceptance anktank. com 3. When the nurse tried to perceive a situation from the clients perception, which characteristic of the nurseclient relationship is being utilized? A) Self-awareness B) Empathy C) Genuineness D) Acceptance 4. Which of the following provides insight into how we respond to our environment and how others react to our behavior? A) Empathy B) Genuineness C) Self-awareness D) Acceptance 5. When the nurse shows concern for a patients well-being, he or she is exhibiting which characteristic of the nurseclient relationship? A) Self-awareness B) Empathy C) Acceptance D) Genuineness 6. Which of the following is vital to the nurseclient relationship? A) Confidence B) Trust C) Sympathy D) Adaptation 7. The phases of the nurseclient relationship center upon which of the following? A) Clients attitude B) Clients personality C) Clients functional ability D) Clients social support anktank. com 8. To ensure confidentiality, information is shared only with which of the following persons? A) All persons in contact with the client B) Members of the treatment team as it applies to the clients well-being C) Persons who have known the client for several years D) Family members who are inquiring about the client 9. Which of the following would be inconsistent with the characteristics of a therapeutic relationship? A) It is dependent on the situation and needs of the client. B) It focuses on identifying client problems. C) It is considered a social interaction. D) It promotes a return to independent living within societal norms. 10. An assigned client is escalating and becoming hostile toward the nurse. Which of the following actions should be completed by the nurse? A) Use touch to convey a caring demeanor. B) Threaten the client with action. C) Enter the clients room alone to decrease the clients anxiety level. D) Offer the client time to regain control and stop the behavior. 11. The nurse is utilizing limit setting for a manipulative client. Which of the following is an appropriate action to apply limit-setting strategies to this client? A) Encourage instant gratification. B) Reinforce negative behavior. C) Recognize what the client is attempting to do. D) Apply firm boundaries intermittently. anktank. com 11. The nurse is utilizing limit setting for a manipulative client. Which of the following is an appropriate action to apply limit-setting strategies to this client? A) Encourage instant gratification. B) Reinforce negative behavior. C) Recognize what the client is attempting to do. D) Apply firm boundaries intermittently. 12. The nurse is teaching appropriate coping skills to a client diagnosed with an anxiety disorder. Which phase of nurseclient relationship is the nurse facilitating? A) Preinteraction B) Orientation C) Working D) Termination 13. During the termination phase, which of the following occurs? A) Encouraging independence in getting along with others B) Planning of outcomes and goals C) Evaluating the effectiveness of changes D) Building trust and establishing roles 14. Which of the following components of the nurseclient relationship fosters an honest and caring foundation? A) Trust B) Self-awareness C) Genuineness D) Empathy 15. The nurse is developing a therapeutic relationship with a newly admitted client. Which of the following is an essential component for a therapeutic relationship? A) Family support B) Intelligence C) Explanation anktank. com 15. The nurse is developing a therapeutic relationship with a newly admitted client. Which of the following is an essential component for a therapeutic relationship? A) Family support B) Intelligence C) Explanation D) Dependency needs Answer Key 1. B 2. C 3. B 4. C 5. D 6. B 7. C 8. B 9. C 10. D 11. C 12. C 13. A 14. C 15. C Chapter 6 Dynamics of Anger, Violence, and Crises 1. The nurse has been assigned to a client diagnosed with depression. Which neurotransmitter has been implicated in depression? A) Dopamine B) Acetylcholine C) Serotonin D) GABA (gamma-aminobutyric acid) anktank. com 1. The nurse has been assigned to a client diagnosed with depression. Which neurotransmitter has been implicated in depression? A) Dopamine B) Acetylcholine C) Serotonin D) GABA (gamma-aminobutyric acid) 2. A nurse is completing discharge teaching to a client diagnosed with an anxiety disorder who has been prescribed diazepam (Valium). Which of the following would be an important component of the discharge teaching? A) There is no potential for addiction to the drug. B) The drug acts to depress the central nervous system, causing sedation. C) The client should monitor his or her blood pressure for increased values. D) The drug can cause increased appetite. 3. The nurse is caring for a client who has been recently placed on an antidepressant. Which of the following would be a correct statement made by the nurse, regarding antidepressant drugs? A) The drug must be taken several weeks for a therapeutic effect to occur. B) Antidepressants are curative. C) There are no risks of suicide when taking this type of medication. D) The medication should be stopped when the client is feeling better. 4. Which of the following is a priority nursing diagnosis for a client taking an antidepressant? A) Constipation related to side effects of the medication B) Self-care deficit related to low selfesteem C) Risk for self-directed violence related to mood dysphoria D) Sleep pattern disturbance related to psychologic factors anktank. com A) Constipation related to side effects of the medication B) Self-care deficit related to low selfesteem C) Risk for self-directed violence related to mood dysphoria D) Sleep pattern disturbance related to psychologic factors 5. A client has been prescribed lithium for mania. A therapeutic serum level for lithium would include which of the following? A) 0.4 mEq/L B) 0.8 mEq/L C) 2.0 mEq/L D) 2.5 mEq/L 6. The nurse is teaching a client receiving a mood-stabilizing agent. Which of the following should be included in the plan of care? A) Limit sodium intake when perspiring heavily. B) Maintain fluid intake of 1,000 to 1,500 mL daily. C) Administer the medication with food. D) Monitor for the side effects of sedation and drooling. 7. Extrapyramidal side effects block which of the following neurotransmitters that coordinate involuntary movements? A) Acetylcholine B) Serotonin C) Epinephrine D) Dopamine anktank. com 8. The nurse is assessing a client receiving antipsychotic medication. She notices that the patient is smacking his lips and has protruding tongue movements. The nurse would document this side effect as which of the following? A) Akathisia B) Tardive dyskinesia C) Dystonia D) Parkinsonism 9. Which of the following medications is used to treat drug-induced extrapyramidal side effects associated with antipsychotic agents? A) Benztropine (Cogentin) B) Lithium carbonate (Lithane) C) Olanzapine (Zyprexa) D) Fluphenazine (Prolixin) 10. Long-acting benzodiazepines can cause prolonged sedation and increased risk for falls in the elderly population. Which of the following is considered a long-acting benzodiazepine? A) Alprazolam (Xanax) B) Diazepam (Valium) C) Lorazepam (Ativan) D) Oxazepam (Serax) 11. When teaching a client regarding antianxiety medications, the nurse would emphasize which of the following components? A) Alcohol can be consumed in moderation. B) The medication can be discontinued when anxiety is lifted. C) Smoking should be decreased to 3 cigarettes a day. D) Side effects include fatigue and loss of coordination. anktank. com A) Alcohol can be consumed in moderation. B) The medication can be discontinued when anxiety is lifted. C) Smoking should be decreased to 3 cigarettes a day. D) Side effects include fatigue and loss of coordination. 12. A client is being seen in the outpatient clinic for major depression. She is currently taking a monoamine oxidase inhibitor (MAOI). The nurse needs to reinforce the importance of avoiding which substance when taking an MAOI? A) Egg products B) Aspirin C) Tyramine D) Peaches 13. The nurse is reviewing the side effects of a prescribed antipsychotic. Which of the following antipsychotic medications is associated with agranulocytosis? A) Fluphenazine (Prolixin) B) Chlorpromazine (Thorazine) C) Haloperidol (Haldol) D) Clozapine (Clozaril) 14. The nurse is giving a seminar on the effects of psychotropic medication to a community group. Which classification of psychotropic medication can cause tolerance and addiction? A) MAOIs B) Benzodiazepines C) Antimanics D) Anticonvulsants 15. The nurse is developing a teaching plan for a client receiving an antidepressant. Which of the following should be included in the plan? A) Antidepressants promote a cure to depression. B) There is a delayed therapeutic effect. C) Discontinue the medication if it is not anktank. com 15. The nurse is developing a teaching plan for a client receiving an antidepressant. Which of the following should be included in the plan? A) Antidepressants promote a cure to depression. B) There is a delayed therapeutic effect. C) Discontinue the medication if it is not helping. D) The effect of antidepressant drugs is immediate. Answer Key 1. C 2. B 3. A 4. C 5. B 6. C 7. D 8. B 9. A 10. B 11. D 12. C 13. D 14. B 15. B Chapter 7 Communication in Mental Health Nursing anktank. com 1. The nurse states, You need to take a walk. The client responds with walk, walk, walk. This is an example of which speech pattern? A) Flight of ideas B) Echolalia C) Neologism D) Loose association 2. A nurse is initiating a conversation with a client diagnosed with bipolar disorder. Which of the following is an example of a barrier to therapeutic communication? A) Clarification B) Validation C) Giving advice D) Using silence 3. Which of the following would be inconsistent in conveying a sense of openness to the client? A) A facial expression congruent with other gestures B) Crossed legs and arms C) Respecting the physical or personal space between the client and yourself D) Use of touch 4. The nurse is interviewing a client newly admitted to the inpatient unit. The client states, I am hungry. Will you buy me a car? Can we go to the movie? The nurse understands that this is an example of which of the following speech pattern?