NUR 256 Mental Health Exam 1-5 Updated 2022-2023 Guide(Galen)
1.A nurse educator is presenting information about the nursing process to a class of nursing students. What definition of the nursing process should be included in the presentation?
1.Procedures used to implement client care
2.Sequence of steps used to meet the client’s needs
3.Activities employed to identify a client’s problem
4.Mechanisms applied to determine nursing goals for the client
2.A nurse on the medical-surgical unit tells other staff members, “That client can just wait for the lorazepam; I get so annoyed when people drink too much.” What does this nurse’s comment reflect?
1.Demonstration of a personal bias
2.Problem solving based on assessment
3.Development of client acuity to set priorities
4.Consideration of the complexity of client care
3.A teenager begins to cry when talking with the nurse about the problem of not being able to make friends. What is the most therapeutic nursing intervention?
1.Sitting quietly with the client
2.Telling the client that crying is not helpful
3.Suggesting that the client play a board game
4.Recommending how the client can change this situation
4.After being medicated for anxiety, a client says to a nurse, “I guess you are too busy to stay with me.” How should the nurse respond?
1.“I’m so sorry, but I have to see other clients”
2.“I have to go now, but I will come back in 10 minutes”
3.“You’ll be able to rest after the medicine starts working”
4.“You’ll feel better after I’ve made you more comfortable”
5.Aphysician is admitted to the psychiatric unit of a community hospital. The client, who was restless,
loud, aggressive, and resistive during the admission procedure, states, “I will take my own blood
pressure.” What is the nurse’s most therapeutic response?
1.“Right now you are just another client”
2.“If you would rather, I’m sure you will do it correctly”
3.“I will get the attendants to assist me if you do not cooperate”
4.“I am sorry, but I cannot allow that because I must take your blood pressure”
6.What is the most important tool a nurse brings to the therapeutic nurse-client relationship?
1.Oneself and a desire to help
2.Knowledge of psychopathology
3.Advanced communication skills
4.Years of experience in psychiatric nursing 7.Adaughter of a Chinese-speaking client approaches a nurse and asks multiple questions while maintaining direct eye contact. What culturally related concept does the daughter’s behavior reflect?
1.Prejudice
2.Stereotyping
3.Assimilation
4.Ethnocentrism
8.A nurse manager works on a unit in which the nursing staff members are uncomfortable taking care of
clients from cultures that are different from their own. How should the nurse manager initially
address this situation?
1.Assign articles about various cultures so that they can become more knowledgeable
2.Relocate the nurses to units in which they are not required to care for clients from a variety of cultures
3.Rotate the nurses’ assignments so they have an equal opportunity to care for clients from other cultures
4.Plan a workshop that offers opportunities to learn about the cultures they might encounter when at work
9.A 6-year-old child is diagnosed with type 1 diabetes. Considering the child’s cognitive developmental level, which explanation of the illness is most appropriate?
1.“Diabetes is caused by not having any insulin in your body”
2.“Diabetes will require you to take insulin shots for the rest of your life”
3.“You will be taught how to give yourself insulin now that you have diabetes”
4.“Taking insulin for your diabetes is like getting new batteries for your superhero toys”
10. “But you don’t understand” is a common statement associated with adolescents. What is the nurse’s best response when hearing this?
1.“I don’t understand what you mean”
2.“I do understand; I was a teenager once too”
3.“It would be helpful to understand; let’s talk” 4.“It’s you who should try to understand others”
11. After a therapy session with a health care provider in the mental health clinic, a client tells the nurse that the therapist is uncaring and impersonal. What is the nurse’s best response?
1.“Your therapist is really very good”
2.“I hope that the rest of the staff is caring”
3.“The therapist is there to help you; try to cooperate”
4.“You have strong feelings about your therapy session and your therapist 15. A graduate nurse is preparing to apply to the State Board of Nursing for licensure to practice as a registered professional nurse. What group primarily is protected under the regulations of the practice of nursing?
1.The public
2.Practicing nurses
3.The employing agency
4.People with health problems
16. Which ethical principle means avoidance of harm?
1.Veracity
2.Autonomy
3.Beneficence
4.Nonmaleficence
17. A health care provider orders “Restraints prn” for a client who has a history of violent behavior. What is the nurse’s responsibility concerning this order?
1.Ask that the order indicate the type of restraint
2.Recognize that prn orders for restraints are unacceptable
3.Implement the restraint order when the client begins to act out
4.Ensure that the entire staff is aware of the order for the restraint
18. A client on the psychiatric unit is undergoing a pretreatment evaluation for electroconvulsive therapy
(ECT). The nurse doubts that the client can provide an “informed consent” because of profoundly depressed behavior. What should be the nurse’s initial intervention?
1.Consult with the hospital’s legal staff and follow their recommendation
2.Have the client verbalize an understanding and outcomes of the procedure
3.Ask the client to sign the consent form because the client has not been declared incompetent
4.Suggest to the health care provider that a family member sign the consent form for the client
19. A pregnant client in the third trimester tells the nurse, “I want to be unconscious for the birth.” How should the nurse respond?
1.“You are worried about too much pain”
2.“You don’t want to be awake during the birth?”
3.“I can understand that because labor is uncomfortable”
4.“I will tell your health care provider about this request”
20. A client who retired a year ago tells the nurse in the community health center, “I don’t have any hobbies or interests, and since I retired, I feel useless and unneeded.” According to Erikson’s developmental theory, with which developmental conflict is the client faced?
1.Initiative versus guilt
2.Integrity versus despair
3.Intimacy versus isolation
1.A nurse educator is presenting information about the nursing process to a class of nursing students. What definition of the nursing process should be included in the presentation?
1.Procedures used to implement client care
2.Sequence of steps used to meet the client’s needs
3.Activities employed to identify a client’s problem
4.Mechanisms applied to determine nursing goals for the client
2.A nurse on the medical-surgical unit tells other staff members, “That client can just wait for the lorazepam; I get so annoyed when people drink too much.” What does this nurse’s comment reflect?
1.Demonstration of a personal bias
2.Problem solving based on assessment
3.Development of client acuity to set priorities
4.Consideration of the complexity of client care
3.A teenager begins to cry when talking with the nurse about the problem of not being able to make friends. What is the most therapeutic nursing intervention?
1.Sitting quietly with the client
2.Telling the client that crying is not helpful
3.Suggesting that the client play a board game
4.Recommending how the client can change this situation
4.After being medicated for anxiety, a client says to a nurse, “I guess you are too busy to stay with me.” How should the nurse respond?
1.“I’m so sorry, but I have to see other clients”
2.“I have to go now, but I will come back in 10 minutes”
3.“You’ll be able to rest after the medicine starts working”
4.“You’ll feel better after I’ve made you more comfortable”
5.Aphysician is admitted to the psychiatric unit of a community hospital. The client, who was restless,
loud, aggressive, and resistive during the admission procedure, states, “I will take my own blood
pressure.” What is the nurse’s most therapeutic response?
1.“Right now you are just another client”
2.“If you would rather, I’m sure you will do it correctly”
3.“I will get the attendants to assist me if you do not cooperate”
4.“I am sorry, but I cannot allow that because I must take your blood pressure”
6.What is the most important tool a nurse brings to the therapeutic nurse-client relationship?
1.Oneself and a desire to help
2.Knowledge of psychopathology
3.Advanced communication skills
4.Years of experience in psychiatric nursing 7.Adaughter of a Chinese-speaking client approaches a nurse and asks multiple questions while maintaining direct eye contact. What culturally related concept does the daughter’s behavior reflect?
1.Prejudice
2.Stereotyping
3.Assimilation
4.Ethnocentrism
8.A nurse manager works on a unit in which the nursing staff members are uncomfortable taking care of
clients from cultures that are different from their own. How should the nurse manager initially
address this situation?
1.Assign articles about various cultures so that they can become more knowledgeable
2.Relocate the nurses to units in which they are not required to care for clients from a variety of cultures
3.Rotate the nurses’ assignments so they have an equal opportunity to care for clients from other cultures
4.Plan a workshop that offers opportunities to learn about the cultures they might encounter when at work
9.A 6-year-old child is diagnosed with type 1 diabetes. Considering the child’s cognitive developmental level, which explanation of the illness is most appropriate?
1.“Diabetes is caused by not having any insulin in your body”
2.“Diabetes will require you to take insulin shots for the rest of your life”
3.“You will be taught how to give yourself insulin now that you have diabetes”
4.“Taking insulin for your diabetes is like getting new batteries for your superhero toys”
10. “But you don’t understand” is a common statement associated with adolescents. What is the nurse’s best response when hearing this?
1.“I don’t understand what you mean”
2.“I do understand; I was a teenager once too”
3.“It would be helpful to understand; let’s talk” 4.“It’s you who should try to understand others”
11. After a therapy session with a health care provider in the mental health clinic, a client tells the nurse that the therapist is uncaring and impersonal. What is the nurse’s best response?
1.“Your therapist is really very good”
2.“I hope that the rest of the staff is caring”
3.“The therapist is there to help you; try to cooperate”
4.“You have strong feelings about your therapy session and your therapist 15. A graduate nurse is preparing to apply to the State Board of Nursing for licensure to practice as a registered professional nurse. What group primarily is protected under the regulations of the practice of nursing?
1.The public
2.Practicing nurses
3.The employing agency
4.People with health problems
16. Which ethical principle means avoidance of harm?
1.Veracity
2.Autonomy
3.Beneficence
4.Nonmaleficence
17. A health care provider orders “Restraints prn” for a client who has a history of violent behavior. What is the nurse’s responsibility concerning this order?
1.Ask that the order indicate the type of restraint
2.Recognize that prn orders for restraints are unacceptable
3.Implement the restraint order when the client begins to act out
4.Ensure that the entire staff is aware of the order for the restraint
18. A client on the psychiatric unit is undergoing a pretreatment evaluation for electroconvulsive therapy
(ECT). The nurse doubts that the client can provide an “informed consent” because of profoundly depressed behavior. What should be the nurse’s initial intervention?
1.Consult with the hospital’s legal staff and follow their recommendation
2.Have the client verbalize an understanding and outcomes of the procedure
3.Ask the client to sign the consent form because the client has not been declared incompetent
4.Suggest to the health care provider that a family member sign the consent form for the client
19. A pregnant client in the third trimester tells the nurse, “I want to be unconscious for the birth.” How should the nurse respond?
1.“You are worried about too much pain”
2.“You don’t want to be awake during the birth?”
3.“I can understand that because labor is uncomfortable”
4.“I will tell your health care provider about this request”
20. A client who retired a year ago tells the nurse in the community health center, “I don’t have any hobbies or interests, and since I retired, I feel useless and unneeded.” According to Erikson’s developmental theory, with which developmental conflict is the client faced?
1.Initiative versus guilt
2.Integrity versus despair
3.Intimacy versus isolation
