Mental Health
g
1. Theghomegcaregnursegisgvisitinggangoldergclientgwhosegspousegdiedg6gmonthsgago.gWhic
hgbehaviorgbygthegclientgindicatesgineffectivegcoping?
1. Neglectinggpersonalggrooming
2. Lookinggatgoldgsnapshotsgofgfamily
3. Participatinggingagseniorgcitizens'gprogram
4. Visitinggtheirgspouse'sggravegoncegagmonth
1. Neglectinggpersonalggrooming
2. Agclientgwithgagdiagnosisgofgmajorgdepressiongwhoghasgattemptedgsuicidegsaysgtogtheg
nurse,g"Igshouldghavegdied.gI'vegalwaysgbeengagfailure.gNothinggeverggoesgrightgforgme.
"gWhichgresponsegdemonstratesgtherapeuticgcommunication?
1. "Youghavegeverythinggtoglivegfor."
2. "Whygdogyougseegyourselfgasgagfailure?"
3. "Feelingglikegthisgisgallgpartgofgbeinggdepressed."
4. "You'vegbeengfeelingglikegagfailuregforgagwhile?"
4.g"You'vegbeengfeelingglikegagfailuregforgagwhile?"
3. Whengthegmentalghealthgnursegvisitsgagclientgatghome,gthegclientgstates,g"Ighaven'tgsleptg
atgallgtheglastgcouplegofgnights."gWhichgresponsegbygthegnursegillustratesgagtherapeuticg
communicationgresponsegtogthisgclient?
1. "Igsee."
2. "Really?"
3. "You'reghavinggdifficultygsleeping?"
4. "Sometimes,gIghavegtroublegsleepinggtoo."
3.g"You'reghavinggdifficultygsleeping?"
4. Agclientgexperiencinggdisturbedgthoughtgprocessesgbelievesgthatghisgfoodgisgbeinggpoiso
ned.gWhichgcommunicationgtechniquegshouldgthegnursegusegtogencouragegthegclientgtoge
at?
1. Usinggopen-endedgquestionsgandgsilence
2. Sharinggpersonalgpreferencegregardinggfoodgchoices
3. Documentinggreasonsgwhygthegclientgdoesgnotgwantgtogeat
4. Offeringgopinionsgaboutgthegnecessitygofgadequategnutrition
1.gUsinggopen-endedgquestionsgandgsilence
,5. Agclientgadmittedgtogagmentalghealthgunitgforgtreatmentgofgpsychoticgbehaviorgspendsghour
sgatgtheglockedgexitgdoorgshouting,g"Letgmegout.gThere'sgnothinggwronggwithgme.gIgdon'tg
belongghere."gWhatgdefensegmechanismgisgthegclientgimplementing?
1. Denial
2. Projection
3. Regression
4. Rationalization
1. Denial
6. Agclientgdiagnosedgwithgterminalgcancergsaysgtogthegnurse,g"I'mggoinggtogdie,gandgIgwishg
mygfamilygwouldgstopghopinggforgagcure!gIggetgsogangrygwhengtheygcarrygonglikegthis.gAft
ergall,gI'mgthegonegwho'sgdying."gWhichgresponsegbygthegnursegisgtherapeutic?
1. "Havegyougsharedgyourgfeelingsgwithgyourgfamily?"
2. "Igthinkgwegshouldgtalkgmoregaboutgyourgangergwithgyourgfamily."
3. "You'regfeelinggangrygthatgyourgfamilygcontinuesgtoghopegforgyougtogbegcured?"
4. "Yougaregprobablygverygdepressed,gwhichgisgunderstandablegwithgsuchgagdiagnosis."
3.g"You'regfeelinggangrygthatgyourgfamilygcontinuesgtoghopegforgyougtogbegcured?"
7. Ongreviewgofgthegclient'sgrecord,gthegnursegnotesgthatgthegmentalghealthgadmissiongwa
sgvoluntary.gBasedgongthisginformation,gthegnurseganticipatesgwhichgclientgbehavior?
1. Fearfulnessgregardinggtreatmentgmeasures.
2. Angergandgaggressivenessgdirectedgtowardgothers.
3. Angunderstandinggofgthegpathologygandgsymptomsgofgthegdiagnosis.
4. Agwillingnessgtogparticipategingthegplanninggofgthegcaregandgtreatmentgplan.
4.A willingnessgtogparticipategingthegplanninggofgthegcaregandgtreatmentgplan.
8. Whengreviewinggthegadmissiongassessment,gthegnursegnotesgthatgagclientgwasgadmittedgt
ogthegmentalghealthgunitginvoluntarily.gBasedgongthisgtypegofgadmission,gthegnursegshou
ldgprovidegwhichginterventiongforgthisgclient?
1. Monitorgcloselygforgharmgtogselfgorgothers.
2. Assistgingcompletinggangapplicationgforgadmission.
3. Supplygthegclientgwithgwrittenginformationgaboutgtheirgmentalgillness.
4. Providegangopportunitygforgthegfamilygtogdiscussgwhygtheygfeltgthegadmissiongwa
sgneeded.
1. Monitorgcloselygforgharmgtogselfgorgothers.
9. Thegnursegisgpreparinggagclientgforgthegterminationgphasegofgthegnurse-
clientgrelationship.gThegnursegpreparesgtogimplementgwhichgnursinggtaskgthatgisgmostga
ppropriategforgthisgphase?
1. Planninggshort-termggoals
2. Makinggappropriategreferrals
, 3. Developinggrealisticgsolutions
4. Identifyinggexpectedgoutcomes
2. Makinggappropriategreferrals
10. Thegnursegingthegmentalghealthgunitgrecognizesgwhichgasgbeinggtherapeuticgcommunicatio
ngtechniques?gSelectgallgthatgapply.
1. Restating
2. Listening
3. Askinggthegclient,g"Why?"
4. Maintaininggneutralgresponses
5. Providinggacknowledgmentgandgfeedback
6. Givinggadvicegandgapprovalgorgdisapproval
o 1.gRestating
o 2.gListening
o 4.gMaintaininggneutralgresponses
o 5.gProvidinggacknowledgmentgandgfeedback
11. Agclientgbeinggseengingthegemergencygdepartmentgimmediatelygaftergbeinggsexuallyg
assaultedgappearsgcalmgandgcontrolled.gThegnurseganalyzesgthisgbehaviorgasgindicatin
ggwhichgdefensegmechanism?
1. Denial
2. Projection
3. Rationalization
4. Intellectualization
1. Denial
12. Agclient'sgunresolvedgfeelingsgrelatedgtoglossgwouldgbegmostglikelygobservedgduringgwhic
hgphasegofgthegtherapeuticgnurse-clientgrelationship?
1. Trusting
2. Working
3. Orientation
4. Termination
4.gTermination
13. Thegnursegisgworkinggwithgagclientgwhogdespitegmakinggagheroicgeffortgwasgunablegtog
rescuegagneighborgtrappedgingaghousegfire.gWhichgclient-
focusedgactiongshouldgthegnursegengagegingduringgthegworkinggphasegofgthegnurse-
clientgrelationship?
1. Exploringgthegclient'sgabilitygtogfunction
2. Exploringgthegclient'sgpotentialgforgself-harm
, 3. Inquiringgaboutgthegclient'sgperceptiongorgappraisalgofgwhygthegrescuegwasgunsuccessful
4. Inquiringgaboutgandgexamininggthegclient'sgfeelingsgforganygthatgmaygblockgadaptiv
egcoping
4.gInquiringgaboutgandgexamininggthegclient'sgfeelingsgforganygthatgmaygblockgadaptivegco
ping
14. Thegnursegemployedgingagmentalghealthgunitgofgaghospitalgisgthegleadergofgaggroupgps
ychotherapygsession.gWhatgisgthegnurse'sgrolegduringgthegterminationgstagegofggroupg
development?
1. Acknowledginggthatgtheggroupghasgidentifiedggoals
2. Encouraginggthegaccomplishmentgofgtheggroup'sgwork
3. Acknowledginggthegcontributionsgofgeachggroupgmember
4. Encouraginggmembersgtogbecomegacquaintedgwithgoneganother
3. Acknowledginggthegcontributionsgofgeachggroupgmember
15. Whichgaregcharacteristicsgofgthegterminationgstagegofggroupgdevelopment?gSelectgallgtha
tgapply.
1. Theggroupgevaluatesgthegexperience.
2. Thegrealgworkgofgtheggroupgisgaccomplished.
3. Groupginteractionginvolvesgsuperficialgconversation.
4. Groupgmembersgbecomegacquaintedgwithgeachgother.
5. Somegstructuringgofggroupgnorms,groles,gandgresponsibilitiesgtakesgplace.
6. Theggroupgexploresgmembers'gfeelingsgaboutgtheggroupgandgthegimpendinggseparation.
o 1.gTheggroupgevaluatesgthegexperience.
o 6.gTheggroupgexploresgmembers'gfeelingsgaboutgtheggroupgandgthegimpendin
ggseparation.
16. Whengagclientgisgadmittedgtoganginpatientgmentalghealthgunitgwithgthegdiagnosisgofganorex
iagnervosa,gagcognitivegbehavioralgapproachgisgusedgasgpartgofgthegtreatmentgplan.gThegnu
rsegunderstandsgthatgwhichgisgthegpurposegofgthisgapproach?
1. Providinggagsupportivegenvironment
2. Examininggintrapsychicgconflictsgandgpastgissues
3. Emphasizinggsocialginteractiongwithgclientsgwhogwithdraw
4. Helpinggthegclientgtogexaminegdysfunctionalgthoughtsgandgbeliefs
4.gHelpinggthegclientgtogexaminegdysfunctionalgthoughtsgandgbeliefs
17. ThegnursegunderstandsgthatgwhichgbestgdescribesgGestaltgtherapy?
1. Itgemphasizesgself-expression,gself-exploration,gandgself-awarenessgingthegpresent.
2. Itgpromotesgthegindividual'sgcomfortgingtheggroup,gwhichgthengtransfersgtogothe
rgrelationships.
3. Thegtherapistgfocusesgonghowgirrationalgbeliefsgandgthoughtsgcontributegto
g
1. Theghomegcaregnursegisgvisitinggangoldergclientgwhosegspousegdiedg6gmonthsgago.gWhic
hgbehaviorgbygthegclientgindicatesgineffectivegcoping?
1. Neglectinggpersonalggrooming
2. Lookinggatgoldgsnapshotsgofgfamily
3. Participatinggingagseniorgcitizens'gprogram
4. Visitinggtheirgspouse'sggravegoncegagmonth
1. Neglectinggpersonalggrooming
2. Agclientgwithgagdiagnosisgofgmajorgdepressiongwhoghasgattemptedgsuicidegsaysgtogtheg
nurse,g"Igshouldghavegdied.gI'vegalwaysgbeengagfailure.gNothinggeverggoesgrightgforgme.
"gWhichgresponsegdemonstratesgtherapeuticgcommunication?
1. "Youghavegeverythinggtoglivegfor."
2. "Whygdogyougseegyourselfgasgagfailure?"
3. "Feelingglikegthisgisgallgpartgofgbeinggdepressed."
4. "You'vegbeengfeelingglikegagfailuregforgagwhile?"
4.g"You'vegbeengfeelingglikegagfailuregforgagwhile?"
3. Whengthegmentalghealthgnursegvisitsgagclientgatghome,gthegclientgstates,g"Ighaven'tgsleptg
atgallgtheglastgcouplegofgnights."gWhichgresponsegbygthegnursegillustratesgagtherapeuticg
communicationgresponsegtogthisgclient?
1. "Igsee."
2. "Really?"
3. "You'reghavinggdifficultygsleeping?"
4. "Sometimes,gIghavegtroublegsleepinggtoo."
3.g"You'reghavinggdifficultygsleeping?"
4. Agclientgexperiencinggdisturbedgthoughtgprocessesgbelievesgthatghisgfoodgisgbeinggpoiso
ned.gWhichgcommunicationgtechniquegshouldgthegnursegusegtogencouragegthegclientgtoge
at?
1. Usinggopen-endedgquestionsgandgsilence
2. Sharinggpersonalgpreferencegregardinggfoodgchoices
3. Documentinggreasonsgwhygthegclientgdoesgnotgwantgtogeat
4. Offeringgopinionsgaboutgthegnecessitygofgadequategnutrition
1.gUsinggopen-endedgquestionsgandgsilence
,5. Agclientgadmittedgtogagmentalghealthgunitgforgtreatmentgofgpsychoticgbehaviorgspendsghour
sgatgtheglockedgexitgdoorgshouting,g"Letgmegout.gThere'sgnothinggwronggwithgme.gIgdon'tg
belongghere."gWhatgdefensegmechanismgisgthegclientgimplementing?
1. Denial
2. Projection
3. Regression
4. Rationalization
1. Denial
6. Agclientgdiagnosedgwithgterminalgcancergsaysgtogthegnurse,g"I'mggoinggtogdie,gandgIgwishg
mygfamilygwouldgstopghopinggforgagcure!gIggetgsogangrygwhengtheygcarrygonglikegthis.gAft
ergall,gI'mgthegonegwho'sgdying."gWhichgresponsegbygthegnursegisgtherapeutic?
1. "Havegyougsharedgyourgfeelingsgwithgyourgfamily?"
2. "Igthinkgwegshouldgtalkgmoregaboutgyourgangergwithgyourgfamily."
3. "You'regfeelinggangrygthatgyourgfamilygcontinuesgtoghopegforgyougtogbegcured?"
4. "Yougaregprobablygverygdepressed,gwhichgisgunderstandablegwithgsuchgagdiagnosis."
3.g"You'regfeelinggangrygthatgyourgfamilygcontinuesgtoghopegforgyougtogbegcured?"
7. Ongreviewgofgthegclient'sgrecord,gthegnursegnotesgthatgthegmentalghealthgadmissiongwa
sgvoluntary.gBasedgongthisginformation,gthegnurseganticipatesgwhichgclientgbehavior?
1. Fearfulnessgregardinggtreatmentgmeasures.
2. Angergandgaggressivenessgdirectedgtowardgothers.
3. Angunderstandinggofgthegpathologygandgsymptomsgofgthegdiagnosis.
4. Agwillingnessgtogparticipategingthegplanninggofgthegcaregandgtreatmentgplan.
4.A willingnessgtogparticipategingthegplanninggofgthegcaregandgtreatmentgplan.
8. Whengreviewinggthegadmissiongassessment,gthegnursegnotesgthatgagclientgwasgadmittedgt
ogthegmentalghealthgunitginvoluntarily.gBasedgongthisgtypegofgadmission,gthegnursegshou
ldgprovidegwhichginterventiongforgthisgclient?
1. Monitorgcloselygforgharmgtogselfgorgothers.
2. Assistgingcompletinggangapplicationgforgadmission.
3. Supplygthegclientgwithgwrittenginformationgaboutgtheirgmentalgillness.
4. Providegangopportunitygforgthegfamilygtogdiscussgwhygtheygfeltgthegadmissiongwa
sgneeded.
1. Monitorgcloselygforgharmgtogselfgorgothers.
9. Thegnursegisgpreparinggagclientgforgthegterminationgphasegofgthegnurse-
clientgrelationship.gThegnursegpreparesgtogimplementgwhichgnursinggtaskgthatgisgmostga
ppropriategforgthisgphase?
1. Planninggshort-termggoals
2. Makinggappropriategreferrals
, 3. Developinggrealisticgsolutions
4. Identifyinggexpectedgoutcomes
2. Makinggappropriategreferrals
10. Thegnursegingthegmentalghealthgunitgrecognizesgwhichgasgbeinggtherapeuticgcommunicatio
ngtechniques?gSelectgallgthatgapply.
1. Restating
2. Listening
3. Askinggthegclient,g"Why?"
4. Maintaininggneutralgresponses
5. Providinggacknowledgmentgandgfeedback
6. Givinggadvicegandgapprovalgorgdisapproval
o 1.gRestating
o 2.gListening
o 4.gMaintaininggneutralgresponses
o 5.gProvidinggacknowledgmentgandgfeedback
11. Agclientgbeinggseengingthegemergencygdepartmentgimmediatelygaftergbeinggsexuallyg
assaultedgappearsgcalmgandgcontrolled.gThegnurseganalyzesgthisgbehaviorgasgindicatin
ggwhichgdefensegmechanism?
1. Denial
2. Projection
3. Rationalization
4. Intellectualization
1. Denial
12. Agclient'sgunresolvedgfeelingsgrelatedgtoglossgwouldgbegmostglikelygobservedgduringgwhic
hgphasegofgthegtherapeuticgnurse-clientgrelationship?
1. Trusting
2. Working
3. Orientation
4. Termination
4.gTermination
13. Thegnursegisgworkinggwithgagclientgwhogdespitegmakinggagheroicgeffortgwasgunablegtog
rescuegagneighborgtrappedgingaghousegfire.gWhichgclient-
focusedgactiongshouldgthegnursegengagegingduringgthegworkinggphasegofgthegnurse-
clientgrelationship?
1. Exploringgthegclient'sgabilitygtogfunction
2. Exploringgthegclient'sgpotentialgforgself-harm
, 3. Inquiringgaboutgthegclient'sgperceptiongorgappraisalgofgwhygthegrescuegwasgunsuccessful
4. Inquiringgaboutgandgexamininggthegclient'sgfeelingsgforganygthatgmaygblockgadaptiv
egcoping
4.gInquiringgaboutgandgexamininggthegclient'sgfeelingsgforganygthatgmaygblockgadaptivegco
ping
14. Thegnursegemployedgingagmentalghealthgunitgofgaghospitalgisgthegleadergofgaggroupgps
ychotherapygsession.gWhatgisgthegnurse'sgrolegduringgthegterminationgstagegofggroupg
development?
1. Acknowledginggthatgtheggroupghasgidentifiedggoals
2. Encouraginggthegaccomplishmentgofgtheggroup'sgwork
3. Acknowledginggthegcontributionsgofgeachggroupgmember
4. Encouraginggmembersgtogbecomegacquaintedgwithgoneganother
3. Acknowledginggthegcontributionsgofgeachggroupgmember
15. Whichgaregcharacteristicsgofgthegterminationgstagegofggroupgdevelopment?gSelectgallgtha
tgapply.
1. Theggroupgevaluatesgthegexperience.
2. Thegrealgworkgofgtheggroupgisgaccomplished.
3. Groupginteractionginvolvesgsuperficialgconversation.
4. Groupgmembersgbecomegacquaintedgwithgeachgother.
5. Somegstructuringgofggroupgnorms,groles,gandgresponsibilitiesgtakesgplace.
6. Theggroupgexploresgmembers'gfeelingsgaboutgtheggroupgandgthegimpendinggseparation.
o 1.gTheggroupgevaluatesgthegexperience.
o 6.gTheggroupgexploresgmembers'gfeelingsgaboutgtheggroupgandgthegimpendin
ggseparation.
16. Whengagclientgisgadmittedgtoganginpatientgmentalghealthgunitgwithgthegdiagnosisgofganorex
iagnervosa,gagcognitivegbehavioralgapproachgisgusedgasgpartgofgthegtreatmentgplan.gThegnu
rsegunderstandsgthatgwhichgisgthegpurposegofgthisgapproach?
1. Providinggagsupportivegenvironment
2. Examininggintrapsychicgconflictsgandgpastgissues
3. Emphasizinggsocialginteractiongwithgclientsgwhogwithdraw
4. Helpinggthegclientgtogexaminegdysfunctionalgthoughtsgandgbeliefs
4.gHelpinggthegclientgtogexaminegdysfunctionalgthoughtsgandgbeliefs
17. ThegnursegunderstandsgthatgwhichgbestgdescribesgGestaltgtherapy?
1. Itgemphasizesgself-expression,gself-exploration,gandgself-awarenessgingthegpresent.
2. Itgpromotesgthegindividual'sgcomfortgingtheggroup,gwhichgthengtransfersgtogothe
rgrelationships.
3. Thegtherapistgfocusesgonghowgirrationalgbeliefsgandgthoughtsgcontributegto
