334 Mental Health Exam 100% Guaranteed Distinction

A patient at an inpatient unit angrily states to a nurse "Peter is not tidy or cleaning up after himself in the bathroom. You need to address this problem." Which is the appropriate nursing response A. "I'll talk to Peter and present your concerns." B. "Why are you overreacting to this issue?" C. "You should bring this to the attention of your treatment team." D. "I can see that you are angry. Let's discuss ways to approach Peter with your concerns." - ANSWERSD. "I can see that you are angry. Let's discuss ways to approach Peter with your concerns." A mother who has learned that her child was killed in a tragic car accident states, I cant bear to go on with my life. Which nursing statement conveys empathy? a) The situation is very sad, but time is a great healer b) I am not sure what is wrong. Have you asked the physician about your concerns c) It must be very difficult to lose a child, I'll stay with you until your husband arrives d) once you cry it out all of your sadness, things will seem so much better - ANSWERSc) It must be very difficult to lose a child, I'll stay with you until your husband arrives The nurse should utilize which group function to help an extremely withdrawn, paranoid client increase feelings of security? A. Socialization B. Empowerment C. Support D. Governance - ANSWERSC. Support A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not changed. How should the nurse interpret the clients behaviors? 1. The client's behaviors demonstrate mental illness in the form of depression. 2. The client's behaviors are extensive, which indicates the presence of mental illness. 3. The client's behaviors are not congruent with cultural norms. 4. The client's behaviors demonstrate no functional impairment, indicating no mental illness. - ANSWERS4. The client's behaviors demonstrate no functional impairment, indicating no mental illness. Meditation has been shown to be an effective anxiety management technique. When meditation is effective, what should a nurse expect to assess? A. An achieved state of relaxation B. An achieved insight into ones feelings C. A demonstration of appropriate role behaviors D. An enhanced ability to problem-solve - ANSWERSA. An achieved state of relaxation Which client statement should alert a nurse that a client may be responding maladaptively to stress? a) I signed up for a yoga class this week b) I really enjoy journaling its my private time c) I made an appointment to meet with a therapist d) I've found that avoiding contact with others helps me cope. - ANSWERSd) I've found that avoiding contact with others helps me cope. Which client should a nurse identify as a potential candidate for involuntary commitment? A. A client living under a bridge in a cardboard box B. A client threatening to commit suicide with a verbalized plan C. A client who never bathes and wears a wool hat in the summer D. A client who eats waste out of a garbage can - ANSWERSB. A client threatening to commit suicide with a verbalized plan People with mental health issues always have issues with aggression and should always be approached with caution a) True B) False - ANSWERSB) False Which symptom should a nurse identify as typical of the fight or flight response? A. Pupil constriction B. Increased heart rate C. Increased salivation D. Increased peristalsis - ANSWERSB. Increased heart rate A new nurse is trying to hone his therapeutic techniques. His patient just told him that she "feels like she cannot do anything right and that she feels worthless" what is the best response to this statement a) feelings of self worth are important you should talk to your therapist about these feelings b) it sounds like your mood is pretty low today would you like to talk c) do you think you might benefit by going to group more often where you could process these feelings d) why do you feel worthless? would you like to tell me about this? - ANSWERSd) why do you feel worthless? would you like to tell me about this? A school nurse is assessing a distraught female HS student who is overly concerned because her parents can't afford horseback riding lessons. How should the nurse interpret the students' reaction to their perceived problem? A. The problem is endangering her well-being. B. The problem is personally relevant to her. C. The problem is based on immaturity. D. The problem is exceeding her capacity to cope. - ANSWERSB. The problem is personally relevant to her. A client who experiences stress on a regular basis asks a nurse what causes these feelings which is most appropriate nursing response A. "Genetics have nothing to do with your temperament." B. "How you reacted to past experiences influences how you feel now." C. "If you're in good health physically, your stress level will be low." D. "Stress can always be avoided if appropriate coping mechanisms are employed." - ANSWERSB. "How you reacted to past experiences influences how you feel now." A patients wife of 34 years dies unexpectedly. The patient cries often and becomes socially isolated the patient nurse stresses the importance of proper sleep, nutrition and exercise. What is the best rationale for the nurses teaching A. The therapist is using an interpersonal approach. B. The client has an alteration in neurotransmitters. C. It is routine practice to remind clients about nutrition, exercise, and rest D. The client is susceptible to illness due to effects of stress on the immune system. - ANSWERSD. The client is susceptible to illness due to effects of stress on the immune system. A man diagnosed with alcohol dependence experiences his first relapse. During the group meeting, another group member states, "I relapsed three times, but now have been sober for 15 years." Which of Yalom's curative group factors does this illustrate? A. Imparting of information B. Instillation of hope C. Catharsis D. Universality - ANSWERSB. Instillation of hope A behavioral health nurse answers the telephone on the substance abuse unit the caller is asking to verify if an individual has been a pt in the facility. Which nursing response reflects appropriate legal and ethical obligations? a) affirming that the person has been seen at the facility but providing no further information b) suggesting that the caller speak to the clients therapist c) refusing to give any information to the caller by hanging up d) refusing to give any information to the caller, citing rules of confidentiality - ANSWERSd) refusing to give any information to the caller, citing rules of confidentiality Client teaching is an important nursing function in the milieu setting. Which of the following statement by the client indicates need for knowledge and readiness to learn a. "Get away from me with that medicine! I'm not sick!" b. "I don't need psychiatric treatment. It's my migraine headaches that I need help with." c. "I've taken valium every day of my life for the last 20 years. I'll stop when I'm good and ready!" d. "The doctor says I have bipolar disorder. What does that really mean?" - ANSWERSd. "The doctor says I have bipolar disorder. What does that really mean?" attempting to calm an angry client by using talk therapy is an example of which of the following clients rights A: The right to privacy B: The right to refuse medication C: The right to the least-restrictive treatment alternative D: The right to confidentiality - ANSWERSC: The right to the least-restrictive treatment alternative After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, "You are incompetent!" Which is the nurse's best response? A. "Do you believe that I was the cause of your blood test being canceled?" B. "I see that you are upset, but I feel uncomfortable when you swear at me." C. "Have you ever thought about ways to express anger appropriately?" D. "I'll give you some space. Let me know if you need anything." - ANSWERSB. "I see that you are upset, but I feel uncomfortable when you swear at me." Which division of the autonomic nervous system prepares the body for the fight of flight response? a) sympathetic nervous system b) somatic nervous system c) peripheral nervous system d) parasympathetic nervous system - ANSWERSa) sympathetic nervous system When is self-disclosure by the nurse appropriate in a therapeutic nurse-client relationship? a) when the nurse has a duty to warn b) when the nurse feels emotionally indebted toward the client c) when it is judged that the information may benefit the client d) when it is judged that the information may benefit the nurse - ANSWERSc) when it is judged that the information may benefit the client A nurse states to a client, "Things will look better tomorrow after a good night's sleep." This is an example of which communication technique? A. The therapeutic technique of "giving advice" B. The therapeutic technique of "defending" C. The nontherapeutic technique of "presenting reality" D. The nontherapeutic technique of "giving false reassurance" - ANSWERSD. The nontherapeutic technique of "giving false reassurance" a nurse is assessing a client diagnosed with schizophrenia for the presences of hallucinations. which therapeutic communication technique used by the nurse is an example of making observations? A. "I notice that you are talking to someone who I do not see" B. "Please tell me what they are telling you" C. "Why do you continually look up at the ceiling?" D. "I understand that you see someone in the hall, but I do not see anyone" A - ANSWERSA. "I notice that you are talking to someone who I do not see" A nurse concludes that a restless, agitated client is manifesting a "fight-or-flight" response. The nurse should associate this response with which neurotransmitter? A. Acetylcholine B. Dopamine C. Serotonin D. Norepinephrine - ANSWERSD. Norepinephrine A mental health technician asks the nurse, How do psychiatrists determine which diagnosis to give a patient? Which of these responses by the nurse would be most accurate? a) Psychiatrists use pre-established criteria from the APA's Diagnostic and Statistical Manual of Mental Disorders (DSM-5). b) Hospital policy dictates how psychiatrists diagnose mental disorders c) Psychiatrists assess the patient and identify diagnosis based on the patients unhealthy responses and contributing factors d) the AMA identifies 10 diagnostic labels that psychiatrists can choose from - ANSWERSa) Psychiatrists use pre-established criteria from the APA's Diagnostic and Statistical Manual of Mental Disorders (DSM-5). When under stress, a client routinely uses an excessive amount of alcohol. Finding her drunk, her husband yells at her about the chronic alcohol abuse. Which reaction should the nurse recognize as the use of the defense mechanism of denial? a) Burning dinner on purpose b) yelling at their son for slouching in his chair c) hiding liquor bottles in a closet d) saying to the spouse I don't drink too much - ANSWERSd) saying to the spouse I don't drink too much Which is an example of the ego defense mechanism of regression? a) an adult throws a temper tantrum for not getting his way b) a teenager becomes hysterical after seeing a friend killed in a car accident c) a woman wants to marry a man exactly like her beloved father d) a mother blames the teacher for her child's failure in school - ANSWERSa) an adult throws a temper tantrum for not getting his way b) a teenager becomes Which situation are examples of both assault and battery? a) the nurse threatens to tie down client and then does so against the client's wishes b) the nurse hides the clients clothes and medicates the client to prevent elopement c) the nurse becomes angry calls the client offensive names and withholds treatment d) the nurse restraints the client without just cause and communicates this to family - ANSWERSa) the nurse threatens to tie down client and then does so against the client's wishes A client is concerned that information given to the nurse remains confidential. Which is the nurses best response? A. "Your information is confidential. It will be kept just between you and I." B. "I will share the information with staff members only with your approval." C. "If the information impacts your care, I will need to share it with the treatment team." D. "You can make the decision whether your physician needs this information or not." - ANSWERSC. "If the information impacts your care, I will need to share it with the treatment team." The experience of being physically restrained can be traumatic. Which nursing intervention would best help the client deal with this experience? A. Administering a tranquilizing medication before applying the restraints B. Talking to the client at brief but regular intervals while the client is restrained C. Decreasing stimuli by leaving the client alone most of the time D. Checking on the client infrequently, in order to meet documentation requirements - ANSWERSB. Talking to the client at brief but regular intervals while the client is restrained One of the goals of therapeutic community is for clients to become more independent and accept self-responsibility. Which of the following approaches by staff best encourages fulfillment of this goal? a. Including client input and decisions into the treatment plan. b. Insisting that each client take a turn as "president" of the community meeting. c. Making decisions for the client regarding plans for treatment. d. Requiring that the client be bathed, dressed and attend breakfast on time each morning. - ANSWERSa. Including client input and decisions into the treatment plan. Nancy, a depressed client who has been unkempt and untidy for weeks, today comes to group therapy wearing makeup and a clean dress and having washed and combed her hair. Which of the following responses by the nurse is most appropriate? a. "Nancy, I see you have put on a clean dress and combed your hair." b. "Nancy, you look wonderful today!" c. "Nancy, I'm sure everyone will appreciate that you have cleaned up for the group today." d. "Now that you see how important it is, I hope you will do this every day." - ANSWERSa. "Nancy, I see you have put on a clean dress and combed your hair." On Tom's day of discharge from the hospital, his wife brings a bouquet of flowers and box of chocolates to give to his primary care nurse. Tom presents these gifts to the nurse saying, "Thank you for taking care of me." What is a correct response by the nurse? a. "I don't want a gift from you!" b. "Thank you so much! I think you're really extra special, too!" c. "Thank you. I will share these with the rest of the staff." d. "I love chocolate but let me pay you for them!" - ANSWERSc. "Thank you. I will share these with the rest of the staff." Anna states that Lucky was her closest friend, and since his death, there is no one who could ever replace the relationship they had. According to Maslow's hierarchy of needs, which level of need is not being met? A. Physiological needs B. Self-esteem needs C. Safety and security needs D. Love and belonging needs - ANSWERSD. Love and belonging needs Abbey, an adolescent, just returned from group therapy and is crying. she says to the nurse "all the other kids laughed at me. i try to fit in but i always seem to say the wrong thing. i've never had a close friend and i guess i never will" what is the most appropriate response by the nurse? don't need friends to be happy b. you're feeling pretty down on yourself right now c. i'm sure they didn't mean to hurt your feelings d. why will you never have any friends - ANSWERSb. you're feeling pretty down on yourself right now There is a very narrow margin between the therapeutic and toxic levels of lithium carbonate. Symptoms of toxicity are most likely to appear if the serum levels exceed which of the following levels? a. 0.15 mEq/L b. 1.5 mEq/L c. 15.0 mEq/L d. 150 mEq/L - ANSWERSb. 1.5 mEq/L The nurse is using nursing process to care for a suicidal patient. Which of the following nursing actions is a part of the assessment step of the nursing process? a. Identifies nursing diagnosis: Risk for suicide b. Notes that client's family reports recent suicide attempt c. prioritizes the necessity for maintaining a safe environmental for the client d. obtains a short term contract from the client to seek out staff if feeling suicidal - ANSWERSb. Notes that client's family reports recent suicide attempt Antianxiety medications, such as benzodiazepines, produce a calming effect by A. Depressing the CNS B. Decreasing levels of norepinephrine and serotonin in the brain C. Decreasing levels of dopamine in the brain D. Inhibiting production of the enzyme MAO - ANSWERSA. Depressing the CNS Part of the nurse's continual assessment of the client taking antipsychotic medications is to observe for extrapyramidal symptoms. Examples include which of the following? a. Muscular weakness, rigidity, tremors, facial spasms b. Dry mouth, blurred vision, urinary retention, orthostatic hypotension c. Amenorrhea, gynecomastia, retrograde ejaculation d. Elevated blood pressure, severe occipital headache, stiff neck - ANSWERSa. Muscular weakness, rigidity, tremors, facial spasms Which of the following statements by Anna might suggest that she is achieving resolution of her grief over Lucky's death? a. "I don't cry anymore when I think about Lucky." b. "It's true, Lucky didn't always mind me. Sometimes he ignored my commands." c. "I remember how it happened now. I should have held tighter to his leash!" d. "I won't ever have another dog. It's just too painful to lose them."c - ANSWERSb. "It's true, Lucky didn't always mind me. Sometimes he ignored my commands." Antipsychotic medications are thought to decrease psychotic symptoms by which of the following actions? a. Blocking reuptake of norepinephrine and serotonin b. Blocking the action of dopamine in the brain c. Inhibiting production of the enzyme MAO d. Depressing the CNS - ANSWERSb. Blocking the action of dopamine in the brain Bill, who has been diagnosed with schizophrenia and has been on medication for several months, states, "i'm not taking that stupid medication anymore." which of the following responses by the nurse demonstrates a motivational interviewing style of communication? a. don't you know that if you don't take your medication you will never recover b. why won't you cooperate with the treatment your doctor prescribed c. bill, the medication is not stupid d. tell me more about why you don't want to take the medication - ANSWERSd. tell me more about why you don't want to take the medication Nursing diagnosis are prioritized according to which of the following? a. degree of potential for resolution b. legal implications associated with nursing intervention c. life-threatening potential d. client and family requirements - ANSWERSc. life-threatening potential In the community meeting, which of the following actions is most important for reinforcing the democratic posture of the therapy setting? a. Allowing each person a specific and equal amount of time to talk b. Reviewing group rules and behavioral limits that apply to all clients. c. Reading the minutes from yesterday's meeting. d. Waiting until all clients are present before initiating the meeting. - ANSWERSb. Reviewing group rules and behavioral limits that apply to all clients. John tells the nurse, "I think lights out at 10pm on a weekend is stupid. we should be able to watch tv until midnight" which is the most appropriate response from the nurse on the milieu unit? a) John you were told the rules when you were admitted b) You may bring it up before the others at the community meeting, John c) You are not the only person on this unit, John. You must think of others besides yourself d) Some people want to go to bed early John - ANSWERSb) You may bring it up before the others at the community meeting, John n prioritizing care within the therapeutic environment, which of the following nursing interventions would receive the highest priority? A) ensuring that the physical facilities are conducive to achievement of the goals of therapy B) scheduling a community meeting for 8:30 each morning C) attending to the nutritional & comfort needs of all pts D) establishing contacts with community resources - ANSWERSC) attending to the nutritional & comfort needs of all pts Sandra is the nurse leader of a supportive-therapeutic group for individuals with anxiety disorders. In this group, Helen talks incessantly. When someone else tries to make a comment, she refuses to allow him or her to speak. What type of member role is Helen assuming in this group? A. Aggressor B. Monopolizer C. Blocker D. Seducer - ANSWERSB. Monopolizer Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become increasingly dependent. Her husband is very concerned and takes her to the local mental health center. What is this type of crisis called? a. dispositional crisis b. crisis of anticipated life transitions c. psychiatric emergency d. crisis resulting from traumatic stress - ANSWERSb. crisis of anticipated life transitions Which of the following is the desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety? a. The individual will experience no anxiety b. The individual will demonstrate hope for the future. c. The individual will identify that anxiety is at a manageable level. d. The individual will verbalize acceptance of self as worthy. - ANSWERSc. The individual will identify that anxiety is at a manageable level.