Vocabulary
These are potentially traumatic events occurring before the age of 18 that can impact a person’s lifelong health and well-being.
What is
A. Trauma Informed Care?
B. What are adverse childhood experiences (ACEs)?
A nurse is performing a MSE on a client. Which of the following components should the nurse include?
Select all that apply
A. presence of pain
B. Affect
C. Support Systems
D. Grooming
E. long term memory
Why didn't you attend group this morning?
A. Therapeutic communication
B. Non-therapeutic communication
The nurse is interviewing a patient with a history of exposure to adverse childhood experiences (ACEs). Compared with the general population, the patient has the highest risk for which condition or behavior?
A. Obesity
B. Smoking
C. Alcohol use
D Sexually transmitted disease
Which three structural components comprise a nursing diagnosis?
A. Problem, probable cause, supporting data
B. Presenting symptom, treatment, goal
C. Problem, outcome, intervention
This term refers to emotional, psychological, and social well-being, affecting how individuals think, feel, and behave.
A. What is mental health?
B. What is mental well-being?
This category for auditory hallucinations is included in the MSE.
A. What is behavioral disturbances?
B. What is perceptual disturbances?
I'm really proud of you for the way you stood up to your sibling when they visited today.
A. Therapeutic communication
B. Non-therapeutic communication
A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head is down, and he is wringing his hands. Which of the following actions should the nurse take?
A. Encourage the client to go back to bed
B. Remain with the client
C. Give the client a PRN sleeping medication
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cultures
B. Psychiatric diagnoses are listed separately from other physical disorders in a five-axis system
C. All mental disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) are seen in all cultures
The negative attitudes and beliefs that lead to discrimination against individuals with mental health conditions.
A. What is Culture Congruence?
B. What is mental illness stigma?
This category of the mental status exam evaluates a patient’s internal emotional state and its outward expression.
A. What are mood and affect?
B. What is appearance?
If I were you, I would quit the stressful job and find something else.
A. Therapeutic communication
B. Non-therapeutic communication
Which action follows the completion of a thorough nursing assessment of a new patient?
A. Implement the plan of care
B. Formulate the nursing diagnoses
C. Construct interventions with rationale statements
Which phenomenon would the nurse recognize when a patient reports nearly being mugged until getting a surge of energy and being able to run away to seek safety?
A. Eustress
B. Immune system stress response
C. Fight-or-flight response
A situation where a person’s usual coping mechanisms fail, leading to emotional or mental distress.
A. What is a trauma response?
B. What is a crisis?
A patient with schizophrenia believes they do not have an illness and refuses medication, stating, “I don’t need treatment because there’s nothing wrong with me.” This reflects an impairment in this category.
A. What is insight and judgment?
B. What is perception?
From what you have said, you have great difficulty sleeping at night.
A. Therapeutic communication
B. Non-therapeutic communication
A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?
A. Promote the use of transference by the client
B. Instruct the client on how he should behave
C. Set limits for the relationship
A nurse educator is discussing community mental health with a group of nursing students. Which of the following sites should the educator identify as a source of secondary prevention?
A. Daycare center
B. Crisis center
C. Outpatient rehabilitation center
A psychological theory that outlines five levels of human needs, from basic survival to self-actualization.
A. What is Erikson's developmental model?
B. What is Maslow’s hierarchy of needs?
Three aspects of appearance is assessed when conducting a MSE
A. What is orientation, grooming, facial expression?
B. What is level of hygiene, facial expression, grooming ?
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which nursing approach establishes a therapeutic relationship with this client?
A. Wait for the client to initiate interaction
B. Approach the client frequently throughout the day for brief interactions
C. Adopt a neutral attitude when providing care
A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?
A. I fix myself a pot of coffee when I get anxious
B. I pray when I begin to breathe fast.
C. I journal when I find it difficult to talk
Which statement reflects an accurate understanding of when termination would first be discussed as part of the nurse–patient relationship?
A. "Now that we are working on your problem-solving skills and the behaviors you'd like to change, I'd like to bring up the issue of termination."
B. "Now that we've discussed your reasons for being here and how often we will meet, I'd like to talk about what we will do at the time of your discharge."
C. "You are being discharged today, so I'd like to bring up the subject of termination, which includes discussing your time here and summarizing what coping skills you have attained."