Stay
The neurophysiologist Sigmund Freud is credited with introducing which concept in the early 1900s?
1 Point
a. Mental illness.
b. Psychoanalysis.
c. Insanity
d. Lunacy.
b. Psychoanalysis.
A client does not participate in group sessions due to feeling inferior to others in the group. Based on cognitive theory, he would be directed to:
1 Point
a. review his previous relationship with his parents.
b. recognize and change his negative thoughts.
c. participate in group to receive extra privileges.
d. suppress negative thoughts about the group.
b. recognize and change his negative thoughts.
Which of the following best describes the disorder that was first recognized in veterans following the Korean and Vietnam Wars?
1 Point
a. Post-traumatic stress disorder (PTSD).
b. Paranoid schizophrenic disorder.
c. Bipolar disorder.
d. Depression.
a. Post-traumatic stress disorder (PTSD).
Which CAM therapy would a nurse be most concerned about if used by a client being treated with antipsychotic medications?
1 Point
a. Biologically based practices
b. Body-based practices
c. Mind-body practices
d. Technology-based practices
a. Biologically based practices
A client who usually is very active in her therapy group tells the nurse that she really does “not feel well today” and would “rather not attend the group therapy session.” Which is the nurse’s most appropriate response?
1 Point
a. “It’s okay to skip a session every once in a while.”
b. “You don’t feel like attending the group therapy today?”
c. “I will just stay with you for a while.”
d. “Why don’t you want to attend group therapy?”
b. “You don’t feel like attending the group therapy today?”
Changes in grades at school, loss of interest, and withdrawing from family interactions are some of the warning signs for:
1 Point
a. schizophrenia
b. medication withdrawal
c. drug abuse
d. teen suicide
d. teen suicide
When using physical restraints for client safety, the nurse must follow the guidelines of observing, assessing, and monitoring the client every __________ minutes; the restraint must be removed from one limb at a time, and each limb must be exercised every __________ hours.
1 Point
a. 5; 2
b. 15; 2
c. 5; 4
d. 15; 4
b. 15; 2
A male client with a diagnosis of schizophrenia begins to have hallucinations during a conversation with the nurse; this prevents him from receiving the message that the nurse is trying to communicate to him. According to Ruesch’s theory of communication, this unsuccessful interaction is called:
1 Point
a. disturbed communication.
b. therapeutic communication.
c. nontherapeutic communication.
d. blocked communication.
a. disturbed communication.
During the mental status examination, the nurse observes that the client rapidly changes from one idea to another related thought. Which disordered thinking process is the client displaying?
1 Point
a. Delusions.
b. Perseveration.
c. Confabulation.
d. Flight of ideas.
d. Flight of ideas.
While completing the history portion of an admission assessment of a client with schizophrenia, the nurse notices that the client is continually moving in the chair and frequently stands and then sits back down. The nurse knows that this client most likely is experiencing the side effect of:
1 Point
a. akinesia.
b. dystonia.
c. akathisia.
d. drug-induced parkinsonism.
c. akathisia.
The client is feeling very anxious and has requested that a prn. antianxiety medication be ordered. The nurse informs the client that the medication can be administered only every 4 hours and was given 3 hours ago. The nurse promises to give the client the medication as soon as it is due, but the nurse goes to lunch 1 hour later without giving the client the medication. Which ethical principle did the nurse violate?
a. Fidelity
b. Veracity
c. Confidentiality
d. Justice
1 Point
a. Fidelity
On what is Western medicine primarily based?
1 Point
a. Empirical knowledge
b. Religious customs
c. Scientific research
d. Folk treatments
c. Scientific research
An adolescent female client continually displays a negative attitude toward everyone she comes into contact with and toward life in general. Which action should the nurse implement first that will be helpful in assisting this client to develop a more positive attitude?
1 Point
a. Helping the client recognize negative thoughts, emotions, and attitudes
b. Praising positive behavior exhibited by the client
c. Assisting the client to replace negative thoughts by frequently repeating positive statements
d. Pointing out every negative behavior that the client displays
a. Helping the client recognize negative thoughts, emotions, and attitudes
The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor says to the nurse, “How is Carol doing? Carol is my best friend and is seen at your clinic every week.” Which is the most appropriate nursing response?
1 Point
a. "I cannot discuss any client situation with you.”
b. “Only because you’re worried about a friend, I’ll tell you that Carol is improving.”
c. “Being a friend, you know that Carol is having a difficult time and deserves privacy.”
d. “If you want to know about Carol, you need to ask Carol yourself.”
a. "I cannot discuss any client situation with you.”
Which is the best way that a nursing unit manager can assist his or her staff in maintaining a professional commitment to their job and profession?
1 Point
a. Requiring out-of-facility continuing education hours twice a year.
b. Keeping nursing journals on the unit for easy access to staff.
c. Encouraging staff to subscribe to nursing journals to keep up-to-date on new information.
d. Frequently offering and requiring a specific number of hours of in-service training on new care modalities within the facility.
d. Frequently offering and requiring a specific number of hours of in-service training on new care modalities within the facility.
A mental health care provider who is aware of his or her cultural views and attitudes toward other cultures and who strives to understand, communicate, and effectively work with clients of other cultures is considered to be:
1 Point
a. Prejudiced
b. Culturally competent
c. Stereotypical
d. Proficient
b. Culturally competent
In the early 1960s, a committee appointed by President John F. Kennedy recommended the development of a new approach to the way mental health care was administered, with an emphasis on the introduction of:
1 Point
a. community mental health centers.
b. psychotherapeutic drugs.
c. state mental health care systems.
d. deinstitutionalization of patients.
a. community mental health centers.
Without assessment of six specific aspects of an individual’s being, the mental health nurse’s scope of care is narrow and limited in effectiveness. These aspects include social, physical, cultural, intellectual, emotional, and spiritual areas of a person’s life, known as a __________ assessment.
1 Point
a. complete
b. accurate
c. holistic
d. psychiatric
c. holistic
A busy community mental health center treats a client who is in crisis. The client is provided with instruction on relaxation exercises, but throws them away. Two weeks later, the staff is dismayed when the client returns with her condition worsened. This lack of success after the previous visit is due to which of the following factors
1 Point
a. Lack of commitment
b. Self-awareness
c. Pseudo-resolution
d. Disorganization
c. Pseudo-resolution
A nurse is caring for a client who has been diagnosed with a terminal illness and wants to discuss advanced directives with their family. Which of the following actions by the nurse demonstrates integrating advanced directives into the client's plan of care while considering familial dynamics?
1 Point
a. Facilitating a family meeting to discuss the client's wishes and involve them in the decision-making process.
b. Encouraging the client to discuss advanced directives only with their healthcare provider to avoid family conflicts.
c. Providing the client with a pamphlet on advanced directives and asking them to share it with their family.
d. Offering the client a list of local attorneys who can assist with creating a legally binding advanced directive.
a. Facilitating a family meeting to discuss the client's wishes and involve them in the decision-making process.
The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational soul could be compared with the belief of the more recent psychological theorist:
1 Point
a. Rush.
b. Fisher.
c. Pinel.
d. Freud.
d. Freud.
As a direct result of Clifford Beers’ work and book, A Mind That Found Itself, the Committee for Mental Hygiene was formed in 1909 with a focus on prevention of mental illness and:
1 Point
a. removing the stigma attached to mental illness.
b. early detection of symptoms of mental illness.
c. education of caregivers.
d. current treatment options.
a. removing the stigma attached to mental illness.
An allopathic mental health practitioner would most likely recommend which treatment for a client suffering from anxiety?
1 Point
a. Expressive therapy.
b. Antianxiety agents.
c. Acupuncture.
d. Dietary supplements.
b. Antianxiety agents.
A nurse is caring for a terminally ill client and their family who express concerns about end-of-life care decisions. The family's Catholic beliefs are integral to their cultural background. To address these concerns and provide culturally sensitive education, which of the following actions should the nurse prioritize?
1 Point
a. Share general information about common end-of-life practices with the client and family.
b. Initiate a conversation to understand the family's Catholic culture and preferences.
c. Advocate for the use of advanced directives to guide decision-making.
d. Facilitate a meeting with the healthcare team to discuss treatment options.
b. Initiate a conversation to understand the family's Catholic culture and preferences.
A caregiver is said to be practicing __________ care not only when he or she takes into consideration the client’s actual or potential problems but also when he or she considers the client’s family, work responsibilities, and social aspects of life. Which of the following best describes this caregiving concept?
1 Point
a. complete.
b. crisis.
c. holistic.
d. competent.
c. holistic.
One of the greatest stressors for adults is:
1 Point
a. retirement
b. terminal illness
c. finding a job
d. financial security
d. financial security
The Nurse’s Code of Ethics includes the main concepts of autonomy, beneficence, justice, and:
1 Point
a. Rights
b. Morals
c. Nonmaleficence
d. Prudence
c. Nonmaleficence
The theorist Eric Berne theorized that an individual’s three ego states of parent, child, and adult make up one’s:
1 Point
a. personality.
b. thought processes.
c. conscience.
d. ability to communicate.
a. personality.
A client with chronic back pain is being introduced to guided imagery along with their non-narcotic analgesic regimen. Which of the following is the primary reason for incorporating guided imagery into the client's pain management plan?
1 Point
a. Reduce inflammation in the affected area
b. Enhance the analgesic effect of non-narcotic medications
c. Facilitate a placebo effect for managing pain perception
d. Promote relaxation and reduce stress
d. Promote relaxation and reduce stress
A female client is 3-days postoperative and has been receiving meperidine (Demerol) for pain control. The family mentions to the nurse that the client has been taking phenelzine (Nardil) for years for her depression. The client did not list this medication on admission. What signs and symptoms should the nurse look for in case of reaction between these two medications?
1 Point
a. Hyperactivity and difficulty concentrating.
b. Increased pulse and respirations.
c. Increased tearing and increased urinary output.
d. Sedation, disorientation, and hallucinations.
d. Sedation, disorientation, and hallucinations.
How many stages of the human life cycle did Erik Erikson identify?
1 Point
a. Two
b. Four
c. Six
d. Eight
d. Eight
Mr. Smith is out of contact with reality. He is unable to meet his hygiene and nutrition needs. Communication with him is difficult due to paranoid hallucinations. Which care setting would be most helpful?
a. Home visits
b. Inpatient care
c. Day care center
d. Outpatient care
1 Point
b. Inpatient care
A client is believed to have adapted to a situation when he or she exhibits which characteristic?
1 Point
a. The client has become accustomed to his or her surroundings.
b. The client has shown improvement in behavior as evidenced by the ability to carry out activities normal to his or her life.
c. The client has accepted his or her current behavior patterns.
d. The client has established a trusting relationship with the caregivers who are providing care.
b. The client has shown improvement in behavior as evidenced by the ability to carry out activities normal to his or her life.
During the mental status assessment, the nurse hands the client a piece of paper that reads “Please raise your left hand.” If the client follows the command, the nurse has just assessed which ability of the client?
1 Point
a. Abstract thinking
b. Reading
c. General knowledge
d. Memory
b. Reading
Selective serotonin reuptake inhibitors (SSRIs) are most health care providers’ drug of choice for the treatment of depression because:
1 Point
a. they are fast-acting medications.
b. the side effects are more manageable than with other antidepressants.
c. this is the oldest class of antidepressants.
d. they are the only class safe for long-term therapy.
b. the side effects are more manageable than with other antidepressants.
In the late 1980s, government funding for mental health care dwindled, and most insurance companies __________ coverage for psychiatric care.
1 Point
a. increased.
b. decreased.
c. withdrew.
d. added.
c. withdrew.
Twenty-three states have enacted mental health parity laws. The most accurate description of these laws is that they require insurance companies to:
1 Point
a. include coverage for outpatient therapy for individuals with substance abuse.
b. include coverage for mental illness that is equal to coverage for physical illness.
c. include coverage for substance abuse treatment.
d. include coverage for mental illness.
b. include coverage for mental illness that is equal to coverage for physical illness.
Components of the sociocultural assessment include a history interview for the purpose of obtaining information about a client’s background and:
1 Point
a. encouraging description of lifestyle and activities of daily living.
b. reviewing physical assessment data and various diagnostic examinations.
c. observing the client’s appearance, behaviors, and attitudes.
d. eliciting answers related to general health, past illnesses, and hospitalizations.
c. observing the client’s appearance, behaviors, and attitudes.
Therapeutic communication techniques support effective communication between the client and the nurse. Which group of therapeutic techniques is most likely to be effective when one is conversing with a client?
1 Point
a. Broad openings, restating, and advising
b. Clarification, focusing, and confrontation
c. Listening, silence, and reflection
d, Humor, informing, and reassuring
c. Listening, silence, and reflection
A child who is the victim of domestic violence refuses to talk about the experience. He is doing poorly in school and having trouble sleeping. Which therapy would he benefit from?
1 Point
a. Massage
b. Biofeedback
c. Aromatherapy
d. Art therapy
d. Art therapy