NCLEX
Which statement best defines a safe milieu in a healthcare setting?
A. A place where patients can socialize freely without any restrictions.
B. An environment where patients receive treatment in a safe, therapeutic physical and social setting.
C. A setting where only physical safety measures are prioritized.
D. An area where patients are isolated to prevent any social interactions
B. An environment where patients receive treatment in a safe, therapeutic physical and social setting
What is the diagnostic book called that psychiatrists use to make a mental health diagnosis?
DSM-5
Who is the Mother of psychiatric nursing?
Hildigard Peplau
True or False?
The primary goal in psychiatric care is to complete a full diagnostic assessment before addressing any other concerns?
False
Safety 1st!!!
While assessment is important, it is never the first priority in psychiatric or mental‑health settings. The #1 goal is safety—ensuring that the patient, staff, and environment are safe before any other interventions occur. This includes evaluating for risk of harm to self or others, stabilizing acute crises, and creating a secure therapeutic environment. Only after safety is established can assessment, diagnosis, and treatment planning proceed.
On review of the patient’s record, the nurse notes the admission was voluntary. Based on this information, the nurse anticipates which patient’s behavior?
A. Fearfulness regarding treatment measures.
B. Anger and aggressiveness directed toward others.
C. An understanding of the pathology and symptoms of the diagnosis.
D. A willingness to participate in the planning of the care and treatment plan.
D. A willingness to participate in the planning of the care and treatment plan.
True or false?
Are patients allowed to refuse treatment?
True
But, can receive emergent meds over objection if an endangerment to self or others
When reviewing the admission assessment, the nurse notes that a patient was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this patient?
A. Monitor closely for harm to self or others.
B. Assist in completing an application for admission.
C. Supply the patient with written information about their mental illness.
D. Provide an opportunity for the family to discuss why they felt the admission was needed
A. Monitor closely for harm to self or others.
True or False?
A diathesis-stress model—in which diathesis represents biological predisposition and stress represents environmental stress or trauma—is the most accepted explanation for mental illness.
True
The diathesis‑stress model is one of the most widely accepted explanations for the development of mental illness. It states that a person may have a biological or genetic predisposition (the diathesis), but this predisposition alone is not enough to cause a disorder. Mental illness emerges when this vulnerability interacts with environmental stressors, such as trauma, chronic stress, or adverse life events. This model helps explain why some individuals develop mental disorders under stress while others do not.
A nurse is caring for a client who begins to express feelings of anger and frustration towards the nurse, similar to feelings they have towards their parent. Which concept does this scenario best illustrate?
A. Countertransference
B. Transference
C. Empathy
D. Projection
B. Transference
What is the significance of nurses performing the Columbia Suicide Assessment Scale during every shift?
A. To monitor the patient's level of depression and anxiety
B. To assess the patient's risk of suicide
C. To evaluate the patient's physical health
D. To ensure adequate medication administration
B. To assess the patient's risk of suicide
The nurse is preparing a patient for the termination phase of the nurse-patient relationship. The nurse prepares to implement which nursing task that is most appropriate for this phase?
A. Planning short-term goals
B. Making appropriate referrals
C. Developing realistic solutions
D. Identifying expected outcomes
B. Making appropriate referrals
True or False?
Mental illness refers to all psychiatric disorders with definable diagnoses that cause significant dysfunction in developmental, biological, or psychological disturbances.
True
Which of the following best describes Hildegard Peplau's theory of interpersonal relations?
A. It focuses on the nurse-patient relationship and the phases of interaction.
B. It emphasizes the importance of medication management in psychiatric care.
C. It highlights the role of family dynamics in patient recovery.
D. It centers on the biological aspects of mental illness.
It focuses on the nurse-patient relationship and the phases of interaction.
NAME THAT PHASE?
-all the therapeutic work takes place: teaching new skills, implementing plans, evaluating and modifying goals to achieve tx outcomes
A. Termination Phase
B. Orientation Phase
C. Working Phase
D. Pre-Orientation Phase
Working Phase
During the preorientation phase of Peplau's theory, what must RNs be aware of to avoid transference and countertransference issues?
A. Patient's medical history
B. Their own strengths, weaknesses, actions, reactions, and motivations
C. Hospital policies and procedures
D. Patient's family dynamics
B. Their own strengths, weaknesses, actions, reactions, and motivations
True or False?
Major depressive disorder is the leading cause of disability worldwide?
True!
According to the WHO-with more than 300 million people affected.
Nearly twice as many women (6.5%) as men (3.3%) suffer from major depressive disorder every year
Which of the following measures is essential for maintaining a safe and therapeutic milieu in a psychiatric setting select all that apply?
A. Conducting 15-minute safety checks
B. Providing pencils to fill out patient menu
C. Using Velcro shower curtains
D. Providing plastic trash bags
E. Use of safety blankets
F. Metal spoons
G. Allowing patients their personal clothing which consists of a belt, hoodie and necklace
A, C, E
A. Conducting 15-minute safety checks
C. Using Velcro shower curtains
E. Use of safety blankets
True or False?
A voluntary psychiatric patient may be converted to involuntary status if they are assessed as posing a danger to themselves or others?
True
An involuntary can also be converted to voluntary.
True or False?
When establishing patient goals, nurses must consider the patient’s values, cultural background and readiness to learn?
True
True or False?
Anxiety disorders are the most common psychiatric disorders in the United States and frequently co-occur with major depressive disorder or substance use.
True
Anxiety disorders are the most common mental health problems. About 19% of adults in the United States have an anxiety disorder.