Mental Health Framework
& Communication
& Communication
How soon after placing a client in restraints in a mental health unit until a physician needs to examine the client?
1 hour
A basic level registered nurse would be expected to lead which of the following groups? (CHECK ALL THAT APPLY)
symptom management
medication education
family therapy
psychotherapy
self-care
symptom management
medication education
self-care
What is an irrational fear of an object or situation?
phobia
This defense mechanism is common in the borderline client.
What is splitting
This med treats alcohols by acting as a deterrent
Disulfiram (Antabuse)
A nurse is assessing an older client and states, "he reminds me so much of my pap" This is known as?
countertransferance
This manual assists the medical community with appropriate diagnosis of mental health disorders.
What is the DSM V
Before an exam a nursing student sates, "I am so anxious and restless" The BEST intervention is:
explain that the symptoms are the result of mild anxiety and discuss helpful aspects
advise the student to go to a professional for help
encourage the student to take antioxidant vitamins
listen without comment
explain that the symptoms are the result of mild anxiety and discuss helpful aspects
mild
moderate
severe
Panic
What nursing strategy is important in the client with anti social personality
Setting limits/consequences/token economy
Zero tolerance for using a substance of abuse when you are an addict
What is abstinence
A patient tells the nurse, "I don't think I will ever get out of here"
What is the best response?
"Don't talk that way, of course you will leave"
"Keep up the good work and you certainly will"
"You don't think you're making progress?"
"Everyone feels that way sometimes"
"You don't think you're making progress?"
This approach may have clients journal to help them examine their negative patterns of thinking.
What is Cognitive
What approach should be used with severe panic when perceptions and the ability to focus are decreased?
Calm, brief and direct/supportive
What term indicates inability to even think of or have pleasurable activities
Anhedonia
You suspect a coworker is abusing drugs and coming to work impaired.
Because safety of the patients is your first priority you:
Ask her if she is high
Follow her to be sure she does her job
Write down everything she does wrong so she gets fired
Call the supervisor to discuss your concern
Call supervisor and report
An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The adolescent informed her parents but they did not believe them. What type of crisis is this?
adventitious
(not part of everyday)
Situational are external source, Maturational are normal developmental stages
What are the levels of anxiety
mild, moderate, severe, panic
The behavioral healthcare team have worked with a client to examine their thoughts related to behaviors and life stressors. They now have developed insight into some areas they will continue to work on in the outpatient setting. What technique is this?
What is cognitive restructuring
A client with major depression states, I am thinking of harming myself with the sheets, I just can't take it anymore.
What intervention takes priority:
Emergency staff meeting to develop plan
Place client on one to one
Ask them why they are feeling that way and if something happened
Administer prn medications to improve mood
one to one
When would you anticipate withdrawal symptoms to occur in an alcoholic?
Peaks 24-48
Onset 4-12 hours after cessation
After celebrating a 40th birthday and individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?
Maturational
Clients with this disorder worry all the time and find it difficult to control how much they worry.
What is Generalized Anxiety Disorder?
The underlying rationale for compulsions in a person with OCD is to:
decrease anxiety
Name 2 priority problems for the manic client
sleep
nutrition
thought
Patients with this may have consumed large doses of alcohol and have a high BAC yet continue to function in there routine jobs and tasks
What is tolerance