Q&A Hero

Q: The psychiatric"mental health nurse understands that the philosophy underlying humanistic practice means which of the following?1. Nurses must develop interests related to human beings, wherever they live and whatever their status or culture, in order to work for change within social and political systems.2. The nurse must be cautious about empowering clients as they may make poor choices that impede their progress.3. The model for intervention and change requires that the nurse feel comfortable confronting clients when they resist treatment goals.4. Client and family education about the mental disorder and its treatment must be provided only when clients are stable enough to accept their illness.

Q: When planning care for clients on the mental health unit, the nurse using principles of humanism would consider which of the following?1. Clinical interventions are most effective when they focus on the current actions, feelings, and concerns of clients.2. Clients rely on providers to develop solutions for their problems.3. Emotional stress has a relationship to physical symptoms.4. The mind"body relationship focuses on biological explanations of illness.

Q: Which statement best describes a holistic-interactional approach to nursing care for clients with mental disorders?1. "Clients with psychotic symptoms rarely indicate an interest in creative activities."2. "Medication is the only treatment required to manage affective symptoms for clients with mood disorders."3. "Developing comfortable relationships with clinicians is the major factor in maintaining mental health."4. "I always try to understand the complex relationship between a client's psychobiologic health and expressions of self-esteem."

Q: The nurse received the change-of-shift report on a 74-year-old woman admitted for depression. She has aphasia from a recent stroke and communicates minimally by using pencil and paper. Her college-age grandson moved in with her to help with meals and household chores and a home health aide provides daily assistance with ADLs and medications. For the past week, she has refused to bathe, eats poorly, and has stopped writing. Which of the following statements best demonstrates that the nurse has the ability to plan holistic care for this client?1. The client's psychobiologic health, rehabilitation, self-care potential, and discharge arrangements are interrelated.2. Reliance on the grandson and home health aide have decreased her feelings of self-worth and caused this episode of depression.3. The client's quality of life and prognosis are primarily related to her aphasia and inability to communicate.4. Sudden life changes, such as a stroke, usually lead to depression in older clients.

Q: A grieving widow tells a psychiatric"mental health nurse, "I feel so tired and alone." The nurse who incorporates an understanding of symbolic interactionism in practice would not suggest which of the following to the client?1. "You had a terrible loss. Feeling tired and alone must be very difficult for you."2. "I would like to hear more about how you are feeling now."3. "Try to get plenty of rest. Most people who suffer losses like yours need more sleep than usual to cope effectively."4. "You seem sad. Can I sit with you for a while?"

Q: Concepts of interactionism are evidenced in which of the following statements the nurse makes to the parent of an adolescent hospitalized for an overdose of cocaine and Valium?1. "Peer pressure is usually responsible for these accidental overdoses."2. "All behavior has meaning, so we will focus on trying to understand the meaning of the drug use as well as the occurrence of overdose."3. "Use of Valium probably means your child accidentally overdosed by trying to treat the effects of cocaine."4. "Adolescence is such a painful time. Rehabilitation programs give kids a chance to get away from their everyday pressures."

Q: Which statement indicates the psychiatric"mental health nurse understands the basic principles of symbolic interactionism in working with clients?1. "Clients with mental disorders are unlikely to understand the personal meaning of their experiences."2. "I try to avoid interventions that ignore the personal meaning of experiences to my clients."3. "Clients with altered brain chemistry need frequent reassurance that they should not worry about their condition."4. "After my first year of working in mental health, I was able to develop standardized interventions for clients with the same diagnoses."

Q: Which of the following professionals would be most helpful in providing interdisciplinary supervision regarding specific culture-bound syndromes that interfere with the therapeutic nurse"client relationship? 1. Religious consultant 2. Ethnic consultant 3. Psychologist 4. Psychiatrist

Q: A client who grew up with alcoholic parents is reluctant to discuss thoughts, feelings, and self-defeating behaviors with the nurse. Which of the following responses by the nurse would be most helpful? 1. "We don"t have to talk about your feelings if you don"t want to. Let's discuss the behaviors you would like to change." 2. "Some clients who were raised in alcoholic families are reluctant to discuss their feelings. How has this impacted you?" 3. "I understand that you are not used to discussing your feelings; however, we can"t continue unless you open up to me." 4. "I understand that opening up to others is difficult for you, but you need to change your view about discussing family issues with me."

Q: Establishing and maintaining the therapeutic nurse"client relationship differs according to the client's cultural background. The nurse is guided by knowledge of which of the following? 1. A client's religious beliefs may interfere with constructive change. 2. Alternative values should always be discussed with the client. 3. Clients who believe family problems should not be discussed with strangers should not be coaxed into doing so. 4. Exploring religious beliefs with the client is not recommended.

Q: The nurse educator is reviewing a student's care plan. Which of the following nursing diagnoses would not be appropriate to include when a patient experiences regressive behavior during the termination phase of the nurse"client relationship? 1. Ineffective Coping 2. Self-care Deficit 3. Powerlessness 4. Knowledge Deficit

Q: The nurse notices that a client is unable to control anger when criticized during a group meeting, even though the client had been able to do this effectively for several weeks. Which of the following interventions would be most appropriate in the nurse's next one-to-one therapeutic session with the client? 1. Encourage the client to express responses to criticism freely. 2. Insist the client take a "time-out" until anger is back under control. 3. Offer the client a PRN dose of ziprasidone (Geodon). 4. Encourage a detailed exploration of how the client reacts to criticism.

Q: The nurse is working with a client who started therapy after losing his wife in an automobile accident. Which of the following client behaviors indicates he is ready to terminate the therapeutic nurse-client relationship? Standard Text: Select all that apply. 1. Initial client treatment goals have been accomplished. 2. Symptoms no longer interfere with the client's comfort. 3. The client refuses to change due to unresolved resistances. 4. Dissatisfaction with interpersonal relationships is expressed. 5. Client well-being and satisfaction is dependent upon the nurse.

Q: The nurse has been working with a depressed client for several months. Which of the following signs would indicate that an ineffective working relationship has evolved between the client and the nurse? 1. The client's sense of relaxation and confidence with the nurse 2. The nurse's and client's sense of commitment to addressing the client's problems 3. The nurse's sense of the client's severe dysfunction that cannot result in client growth 4. The nurse's sense of making contact with the client

Q: A client states that he is unhappy in his marriage and has felt miserable for several years. Which of the following client responses would indicate that the nurse's response to the "theme" of marital distress was most effective? 1. "I guess you"re right; I should start thinking about a divorce." 2. "I feel so depressed all the time. I don"t know what to do or who to turn to." 3. "I never thought about her cheating on me before; do you think that's possible?" 4. "I guess we"ve stayed together all these years because of the children."

Q: A client states that she is unhappy and miserable in her marriage and has been for several years. Which of the following responses indicates the nurse is tuning in to the process of the client's interaction rather than the content? 1. "Do you have any children from this marriage?" 2. "How long have you been married?" 3. "It sounds like you have been miserable for quite some time." 4. "Has your husband ever cheated on you?"

Q: During the initial interview with a client, the nurse notices that the client changes the topic when the subject of the client's marital relationship is approached. The nurse is guided by the knowledge of which of the following? 1. Discussion of sensitive issues should only occur in the working phase. 2. Formulation of nursing diagnoses should be avoided until all essential data is obtained. 3. Information that is avoided or omitted is often more crucial than what is shared. 4. Avoidance of a topic is a sign of resistance that will disappear when initial anxiety is decreased.

Q: Which of the following statements by the nurse may prevent successful separation between client and nurse at the end of a therapeutic one-to-one relationship? 1. "I"m going to miss our sessions together, but I think you"re ready to handle difficult situations on your own." 2. "I think two or three more sessions are necessary for you to develop more confidence in using this new coping skill effectively." 3. "I"m skeptical of your ability to assert yourself when new conflicts occur in future relationships, so be careful." 4. "I suggest you contact me if you experience any new crisis that you feel unprepared to deal with on your own."

Q: The nurse is assessing a client's current progress in the nurse"client relationship. Which of the following behaviors would indicate to the nurse that the client is beginning the termination phase of the nurse"client relationship? 1. The client verbalizes willingness to change ineffective coping patterns and self-defeating behaviors. 2. The client expresses awareness of potential causes of dysfunctional behavioral patterns. 3. The client uses effective problem-solving strategies on a daily basis. 4. The client requests clarification of the roles and responsibilities in relationship work.

Q: The nurse educator is teaching a group of students about the phases of the nurse"client relationship. Which of the following objectives does the educator include as indicative of the working phase of the nurse"client relationship? 1. Client accomplishments are honestly evaluated. 2. Plans for follow-up are clearly arranged. 3. Client behaviors and response patterns are openly analyzed. 4. Roles and responsibilities of the client are explicitly defined.

Q: The nurse and client have moved from the orientation phase to the working phase of the nurse-client relationship. Which of the following nursing strategies would assist the client to make constructive changes in a dysfunctional response pattern that is occurring during the early working phase of the nurse"client relationship? 1. Teach the client specific problem-solving strategies. 2. Determine a time and place for working on constructive changes. 3. Remind the client that constructive changes are expected before discharge occurs. 4. Reassure the client that confidentiality will be maintained.

Q: The nurse is in the orientation phase of the nurse"client relationship with the client. Which of the following questions would the nurse commonly ask in this phase? 1. "Which of your behaviors cause you the most problems in relationships with others? 2. "What would you like to accomplish in the time we spend together?" 3. "What is the most satisfying accomplishment you feel you have made in your relationships with others?" 4. "How would you describe your relationships with members of your family?"

Q: The nurse is planning care for a new patient admitted to the behavioral health unit. Which of the following activities can the nurse expect to occur in the orientation phase of a therapeutic nurse"client relationship? 1. Explore in-depth how the client relates to others. 2. Emphasize growth and positive aspects of the relationship. 3. Discuss with the client how to work together toward a common goal. 4. Identify dysfunctional client thoughts and emotional patterns.

Q: The nurse is working with a client in the dayroom. Which of the following behavioral cues by the nurse may indicate a countertransference reaction? 1. Annoyance and hostility toward a client 2. Ordinary concern for the client 3. Feeling comfortable after meeting with the client 4. Thinking about the interaction after meeting with a client

Q: A client familiar to the nurse is grief-stricken and in tears after learning that his wife has decided to file for divorce and sue for full custody of their children. Which of the following actions by the nurse are appropriate? Standard Text: Select all that apply. 1. Wiping away the client's tears without permission 2. Asking the client if it is okay to give him a hug 3. Holding the client's hand with his permission 4. Patting the client on the shoulder and offering reassurance

Q: A client is proud of a recent breakthrough in his ability to control his anger when another client had criticized his behavior. The nurse shakes the client's hand and praises him on his accomplishment. How should this nurse's behavior be interpreted? 1. This gesture is inappropriate because it could seem condescending to the client. 2. This gesture is appropriately timed and suitable in this situation. 3. The use of touch is inappropriate with any client no matter the reason. 4. The use of touch may be perceived as a sexual overture in this situation.

Q: A client who is being discharged offers the nurse a ceramic bowl made during hospitalization as a symbol of the open "vessel" the client has become for accepting new ideas. What is the best response by the nurse? 1. "This is a beautiful gesture, I will place it in the day room for everyone to enjoy." 2. "I wish I could accept this, but you know I"m not allowed to." 3. "Let me pay you for this. I don"t feel I should just accept it after all the hard work you put into it." 4. "You worked very hard on becoming receptive to new ideas this past month; I would be honored to accept this symbol of your progress."

Q: During the orientation phase of the nurse"client relationship, the client presents the nurse with a framed picture that was painted during recreational therapy. What is the best response by the nurse? 1. "I"m sorry but I"m not allowed to accept any gifts from clients." 2. "How thoughtful; I"ll take this home with me so I will be reminded of you every time I see it." 3. "Let's examine your motives for trying to "bribe" me with this picture." 4. "That's a lovely picture; let's put it in the day room for everyone to enjoy."

Q: The nurse is working with a client who appears unwilling to explore a specific topic during the working phase of the therapeutic relationship, by continually changing the subject. Which of the following nursing strategies would be most helpful? 1. Clarify the client's refusal to explore the topic by labeling it as resistance. 2. Accept the client's refusal to talk about the topic by changing the subject. 3. Allow the client to decide the appropriate time to explore the topic. 4. Insist the client discuss the topic by examining the origin of the behavior.

Q: The nurse is working with a client who has demonstrated an unwillingness to change self-defeating behaviors. The nurse determines that the patient is exhibiting resistance. Which of the following phenomena are forms of client resistance? Standard Text: Select all that apply. 1. Overdisclosure 2. Negative transference 3. Acting-out 4. Countertransference 5. Positive transference

Q: The nurse suspects a client is unwilling to demonstrate self-sufficiency or independence in the therapeutic relationship when the client says, "You are the only person I can talk to or trust. Let's go out to dinner tonight so we can spend more time together." Which one of the following nurse responses is most appropriate in this situation? 1. "I sense we are beginning to make real progress; I think that's a great idea." 2. "Maybe some other time, but right now I"m involved in a significant relationship and don"t feel right about meeting you for dinner." 3. "I sense you"ve become too dependent on this relationship; let's examine your feelings toward me." 4. "You"ve become too dependent on me, so I will have to terminate our relationship."

Q: The nurse is working with the client to identify self-defeating thoughts, feelings, and behaviors. Which behavior by the client does the nurse identify as resistance to the therapeutic process? 1. Changing the subject when asked to explore a specific topic 2. Becoming silent when asked to identify unhealthy behaviors 3. Sharing feelings, fantasies and motives with the nurse 4. Changing behavior outside of the one-to-one therapeutic relationship

Q: The nurse is explaining the nurse"client relationship to a client in their first formal counseling session. Which of the following characteristics should the nurse describe as part of this one-to-one relationship? Standard Text: Select all that apply. 1. Sympathetic 2. Shared dignity 3. Harmonious 4. Mutually defined 5. Goal directed

Q: A nursing student asks the nurse educator the differences between social and professional relationships. The nurse educator knows that the defining characteristic of a professional relationship is which of the following? 1. Can be either spontaneous or planned 2. Is the only relationship where roles are defined 3. Requires more planning, consistency, and time 4. Does not address the personal needs of the nurse

Q: An experienced nurse is describing the characteristics of a therapeutic one-to-one relationship to a nursing student. Which of the following is the most accurate description? 1. The relationship between the nurse and client is reciprocal. 2. The nursing process is the cornerstone of the relationship. 3. The essential feature of the relationship is a therapeutic alliance. 4. The nurse must meet the client's needs throughout the relationship.

Q: The nurse is establishing a therapeutic alliance with a new client. Which of the following behaviors would enhance the development of a therapeutic one-to-one relationship? 1. Specifically defining emotional and social goals for the client 2. Eagerly encouraging the client to communicate on a superficial level 3. Instinctively sharing personal experiences with the client 4. Spontaneously assisting the client to identify thoughts and feelings

Q: The charge nurse has just given a presentation about the importance of practicing self-care. Which of the following staff behaviors will the nurse find concerning?1. Giving feedback to a fellow staff member about derogatory comments2. Requesting to be alone during break time3. Calling the unit on days off to inquire about clients' progress4. Verbalizing feelings about a client's situation

Q: A nurse is seeking consultation on strategies to cope with the potential for burnout while working on a psychiatric unit. Which of the following strategies demonstrates the nurse's ability to reduce the occurrence of burnout?1. Focus on paperwork when the stress of listening to the clients becomes too much.2. Pursue personal needs for social interactions during days off.3. Take breaks often to relieve internal stress signals.4. Maintain an accurate awareness of each client's needs throughout inpatient stays.

Q: The nurse has just taken a continuing education class on assertive communication techniques. Which response best demonstrates that the nurse understands assertive behavior?1. "No, I cannot work for you on Sunday."2. "Yes, they always ignore staff requests."3. "It would be selfish to ask for time off."4. "I will demand a change in my schedule."

Q: During a staff meeting, a nurse makes the following remark about the clients on the unit, "These clients are just trying to avoid the problems of life. They just need to go out and work." Which of the following responses best demonstrates the charge nurse's respectful attitude toward this nurse?1. "I agree that most clients are just avoiding life, but our mission is to provide care."2. "It is not our responsibility to determine whether clients have problems or not."3. "You seem to be having trouble accepting the fact that clients can lose emotional control of their lives. Why don"t we talk about this as a group?"4. "When you say that our clients are just avoiding life problems, it sounds like you are frustrated by the needs our clients express. Am I hearing you correctly?"

Q: A family member caring for a relative with dementia complains of exhaustion. Which of the following responses best conveys respect for this family member's situation?1. "It sounds like your home situation is too demanding. What about seeking individual therapy to cope with your issues?"2. "I experienced the same thing with my mother. What about getting a housekeeper?"3. "Caring for a person with dementia is too much for one person. You should place your relative in a nursing home."4. "It sounds like you are overwhelmed. You may benefit from respite care services."

Q: The nurse is caring for a newly admitted client who has not showered in several days and emits an offensive odor. Which of the following actions best conveys respect for the client?1. Assess the client's abilities and needs related to performing self-care.2. Be honest with the client about how his or her appearance affects others.3. Explain unit expectations regarding activities of daily living to the client.4. Ignore the client's body odor to minimize causing humiliation.

Q: The nurse is planning care for a client who has been withdrawn and isolated for the last three days. Which action will best demonstrate the nurse's empathy for this client?1. Encourage the client's attendance and participation in groups.2. Focus on the client's strengths to enhance self-esteem.3. Explore the client's feelings of anger related to powerlessness.4. Approach the client regularly and spend time with the client.

Q: A woman has been living in a shelter with her children after escaping her abusive husband. Her move-out date is getting closer. She states, "I"m afraid to leave here. I"m afraid for my safety and the safety of my children." Which response by the nurse most accurately conveys empathy?1. "Even though you are scared, it's the policy that you have to leave. It's unfortunate, but there's nothing I can do."2. "We learned your husband has moved out of state. I don"t think you have anything to worry about now."3. "This is a difficult and scary transition. Let's work on developing a plan to keep you and your family safe."4. "You"ve had a month to come up with a plan for keeping you and your family safe. Let's review your options."

Q: An adolescent who is pregnant asks the nurse on the psychiatric unit, "Do you think I should give my baby up for adoption?" Which of the following responses best reflects the nurse's empathy?1. "Why would you want to give the baby up for adoption?"2. "What do you feel would be the best thing for you to do?"3. "It seems you will feel guilty if you gave your baby away."4. "It would probably be best for you and the baby."

Q: A female client has made the decision to leave her husband, who abuses alcohol. She states she is very depressed. Which of the following statements best demonstrates the nurse's empathy?1. "I know you are feeling very depressed right now. I felt the same way when I left my husband. From my experience, you are doing the right thing."2. "I can understand that you are feeling depressed right now. It must have been a very difficult decision to make. I"ll sit here with you for a while."3. "I am very sorry you are going through this difficult time. I wish things could be different."4. "It is sad thing to break up a marriage. It's a shame that it didn't work out for you."

Q: The nurse is interviewing a Native American client who acknowledges seeing "spirits." Which of the following actions will be most important for the nurse to take to assist in assessing this client's symptoms?1. Carefully question the client's family to prevent aggravating this symptom.2. Observe the client's behavior to determine how the client expresses this symptom.3. Consult the physician regarding how best to evaluate this symptom.4. Obtain a profile of the client's cultural norms on which to interpret this symptom.

Q: The nurse is planning care for an Asian client who is Buddhist. Which of the following actions is most important for the nurse to take to provide culturally relevant mental health care?1. Explain western medical ideas to assist cultural adaptation.2. Develop a thorough understanding of Buddhist religion.3. Seek clarification of this client's health beliefs.4. Use standard nursing interventions for this client.

Q: The nurse is admitting a client who is from Kenya to the psychiatric unit. Which of the following actions will demonstrate cultural competence?1. Arrange for an interpreter to assist.2. Ask a family member to stay during the assessment interview.3. Follow the admission assessment form.4. Talk with the client to determine fluency in English.

Q: A nurse is taking a class on providing culturally competent care for clients with severe mental illnesses. Which response best reflects the nurse's self-awareness of the sociocultural factors influencing his or her beliefs?1. "When I was growing up, my parents believed that mental illnesses were the work of evil spirits."2. "All that I need to understand about the culture of mental illness is available on the Internet."3. "My father was a psychiatrist, so I am very knowledgeable about how to work with mental illnesses."4. "I have been through therapy, so I know what to expect from clients with mental illnesses."

Q: The nurse is caring for a client with depression who is withdrawn. Which of the following statements suggests that the nurse is able to challenge his or her dogmatic beliefs?1. "I understand that clients with depression have anger turned inward."2. "I realize that if clients would just change their negative thoughts, they wouldn"t be depressed."3. "I realize that clients with depression are not just avoiding their problems."4. "I understand that if clients would just develop strong interests, they wouldn"t be depressed."

Q: The nurse is working with a client who becomes upset and tells the nurse, "I"ve decided to give up on finishing my bachelor's degree." Which response best reflects the nurse's belief that the client is able to find the solution to this concern?1. "You don"t need to make a decision about this right now."2. "It is probably too much for you to handle right now."3. "If you put your mind to it, you could finish the program."4. "It sounds like you feel it is too much for you to finish now."

Q: The nurse is writing a care plan for a client with schizophrenia. Which of the following interventions demonstrates that the nurse is working from the Medical model?1. The nurse will ask the client to identify responsible ways to manage delusional material.2. The client will learn about the therapeutic effects of medications.3. The nurse will teach the client appropriate social behaviors in group and one-on-one interactions.4. The client will learn techniques that will interrupt hallucinations.

Q: A nurse is working with a client who was admitted for treatment of bipolar disorder. The client asks the nurse if it is "OK" to pray for recovery. Which response best conveys the nurse's ability to be a spiritual activist for the client?1. "Clients in psychiatric hospitals often experience spiritual crises that require prayer."2. "It's acceptable for clients to pray in the hospital chapel."3. "Spiritual practices, such as praying, can nurture one's spirit and enhance healing."4. "It's not advisable to focus only on prayer as a means to recovery."

Q: The charge nurse is reviewing the care plans for the clients on the unit. In several care plans, the nurse has noted that the words noncompliant and manipulative have been used to describe those clients with severe mental illness. The nurse plans on discussing this with the staff at the next unit meeting. Which of the following responses will demonstrate the charge nurse's personal accountability to the staff?1. "If you use these terms regularly, you will need to reassess your reasons for working in psychiatric settings."2. "Does the use of these terms reflect an underlying level of stress on the unit that I should be aware of?"3. "While these terms might be accurate, they are not appropriate to use in a care plan."4. "How might these terms reflect negativity and stigma towards persons with mental illness?"

Q: The nurse is seeking supervision regarding the use of self-disclosure with a client who has anxiety. Which response by the nurse most accurately reflects an understanding of the therapeutic use of self-disclosure?1. "There are really few circumstances in which it is appropriate for nurses to use self-disclosure with clients."2. "Nurses who disclose personal information must first undergo psychotherapy to prevent over-disclosure."3. "I can use self-disclosure with any client as long as it doesn"t take the focus away from the client."4. "I will first ask myself whether what I am going to disclose meets the client's needs or just my own needs."

Q: The nurse is caring for a client who repeatedly talks about the role of spirituality in curing depression. Which approach best demonstrates the nurse's acceptance of the client?1. Listen to the client in a supportive manner.2. Share opinions regarding the role of spirituality in daily life.3. Encourage the client to consider other curative factors.4. Ignore the client's focus on spirituality.

Q: The nurse finds the client crying in the room. The client states, "I"m so sad and lonely. I"m sitting here crying like a baby." Which of the following responses best reflects the nurse's sensitivity toward the client?1. "Why don"t you come to the dayroom to be with others?"2. "Are you feeling embarrassed because you are crying?"3. "Don"t worry about crying. I think you are a fine person."4. "It's a gray, rainy day. A lot of clients are feeling sad."

Q: The nurse is caring for a client with depression. Which nursing intervention best demonstrates the nurse's availability to the client?1. Let the client know that time heals all sorrow.2. Provide privacy when interviewing the client.3. Be honest with the client about medication effects.4. Assist the client with the activities of daily living.

Q: A client comes to the nurse's station yelling, "I have to call the FBI. The bombs are set to destroy Washington, D.C. at 1:00 p.m. Please help me. It will be your fault if I don"t call." Which intervention best demonstrates the nurse's sensitivity?1. Assist the client to become aware that this is a delusional belief.2. Listen carefully for the underlying emotion expressed by the client's request.3. Share your concerns that the client's request is unreasonable.4. Switch the topic of conversation to defuse the client's underlying agitation.

Q: The client says to the nurse, "It's my right to refuse medications." Which statement best reflects the nurse's ability to create a mutual understanding?1. "Refusing your medications is your right, but it won"t get you out of here."2. "Can you tell me why you"re so angry that you will refuse your medications?"3. "Can you tell me what concerns you have about medications?"4. "If you refuse your medications, you will just get sick again."

Q: A client approaches the nurse grimacing, talking in a whisper, and waving his arms. Which of the following actions best demonstrates the nurse's ability to develop a therapeutic relationship?1. Greet the client by name to demonstrate caring.2. Assist the client to leave the area to prevent distress to others.3. Ignore the client to convey disapproval of the behavior.4. Confront the client about the behavior to encourage insight.

Q: The nurse educator is teaching a group of students about psychiatric"mental health nursing concepts. Which intervention best demonstrates practicing with the concept known as detached concern?1. Sharing personal beliefs and opinions in order to enhance connection with the client2. Providing a critical perspective of the client's feelings3. Setting rigid boundaries to separate the nurse's experience from the client's4. Sitting quietly with a client who is sobbing uncontrollably

Q: The nurse has just received a report on a new client admitted for depression. The client has severe cerebral palsy, communicates only with a computer, and is quadriplegic. Which of the following statements best demonstrates that the nurse has the ability to respond to this client?1. "I will read the record and talk with the physician to understand the client's disabilities."2. "It is important to interview the client's family before I meet the client."3. "This assignment may be a challenge for me and I will need to be aware of my feelings and any potential fears related to caring for this client."4. "The first thing I will do is thoroughly assess the client's needs and abilities."

Q: The nurse receives the shift report on a newly admitted client with a history of drug abuse and prostitution. Prior to hospitalization, the client's parental rights were terminated. Which of the following actions best demonstrates the nurse's ability to enhance self-knowledge?1. The nurse will examine his or her own feelings with regard to this client.2. The nurse will ignore the challenge to his or her self-view.3. The nurse will ask for guidance from the charge nurse.4. The nurse will review the current literature pertaining to drug addiction.

Q: A nurse has completed orientation to a locked psychiatric unit. Which statement best demonstrates that the nurse is prepared to fulfill the professional role? 1. "I took a course in self-defense so I can take care of myself." 2. "I will ask for support from colleagues when I need it." 3. "I know there is a fine line between the clients and the staff." 4. "I can maintain proper distance by engaging in therapeutic interventions."

Q: When planning nursing care, the nurse understands that the main value of having knowledge of a variety of nursing theories is to be able to do which of the following? 1. Promote consideration and use of nursing research. 2. Build the skill and effectiveness of the nurse's practice. 3. Enhance collaboration and understanding between the nurse and the mental health care team. 4. Implement individualized nursing interventions depending on what is best for the client's situation.

Q: If the nurse is using the nursing theory that has shaped psychiatric"mental health most directly, which nursing action is priority? 1. Assessing the client's abilities in areas of self-care 2. Teaching effective coping skills 3. Establishing a therapeutic nurse"client relationship 4. Encouraging the client's sensitivity and caring for self

Q: The nursing student asks the nurse the reason that knowledge of nursing theories is important. The nurse should respond that nurses use nursing theories to do which of the following? Standard Text: Select all that apply. 1. Organize assessment data. 2. Generate goals. 3. Evaluate outcomes. 4. Plan interventions. 5. Generate nursing actions.

Q: Upon the client's arrival on the patient care unit, the nurse begins implementation of the nursing process. Of which nursing theorist should the nurse's practice be most reflective? 1. Ida Jean Orlando 2. Jean Watson 3. Dorothea Orem 4. Hildegard Peplau

Q: The unit manager is consistently advocating for self-awareness among the psychiatric"mental health nursing staff in order to promote quality care. From which theoretical base is the unit manager operating? 1. Jean Watson's theory of human caring 2. Dorothea Orem's theory of self-care 3. Martha Rogers's principles of homeodynamics 4. Sister Callista Roy's adaptation theory

Q: The psychiatric"mental health nurse is asked to develop an intervention for the nursing unit based on Watson's theory of caring. Given this assignment, which intervention is most appropriate for the nurse to implement? 1. One-to-one debriefing sessions each week with individual unit nurses and the unit manager 2. Clarification of values and cultural beliefs that might pose barriers to caring for clients 3. Identification of additional coping skills for new nurses on the unit 4. Discussion of the impact of recent changes in hospital policy on the nursing staff

Q: If psychiatric nurses used Orem's theory for structuring much of their nursing practice, a major focus area for assessment would be the client's ability to do which of the following? 1. Adapt and function to meet various role expectations. 2. Care about self and participate in self-healing. 3. Implement self-care to meet psychosocial needs. 4. Enter into a therapeutic one-to-one relationship with the nurse.

Q: While caring for the client with a mental illness, which action by the psychiatric"mental health nurse best indicates use of Hildegard Peplau's nursing theory? 1. Establishing a therapeutic nurse-client relationship 2. Intervening to enhance the client's abilities to perform self-care 3. Assessing client's interactions with their environment 4. Evaluating the effectiveness of the client's coping and adaptation skills

Q: The psychiatric-mental health nurse is planning a personal program of continuing education to better meet the challenges of the future in psychiatric nursing practice. What areas should be included in the nurse's plan for continuing education? Standard Text: Select all that apply. 1. Psychiatric nursing care in nontraditional settings 2. Psychopharmacology 3. Genetic research 4. Psychobiology 5. Physical health of psychiatric clients

Q: The nurse is writing a scholarly paper on early nursing leaders who made major contributions to the development of the multifaceted psychiatric nursing role of today. The nurse should include which of the following nurses when writing the paper? Standard Text: Select all that apply. 1. Florence Nightingale 2. Frances Sleeper 3. Linda Richards 4. Gwen Tudor (Will) 5. Hildegard Peplau

Q: The nursing student is asked which historical event was most significant in the development of psychiatric nursing as a specialty and psychotherapeutic roles for nurses. Which response by the nursing student indicates understanding of important events related to development of the psychiatric nursing role? 1. Release of the report Nursing for the Future 2. Passage of the Community Mental Health Centers Act 3. Publication of Commonsense Psychiatry 4. Passage of the National Mental Health Act

Q: On which dimension would the nurse most likely focus data collection if the nurse was assessing the client from primarily a 19th century perspective? 1. Spiritual 2. Physical 3. Social 4. Emotional

Q: The nurse is reflecting on psychiatric nursing care in the 19th century. Which nursing diagnosis is most consistent with the focus of psychiatric nursing care during the 19th century? 1. Ineffective individual coping 2. Self-care deficit 3. Anxiety 4. Altered thought processes

Q: The nurse planning a brief presentation about the "first American psychiatric nurse" will research which of the following? 1. Hildegard Peplau 2. Harriet Bailey 3. Linda Richards 4. Gwen Tudor (Will)