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Foundations of Mental Health Care, 7th Edition (Morrison-Valfre, 2021), 9780323661829 Chapter 1-33 | All Chapters with Answers and Rationals$17.99
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Test Bank For Foundations of Mental Health Care, 7th Edition
(Morrison-Valfre, 2021), 9780323661829 Chapter 1-33 | All
Chapters with Answers and Rationals
The nurse should first discuss terminating the nurse-client relationship with a client during which
phase?
1. Working phase, when the client initiates it
2. Orientation phase, when a contract is established
3. Working phase, when the client shows some progress
4. Termination phase, when discharge plans are being made - ANSWER: 2.
When the nurse and client agree to work together, a contract should be established and the length of
the relationship should be discussed in terms of its ultimate termination. The client may discuss
termination during the working phase; however, the subject should initially be discussed during the
orientation phase. Termination and discharge plans may be discussed more thoroughly during this
phase, but the subject should initially be discussed during the orientation phase.
(P. 611-614)
What is it imperative for a mental health nurse to prevent clients from doing?
1. Breaking contracts
2. Using delusional thinking
3. Harming themselves or others
4. Engaging further in hallucinatory thoughts or behaviors - ANSWER: 3.
The physical safety of the client and others is the priority. Although it is important for clients to avoid
breaking contracts, it is not imperative and cannot always be prevented. The nurse cannot control
clients' thinking and perceptions.
A client in the mental health clinic who has been seeing a therapist for more than 6 months begins to
talk and act like a therapist who is analyzing coworkers. What defense mechanism does the nurse
identify?
1. Undoing
2. Projection
3. Introjection
4. Intellectualization - ANSWER: 3.
Introjection is treating something outside the self as if it is actually inside the self; it is unconsciously
incorporating the wishes, values, and attitudes of another as if they were one's own.
Undoing is taking some action to counteract or make up for a wrongdoing.
Projection is attributing to another person or group one's own unacceptable attitudes or
characteristics.
Intellectualization is using logical explanations without feelings or an affective component.
(P. 274)
During group therapy, the working phase usually begins when the group displays what?
1. Cohesiveness
2. Confrontation
3. Imitative behavior
4. Corrective recapitulation - ANSWER: 1.
When the group becomes united (cohesive), the clients can feel accepted, valued, and part of the
group; this is the optimal time for the working phase to begin.
,Confrontation, imitative behavior, and corrective recapitulation all occur later in the working phase of
group process, not in the beginning.
(P. 611-614)
What is the priority outcome in the planning of care for a client in crisis?
1. Referring the client for occupational therapy
2. Arranging follow-up counseling for the client
3. Restoring the client's psychological equilibrium
4. Having the client work to gain insight into the problem - ANSWER: 3
Crisis intervention is short-term therapy with the major outcome of restoring the client to the
precrisis state.
Referring the client for occupational therapy is not an outcome, but an action to help achieve an
outcome; it is not part of crisis intervention.
Scheduling the client for follow-up counseling is not an outcome, but rather an intervention that may
be necessary if psychological equilibrium cannot be restored.
Having the client gain insight into the problem is not always necessary for a client to be able to
function effectively.
(P. 491-503)
Which psychotherapeutic theory uses hypnosis, dream interpretation, and free association as
methods to release repressed feelings?
1. Behaviorist model
2. Psychoanalytic model
3. Psychobiologic model
4. Social-interpersonal model - ANSWER: 2
PSYCHOANALYTIC MODEL - studies the unconscious and uses the strategies of hypnosis, dream
interpretation, and free association to encourage the release of repressed feelings. (P. 19/20)?
BEHAVIORIST MODEL - holds that the self and mental symptoms are learned behaviors that persist
because they are consciously rewarding to the individual; this model deals with behaviors on a
conscious level of awareness.
PSYCHOBIOLOGIC MODEL - views emotional and behavioral disturbances as stemming from a physical
disease; abnormal behavior is directly attributed to a disease process. This model deals with behaviors
on a conscious level of awareness.
SOCIAL-INTERPERSONAL MODEL - affirms that crucial social processes are involved in the
development and resolution of disturbed behavior; this model deals with behavior on a conscious
level of awareness.
What is the most important tool a nurse brings to the therapeutic nurse-client relationship?
1. The self and a desire to help
2. Knowledge of psychopathology
3. Advanced communication skills
4. Years of experience in psychiatric nursing - ANSWER: 1
The nurse brings to a therapeutic relationship the understanding of self and basic principles of
therapeutic communication; this is the unique aspect of the helping relationship.
- Knowledge of psychopathology, advanced communication skills, and years of experience in the field
all support the psychotherapeutic management model, but none is the most important tool used by
the nurse in a therapeutic relationship.
A mother and her 5-year-old daughter have been referred to a child advocacy center for a forensic
pediatric sexual examination. Before the child is examined or interviewed, the mother gives a detailed
history, relaying her suspicion that the child's maternal grandfather sexually assaulted her. As the
, interview progresses, the mother suddenly says, "My father sexually molested me when I was a child,
but I try not to think about it." What defense mechanism does the nurse recognize that the mother's
statement demonstrates?
1. Introjection
2. Suppression
3. Reaction formation
4. Passive aggression - ANSWER: 2
SUPPRESSION - voluntary refusal to admit an unacceptable idea or behavior.
INTROJECTION - the unconscious incorporation of wishes, values, and attitudes of others as if they
were one's own.
PASSIVE-AGGRESSIVE BEHAVIOR - is the expression of anger and hostility toward others in an indirect
and nonassertive way.
REACTION FORMATION - the exact opposite of an unconscious feeling.
(P. 274)
What is most important for the nurse to do to assist a couple to cope with their feelings about the
husband's terminal illness?
1. Referring the husband to a psychotherapist for help in dealing with his anger
2. Placing the couple in a couples' therapy group that addresses terminal illness
3. Helping the couple express to each other their feelings about his terminal illness
4. Encouraging the wife to verbalize her feelings to a therapist during individual therapy sessions -
ANSWER: 3
It is important for the couple to discuss their feelings to maintain open communication and support
each other.
- Referring the husband to the psychotherapist for help in dealing with his anger will not meet the
needs of this couple because it focuses only on the client's needs and ignores the partner's needs; in
addition, most psychotherapy is a long-term process.
- Placing the couple in a couples' therapy group that addresses terminal illness may be useful in the
future, but at this time it is premature; clients need to work through their own feelings first.
- Encouraging the wife to verbalize her feelings to a therapist during individual therapy sessions may
elicit feelings but will not improve communication between the husband and wife; this is a long-term
goal.
A nurse is counseling a recently widowed client, who says, "His death has complicated my life even
more than the hassles he caused when he was alive!" The nurse realizes the client is having difficulty
with the grieving process and concludes that the relationship with the husband was probably what?
1. Loving
2. Long-term
3. Ambivalent
4. Subservient - ANSWER: 3
If the relationship was AMBIVALENT, the surviving spouse now has feelings of both anger and guilt to
resolve.
LOVING relationship - evokes fewer feelings of guilt and is followed by a less complicated grieving
process.
lONG-TERM - length of the relationship seems to have little to do with the ease or difficulty in
completing the grieving process.
Individuals in the SUBSERVIENT role usually have learned to accept directions and either find a new
director or are relieved to have a chance to express their own feelings.
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