Resilience, the capacity to rebound from stressors via adaptive coping, is associated
with positive mental health. Your friend has just been laid off from their job. Which of the
following responses on your part would most likely contribute to their enhance
resilience?
A. Using your connections to set up an interview with your employer.
B. connecting him with a friend of the family, who owns his own business.
C. Supporting him in arranging, preparing for, and completing multiple interviews.
D. Helping him to understand that the layoff resulted from troubles in the economy, and
is not his fault. - Answer C
Which of the following situations best supports the diathesis stress model of mental
illness development?
A. The rate of suicide increases during times of national disaster and despair.
B. A woman feels mildly anxious when asked to speak to a large group of people.
C. A man with no prior mental health problems experiences sadness after his divorce.
D. A man develops schizophrenia, but his identical twin remains free of mental illness. -
Answer D
Of the following statements about mental illness, identify all of the correct ones.
A. About 20% of Canadians experience a mental disorder during their lifetime.
B. Mental disorders and diagnosis occur very consistently across cultures.
C. Most serious mental illnesses are psychological, rather than biological in nature.
D. The mental health commission of Canada's report changing directions changing lives
outlines of mental health strategy for Canada. - Answer A, D
Jane is a 32-year-old mother of four. She's active with her family and in her community
despite having a diagnosis of severe anxiety. Referred to the mental health, mental
illness continuum shown in figure 1.2 and consider where You Would Place jane
A. Optimal mental health with mental illness.
,B. Optimal mental health without mental illness.
C. Poor mental health with mental illness.
D. Poor mental health without mental illness. - Answer A
Which of the following actions represent the primary focus of psychiatric nursing for
basic level registered nurse? select all that apply
A. Determining a patient's diagnosis according to the DSM five.
B. Ordering diagnostic tests such as EEG or MRI scans
C. Identifying how a patient is coping with a symptoms such as hallucinations.
D. Guiding a patient to learn and use a variety of stress management techniques.
E. Helping a patient without personal transportation find a way to their treatment
appointments.
F. Collecting petition signatures seeking the removal of stigmatizing images on
television. - Answer C, D, E, F
The nurse is assessing a six-year-old patient. When assessing a child perception of a
difficult issue, which methods of assessment are appropriate? Select all that apply.
A. Engage the child in a specific therapeutic game.
B. Ask the child to draw a picture.
C. Provide the child with an anatomically correct doll to act out the story.
D. Allow the child to tell a story. - Answer A,B,C,D
Which are the purposes of a thorough mental health nursing assessment? SATA
A. Establish a rapport between the nurses and the pt.
B. Assess for risk factors affecting the safety of the pt. or others
C. Allow the nurse to provide counselling to the pt.
D. Identify the nurses goals for treatment
E. Formulate a plan of care - Answer A,B,E
The nurse is performing a spiritual assessment on a patient. Which pt statement would
indicate to the nurse that there is an experiential concern in the pts spiritual life ?
A. "I really believe that my spouse loves me."
B. "My sister will never forgive me for what I did"
, C. " I try to find time every day to pray, even though its not easy"
D. I am happy with my lfe choices, even if my mother is not" - Answer B
The nurse is caring for a pt who states that he has given up on life. His wife left him,he
was fired from his job, is four payments behind on his mortgage, meaning he will soon
lose his house. Which nursing diagnosis is appropriate?
A. Anxiety related to multiple losses
B. Defensive coping related to multiple losses.
C. Ineffective denial related to multiple losses
D. Hopelessness related to multiple losses - Answer D
The nurse is documenting. Which statement is appropriate to include in a patients chart.
a. Pt states "I am going to end my life."
b. "Pt is in good spirits today"
c. "pt has been nasty to nursing staff this afternoon"
d. "pt is demanding and uncooperative" - Answer A
Which of the following statements would be appropriate during the orientation phase of
a nurse-pt relationship. SATA
a. "my name is sarah, and I'm a student nurse here to learn about mental health"
b. I will be here every thursday from 8am to noon if you would like to talk"
c. Tell me what you think would be best to help you cope with the loss of your wife"
d. "lets talk today on how our plan for improving your sleep has been working".
e. "we will meet weekly for one hour, during which we will discuss how to meet your
goals"
f. "being home alone while your wife was hospitalized must have been very difficult for
you" - Answer A,B,E,F
1. You have been working closely with a patient for the past month. Today, he tells you
he is looking forward to meeting with his new psychiatrist but frowns and avoids eye
contact while reporting this to you. Which of the following responses would most likely
be therapeutic?
A. "A new psychiatrist is a chance to start fresh. I'm sure it will go well for you."
B. "You say you look forward to the meeting, but you appear anxious or unhappy."
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