Which statement about mental health illness is accurate?
A) Mental illness is demonstrating irrational, illogical behaviour.
B) It is the inability to reach the level of love and belonging in Maslow's
hierarchy of needs.
C) Mental illness changes with culture, time in history, and the group defining
it.
D) It is a matter of individual nonconformity to social norms.
C) Mental illness changes with culture, time in history, and the group defining
it.
A client states she is returning to school next semester and has some concerns.
Which of the following would be considered the most therapeutic response by
the nurse?
A) Tell me more about your plan.
B) I think this is a wonderful idea.
C) Your parents will be proud.
D) Can you afford that.
A) Tell me more about that.
The client states his assigned nurse reminds him of his step aunt. This statement
is an example of what type of issue that can occur in the nurse-client
relationship?
A) Making a judgement.
B) Countertransference.
C) Transference.
D) Giving recognition.
C) Transference.
A client becomes agitated and shouts at the nurse, "If you come any closer, I
will hit you."
A) I am calling for assistance. You have until then to get it together.
B) You need to stay calm. You are responsible for your behavior.
C) I am not planning to come any closer. What is happening now?
D) I am going to get your medication. Try to relax while I am gone.
B) You need to stay calm. You are responsible for your behavior.
,A nurse is preparing to administer haloperidol 75mg IM per week. Available is
haloperidol 100mg/mL for injection. How many mL would the nurse administer
per dose? (round to the nearest tenth)
A) 0.75mL
B) 0.25mL
C) 0.1mL
D) 0.50mL
A) 0.75mL
A mental health technician asks the nurse, "How do psychiatrists determine
which diagnosis to give a client?" Which is the nurse's best response?
A) Psychiatrists use criteria from the APA's diagnostic and statistical manual of
mental disorders (DSM).
B) Psychiatrists use one of the 10 diagnostic labels from the American medical
association.
C) Psychiatrists make diagnoses solely based on the clients behaviors and other
factors.
D) Psychiatrists are required to follow hospital policy to diagnose mental
disorders.
A) Psychiatrists use criteria from the APAs diagnostic and statistical manual of
mental disorders (DSM).
What is the situation in which the health insurance portability and
accountability act (HIPPA) rule can be breached?
A) Informing the clients family when the client is threatening self-harm.
B) A duty to warn a client's potential victims of harm.
C) After the client harms others, this law does not apply.
D) Informing the spiritual counselor of the clients desire for self-harm.
B) A duty to warn a client's potential victims of harm.
An adult client is grieving about the loss of his spouse. Which statement by the
client would warrant immediate nursing intervention?
A) I often feel a tightness throughout my body.
B) I would be better off dead.
C) I feel so guilty about her death.
D) What causes my constant headaches?
B) I would be better off dead.
A client admitted to the in-patient psychiatric hospital wants to try a holistic
approach to her treatment instead of the providers suggested plan. The nurse
will talk to the provider about the holistic treatment being incorporated into her
care. Which ethical principles is the nurse providing?
, A) Advocating for the client.
B) Ensuring the client has the best care.
C) Maintaining loyalty to the client.
D) Educating the client regarding the importance of treatment plan laid out.
A) Advocating for the client.
Which of the following terms could be used to describe and document a client's
mood on a mental health assessment? (Select All That Apply)
A) Depressed.
B) Labile.
C) Stupor.
D) Irritable.
A) Depressed
C) Stupor
D) Irritable
During a nurse- client interaction. The nurse becomes uncomfortable. Which of
the following would represent the use of non-therapeutic response? (Select All
That Apply)
A) The nurse falsely reassures the client.
B) The nurse changes the subject.
C) The nurse uses silence to allow client to gather thoughts.
D) The nurse uses exploring to understand the client's feelings.
E) The nurse uses probing.
A) The nurse falsely reassures the client.
B) The nurse changes the subject.
E) The nurse uses probing.
A client receiving cognitive behavior therapy (CBT) is being introduced to the
concepts guiding therapy. Which statement best explains automatic thoughts?
A) Automatic thoughts occur rapidly in a situation and without rational analysis.
B) Automatic thoughts are an example of psychiatric disorders.
C) Automatic thoughts are typically positive and based on fact.
D) Automatic thoughts are often influenced by out childhood.
A) Automatic thoughts occur rapidly in a situation and without rational analysis.
Which nursing actions demonstrates the ethical principles of autonomy?
A) Respecting the client's decision not to have treatment.
B) Staying with a client who is very anxious.
C) Refusing to administer a placebo.
D) Taking a course to increase knowledge regarding clients rights.
A) Respecting the client's decision not to have treatments.
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