Exam (elaborations)
Nursing 220 (1)
Exam of 30 pages for the course NUR 266 at NUR 266 (Nursing 220 (1))
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Nursing 220The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which
of the following with the nurse identify as having a positive impact on the individuals mental
health?
Not needing others for companionship
The ability to effectively manage stress
A family history of mental illness
Striving for total self reliance - CORRECT ANSWER-The ability to effectively manage stress
Which of the following statements about mental illness is true select all
Mental illness can cause significant distress impaired function or both
Mental illness is only due to social cultural factors
Social cultural factors that relate to mental illness include excessive dependency on or withdrawal
from relationships
Individuals suffering from mental illness are usually able to cope effectively with daily life
Individual suffering from mental illness may experience dissatisfaction with relationships and self -
CORRECT ANSWER-Mental illness can cause significant distress in paired function or both
Individuals suffering from mental illness are usually able to cope effectively with daily life
Individual suffering from mental illness may experience dissatisfaction with relationships and self
Which of the following are true regarding mental health and mental illness
Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures
It is easy to determine if a person is mentally healthy or mentally ill
In most cases mental health is a state of emotion psychological and social wellness evidenced by
satisfying the interpersonal relationships effective behavior and coping positive self-concept and
emotional stability
Person to engage in fantasies are mentally ill - CORRECT ANSWER-In most cases mental health
is a state of emotional physical logical social wellness evidenced by satisfying interpersonal
relationships effective behavior and coping positive self-concept and emotionally Stability
A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is
so sad. The nurses best response would be
You may have a temporary mental illness because you are experiencing so much pain
You're not mentally ill this is an expected reaction to the loss of experience
Where are you generally despair to side with your relationship before your husband diedTry not to
worry about it right now you never know what the future brings - CORRECT ANSWER-You are not
mentally ill this is an expected reaction to the loss you have experienced
The nurse consults the DSM for which of the following purposes - CORRECT ANSWER-To serve
as a guide for client assessment
Which would be a reason for a student nurse to use the DSM - CORRECT ANSWER-Understand
the reason for the admission and the nature of psychiatric illnesses.
The legislation enacted in 1963 was largely responsible for which of the following shifts and care
for the mentally ill - CORRECT ANSWER-The widespread use of community-based services
Which one of the following is a result of federal legislation - CORRECT ANSWER-Making it more
difficult to commit people for mental health treatment against their will.
,The goal of the 1963 community mental Health centers act was too - CORRECT ANSWER-D
institutionalized State Hospital's
The creation of asylums during the 1800s was meant to
A) improve treatment of mental disorders.
B) provide food and shelter for the mentally ill.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community. - CORRECT ANSWER-B)
provide food and shelter for the mentally ill.
The Major problems with large state institutions are select all that apply - CORRECT ANSWER-*
attendants were accused of abusing the residents.
* clients were geographically isolated from family and community.
A significant change in the treatment of people with mental illness occurred in the 1950s when -
CORRECT ANSWER-psychotropic drugs became available for use.
Before the period of enlightenment treatment of the mentally ill included - CORRECT
ANSWER-placing the mentally ill on display for the public's amusement.
The first training of nurses to work with persons with mental illness was an 1882 in which state -
CORRECT ANSWER-Massachusetts
What was meant by the term revolving door of fact in mental health care - CORRECT
ANSWER-Shorter and more frequent hospital stays for persons with severe and persistent mental
illness
Which of the following statements is true of treatment of people with mental illness in the United
States today - CORRECT ANSWER-Only 25% of people needing mental health services are
receiving those services.
Which of the following is the priority of the healthy people 2020 objectives for mental health -
CORRECT ANSWER-treatment of mental illness
Which is a positive aspect of treating clients with mental illness in a community-based care -
CORRECT ANSWER-"You will be able to live in your own home while you still see a therapist
regularly."
One of the unforeseen effects of the movement towards community mental health service is -
CORRECT ANSWER-An increased number of admissions two available hospital services
Which is included and healthy people 2020 objectives - CORRECT ANSWER-To increase the
number of people who are identified, diagnosed, treated, and helped to live healthier lives
A client diagnosed with mild anxiety disorder has been referred to a treatment in a community
mental Health Center treatment most likely provided at the center includes - CORRECT
ANSWER-medical management of symptoms
Which of the following is defined as an advanced level of function in the practice area of
psychiatric mental health nursing - CORRECT ANSWER-evaluation
, Psychiatrist Nursing became a requirement in the nursing education and what year - CORRECT
ANSWER-1950
A new graduate nurse has excepted a staff position at an inpatient mental health facility. The
graduate nurse can expect to be responsible for basic level functions including - CORRECT
ANSWER-Using effective communication skills
Which one of the following is one of the American nursing Association standards of practice for
psychiatric mental health nursing - CORRECT ANSWER-Some aspects of standard five
implementation may only be carried out by psychiatric mental health advanced practicing nurses
Which of the following is a standard of professional performance - CORRECT ANSWER-education
Which of the following is a standard of practice - CORRECT ANSWER-outcome identification
A student appears very nervous on the first day of clinical in a psychiatric setting the student
reviews the instructors guidelines and apparently takes which of the following actions select all
that apply - CORRECT ANSWER-Discuss the anxious feeling with the instructor
Builds repertoire with the patient before asking personal questions
Consults instructor if a shocking situation arises
The appropriate action for student nurse who says the wrong thing is to - CORRECT
ANSWER-restate it by saying, "That didn't come out right. What I meant was..."
The nurse understands that crisis are self-limiting this implies that upon evaluation of crisis
intervention the nurse should assess for which outcome - CORRECT ANSWER-The patient will
resume the pre-crisis level of functioning
A patient who has been working on controlling impulsive behavior shows a strengthening eagle
through which of the following behaviors - CORRECT ANSWER-Weighing the advantages and
disadvantages before making a decision
A patient has just been told she has cervical cancer when asked about how this is impacting her
she states it's just an infection it'll clear up the statement indicates that this patient - CORRECT
ANSWER-Is using denial to protect yourself from an emotionally painful thought
A teenage patient defies the nurses repeated request to turn off the video games and go to sleep.
The teen says angrily you sound just like my mother at home and continues to play the video
game. The nurse understands that this statement likely indicates - CORRECT ANSWER-Viewing
the nurse as her mother
Patient reports a pattern of being suspicious and miss trusting of others causing difficulty in
sustaining lasting relationships. Which stage according to Ericksons psychosocial development
was not successfully completed - CORRECT ANSWER-Trust
The nurse has established a therapeutic relationship with a patient. The patient is beginning to
share feelings openly with the nurse. The relationship has entered which phase according to
Peplau's Theory? - CORRECT ANSWER-Identification
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