Exam (elaborations)
Mental Health exam 1|124 Answered Questions| A+ Graded
Mental Health exam 1|124 Answered Questions| A+ Graded
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Mental Health exam 1|124 AnsweredQuestions| A+ Graded
C. - -2. An outcome for S is that she will demonstrate mentally healthy
behavior. Which behavior indicates the outcome is being met?
a. She is aggressive in meeting her needs without considering the rights of
others.
b. She behaves without considering the consequences of her actions.
c. She sees herself as approaching her ideals, and as capable of meeting
demands.
d. She passively allows others to assume responsibility for major areas of her
life.
-b - -3. Strength of the multiaxial DSM-IV is that
it:
a. includes nursing as well as medical diagnoses
b. assessments of several aspects of functioning are made
c. it employs the framework of a specific theory
d. plans for treatment and evaluation are included
-d - -4. The nurse must assess the mental health or mental illness of several
new clients at the mental health clinic. Some of the traits of mental health
include:
a. Accurate appraisal of reality
b. Ability to work and be productive
c. Ability to control one's own behavior
d. All of the above
-b - -5. B tells the nurse, "I'm a real freak. I'm a psychiatric patient, in and
out of hospitals all the time. None of my friends or relatives is crazy like
this." What reply would help B understand the prevalence of mental illness?
a. "Comparing yourself with others has no real advantages."
b. "Mental illness affects 80% of the adult population in any given year."
c. "Nearly 50% of all people age 15 to 55 have had a psychiatric disorder at
some time in their lives."
d. Unfortunately, there are no answers to your question.
-d - -6. The nurse who interviews K notes she is profoundly depressed with
thought of wanting to die. Took an unknown amount of pills yesterday. She
has refused to do activities of daily living such as bathing. She also has not
eaten for the past 5 days, according to her husband. The nurse will code her
global assessment of functioning as
a. 100
b. 50
,c. 25
d. 10
-b - -7. Maslow offers a theory of human motivation that assumes patients
have:
a. Developmental tasks and psychosocial crisis
b. a hierarchy of needs
c. the process of schemata, assimilation and accommodation
d. all of the above
-a - -8. Which statement allows the nurse to suspect that the developmental
task of infancy, according to Erickson, was not successfully completed?
a. "I'm afraid to allow anyone to really get to know me."
b "I'm absolutely right, so don't bother saying more."
c "I'm so ashamed because I didn't do it correctly in the first place."
d "Andy and I are very close friends."
-d - -9. T, a 39-year-old businesswoman and single parent of three, is
experiencing many feelings of inadequacy in her job and family situation
since her 16-year-old daughter ran away several weeks ago. T seeks the help
of a therapist specializing in cognitive therapy. The nurse psychotherapist
using cognitive therapy will treat T by
a. focusing on unconscious mental processes
b. negatively reinforcing an undesirable behavior
c. discussing ego states
d. helping her identify and change faulty thinking
-c - -11. Which of the principles of planning nursing intervention to meet
client goals is violated in this scenario? Goal: Client will, with the aid of staff,
remain safe while in the hospital. Interventions: Allow client to attend off unit
programming unsupervised. Client can access all personal belongings.
a. The interventions are not nursing focused.
b. The interventions are not individualized.
c. The interventions are not safe.
d. The interventions are not relevant to the goal.
-d - -12. The nurse must plan interventions directed toward meeting the
client goal: Client will remain safe during hospitalization with the assistance
of staff. Which nursing intervention is related to this goal?
a. Encourage patient to discuss relationship with family members.
b. Assist client to identify three personal weaknesses.
c. Observe client for therapeutic effects of psychotropic medication.
d. Implement suicide precautions.
, -b - -13. A nurse behavior that jeopardizes the boundaries of the nurse-
client relationship is
a. Focusing on the client's needs.
b. Allowing the relationship to become social.
c. Suspending judgment.
d. Recognizing the need for supervision.
-c - -14. P is being admitted to the psychiatric unit by Nurse G. P was
brought to the emergency department after making a suicide attempt by
taking an overdose of acetaminophen (Tylenol). P has been lavaged. She
appears tense, withdrawn, and frightened. A therapeutic, empathetic
response would be that Nurse G tells her:
a. "I'd like to sit here with you".
b. Tell me more about the suicidal attempt"
c. It must be frightening to have just gone through all you have".
d. What exactly was going on with you before you tried to hurt yourself".
-d - -Which statement given below would be an example showing that
Nurse G is using an open ended exploring question with her patient:
a. "Do you think the medications are helping you?"
b. "When were you born?"
c. "Is there mental illness in your family?"
d. "Tell me more about what was going on before your suicide attempt."
-c - -What behavior on the part of Nurse G will produce the evaluation that
termination of the therapeutic nurse-client relationship with P, a client, has
been handled successfully?
a. He gives P his personal telephone number and permission to call after her
discharge.
b. He avoids upsetting P by gradually focusing on other clients beginning 1
week prior to her discharge.
c. He summarizes with P the changes that have happened during their time
together and evaluates goal attainment.
d. He offers to meet P for coffee and conversation three times a week for 2
weeks after her discharge.
-d - -The nurse caring for an angry manipulative client finds himself feeling
angry with the client. The nurse should initially:
a. refuse to care for the patient
b. let the client know how he feels
c. tell the nurse manager to assign the client to another nurse
d. deal with his feelings in a supervisory session
-b - -As L converses with the nurse, she states, "I dreamed I was stoned.
When I woke up, I was feeling emotionally drained as though I hadn't rested
, well." If the nurse needs clarification of "stoned," it would be appropriate to
say,
a. "It sounds as though you were quite uncomfortable with the content of
your dream."
b. "Can you give me an example of what you mean by stoned?"
c. "I understand what you're saying. Bad dreams leave me feeling tired, too."
d. "So, all in all, you feel as though you had a rather poor night's sleep?"
-d - -During the first interview with a restless young man, the nurse notices
that he does not make eye contact throughout most of the interview. It can
correctly be assumed that
a. he is not to be trusted in what he says because he is evasive
b. he is really feeling sad and can't look the nurse in the eye
c. he is shy and the nurse must move slowly
d. more data is needed to draw a conclusion
-a - -Which remark by the nurse would be an appropriate way to begin a
therapeutic 1:1 session?
a. "How shall we start today?"
b. "Shall we talk about losing your privileges yesterday?"
c. "What happened when your husband came to visit yesterday?"
d. Tell me what led up to your hospitalization?
-c - -A client tells the nurse, "I don't think I'll ever get out of here." A
therapeutic response would be
a. Why do you feel that way?
b. "Everyone feels that way sometimes."
c. "You don't think you're making progress?"
d. "Keep up the good work, and you certainly will."
-c - -In a session J cries as the nurse explores her relationship with her
deceased mother. J sobs, "I shouldn't be blubbering like this." A statement by
the nurse that will hinder communication is
a. "The relationship with your mother is very painful for you."
b. "I can see that you feel sad about this situation."
c. "Why do you think you are feeling so upset?"
d. "Crying is a way of expressing the hurt you're experiencing."
-a - -What is the legal significance of the nurse's action when a client
verbally refuses his medication and the nurse gives it over his objection?
a. The nurse can be charged with battery.
b. The nurse can be charged with negligence.
c. The nurse can be charged with malpractice.
d. No charges can be brought against the nurse.
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