ATI RN Mental Health and Psychiatric NursingTestbank with answers & Rationale(Personality and Mood Disorders)
1. The community nurse is speaking to a
... [Show More] group of new mothers as part of a primary preventionprogram. Which self-measures would be most helpful as a strategy to decrease the occurrenceof mood disorders?
A. Keeping busy, so as not to confront problem areas. B. Medication with antidepressants. C. Use of crisis intervention services. D. Verbalizing rather than internalizing feelings. Correct Answer: D. Verbalizing rather than internalizing feelings.
Individuals who develop mood disorders often have difficulty expressing feelings, especially feelings of
anger toward significant others. Internalizing those feelings can contribute to loss of self-esteemandguilt, and therefore negative cognitions and depression. Option A: Ignoring problems is not a helpful strategy. Recognizing problems and using problem- solving methods will contribute to mental health. The nurse can direct their need for movement intosocially acceptable, large motor activities such as arranging chairs for a community meeting or
walking. Option B: Antidepressants are certainly necessary in the treatment of the mood disorder of
depression; however, they are not used in primary prevention. Decreasing environmental
stimulation may assist the client to relax; the nurse must provide a quiet environment without noise, television, and other distractions; finger foods or things the client can eat while moving aroundarethe best options to improve nutrition. Option C: Crisis intervention would be a useful strategy in handling the immediate needs of
someone experiencing a crisis; it is not a tool of primary prevention. A primary nursing responsibilityis to provide a safe environment for the client and others; for clients who feel out of control, thenurse must establish external controls emphatically and nonjudgmentally. 2. A client with antisocial personality disorder was admitted in a unit at Nurseslabs Hospital. Thenewly admitted client stole money from an elderly in the unit. Which of the following is
the most appropriate for the nurse to say to this client?
A. "Why did you take the money?" B. "Let's talk about how you felt when you took the money." C. "The consequences of stealing are a loss of privileges." D. "This client is defenseless against you." [Show Less]