Basic Mental Health Nursing concepts
Which of the following statements by the newly licensed nurse indicates an understanding
A charge nurse is
... [Show More] discussing mental status examinations with a newly licensed nurse.
1. of the teaching? (select all that apply.)
2. A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention?
3. A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority?
4. A nurse is told during change‐of‐shift report that a client is stuporous. When assessing the client,
which of the following findings should the nurse expect?
5. A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DsM‐5). Which of the following information is appropriate to include in the discussion? (select all that apply.)
1. A nurse in an emergency mental health facility is caring for a group of clients. the nurse should identify that which of the following clients requires a temporary emergency admission?
2. A nurse decides to put a client
who has a psychotic disorder in seclusion overnight because the unit is very short‐staffed, and the client frequently fights with other clients.
the nurse’s actions are an example of which of the following torts?
3. A client tells a nurse, “don’t tell anyone, but i hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me.” Which of the following
actions should the nurse take?
4. A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (select all that apply.)
5. A nurse hears a newly licensed nurse discussing a client’s hallucinations
in the hallway with another nurse. Which of the following actions should the nurse take first?
1. A charge nurse is conducting a class on therapeutic communication to
a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication?
A nurse in an acute mental health facility is communicating with a client. the client
2. states, “I can’t sleep. I stay up all night.” the nurse responds,
“You are having difficulty sleeping?” Which of the following therapeutic communication techniques is the nurse demonstrating?
3. A nurse is communicating with
a client who was just admitted
for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?
4. A nurse caring for a client who has anorexia nervosa. Which
of the following examples demonstrates the nurse’s use of interpersonal communication?
5. A nurse is caring for the parents of a child who has demonstrated recent changes in behavior and mood. When the mother of the child asks the nurse for reassurance about her son’s condition, which of the following responses should the nurse make?
1. A nurse is caring for a client who smokes and has lung cancer. the client reports, “I’m coughing because I have that cold that everyone has been getting.” The nurse should identify that the client is using which of the following defense mechanisms?
2. A nurse is providing preoperative teaching for a client who was just informed that she requires emergency surgery. the client, has a respiratory rate 30/min, and says, “this is difficult to comprehend. I feel shaky and nervous.” the nurse should identify that the client is experiencing which of the following levels of anxiety?
3. A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (Select all that apply.)
1. A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the following statements should the nurse make?
2. A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all that apply.)
3. A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior?
4. A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care?
5. A nurse is orienting a new client
to a mental health unit. When explaining the unit’s community meetings, which of the following statements should the nurse make?
1. A nurse is caring for several clients who are attending community‐based mental health programs. Which
of the following clients should the nurse plan to visit first?
2. A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary prevention?
3. A nurse is working in a community mental health facility. Which
of the following services does
this type of program provide? (select all that apply.)
4. A nurse in an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision much of the time. the client’s wife works all day but is home by late afternoon. Which of the following strategies should the nurse suggest as appropriate follow‐up care?
A nurse is caring for a group of clients. Which of the following clients should a nurse
5. consider for referral to an assertive community treatment (act) group?
1. A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy?
1. B. “The therapist will focus on my past relationships during our sessions.” Classical psychoanalysis places a common focus on past relationships to identify the cause of the anxiety disorder.
2. A nurse is discussing free association as a therapeutic tool with a
client who has major depressive disorder. Which of the following client statements indicates understanding of this technique?
3. A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? (select all that apply.)
4. A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting if he drinks alcohol. Which of the following types of treatment is this method an example?
1. A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when she demonstrates which of the following actions?
2. A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? (Select all that apply.)
3. A nurse working on an acute mental health unit forms a group to focus on self‐management
of medications. at each of the meetings, two of the members use the opportunity to discuss their common interest in gambling on sports. This is an example of which of the following concepts?
4. A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways to make his sister look bad so his parents will think he’s the better sibling, which he believes will give him more privileges. The nurse should identify this dysfunctional behavior as which of the following?
5. A nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role?
1. A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the following information should the nurse include in the discussion?
2. A nurse is discussing acute vs. prolonged stress with a client. Which of the following effects should the nurse identify as an acute stress response? (Select all that apply.)
3. A nurse is teaching a client about stress‐reduction techniques. Which of the following
client statements indicates understanding of the teaching?
4. A client says she is experiencing increased stress because her significant other is “pressuring
me and my kids to go live with him. I love him, but I’m not
ready to do that.” Which of the following recommendations should the nurse make to promote a change in the client’s situation?
5. A nurse is caring for a client who states, “I’m so stressed at work because of my coworker. He expects me to finish his work because he’s too lazy!” When discussing effective communication, which of the following statements
by the client to his coworker indicates client understanding?
1. A nurse is providing teaching for a client who is scheduled to receive eCt for the treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching?
2. A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
3. A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? (Select all that apply.)
4. A nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion?
5. A nurse is planning care for a client following surgical implantation of a VNS device. the nurse should plan
to monitor for which of the following adverse effects? (Select all that apply.) [Show Less]