MENTAL HEALTH EVOLVE FOUNDATIONS AND MODES OF CARE QUESTIONS AND ANSWERS. A+ RATED.1. A primary gain is always the reduction of anxiety. Gaining benefits f... [Show More] rom others is related to a secondary gain. Fulfillment of unconscious desires is unrelated to primary gains. Control of unacceptable impulses is unrelated to primary gains.
2. Mental healthy person SATA
One who accepts aging
One who engages available strengths
One who sustains positive relationships
3. A mother and her three young children arrive at the mental health clinic. The woman says that she is seeking help in leaving her husband. She reports that he has been beating her for years but just started hitting the children. What is the best initial action by the nurse?
A: Arranging for a staff member to watch the children so the mother and nurse can talk.
4. A nurse counseling a client on the inpatient psychiatric unit responds to a statement made by the client by stating, "I'm confused about exactly what is upsetting you. Would you go over that again, please?" What is the nurse using?
R: Clarifying is an attempt to better understand the message intended by the client. It is utilized to gain a clearer understanding of what another person has stated. Structuring is an attempt to create order and thereby allow a client to become aware of problems. Confronting examines a discrepancy between what a person is saying and what a person does. It requires careful attention to nonverbal communication, as well as the discrepancies between the nonverbal and verbal messages. Paraphrasing allows the speaker to share how one person perceives and hears another's information. The nurse is not paraphrasing, but instead is attempting to better understand the client.
5. Deaths that are perceived as preventable cause more guilt for the mourners and therefore increase the intensity and duration of the grieving process. Perceiving a death as preventable will not necessarily result in a pathological reaction, but it will usually make it harder to understand and accept the death.
6. A nurse working in a crisis center understands that a crisis can best be defined as what?
A: A threat to equilibrium
R: Caplan's theory states that a crisis is an internal disturbance caused by a stressful event that alters the usual way of coping with a threat to the self; this temporarily disturbs the equilibrium of the person involved
7. What does a psychiatric nurse identify as the primary purpose of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5)?
A: Provide a classification of types of mental disorders and guidelines to aid in making a diagnosis.
R: The prime purpose of the DSM-5 is to serve the clinician as a guide in identifying a client’s mental health or psychiatric diagnosis. Although the DSM-5 is useful in facilitating communication, the teaching of psychopathology, and the collection of accurate public health statistics, none of these are the primary purpose of this publication.
8. A client who is to be discharged from an inpatient mental health facility is referred to a mental health daycare center in the community. What should the nurse identify as the primary reason for this referral?
A: MAINTAINING GAINS ACHIEVED DURING HOSPITALIZATION
R: The daycare center provides the client with a therapeutic setting for a few hours each day during the transitional stage between hospital and total discharge. The goal is to maintain and enhance progress made during inpatient treatment. Daycare treatment may improve social skills or allow the client to get out of the house for a few hours, but neither is its primary purpose. Avoiding direct confrontation with the community may help during the transition stage, but it is not the primary goal of daycare.
9. What can the nurse do to help and older adult successfully complete erikson major task of this stage?
A: DEVELOP A SENSE OF SATISFACTION WHEN CONSIDERING PAST ACHIEVEMENTS.
R: Feeling a sense of satisfaction when considering past achievements allows the client to accept what life is or was and helps prevent feelings of despair. Investing creative energies in promoting social welfare is the major task of middle adulthood (30 to 65 years). Developing deep, lasting relationships with other people or institutions is the major task of the young adult (20 to 30 years). Feeling a need to make up for past failings is a negative resolution of the major task of the older adult.
10. POWERELESSNESS Anger is a common feeling when people do not have control over decisions that affect them. There is no information to indicate that the client is feeling hopeless, indecisive, or worthless.
11. An inpatient therapy group on a psychiatric unit has as its goal helping clients participate in life more fully by gaining insight and changing behavior. The nurse leader can best help the group achieve this goal by using a leadership style that is what?
A: DEMOCRATIC AND GUIDING
R: A democratic and guiding leader stimulates and directs the group to assist it in developing its maximal potential by facilitating and balancing the group's forces. An autocratic and directing leader makes most of the decisions and controls the group, thereby limiting group growth potential. A laissez-faire, observing leader allows group members to take over the group; if there are no members with leadership skills, little is gained from the group. A passive and nonconfrontational leader does not provide adequate leadership to make the group effective.
12. Priority outcome in the planning of care for a client in crisis?
A: RESTORING THE CLIENTS PSYCHOLOGICAL EQUILIBRIUM
R: Crisis intervention is short-term therapy with the major outcome of restoring the client to the precrisis state. Referring the client for occupational therapy is not an outcome, but an action to help achieve an outcome; it is not part of crisis intervention. Scheduling the client for follow-up counseling is not an outcome, but rather an intervention that may be necessary if psychological equilibrium cannot be restored. Having the client gain insight into the problem is not always necessary for a client to be able to function effectively.
13. What should a nurse consider about the past experiences of clients who have immigrated to this country?
A: IT IS IMPORTANT THAT THEIR VALUES BE ASSESESD FIRST
R: Past experiences are important and must be recognized because they help set the individual's values throughout life. Past experiences will not affect inherited traits. Past experiences play an important role in an individual's life. Nothing establishes how an individual responds forever; new experiences continue to influence future responses. [Show Less]