Mental Health EVOLVE FOUNDATIONS AND MODES OF CARE QUESTIONS WITH ANSWERS 2023/2024 LATEST UPDATE.
1. A primary gain is always the reduction of anxiety.
... [Show More] Gaining benefits from 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?
A: Clarifying
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)?
Mental Health EVOLVE FOUNDATIONS AND MODES OF CARE
QUESTIONS WITH ANSWERS 2023/2024 LATEST UPDATE.
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.
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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.
14. Personality disorders are identified in the DSM-V in clusters. How should the nurse describe
the behaviors of an individual with a cluster A personality disorder?
A: ODD AND ECCENTRIC
R: Cluster A includes paranoid, schizoid, and schizotypal personality disorders. These
clients are odd and eccentric and use strange speech, are angry, and have impaired
relationships. Cluster C includes avoidant, dependent, and obsessive-compulsive personality
disorders. These clients are anxious, fearful, tense, and rigid. Cluster B includes antisocial,
borderline, histrionic, and narcissistic personality disorders. These clients are dramatic, erratic,
labile, impulsive, hostile, and manipulative. [Show Less]