THE PRACTICE OF MENTAL HEALTH- PSYCHIATRIC NURSING 2023-2024 QUESTIONS WITH ANSWERS
1. A nurse working on a unit in a psychiatric hospital 2. Health
... [Show More] promotion
is responsible for performing a variety of functions. 3. Case management
Which are the ones that a registered nurse is legal- ly permitted to perform? Select all that apply.
1. Psychotherapy
2. Health promotion
3. Case management
4. Prescribing medication
5. Treating human responses
2. The psychiatrist orders "Restraints PRN" for a client who has a history of violent behavior. Then nurse should:
1. Utilize the restraint order if the client begins to act-out
2. Ask the psychiatrist to clarify the type of restraint order
3. Ensure that the entire staff is aware of the re- straint order
4. Recognize that PRN orders for restraints are unacceptable
3. A client on the psychiatric unit asks the nurse about psychiatric advance directives (PAD). The nurse explains that these advanced directives:
1. Make the appointment of a surrogate decision maker unnecessary
2. Permit the client to dictate what treatment will be given during the future hospitalizations
3. Eliminate the need for involuntary admissions when the client is a threat to self or others
4. Allow the client, while having the capacity, to consent or refuse potential psychiatric treatments
5. Treating human re- sponses
4. Recognize that PRN orders for re- straints are unaccept- able
New orders must be written each time a client requires re- straints. When a client is acting-out, the nurse may use re- straints or a seclusion room and then obtain the necessary order.
4. Allow the client, while having the ca- pacity, to consent or refuse potential psy- chiatric treatments in the event of a future incapacitating mental health crisis
The purpose of a PAD is to allow psychiatric clients the opportuni- ty to provide input into
in the event of a future incapacitating mental health crisis
4. The statement that best describes the practice of psychiatric nursing is:
1. Helps people with present or potential mental health problems
2. Ensures clients' legal and ethical rights by acting as a client advocate
3. Focuses interpersonal skills on people with physical or emotional problems
4. Acts in a therapeutic way with people who are diagnosed as having a mental disorder
5. A 45-year-old physician is admitted to the psychi- atric unit of a community hospital. The client is restless, loud, aggressive, and resistive during the admission procedure and states, "I will take my own blood pressure." What is the most therapeutic response by the nurse?
1. "Right now, doctor, you are just another client."
2. "If you would rather, doctor, I'm sure you will do it OK."
3. "If you do not cooperate, I will get the attendants to hold you down."
4. "I am sorry, but I cannot allow that. I must take your blood pressure."
6. For most nurses the most difficult part of the nurse-client relationship is:
1. Remaining therapeutic and professional
2. Being able to understand and accept the client's behavior
3. Developing an awareness of self and the profes- sional role in the relationship
future treatment deci- sions.
1. Helps people with present or potential mental health prob- lems
An important aspect of the role of the psy- chiatric nurse is pri- mary, secondary, and tertiary interventions to promote emotional equilibrium.
4. "I am sorry, but I cannot allow that. I must take your blood pressure."
This simply states facts without getting involved in role con- flict.
3. Developing an awareness of self and the professional role in the relationship
The nurse's ma- jor tool in psychi- atric nursing is the
4. Accepting responsibility in identifying and eval- uating the real needs of the client
7. The father of a 16-year-old boy who has just been diagnosed with Hodgkin's disease tells the nurse he does not want his son to know the diagnosis. What response by the nurse is best in this situa- tion?
1. "It is best is he knows the diagnosis."
2. The cure rate for Hodgkin's disease is high."
3. "Would you like someone with Hodgkin's to talk to you?"
4. "Let's talk about why you don't want him to know."
therapeutic use of self. Psychiatric nurs- es must learn to iden- tify their own feelings and understand who they affect the situa- tion.
4. "Let's talk about why you don't want him to know."
This statement does not prejudge the fa- ther; if encourages communication.
8. A male nurse is caring for a client. The client states, 3. "How do you feel
"You know, I've never had a male nurse before." The nurse's best reply should be:
1. "Does it bother you to have a male nurse?"
2. "There aren't many of us; we're a minority."
3. "How do you feel about having a male nurse?"
about having a male nurse?"
This statement en- courages the client to express and ex-
4. "You sound upset. I will get a female nurse to care plore feelings; also, it
for you."
9. A male nurse reminds a client that it is time for group therapy. The clients responds by yelling at the nurse, "You are always telling me what to do, just like my father." This clients response is an example of:
1. Regression [Show Less]