Exam 1 questions accurate answers latest upload 100% accurate solutions, Exams of Nursing

Download Exam 1 questions accurate answers latest upload 100% accurate solutions and more Exams Nursing in PDF only on Docsity!

Exam 1 questions accurate

answers latest upload

100% accurate solutions

Psychiatric-Mental Health Nursing

Exam 1 questions

1. According to the American Nurses Association standards of practice for psychiatric/mental health nurses, which specific intervention can be implemented by any psychiatric/mental health nurse generalist? a. Milieu Therapy b. Psychotherapy c. Consultation d. Prescriptive Authority
2. Which nursing diagnosis is written correctly? a. Risk for social isolation related to low self-esteem evidenced by staying in room during the day b. Low self-esteem related to major depressive disorder evidenced by childhood abuse c. Imbalanced nutrition: less than body requirements related to suspiciousness evidenced by 20-pound weight loss d. Conduct disorder related to childhood sexual abuse evidenced by hostile and aggressive behaviors
3. Which charting entry is an example of the documentation of a subjective symptom? a. Temperature 101.4 degrees Fahrenheit b. No muscle rigidity or drooling noted c. Client is hypervilgilant and scanning the environment d. Client states "I'm seeing green men in my room"
4. Nursing outcomes (sometimes referred to as goals) are derived from the nursing diagnosis. Identify two essential aspects of an acceptable outcome or goal. Select all that apply. a. Measurable b. Time estimated c. Not age appropriate d. Not patient-centered
5. What essential condition for therapeutic relationship is being described? Nurse Jones and Pam develop an immediate mutual regard for each other. a. Rapport b. Trust c. Respect d. Genuineness e. Empathy
6. What essential condition for therapeutic relationship is being described? Pam knows that Nurse Jones will not tell anyone else about what they discuss in therapy. a. Rapport b. Trust c. Respect d. Genuineness e. Empathy
7. What essential condition for therapeutic relationship is being described? Nurse Jones does not approve of Pam’s gay lifestyle but accepts her unconditionally nonetheless. a. Rapport b. Trust c. Respect d. Genuineness e. Empathy
8. What essential condition for therapeutic relationship is being described? Pam knows that Nurse Jones is always honest with her and will tell her the truth, even if it is sometimes painful. a. Rapport b. Trust c. Respect

9. What essential condition for therapeutic relationship is being described? When Pam talks about her problems, Nurse Jones listens objectively and encourages Pam to reflect on her feelings about the situation. a. Rapport b. Trust c. Respect d. Genuineness e. Empathy 10.Identify the appropriate phase of relationship development for the following task. Nurse Jones reads Pam’s previous medical records. a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase 11.Identify the appropriate phase of relationship development for the following task.Nurse Jones explores her feelings about working with a patient who identifies as gay. a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase 12.Identify the appropriate phase of relationship development for the following task.Pam and Nurse Jones set goals for their time together. a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase 13.Identify the appropriate phase of relationship development for the following task.They establish a mutual contract for intervention. a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase 14.Identify the appropriate phase of relationship development for the following task.Having identified Pam's problem, they discuss aspects for possible change and ways to accomplish them. a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase 15.Identify the appropriate phase of relationship development for the following task. Pam weighs the benefits and consequences of various alternatives for change. a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase 16.Identify the appropriate phase of relationship development for the following task. Nurse Jones gives Pam positive feedback for attempting to make adaptive changes in her life a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase

17.Identify the appropriate phase of relationship development for the following task. The established goals have been met a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase 18.Identify the appropriate phase of relationship development for the following task. Pam and Nurse Jones discuss a plan of action for Pam to employ in the advent of stressful situations following therapy. a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase 19.Identify the appropriate phase of relationship development for the following task. Pam cries and says she cannot stop coming to therapy. a. Pre-interaction phase b. Orientation (introductory phase) c. Working phase d. Termination phase 20.Fill in the blank. When the nurse's verbal and nonverbal interactions are congruent, he or she is thought to be expressing , which is a characteristic of a therapeutic relationship. a. Rapport b. Trust c. Respect d. Genuineness 21.What do you think you should do?" If the nurse makes this statement to a patient, it is an example of what technique? Is it therapeutic or non-therapeutic? a. Therapeutic b. Non-Therapeutic 22."Just hang in there. Everything will be all right." If the nurse makes this statement to a patient, it is an example of what technique? Is it therapeutic or non-therapeutic? a. Therapeutic b. Non-Therapeutic 23.Which is the primary nursing goal when establishing a therapeutic relationship >with a patient? a. To promote patient growth b. To develop the nurse’s personal identity c. To establish a purposeful social interaction d. To develop communication skills 24.A patient threatens to kill himself, his wife, and their children if the wife follows through with divorce proceedings. During the preinteraction phase of the nurse– patient relationship, which interaction should the nurse employ? a. Acknowledging the patient's actions and encouraging alternative behaviors b. Establishing rapport and developing treatment goals c. Providing community resources on aggression management d. Exploring personal thoughts and feelings that may adversely impact the provision of care 25.The unit manager needs to meet with a patient who is exhibiting escalating hostility. Which would be the most appropriate location for the nurse to meet with this patient? a. The patients room with the door shut b. A quiet corner of the day room c. The nurses station d. The units treatment room

c. Beneficenc e f. Common law i. ethical egoism l. natural law o. Statutory law r. criminal law 33.Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. An ethical principle that refers to one’s duty to benefit or promote the good of others a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Benefice nc e f. Common law i. ethical egoism l. natural law o. Statutory law r. criminal law

34. Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. The ethical theory that espouses "Do unto others as you would have others do unto you" a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Beneficenc e f. Common law i. ethical egoism l. natural law o. Statutory law r. criminal law 35. Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. A violation of a civil law in which an individual has been wronged a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Beneficenc e f. Common law i. ethical egoism l. natural law o. Statutory law r. criminal law 36.Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. Law that is derived from decisions made in previous cases a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Beneficenc e f. Common law i. ethical egoism l. natural law o. Statutory law r. criminal law 37.elect the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. Writing false and malicious information about a person a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Beneficenc e f. Common law i. ethical egoism l. natural law o. Statutory law r. criminal law 38.Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. An ethical theory that espouses making decisions based on what is most advantageous for the person making the decision a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. f. Common law i. ethical l. natural o. Statutory law r. criminal law

mental health nursing with the description or definition. Abstaining from negative acts toward another, including acting carefully to avoid harm a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Beneficenc e f. Common law i. False imprisonment l. natural law o. Statutory law r. criminal law

44. Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. Verbalizing false and malicious information about a person a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Beneficenc e f. Common law i. False imprisonment l. natural law o. Statutory law r. criminal law 45.Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. Law that has been enacted by legislative bodies a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Beneficenc e f. Common law i. False imprisonment l. natural law o. Statutory law r. criminal law 46. Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. The ethical theory on which decisions are based that ensure the greatest happiness to the greatest number of people a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Beneficenc e f. Common law i. False imprisonment l. natural law o. Statutory law r. criminal law

47. Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. Law that protects the private and property rights of individuals and businesses a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Benefice nc e f. Common law (^) i. False imprisonment l. natural law o. Statutory law r. criminal law 48. Select the correct key term associated with ethical and legal issues in psychiatric mental health nursing with the description or definition. Provides protection from conduct deemed injurious to the public welfare a. Assault d. Christian Ethics g. libel j. Kantianism m. non- maleficence p. Utilitarianism b. Battery e. Torts h. ethical egoism k. malpractice n. Slander q. Civil law c. Benefice nc e f. Common law i. False imprisonment l. natural law o. Statutory law r. criminal law 49.Malpractice and negligence are examples of what kind of law? a. Civil law b. Criminal Law c. Unintentional torts 50.What charges may be brought against a nurse for confining a client against his or her wishes (outside of an emergency situation)? a. False imprisonment b. Assault c. Malpractice 51.Which quality and safety in nursing education competency may be, at least in part, consistent with ethical egoism? a. Providing patient-centered care b. Adhering to Christian Ethics c. Practicing Utilitarianism 52.Select three major elements of informed consent. a. Free will b. Free speech c. Competency d. Knowledge 53.Which of the following best describes the role of the psychiatric social worker as a member of the interdisciplinary treatment team? a. Provides ongoing assessment of client’s mental and physical condition b. Functions under the supervision of the psychiatric nurse c. Serves as the leader of the treatment team d. Conducts individual, group, and family therapy 54.A client, diagnosed with borderline personality disorder, approaches the nursing station often with various requests. The nurse intervenes by stating, "You may approach the nurse's station only once an hour." Which nursing intervention has been employed? a. Providing reality orientation b. Ensuring physical need fulfillment c. Setting limits on behavior d. Providing client education 55.John came into the TV room and changed the channel in the middle of a program that several others were watching. The group reprimanded him loudly and returned the TV to

f. Each client owns their own behavior g. The client owns their own environment 56.Even though she seemed unable to change, Nancy had a great deal of insight into her own behavior. She knew it was maladaptive, and she knew it had psychological implications. The nurse focused on Nancy’s insight and knowledge to help her find more adaptive ways of coping. a. Peer pressure is a useful and powerful tool b. The state of health in each individual is to be realized and encouraged to improve c. Restrictions and punishments are to be avoided d. Inappropriate behavior is dealt with as it occurs e. Every interaction is an opportunity for therapeutic intervention f. Each client owns their own behavior g. The client owns their own environment 57.George always started an argument in group therapy. Each time, the group calmed him down with their discussion. However, when he became violent, he was placed in isolation for his safety and that of others. a. Peer pressure is a useful and powerful tool b. The state of health in each individual is to be realized and encouraged to improve c. Restrictions and punishments are to be avoided d. Inappropriate behavior is dealt with as it occurs e. Every interaction is an opportunity for therapeutic intervention f. Each client owns their own behavior g. The client owns their own environment 58.Fred becomes angry whenever anyone in the group disagrees with him. Members of the group examine Fred’s defensiveness and help him to see how he is coming across to others. They help him to practice more appropriate ways of responding. a. Peer pressure is a useful and powerful tool b. The state of health in each individual is to be realized and encouraged to improve c. Restrictions and punishments are to be avoided d. Inappropriate behavior is dealt with as it occurs e. Every interaction is an opportunity for therapeutic intervention f. Each client owns their own behavior g. The client owns their own environment 59.Lloyd had always been unable to interact on a personal level with other people. In the milieu environment, he learned new communication skills and had the opportunity to practice relationship development that helped him when he left the hospital. a. Peer pressure is a useful and powerful tool b. The state of health in each individual is to be realized and encouraged to improve c. Restrictions and punishments are to be avoided d. Inappropriate behavior is dealt with as it occurs e. Every interaction is an opportunity for therapeutic intervention f. Each client owns their own behavior g. The client owns their own environment 60.Kevin told the nurse of being arrested for driving the getaway car in an armed robbery. He said, "I don't know why they grabbed me. Jack did the stealing! He made me drive the car." The nurse responded, "Kevin, no one made you drive the car. You made that choice yourself. Now you must own up to that decision." a. Peer pressure is a useful and powerful tool b. The state of health in each individual is to be realized and encouraged to improve c. Restrictions and punishments are to be avoided d. Inappropriate behavior is dealt with as it occurs e. Every interaction is an opportunity for therapeutic intervention f. Each client owns their own behavior g. The client owns their own environment

61.Carol was elected unit president at the community meeting. She assigns chores for the week and calls for a vote to decide on punishment concerning late privileges for clients on Saturday night. a. Peer pressure is a useful and powerful tool b. The state of health in each individual is to be realized and encouraged to improve c. Restrictions and punishments are to be avoided d. Inappropriate behavior is dealt with as it occurs e. Every interaction is an opportunity for therapeutic intervention f. Each client owns their own behavior g. The client owns their own environment 62.True or false. Unit expectations are established in a therapeutic community setting when unit rules are presented at community meetings and voted on by the clients in a democratic form of self-government. a. True b. False 63.True or false. The occupational therapist is the member of the interdisciplinary treatment team that has a focus on rehabilitation and vocational training. a. True b. False 64.The environment is contained to create a sense of safety and security. Patients who are struggling with strong suicidal intentions, for example, often find that locked doors and lack of access to easy methods of self-harm provide the containment they need to resist self-destructive impulses. a. Containment b. Structure c. Involvement d. Support e. Validation 65.The environment needs to have a structure that promotes the goals of treatment. This includes a schedule of activities so that patients know what, when, and where activities are taking place. Group therapies, for example, are scheduled at specific times so the patient can structure their day to attend. Knowing to whom they should go (perhaps a primary nurse or team leader) to express concerns, ask for medication, or contact other team members is another aspect of unit structure that promotes therapeutic outcomes. a. Containment b. Structure c. Involvement d. Support e. Validation 66.The environment must encourage involvement so that patients develop a sense of social community. Common dining areas, small group seating arrangements, and community meetings to discuss aspects of community living are examples of elements that promote involvement. a. Containment b. Structure c. Involvement d. Support e. Validation 67.The environment must be supportive and affirming rather than rigid or punitive. The nurse plays an active role offering emotional support, reinforcing the expectations within the community environment to promote supportive interaction, and redirecting patients who are struggling to accomplish therapeutic interaction with others. Support also includes creating a sense that patients are not only involved in treatment, but

c. Involvement d. Support e. Validation 68.The environment must be supportive and affirming rather than rigid or punitive. The nurse plays an active role offering emotional support, reinforcing the expectations within the community environment to promote supportive interaction, and redirecting patients who are struggling to accomplish therapeutic interaction with others. Support also includes creating a sense that patients are not only involved in treatment, but empowered in decision making and direction around their care. a. Containment b. Structure c. Involvement d. Support e. Validation 69.Select all that apply. What are the expected outcomes of establishing a therapeutic milieu? a. Patient learns how to cope adaptively b. Patient learns how to interact c. Patient learns how to isolate themselves d. Patient learns relationship skills 70.A client expresses a desire to begin attending the self-help group Alcoholics Anonymous. Which nursing response gives the client pertinent information about this type of group? a. "In this type of group, membership is always within a fixed timeframe." b. "Group members receive comfort and advice from others undergoing similar experiences." c. "The purpose of this type of group is to convey information to a number of individuals." d. "The function of this type of group is to accomplish a specific outcome." 71.After a supportive-therapeutic group, a nurse hears one client say to another, "I never thought that other people had the same problems I have." The nurse ascertains that this statement represents which curative factors described by Yalom? a. Catharsis b. Group Cohesiveness c. Universality d. Imitative behavior 72.During a group meeting, a client raises the concern that noise at the nurses' station keeps him awake at night. The nurse, present in the meeting, interrupts, stating, "I’ll handle this matter. We need to move on." The nurse is demonstrating which type of leadership style? a. Democratic b. Autocratic (restricts client participation in planning care, the nurse is in controle and client autonomy is limited) c. Laissez-faire d. Surrogate 73.This is based to a lesser degree in theory. Focus is more on relationships, interactions among members, and the consideration of a selected issue. Individuals who lead must be knowledgeable about group content and group process. a. Therapeutic group b. Group therapy 74.This is based in theory, such as psychoanalytic, psychodynamic, interpersonal, or family dynamics. Leaders of this type of therapy generally have advanced degrees in psychology, social work, nursing, or medicine. a. Therapeutic group b. Group therapy 75.True or false. In the initial or orientation phase of group development, the leader is expected to orient members to specific group processes, encourage members to participate without disclosing too much too soon, promote an environment of trust, and

ensure that rules established by the group do not interfere with fulfillment of the goals. a. True

h. Social Distancing

84.A phenomenon in which a person’s physical symptoms are attributed to their mental illness a. Patient-centered care b. Stigmatization c. SBIRT d. Diagnostic Overshadowing e. Suicide prevention f. Trauma-informed care g. Screening h. Social Distancing 85.Methods of assessment for suicide risk and for differentiating between suicide ideation and attempts a. Patient-centered care b. Stigmatization c. SBIRT d. Diagnostic Overshadowing e. Suicide prevention f. Trauma-informed care g. Screening h. Social Distancing 86.Care that assesses for and demonstrates sensitivity to the impact of trauma history on current behavior and relationships in every aspect of nursing interventions a. Patient-centered care b. Stigmatization c. SBIRT d. Diagnostic Overshadowing e. Suicide prevention f. Trauma-informed care g. Screening h. Social Distancing 87.The identification of clinically significant symptoms that require further assessment and intervention a. Patient-centered care b. Stigmatization c. SBIRT d. Diagnostic Overshadowing e. Suicide prevention f. Trauma-informed care g. Screening h. Social Distancing 88.An aspect of stigma that refers to the tendency of health care workers and others to avoid people with mental illness or addiction a. Patient-centered care b. Stigmatization c. SBIRT d. Diagnostic Overshadowing e. Suicide prevention f. Trauma-informed care g. Screening h. Social Distancing 89.True or false. The definition of social distancing is an aspect of stigma that refers to the tendency of healthcare workers and others to avoid people with mental illness or