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Mental Health Nursing: Exam 1 Study
Guide 2025-2026. Questions & Correct
Verified Answers. Graded A
A nurse attends an interdisciplinary team meeting on an inpatient unit. Which of the following individuals are typically included as members of the interdisciplinary treatment team in psychiatry? – ANS
- Occupational therapist.
- Recreational therapist.
- Social worker.
- Mental Health technician.
- Case Manager. Psychiatrist.
- Psychologist.
- Registered Nurse A nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group. Know the group topics that are appropriate? - ANSStress management An angry client on an inpatient unit approaches a nurse, stating, "Someone took my lunch! People need to respect others, and you need to do something about this now!" Know what basic response that should be guided to maintain milieu therapy? - ANSKnow that milieu therapy depends on the environment. Encourage an adaptive environment.
Know a client's statement that indicates to the nurse that the client may be experiencing a transference reaction? - ANS"I need a real nurse, you're young enough to be my daughter and I don't want to tell you about my personal life" Patient is transferring her daughter to the nurse, but is aware that the nurse is not her daughter. Know and identify statements that a client verbalizes that will potentially make him a candidate for involuntarily commitment. - ANSINTENT Know and recognize which acronym represents problem-oriented charting?
- ANSS: subjective data (what the patient state). O: Objective data ( what is observed/ inspected). A: Assessment. P: Planning. I: intervention. E: evaluation Know and understand what is the foundation of patient-centered care? - ANSDeveloping therapeutic relationship Know how should a nurse prioritize nursing diagnoses. - ANSBy life threatening potential Know if a schizophrenia patient refuses to take medication, citing the right of autonomy. Under which circumstance would a nurse have the right to medicate the client? - ANSA client physically attacks another client after being confronted in group therapy
Know the legal significance of a nurse's action when the nurse threatens to restrain a client physically? - ANSThe nurse can be charged with assault Know the most appropriate nursing action to implement, to decrease the possibility of a lawsuit if you have an involuntarily committed client that is verbally abusive to the staff and repeatedly threatens to sue. The client records the full names and phone numbers of the staff. - ANSMaintain professional & positive working relationship Know the most important initial step in learning on how to manage anxiety when providing education on anxiety and stress management. - ANSAwareness of factors and triggers creating stress Know the next steps taken if an inpatient client, whom the treatment team has determined to be a danger to self, gives notice of intent to leave the hospital. Know who determines the length of time a psychiatric facility can hold a client. - ANSPsychiatrist Know the nursing diagnosis that accurately reflects a client's problem with schizophrenia that is exhibiting nonverbal behaviors indicating that he is hearing things that others do not. - ANSAltered sensory perception Know the nursing recommendations that are most helpful to assist a client to cope with stress that recently been under a great deal of stress. - ANS* Enjoy a pet.
- Spend time w/ loved one.
- Listen to music.
- Journal feelings.
- Mental Going on walks Know the phase of the nurse-client relationship that begins when the nurse and client first meet and is characterized by an agreement to continue meeting and working on setting client-centered goals? - ANSOrientation phase Know the priority nursing action during the orientation (introductory) phase of the nurse-client relationship? - ANS* Establish trust and rapport & develop treatment goals agreeable with both patient and nurse.
- Formulate contract for interventions that details expectations & responsibilities.
- Gather assessment data.
- Identify patient's strengths & weaknesses. Explore feelings of both client & nurse.
- Formulate nurse diagnosis and set goals; develop realistic plan of action Know the symptoms of a typical of the fight-or-flight response? - ANSIncreased HR. ↑ HR/RR, HA, sweaty palms, sensation of dizziness, peristalsis (muscle cramping) Know the which mental disorder refers to when a client reports during his visit to the mental health clinic that he is distressed by repetitive sexual fantasies that involve humiliating his sexual partner. - ANSParaphilic disorder
Know what area is being assessed when a nurse asks a client to identify name, date, residential address, and situation. - ANSOrientation Know what data-gathering technique is employed during the assessment phase of the nursing process. - ANSAsking client to describe any thoughts of self harm Know what indicates that the integrity of the nurse-client relationship may be in jeopardy? - ANSBoundary crossing:
- Nurse repeatedly request to be assigned to specific client.
- Nurse shares details of her divorce w/ client. Nurse makes arrangements to meet the client outside of therapeutic environment.
- Favoring 1 client over another. Keeping secrets w/ client. *Changing dress style when working w/ specific client.
- Swapping assignment to care for particular client.
- Special attention/treatment to 1 client over others.
- Thinking of client when away from work. Sharing personal info or work concerns w/ client.
- Receiving gifts/continued contact/communication w/ client after discharge Know what indications to the nurse that a client is at risk for developing a mental illness? - ANSPatient is at risk for developing mental illness when maladaptive responses to stress are coupled with interference in daily functionin
Know what kind of statements demonstrate the nurse understands an individual's experiencing of neurosis? - ANSFeeling helpless in changing his/her own situation/stressors Know what nursing diagnosis that a nurse can identify as being correctly formulated? - ANSSelf-care deficit, hygiene related to Know what should be assessed and should be performed, to maximize the learning process prior to discharge teaching, with a patient diagnosed with Generalized Anxiety Disorder. - ANSAssess client level of anxiety Know what situation exemplifies both assault and battery? - ANSIf a nurse threatens to tie down the client (assault) and then does it even against the client's will (battery). Know what statements made by the student that learning has taken place and is effective regard to the concepts of mental health and mental. - ANSConcepts are multidimensional and culturally defined. Mental health: Successful adaptation to stressors from the internal or external environment, evidenced by thoughts, feelings and behaviors that are age- appropriate and congruent with local and cultural norms. Mental illness: Maladaptive responses to stressors from the internal or external environment evidenced by thoughts, feeling, and behaviors that are incongruent with local and cultural norms that interfere with the individuals social, occupation and/or physical functioning
Know which disorders are recognized as a mental health disorder in the DSM-5 verses a medical diagnosis? - ANSGeneralized anxiety disorder, schizophrenia, major depressive disorder Know which group role a client is assuming, when during an educational group, the client shouts out, "This information is worthless. Nothing you have said can help me." - ANSAggressor Know which member of the interdisciplinary team should a nurse collaborate with, to review results when a client has undergone psychological testing. - ANSThe clinical psychologist Know which psychoneurotic responses to severe anxiety are identified in the DSM-5? - ANS* Somatic symptoms disorders.
- Anxiety disorders.
- Dissociative disorders.
- Panic anxiety. Psychosis Know which statements indicates learning has taken place by a student after attending a self-help group like AA. - ANSMembers run the groups themselves, the role of leader rotates through the members. Leaders facilitate the meeting, but members run the meetings. Know which theorist believed that mental illness was curable? - ANSDorothea Dix
