MENTAL HEALTH (PSYCH) HESI–FINAL EXAM-with 100% verified solutions-2023-2024 GRADED A+, Exams of Nursing

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MENTAL HEALTH (PSYCH) HESI – FINAL EXAM-with

100% verified solutions- 2023 - 2024

Which is necessary as a defining feature in mental illness?

• (^) The individual must have difficulties in functioning that cause distress and/or impairment of some type. Which provides the best definition for mental illness?
• (^) Inability to function in a manner that manages both external and internal stressors effectively Which skill is in the psychiatric–mental health registered nurse's scope of practice?
• (^) Evaluating the effectiveness of psychiatric medications A nurse is providing community education about the prevention of mental illness. In response to the question, "What does it mean to be mentally healthy?" which is the nurse's best response?
• (^) “Mental health is marked by productivity, fulfilling relationships, and adaptability.” Which intervention is appropriate for a psychiatric–mental health nurse at the basic level of practice? - (^) Promoting symptom management Which is the greatest barrier to an individual's ability to obtain the most effective and safest psychiatric medication? - (^) These medications are often not covered by the managed care system because they are expensive. What percentage of adults requiring mental health services get the care they need?
• 25% (Only about 25%, or 1 in 4, of adults requiring mental health services get the care that they need) Chlorpromazine is a drug in which classification? - (^) Antipsychotic When providing care to a client, the psychiatric–mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of

which individual?

- (^) Hildegard Peplau

During the mid-20th century, the focus of treatment centered on treating neurotransmitter dysfunction in the brain. As a result hospital stays were shortened due to the introduction of which?

• (^) Psychopharmacology Which is an inaccurate depiction of self-awareness? - (^) It involves changing one's values or beliefs. The nurse has been unsuccessful in the psychiatric clinical placement and will be obliged to repeat it next semester. The criteria for passing or failing were based on the Psychiatric– Mental Health Nursing Scope and Standards of Practice, which are?
• (^) Descriptions of the responsibilities for which nurses are accountable Which is a difference between counseling and psychotherapy? - (^) Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an advanced practice role. A client diagnosed with schizophrenia has recently become divorced and is living in public housing. How would the DSM- 5 best help in planning this client's care?
• (^) It is used by the mental health team to identify the psychosocial and environmental factors currently affecting the client. A client demonstrates sexually inappropriate behavior toward a student nurse. What is an effective way for the student to respond while protecting and respecting the client?
• (^) Report the incident to staff and the clinical instructor so boundaries can be reenforced with the client. Which is a true statement regarding Medicaid?
• (^) It covers individuals and families with low incomes. When comparing the theories of mental illness popular in ancient Greece with those popular in the Middle Ages, which is more applicable to the Middle Ages?
• (^) Belief in demonic possession and exorcism was common. In the 1970s, state mental hospitals came under increasing scrutiny and many were closed. What was the end result of this trend?

• (^) A lack of suitable housing for persons with mental illness In the early Christian period, who treated clients thought to be possessed by demons causing their mental illness?
• (^) Clergymen A psychiatric-mental health nurse is preparing a presentation about the historical evolution of current psychiatric-mental health treatment. When describing the impact of Sigmund Freud's work on care, which information would the nurse most likely include? Select all that apply.
• (^) A disturbance in personality development as an underlying issue
• (^) Use of psychoanalysis to address the underlying injury Which skill is in the psychiatric–mental health registered nurse's scope of practice?
• (^) Evaluating the effectiveness of psychiatric medications A nurse is providing community education about the prevention of mental illness. In response to the question, "What does it mean to be mentally healthy?" which is the nurse's best response?
• (^) “Mental health is marked by productivity, fulfilling relationships, and adaptability.” Which is the most influencing factor that complicates the treatment of people with mental illness in the Unites States?
• (^) Insurers' reimbursement decisions Which individual has experienced the consequences of deinstitutionalization?
• (^) A woman who was transferred from a psychiatric hospital to the community because of the hospital's impending closure Which is a clinical activity of only the advanced practice registered nurse? - (^) Psychotherapy Maintaining a therapeutic environment and promoting growth through role modeling are components of which basic level function? - (^) Milieu therapy

Which intervention is appropriate for a psychiatric–mental health nurse at the basic level of practice?

- (^) Promoting symptom management When providing care to a client, the psychiatric–mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual?

• (^) Hildegard Peplau One of the primary reforms accomplished by Dorothea Lynde Dix was the ...
• (^) establishment or enlargement of state hospitals. The psychiatric mental health nurse is planning the care of a client. What action best addresses the client's needs in the social domain?
• (^) Collaborating with the client's family to organize support Which is a result of deinstitutionalization?
• (^) A "revolving door" of repetitive hospital admissions During the moral treatment period, clients were routinely placed into which environment?
• (^) Asylums Who was the first to introduce the concept of interpersonal relations and the therapeutic relationship?
• (^) Hildegard Peplau In early Christian times, what was thought to cause mental illness?
• (^) Demonic control A client demonstrates sexually inappropriate behavior toward a student nurse. What is an effective way for the student to respond while protecting and respecting the client?
• (^) Report the incident to staff and the clinical instructor so boundaries can be reenforced with the client. Which is an inaccurate depiction of self-awareness?

• (^) It involves changing one's values or beliefs. Which activity is a function solely of the advanced practice psychiatric–mental health nurse? - (^) Conducting individual psychotherapy The application of psychiatric mental health nursing theory to promote holistic client care in the therapeutic relationship is grounded in the work of which historical figure?
• (^) Peplau Which sets professional standards of care?
• (^) Professional nursing organizations The nursing instructor asks the student to perform an assessment of a mentally ill client. What should the student do when executing this task?
• (^) Collect comprehensive data The psychiatric–mental health nurse needs to have a basic understanding of information that is unique to individual medications. Which factors that affect pharmacokinetics should the nurse know? Select all that apply.
• (^) Contraindications
• (^) Adverse reactions
• (^) Food and drug interactions
• (^) Indications for use The basic units of structure and function in the nervous system are called what?
• (^) Neurons Which is the most commonly seen adverse side effect of typical antipsychotics? - (^) Extrapyramidal symptoms and tardive dyskinesia Dietary modifications are most likely necessary when a client is being treated with which antidepressant? - (^) Monoamine oxidase inhibitors(MAOIs)

A client is experiencing acute stress leading to the stimulation of increased gastric acid. In this situation, which body system uses acetylcholine as a neurotransmitter?

• (^) Cholinergic A nurse is aware that the likelihood a client will be in adherence with psychotropic medications is affected by what?
• (^) Receiving education and information about the medication. Which is the primary role of neurotransmitters?
• (^) Communicate information from one cell or cell group to another Which side effect is associated with selective serotonin reuptake inhibitors (SSRIs)?
• (^) Sexual dysfunction Which are anticholinergic side effects that may occur with the use of antipsychotic drugs? Select all that apply. - (^) Urinary retention - (^) Constipation - (^) Dry mouth A client has been diagnosed with Parkinson’s disease. His symptoms of spasticity are related to a decrease in which neurotransmitter?
• (^) Dopamine The therapeutic level of lithium range includes what? - (^1) to 1.5 mEq/L Which is a major difference between the atypical antipsychotics (such as clozapine) and the typical antipsychotics (such as haloperidol)? - (^) Atypical antipsychotics block both serotonin and dopaminergic receptors. Which client is most likely to benefit from treatment with an antiparkinsonism agent?
• (^) A client who has a medication-induced movement disorder

During the stabilization phase of drug therapy for a client who is hospitalized with a psychiatric disorder, which action would be most appropriate?

- (^) Assessing the client for target symptoms and side effects An older adult client has been taking diazepam on a daily basis for several years. On the advice of the client's daughter, the client now wants to stop taking it. Due to the possible effects of discontinuation, the nurse should perform what intervention?

• (^) Teach the client nonpharmacologic strategies for promoting sleep Which correctly describes the primary effect of a selective serotonin reuptake inhibitor (SSRI) antidepressant drug? - (^) Its ability to block the reuptake of serotonin Which is considered the first-line treatment for bipolar disorder?
• (^) Lithium Excess tyramine caused by monoamine oxidase inhibitors (MAOIs) can result in what?
• (^) Hypertensive crisis Clients taking monoamine oxidase inhibitors (MAOIs) for depression must be placed on a diet that is low in what?
• (^) Tyramine A client with Parkinson’s disease is hospitalized on a medical unit. The nurse would be correct in identifying which neurotransmitter decreased in this disease?
• (^) Dopamine Which is considered an atypical antipsychotic? - (^) Olanzapine A client suffers from low mood and disturbed sleep. This client is most likely experiencing a change in which neurotransmitter?
• (^) Serotonin Two nursing students are giving a presentation on the limbic system. Which can they accurately include as actions of this brain structure?

• (^) Behavior A professional boxer has suffered several concussions while boxing. Since retirement, the client has experienced periods of depression and suffers from short-term memory loss. Which provides the best explanation for the neurological basis of the client’s symptoms?
• (^) Damage to the hippocampus An older adult resident of a group home has been receiving treatment for schizophrenia for several decades. The nurse who oversees care at the facility believes that the resident may be developing tardive dyskinesia. What assessment findings would support this suspicion? Select all that apply.
• (^) The client often smacks lips when at rest
• (^) The client makes repetitive movements with the fingers A client has bipolar disorder and has just begun a regimen of lithium, 600 mg tid. Which is the most critical management issue for the client during the first 2 weeks of treatment?
• (^) Ensuring the client's blood levels reach a therapeutic and safe dose Benzodiazepines work by the following mechanism of action: - (^) They act directly on GABA receptors and are thought to increase the amount of GABA available. A drug that is an antagonist functions to do what?
• (^) Prevent natural or other substances from activating cell function A nurse is caring for an older adult who has experienced damage to the frontal lobe after an automobile accident. The nurse anticipates that the client will have difficulty with what?
• (^) Concept formation In which way do neurons communicate through the use of synapses?
• (^) Chemically All but which are currently used neuroimaging techniques?
• (^) Electrocardiogram (ECG)

The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test?

- (^) White blood cell count A hospitalized client who has been taking an antipsychotic medication for 2 weeks begins pacing and walking throughout the unit. He tells the nurse that he "cannot sit still." The nurse documents this finding as what?

• (^) Akathisia A client has been diagnosed with Parkinson’s disease. His symptoms of spasticity are related to a decrease in which neurotransmitter?
• (^) Dopamine A client with schizophrenia is erratic in adhering to the antipsychotic regimen. What action best addresses this client's lack of adherence? - (^) Changing the client's medication route to intramuscular depot Which is considered the first-line treatment for bipolar disorder?
• (^) Lithium A client has been prescribed clozapine for treatment of schizophrenia. Which would the nurse include in the education plan for this client and family? - (^) “You may experience noticeable weight gain while taking this medication.” A client who has been taking clozapine for 6 weeks visits the clinic complaining of fever, sore throat, and mouth sores. The nurse notifies the client's physician because the nurse suspects what? - (^) Agranulocytosis A nurse administers a prescribed dose of lithium at 8 p.m. The nurse would schedule a specimen to be obtained for a blood concentration at which time? - (^8) a.m. After educating a client who is receiving phenelzine, the nurse determines that the education was successful when the client states the need to avoid what?
• (^) Tap beers

The nurse recognizes that the difference between a voluntary and an involuntary commitment is what?

• (^) An involuntarily committed client may not initiate his or her own discharge What is the therapeutic goal of seclusion?
• (^) Give the client the opportunity to gain self-control When promoting client safety on an inpatient psychiatric unit, which interventions would be used as the measure of last resort? - (^) Four-point restraint Which are functions of assertive community treatment? Select all that apply.
• (^) Reduces inpatient service use
• (^) Promotes continuity of outpatient care
• (^) Increases the stability of people with serious mental illnesses What is provided in the Code of Ethics for Nurses of the American Nurses Association (ANA)? - (^) A guideline for nurses regarding ethical conduct A client with depression who is undergoing a colonoscopy tomorrow is receiving preoperative education regarding the procedure. Which nursing task best describes the explanation of the procedure and the associated risks and benefits?
• (^) Acquiring informed consent Which client most likely has the legal right to refuse treatment?
• (^) A client who voluntarily entered a substance abuse treatment facility to address an addiction to alcohol As a result of the increasing severity of delusions and consequent unsafe behavior, a client has been admitted to a psychiatric facility and judged incompetent to make decisions. Who will now make decisions for the client? - (^) A guardian appointed by the court

A client with a psychiatric illness has become extremely aggressive and the nurse decides that the client needs to be restrained. Which action would be considered human restraint?

• (^) The nurse and a group of paramedics hold the client. Which is the most important reason for psychiatric nurses to understand law, legislation, and legal processes that relate to professional nursing practice?
• (^) Because doing so gives the nurse the ability to provide quality care that will safeguard the rights and safety of clients. When it is discovered that a nurse did not act reasonably when providing care in accordance with the standards of professional practice, which factor would confirm the nurse has been negligent?
• (^) The nurse was responsible for client injury A client diagnosed with schizophrenia insists on stopping medication because it causes the client to gain weight. The client is exercising which ethical principle?
• (^) Autonomy A client in a psychiatric facility has ideations about killing the client's spouse. This client requests to be discharged from the facility. Which represents the most appropriate action? The health care provider should:
• (^) File for a civil commitment to detain. Which client behavior would prompt the nurse manager to discuss the duty to warn with staff members?
• (^) Danger to others A client was admitted for electroconvulsive therapy (ECT). The physician performing the procedure failed to obtain informed consent before the ECT was administered. The physician could be charged with what?
• (^) Battery A hospital client has attributed the long-standing struggle with depression to the fact that the client was sexually abused by the client's father as a child and early adolescent. The client has admitted to the nurse that the client intends to seek out the father and “do some justice.” What is the nurse's primary responsibility in response to the client's threat?
• (^) Report the client's threat to the appropriate authorities.

A nurse working on a psychiatric unit receives a telephone call from the employer of one of the clients on the unit. The employer asks to be sent a copy of the client's latest laboratory work and psychological testing results so the client's medical records in employee health can be kept up to date. Based on the nurse's knowledge about issues surrounding breach of confidentiality, which response would be the most appropriate?

• (^) “I am unable to acknowledge whether or not this client is a client on this unit.” A 22-year-old client with schizophrenia is refusing antipsychotic medication. The client states, “I don't like the dopey way it makes me feel. I feel like I'm walking underwater when I take it.” The nurse explains to the client, “Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better.” This conversation reflects a conflict between which two types of ethical principles?
• (^) Autonomy and beneficence When staff members physically control the client and move him or her to a seclusion room, what form of restraint is being implemented?
• (^) Human A nurse sitting with a client in a therapy session with the psychotherapist hears the client state, "I have had it with this marriage. I'm telling you, and not that I ever would do it, but I feel like hiring a hit man to kill my spouse!" Which action is the nurse obligated to take?
• (^) Warn the client's spouse, based on the Tarasoff rule. While performing the admission assessment of a new client, the nurse observed that the client brought a bottle of over-the-counter pain medication to the hospital. The nurse failed to document this or remove the medication from the room. Subsequently, the client experienced a serious adverse drug reaction as a result of the interaction between this drug and one of the drugs that the client was prescribed in the hospital. This nurse may be guilty of what?
• (^) Malpractice A nurse is providing care to a client who is hospitalized with a diagnosis of schizophrenia. Which would be appropriate for the nurse to include in the client's medical record?
• (^) “Complained of being unable to sleep because the client heard voices throughout the night.” Which are functions of assertive community treatment? Select all that apply.

• (^) Promotes continuity of outpatient care
• (^) Increases the stability of people with serious mental illnesses
• (^) Reduces inpatient service use After teaching a group of nursing students about the least restrictive environment, the instructor determines that the education was successful when the group identifies which as the most restrictive setting? - (^) Acute inpatient care A psychiatric nursing class is discussing current trends in mental health care. A student voices the opinion that there should be equitable access to mental health care and resources for those who live in rural areas, for those without health insurance, and for those with very little income. The student nurse's opinion most closely reflects which ethical principle?
• (^) Justice A psychiatric nurse is assigned to perform observation of a client in restraints. The nurse knows that this client must be checked on how often?
• (^) Constantly for the first hour A new nursing student is studying ethics in nursing and informs a client who wants to stop medication about its benefits and how the client will continue to feel better only if use of the drug continues. Which concept is the nursing student using?
• (^) Beneficence A nursing student identifies which as the most important tool of psychiatric nursing?
• (^) Self What action by a nurse best promotes the ethical principle of justice?
• (^) Advocating for enhanced mental health services in an underserved neighborhood Which court decision or act states that psychotherapists have a duty to exercise reasonable care in protecting the foreseeable victims of their clients' violent actions?
• (^) Tarasoff v. Regents of the University of California

The nurse is teaching a client about the importance of adhering to a medication regimen. The client does not believe that it is important. The nurse is communicating which ethical principle?

• (^) Beneficence A client in a psychiatric facility has ideations about killing the client's spouse. This client requests to be discharged from the facility. Which represents the most appropriate action? The health care provider should:
• (^) File for a civil commitment to detain. A nurse is explaining assisted outpatient treatment to a client who is being discharged from the hospital. Which instructions should the nurse give the client regarding the assisted outpatient treatment? Select all that apply.
• (^) The client must attend the follow-ups as per the schedule.
• (^) The client must attend specific group therapy programs.
• (^) The client must take prescribed medications as per the dosing schedule. A psychiatric-mental health nurse is practicing at the advanced level. Which function would this nurse be able to perform based on the nurse's advanced level of preparation? - (^) Psychotherapy Which client would a nurse determine to be the most likely candidate for involuntary commitment? The client who:
• (^) is screaming in the street disturbing neighbors. A client comes to the emergency department with severe depression and suicidal ideation. Staff members determine that the client does not have adequate insurance to cover inpatient psychiatric services at their facility, so they discharge the client with some prescriptions for medication. Which principle is being ignored by discharging this client?
• (^) Justice A client with bipolar disorder has been following the prescribed medication regimen. The client indicates to the nurse a desire to stop the medication now that the client is feeling better. The nurse tells the client that most likely the client will have to remain on the medication for life to keep the condition under control. The nurse is practicing which principle?

• (^) Veracity The nurse is assessing whether a room is fit for seclusion of clients. What are the requirements of a seclusion room? Select all that apply.
• (^) The room should have facility for direct visual monitoring.
• (^) The room should not have any sharp objects.
• (^) The room should have a bed that is bolted to the floor. A nurse is reviewing that standards of practice. Which component would the nurse identify as appropriate?
• (^) Outcomes identification Client 1 has been talking to Client 2 about Client 2's frequent denial in the group for two weeks. On the third week, Client 2 comes late to the group. When they begin to discuss Client 2's lateness, Client 2 gets up and leaves. The content of this exchange is the discussion. The process that is occurring may be that ...
• (^) Client 2 is angry with Client 1 for the confrontation. One of the most valuable applications of group therapy is to allow group members to gain an understanding concerning what personal aspect?
• (^) Interacting with others and receiving feedback on how others perceive and react to the client Which defense mechanism is being used when a student decides not to think about a parent's illness but to rather concentrate on studying for an upcoming test?
• (^) Suppression According to Maslow, an individual who has developed to the individual's fullest potential has achieved what level of his hierarchy?
• (^) Self-actualization The nurse is conducting an admission interview with an adult mental health client. The client begins to talk in a childish voice about riding a bike and playing outside. What defense mechanism is this client demonstrating?
• (^) Regression

Which are two of the most important reasons that nurses utilize theories in their approach to helping clients with psychiatric disorders?

• (^) Theories provide knowledge expansion in the field, and they are a way of incorporating known findings into a framework for understanding clients. The nursing theorist Peplau identified which as the essence of psychiatric–mental health nursing?
• (^) The nurse–client relationship A client asks the nurse to help the client understand what a psychologist meant when the psychologist said that the client displaced anger. Which is the best definition for displacement the nurse can provide?
• (^) Transferring feelings—such as frustration, hostility, or anxiety—from an idea, person, or object to one that is less threatening A nurse is integrating Peplau's model when providing care to a client with a mental illness. Which would the nurse identify as a key component?
• (^) anxiety A nurse working on a psychiatric unit is helping clients to understand how individual perceptions determine a person's response or behavior in stressful situations. Which therapeutic approach is the nurse employing? - (^) Cognitive therapy According to Freud's theory, when a woman's id is attempting to cope with substantial stressors, including being a single mother of three, the resulting behavior might include:
• (^) compulsive overeating. The nurse has a client who reminds the nurse of the nurse's sister, with whom the nurse has a close and positive relationship. This phenomenon is best characterized by which term?
• (^) Countertransference The nurse is aware of the changing demographics and growth of ethnic subcultures of the community and is trying to ensure that the needs for psychotherapy are effectively met. How should the nurse best work toward this goal?

• (^) Foster cultural competency among those caregivers who perform psychotherapy and counseling Which concept states that if a certain behavior is rewarded with praise, the behavior will probably be repeated?
• (^) operant conditioning In the Freudian model, which is true regarding the id?
• (^) It is formed by unconscious desires and primitive instincts. Which is the key common element in the various psychotherapeutic approaches?
• (^) An effective client–therapist relationship What is the most basic need, according to Maslow's hierarchy of needs?
• (^) Physiological What is a group that has structure and authority known as?
• (^) A formal group The nurse has been asked to sit in and observe a support group for individuals who were once addicted to drugs. The nurse notices that one group member disagrees with statements made by all other group members. What role is this individual playing in the group?
• (^) Blocker A nursing student who fails an examination believes that because the student earned a low grade, the student now must develop a better understanding of the material. This student is exhibiting a belief system that is what?
• (^) Rational From the standpoint of cognitive therapy, the term cognition refers to what?
• (^) How clients think about themselves and their world The concept that irrational beliefs lead to negative emotions underlies which psychotherapeutic approach?
• (^) Rational emotive behavior therapy

Which phase of individual psychotherapy involves establishing mutual boundaries of the relationship between the client and the mental health nurse?

• (^) Introductory The nurse is caring for a 4-year-old child during a well-child visit. According to the Sullivan’s stages of development, which behavior would the nurse expect to find in this child?
• (^) The child performs actions to earn praise from parents. A nurse has been working with a client who has a personality disorder and the nurse has recognized the potential for countertransference. How can the nurse best prevent this phenomenon?
• (^) Reflecting on the nurse's own thinking to identify times where the nurse may project individual feelings on to the client According to Maslow, mentally healthy people who achieve self-actualization are able to do what?
• (^) Use varied approaches to solve problems A client is undergoing individual psychotherapy. The client is yelling at the therapist because of a fight with the client's spouse about their children several years ago. In this instance, the client is exhibiting which response?
• (^) Transference A 15-year-old client has been cutting the client's forearms in recent months, a pattern of behavior that has had far-reaching consequences for all the members of the client's family. The client and the client's family are scheduled to begin therapy with a nurse–therapist who utilizes a behaviorist approach. Which aspect of this situation will the nurse– therapist most likely emphasize?
• (^) The perceived benefits that the client receives from the behavior Two staff nurses in a psychiatric emergency department are being considered for a promotion that will be announced via memo on a unit bulletin board. They work in a collaborative team environment, have been colleagues for 15 years, and socialize outside work. Nurse A hears from a third colleague that Nurse B was promoted. Nurse A goes into the staff coffee room and slams several cupboard doors. A custodian enters and remarks, “You seem pretty upset.” Nurse A replies, “I am not at all upset.” In this instance, Nurse A is probably using:

• (^) denial. Which theorist’s contribution led nurses to recognize that personality development begins at birth? - (^) Erik Erikson The client's parents have begun a program of therapy that includes giving the client a token each time the client follows directions. Which theoretical framework provides the background for such a program?
• (^) Behavioral theory Based on the theory of transference, if a client's childhood experiences teach the client to mistrust authority figures, the client will do what as an adult?
• (^) Resist advice given by the mental health care professionals The nurse observes an elderly client teaching an adolescent how to crochet a pot holder. The nurse evaluates this behavior as evidence of resolution of Erickson's developmental stage of what? - (^) Generativity vs. stagnation Which theorist viewed interpersonal relations as a basis of human development and behavior?
• (^) Harry Stack Sullivan A basic function of psychiatric nurses is to implement a group that focuses on helping individuals coping with their illness. This refers to ...
• (^) a supportive therapy group. The psychiatrist states that repressed memories in the client's unconscious are causing depression. This reasoning implies that the psychiatrist uses which theory?
• (^) Psychoanalytic theory Health promotion and health maintenance interventions related to psychiatric–mental health nursing include what?
• (^) Teaching stress-reduction techniques

A student nurse does not want to think about the upcoming final exam. The student nurse will start studying for the exam tomorrow. The student nurse is exhibiting which type of defense mechanism?

• (^) Suppression In viewing the stages of the family life cycle, those families in later life undergo which emotional transition?
• (^) Accepting the shifting of generational roles What best describes the use of psychotherapy as a mental health intervention?
• (^) bringing about a change in feelings, attitudes, thinking, and behavior The greatest impact case management has had on mental health care is that it has caused what?
• (^) Has increased client access to appropriate mental health care When comparing homeless people without mental illness to homeless people with mental illness, homeless people with mental illness:
• (^) spend more time in jail. Which type of care provides periodic relief to caregivers of a mentally ill client? - (^) Respite residential care What are some of the goals of psychiatric rehabilitation? Select all that apply.
• (^) Recovery from mental illness
• (^) Personal growth
• (^) Increased independence
• (^) Increased involvement in treatment decisions Which is the most restrictive setting in the continuum?
• (^) Acute inpatient hospitalization Which statement accurately describes the clubhouse model of community-based mental health rehabilitation?

• (^) It exists to promote rehabilitation alliance. Which would not be considered an impediment to successful discharge planning?
• (^) Compliance with the therapeutic regimen Which statement regarding those with serious and persistent mental illness (SPMI) is correct?
• (^) Opportunities to improve finances are limited or nonexistent because these people lack funds for education, clothing, and transportation. The nurse is caring for a group of clients in a residential treatment facility. While the intensive outpatient programs promote education in the areas of stress management and relapse prevention, the residential treatment facility emphasizes what?
• (^) Ensuring a sustainable living situation A client is receiving crisis stabilization in an inpatient facility. The nurse would focus care on what? - (^) Symptom stabilization Which best defines a community support system in relation to mental illness?
• (^) A network that helps to meet the needs of people with mental illness and to realize their potential without unnecessary isolation Which best describes the scope of what community support services provide?
• (^) A wide range of services, from health care and education to housing arrangements, employment counseling, and rehabilitation A 54-year-old with severe and persistent mental illness and has been referred to a community support system. What is the basic philosophy behind community support systems?
• (^) To address the needs of adults with mental illness and increase their ability to function Which is accurate regarding assertive community treatment (ACT)?
• (^) It offers intensive community-based services.

Initiatives that strive to strengthen links between primary care and specialized mental health services refer to ...

• (^) collaborative mental health care. A 47-year-old client missed 1 week of work while hospitalized with bipolar disorder. The client was placed on medication and was able to return to work. When asked, the client informed coworkers that the absence was due to influenza. What is the most likely reason the client lied about the illness?
• (^) The client feared rejection, isolation, and discrimination. A college's nursing program has added an elective in forensic nursing to the curriculum. Which phenomenon underlies the expanded role for forensic nursing that is expected in the future?
• (^) The fact that there are high rates of mental illness among the populations of jails and prisons One major reason that clients with mental disorders are rehospitalized is what?
• (^) Resurfacing of acute symptoms A nurse working in a psychiatric inpatient facility correctly identifies the term "milieu therapy" to mean what? - (^) Maintenance of the therapeutic environment Which statement is true concerning clients with dual diagnoses?
• (^) Integrated care is preferred over split care for the separate diagnoses Which goal for an individual client is consistent with the overall objectives of community support service programs?
• (^) The client's functional ability will improve. A nurse has transferred recently to a forensic practice setting from an acute care medical setting. During the orientation period, the nurse's mentor helps the nurse learn the culture of a forensic setting. The nurse learns to be alert to one of the most dominant barriers to building a therapeutic relationship with forensic clients. What is this barrier? - (^) Clients commonly struggle with trusting others.

The same principles that define the nursing process are at work within the provision of community based mental health services through which interventions?

• (^) Coordination of care Which type of care provides periodic relief to caregivers of a mentally ill client? - (^) Respite residential care The parents of a client with a mental illness being cared for at home tell the nurse that they have been feeling overwhelmed lately. They say, "We need to get away for a few days to recharge ourselves." Which care setting should the nurse recommend? - (^) Respite residential care Which mental health treatment setting is not a residential treatment setting?
• (^) Partial hospitalization programs Which is an appropriate description of social skills training available at a local mental health clubhouse?
• (^) Self-care skills such as learning to use a list of crisis hotline numbers or to cope with unexpected stressful situations Which is the most restrictive setting in the continuum?
• (^) Acute inpatient hospitalization The nurse is reviewing a client's history, which reveals that the client is participating in a psychiatric rehabilitation program. The nurse understands that which is the goal of this program?
• (^) Empower clients to achieve the highest level of functioning possible The Fountain House in New York developed the clubhouse model in the 1940s. Which is an important characteristic of a clubhouse?
• (^) Members receive mental health treatment from providers in the community. Community mental health can be best described as:
• (^) treating the community as client