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Nurse Jon is caring for a client with severe anxiety. Their anxiety has recently increased so much
that the client is unable to go to work. Nurse Jon realizes that according to the mental health to
mental illness continuum, this client is in the category of:
a) emotional problems or concerns
b) well-being
c) mental illness
d) between well-being and emotional problems
CORRECT ANS: C)
What is the scope of psychiatric-mental health nursing practice?
a) assessment, education, medication administration, and screening for suicide risk
b) assessment, medical diagnosis, giving orders, writing prescriptions, admitting, and
discharging
c) assisting providers, assisting with ADLs, monitoring clients, offering support, promoting safety
d) assessment, counseling, teaching coping skills, giving advice, listening
CORRECT ANS: A
A client of the local mental health clinic arrives for their appointment out of breath, hair a mess,
and clothing askew. The receptionist tells the client, "You are fifteen minutes late. I will have to
see if the doctor can still see you." The client responds, "I know I am late. I can explain, my
mother-in-law had a bad night. She lives with my husband and me. I am just so tired of taking
care of her." This example falls under which category of risk factors?
a) genetic comorbidities
b) psychological factors
c) social factors
d) victimization
CORRECT ANS: C
To keep the plan of care client-centered, what important assessment should the nurse do after
identifying several risk factors for substance abuse in a client?
a) contact a rehab center for an intake assessment
b) perform a client strengths assessment
,c) ask the psychiatrist to screen for depression
d) complete a health assessment
CORRECT ANS: B
A person with mental illness does not want to seek care because of the shame they feel for
being sick. What type of stigma is this related to?
a. self-stigma
b. caregiver stigma
c. institutional stigma
d. public stigma
CORRECT ANS: A
A student nurse is studying for an exam on the recovery process. It is evident that they
understand the concept when they explain to their study group:
a. "The majority of people with mental illness or substance use do not recover."
b. "The recovery process is dictated by the health-care team."
c. "Recovery is a nonlinear process based on instilling hope."
d. "In recovery, a client needs to advocate for themselves right from the start."
CORRECT ANS: C
What should the psychiatric nurse do to assist individuals and families to understand the
recovery process and the resources available to them?
a. psychoeducation
b. create a care plan for them
c. refer them to a psychiatrist
d. refer them to a website to read on their own
CORRECT ANS: A
Nurse Sheila makes adjustments to the client's plan of care after talking with the client. This is
most likely an example of the ________ component of the EBP model.
a. best available research
b. client preferences
c. nursing expertise
d. review of evidence
CORRECT ANS: B
What should the nurse do to locate credible sources of research in order to practice evidence-
based interventions?
, a. The nurse should ask a supervisor for help locating credible sources.
b. The nurse should access CINAHL or another professional database.
c. The nurse should perform a Wikipedia search.
d. The nurse should ask a librarian to gather information for them.
CORRECT ANS: B
CH. 2
...
When caring for a client in the psychiatric unit, the new nurse in the unit approaches the client
with the morning medications. The client responds to the nurse with, "I know I can't trust you!"
What should the nurse consider when attempting to understand the client's statement?
a. The statement is inappropriate for the client to express to a professional nurse.
b. The statement could be an example of transference to the nurse.
c. The statement is an example of countertransference to the nurse.
d. The statement is the way the client chooses to express their feelings to the nurse.
CORRECT ANS: B
A twenty-eight-year-old client enters the family therapy meeting clutching a blanket and holds
the blanket throughout the session while rocking back and forth in the chair. The nurse
recognizes the defense mechanism of ________.
a. denial
b. repression
c. undoing
d. regression
CORRECT ANS: D
What theorist defined growth as development in stages with a positive and negative
consequence if not met?
a. Peplau
b. Orenstein
c. Freud
d. Erikson
CORRECT ANS: D
What therapy environment permits the nurse to assess the client while they are exposed to
different relationships and behaviors?
a. milieu therapy