URSING 326 : Psychiatric Mental Health Nursing Test Bank, Complete Solutions with (Answers Explained & Rationale) A Guide.

NURSING 326 Psychiatric Mental Health Nursing Test Bank (2020) Psychiatric Mental Health Nursing Test Part 1 1. Your patient is very dependent and submissive. There are times that the patient is very clingy. This behavior reflects what type of personality disorder?  a. Antisocial personality  b. Dependent Personality  c. Manic behavior  d. Anxiety disorder Dependent personality is characterized by dependence, submission and being clingy. Antisocial personality is impulsive, aggressive and manipulative. 2. The appropriate therapeutic distance between you and a psychiatric patient is?  a. 12 inches  b. 35 inches  c. 12 feet  d. 4 feet Intimate zone: 0-18 inches. Parents with young children, people who mutually desire personal contact, or people whispering. Personal zone: 18-36 inches. Between family and friends talking. Social zone: 4-12 feet. Communication in social, work and business settings. Public zone: 12-25 inches. Speaker and an audience. Therapeutic distance: 3-6 feet. 3. Nurse Anna is instructing the new nurse to the psychiatric set-up. She also reminded her to use her therapeutic communication skills in dealing with clients. Which of the following techniques enlaces therapeutic communication?  a. What are you thinking about?  b. What made you think that way?  c. Why did you say that?  d. Let’s not talk about that. What do you think? This is using the therapeutic technique BROAD OPENING that allows the client to take the initiative to introduce a topic. 4. Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention should focus on helping the client be oriented with the physical set-up and daily events. Which of the following is the most effective nursing intervention in orienting patients who has Alzheimer’s disease?  a. Encourage the client to talk to family members to reminisce things  b. Provide simple and easily understood directions  c. Perform tasks with a variety of activities each day  d. Have the client socialize with other patients Providing a daily routine and directions easily understood by the client would help orienting a client with Alzheimer’s disease. 5. A therapy that focuses on the remotivation of clients by directing their attention outside themselves to relieve preoccupation with personal thoughts, feelings, and attitudes is known as:  a. Pharmacologic therapy  b. Music therapy  c. Occupational therapy  d. Recreational therapy Recreational therapy- Focuses on remotivation of clients by directing their attention outside themselves to relieve preoccupation with personal thoughts, feelings, and attitudes. Clients learn to cope with stress through activity. Activities are planned to meet specific needs and encourage the development of leisure-time activities or hobbies. Recreational therapy is especially useful with those people who have difficulty relating to others (e.g., the regressed, withdrawn, or immobilized person). Examples of recreational activities include group bowling, picnics, sing-along, and bingo. 6. The 12-year old male patient looks like the nurse’s younger brother who is missing for years. During assessment and in the implementation of nursing care the nurse prioritizes this client. One day, when she found the boy crying in his room she hugged him and cried with him. This is an example of:  a. Counter-transference  b. Transference  c. Resistance  d. Denial When the nurse displays affection or emotion toward the client counter-transference is occurring. Transference is observed when the patient is displaying emotions towards the nurse. 7. A schizophrenic client is under your care. In reinforcing the functional behavior of this client what will the nurse do?  a. Enumerate the symptoms of schizophrenia to the client  b. Correct delusional thoughts to orient to reality  c. Compliment the client for cessation of acting out behaviors  d. Encourage the client to drink his medications religiously According to B.F. Skinner’s behavior medication technique, a client should be praise for good behaviors to help him modify his faulty actions. 8. A client was brought to the ER. Based on the significant others, the client had a history of shop stealing. However, no self-mutilating activities are committed by the client. During the interview, the client is very manipulative and aggressive and impulsive. What personality disorder most likely the client has?  a. Antisocial  b. Histrionic  c. Narcissistic  d. Borderline Antisocial P.D is characterized by aggression, manipulation and impulsivity. Histrionic people are emotional, dramatic and theatrical. Narcissistic people are boastful, egotistical and have superiority complex. Borderline PD is characterized by impulsivity, self-destruction and very unstable mood. 9. When the client told the nurse that he feels good when he mutilates or cuts himself the novice psychiatric nurse answered, “Do you know the risks involved when you cut yourself?” what type of nontherapeutic communication is the nurse using?  a. Defending  b. Testing  c. Making stereotyped comments  d. Disagreeing Testing is appraising a client’s degree of insight such as by asking the patient of the risks involved when he cut himself. This forces the client to recognize his problems. Defending is attempting to protect someone from a verbal attack. Stereotyped comments are meaningless clichés such as “it’s for your own good.” 10. A therapy that assists with discharge planning and rehabilitation, focusing on vocational skills and activities of daily living (ADL) to raise self-esteem and promote independence is called:  a. Behavior modification  b. Milieu therapy  c. Recreational therapy  d. Occupational therapy Occupational therapy - Assists with discharge planning and rehabilitation, focusing on vocational skills and activities of daily living (ADL) to raise self-esteem and promote independence 11. Nurse Marie is caring for a patient that underwent alcohol detoxification. Which of the following