Behavioral Health Nursing Final
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Questions and Aswers.
MENTAL HEALTH EXAM 1
• The nurse assists the physician with ECT on a patient that refused to give consent. What
possiblelegal action may this nurse be charged with?
• Breach of confidentiality
• Defamation of
characterc.
Battery
d. Assault
• A patient was involuntarily admitted after trying to harm himself. Which statement by the
patientwould indicate further education regarding his rights?
• “I can understand why you restrained me when I threatened you.”
• “I can leave anytime I tell you I’m not going to hurt myself.”
• I may be here, but I still have the right to vote.
• You can’t tell my boss that I attempted suicide
• A nurse is working with a patient with a history of panic attacks. During group therapy, the
nurse notes the patient begins to tap their foot, becomes mildly anxious, and is pushing away,
preparingto leave the group. The nurse instructs the patient to remain seated and asks if
they would like a journal to write down some thoughts while the group resumes. What phase
of crisis care is the nurse implementing?
• Phase two- planning
• Phase four- evaluation
• Phase one- assessment
• Phase three-intervention
• A victim of violence comes to the crisis center seeking help. The nurse uses crisis
interventionstrategies that focus on which of the following?
• Supporting emotional security
• Providing legal assistance
• Offering long-term resolution of issues
, • Promoting growth of the individual
• A patient prescribed venlafaxine 75mg every AM and 150mg every HS. It comes in 37.5 mg
tablet.How many tablets would the nurse administer a day? 4
• Therapeutic communication is the foundation of a patient-centered interaction. Which of
thefollowing could negatively impact communication?
• Exploring
• Seeking clarification
• Advising
• Restating
• A nurse is leading a family therapy session for a mother, father, and two siblings. Which of
thefollowing statements should the nurse recognize as manipulation?
• Please do not raise your voice at the children. I am the one who left the dishes in
thesink.
• Can you tell me the reason you so upset when I go to the mall?
• If you keep saying that, I will tell everyone what you did last night.
• She is always bossing me around. Should she do that?
• During the interdisciplinary treatment team meeting, a short-term outcome is established
for apatient with depressive symptoms. Which SMART goal is most appropriate?
• The patient will demonstrate increased interaction with other patients by discharge.
• The patient will reduce self-rating on depression scale by 10% by the second
day ofadmission.
• The patient will express and demonstrate increases in energy by the third
day ofadmission
• The patient will make statements that he feels less depressed by the end of the first
day ofadmission.
• During a nurse patient interaction, the nurse becomes uncomfortable. Which of the
followingwould represent the use of a non-therapeutic response? SAA
• The nurse falsely reassures the patient
• The nurse uses exploring to understand the patients feelings
• The nurse uses probing
• The nurse uses silence to allow the patient to gather thoughts
• The nurse changes the subject
• A county in florida was just devastated by a major hurricane. Community mental health
nurseshave been sent to the area to provide crisis intervention. What type of prevention
strategy is this?
• Secondary
• Interventional
• Primary
• Tertiary
• Which of the following behaviors suggest a breach of professional boundaries? SAA
• The nurse reads a get well card to the patient.
• The nurse allows a patient to hold her hand before chemotherapy.
• The nurse makes plans to have lunch with the patient after discharge
, • The nurse shares details about her family problems
• The nurse agrees to keep a secret with the patient
• A patient has a phobia of horses and has been receiving behavioral therapy. During her
sessions over the last few months, she has progressed from looking at a photo of the animal
and throughother small steps resulting in petting the real animal. The progression is an
example of which behavioral therapy?
• Modeling
• Systematic desensitization
• Flooding
• Positive reinforcement
• A patient becomes agitated and shouts at the nurse. “if you come any closer, I will hit you.”
Whatis the best response?
• I am not planning to come any closer. What is happening now?
• You need to stay calm. You are responsible for your behavior.
• I am going to get your medication. Try to relax while I am gone.
• I am calling for assistance. You have until then to get it together.
• A nurse is prearing to administer buspirone 15 mg po every 12 hours. Available is busipirone
30mg/tablet. How many tablets will the nurse administer per dose? 0.5
• Which statements most clearly reflect the stigma of mental illness?
• Mental illness is a result of the breakdown of the American family
• People claim mental illness so they can get disability checks
• Many mental illnesses are hereditary
• If people with mental illness went to church, they would be fine.
• Mental illness can be evidence of a brain disorder
• patients are provided opportunities to attend Friday night movie night and tokens for the
the concession area when they have achieved attending and participating in five focused
group sessions. The nurse understands this is which form of therapy?
• Operant conditioning
• Validation
• Response prevention
• Modeling
• During the orientation phase of the nurse patient relationship. Which of the following will
occur?
• One’s feelings are examined
• Rapport is established
• Problem solving skills are identified
• Information regarding the patient is obtained from the chart
• What is the name of the defense mechanism when a patient rechannels drives or impulses
thatare unacceptable into constructive activities?
• Undoing
• Sublimation
• Regression
• Suppression