Mental Healthm
1. Themhomemcaremnursemismvisitingmanmoldermclient mwhosemspousemdied m6mmonthsmago.mWhi
chmbehaviormbymthemclient mindicatesmineffectivemcoping?
1. Neglectingmpersonalmgrooming
2. Lookingmat mold msnapshotsmof mfamily
3. Participatingminmamseniormcitizens'mprogram
4. Visitingmtheirmspouse'smgravemoncemammonth
1. Neglectingmpersonalmgrooming
2. A mclient mwithmamdiagnosismof mmajormdepressionmwhomhasmattempted msuicidemsaysmtomthe
mnurse,m"I mshould mhavemdied.mI'vemalwaysmbeenmamfailure.mNothingmevermgoesmright mform
me."mWhichmresponsemdemonstratesmtherapeuticmcommunication?
1. "Youmhavemeverythingmtomlivemfor."
2. "Whymdomyoumseemyourself masmamfailure?"
3. "Feelingmlikemthismismallmpart mof mbeingmdepressed."
4. "You'vembeenmfeelingmlikemamfailuremformamwhile?"
4.m"You'vembeenmfeelingmlikemamfailuremformamwhile?"
3. Whenmthemmentalmhealthmnursemvisitsmamclient mat mhome,mthemclient mstates,m"I mhaven't mslept
mat mallmthemlast mcouplemof mnights."mWhichmresponsembymthemnursem illustratesmamtherapeuti
cmcommunicationmresponsemtomthismclient?
1. "I msee."
2. "Really?"
3. "You'remhavingmdifficultymsleeping?"
4. "Sometimes,mI mhavemtroublemsleepingmtoo."
3.m"You'remhavingmdifficultymsleeping?"
4. A mclient mexperiencingmdisturbed mthought mprocessesmbelievesmthat mhismfood mismbeingmpois
oned.mWhichmcommunicationmtechniquemshould mthemnursemusemtomencouragemthemclient mt
omeat?
1. Usingmopen-ended mquestionsmand msilence
2. Sharingmpersonalmpreferencemregardingmfood mchoices
3. Documentingmreasonsmwhymthemclient mdoesmnot mwant mtomeat
4. Offeringmopinionsmabout mthemnecessitymof madequatemnutrition
1.mUsingmopen-ended mquestionsmand msilence
,5. A mclient madmitted mtomammentalmhealthmunit mformtreatment mof mpsychoticmbehaviormspendsmho
ursmat mthemlocked mexit mdoormshouting,m"Let mmemout.mThere'smnothingmwrongmwithmme.mI mdo
n't mbelongmhere."mWhat mdefensemmechanismmismthemclient mimplementing?
1. Denial
2. Projection
3. Regression
4. Rationalization
1. Denial
6. A mclient mdiagnosed mwithmterminalmcancermsaysmtomthemnurse,m"I'mmgoingmtomdie,mand mI mwish
mmymfamilymwould mstopmhopingmformamcure!mI mget msomangrymwhenmtheymcarrymonmlikemthis.m
Aftermall,mI'mmthemonemwho'smdying."mWhichmresponsembymthemnursemismtherapeutic?
1. "Havemyoumshared myourmfeelingsmwithmyourmfamily?"
2. "I mthinkmwemshould mtalkmmoremabout myourmangermwithmyourmfamily."
3. "You'remfeelingmangrymthat myourmfamilymcontinuesmtomhopemformyoumtombemcured?"
4. "Youmaremprobablymverymdepressed,mwhichmismunderstandablemwithmsuchmamdiagnosis."
3.m"You'remfeelingmangrymthat myourmfamilymcontinuesmtomhopemformyoumtombemcured?"
7. Onmreview mof mthemclient'smrecord,mthemnursemnotesmthat mthemmentalmhealthmadmissionmw
asmvoluntary.mBased monmthisminformation,mthemnursemanticipatesmwhichmclient mbehavio
r?
1. Fearfulnessmregardingmtreatment mmeasures.
2. Angermand maggressivenessmdirected mtoward mothers.
3. Anmunderstandingmof mthempathologymand msymptomsmof mthemdiagnosis.
4. Amwillingnessmtomparticipateminmthemplanningmof mthemcaremand mtreatment mplan.
4.A willingnessmtomparticipateminmthemplanningmof mthemcaremand mtreatment mplan.
8. Whenmreviewingmthemadmissionmassessment,mthemnursemnotesmthat mamclient mwasmadmitted m
tomthemmentalmhealthmunit minvoluntarily.mBased monmthismtypemof madmission,mthemnursemsh
ould mprovidemwhichminterventionmformthismclient?
1. Monitormcloselymformharmmtomself mormothers.
2. Assist minmcompletingmanmapplicationmformadmission.
3. Supplymthemclient mwithmwrittenminformationmabout mtheirmmentalmillness.
4. Providemanmopportunitymformthemfamilymtomdiscussmwhymtheymfelt mthemadmissionmw
asmneeded.
1. Monitormcloselymformharmmtomself mormothers.
9. Themnursemismpreparingmamclient mformthemterminationmphasemof mthemnurse-
client mrelationship.mThemnursemprepares mtomimplement mwhichmnursingmtaskmthat mism mostm
appropriatemformthismphase?
1. Planningmshort-termmgoals
2. Makingmappropriatemreferrals
, 3. Developingmrealisticmsolutions
4. Identifyingmexpected moutcomes
2. Makingmappropriatemreferrals
10. Themnurseminmthemmentalmhealthmunit mrecognizesmwhichmasmbeingmtherapeuticmcommunicati
onmtechniques?mSelectmallmthatmapply.
1. Restating
2. Listening
3. Askingmthemclient,m"Why?"
4. Maintainingmneutralmresponses
5. Providingmacknowledgment mand mfeedback
6. Givingmadvicemand mapprovalmormdisapproval
o 1.mRestating
o 2.mListening
o 4.mMaintainingmneutralmresponses
o 5.mProvidingmacknowledgment mand mfeedback
11. A mclient mbeingmseenminmthememergencymdepartment mimmediatelymaftermbeingmsexually
massaulted mappearsmcalmmand mcontrolled.mThemnursemanalyzesmthismbehaviormasmindicati
ngmwhichmdefensemmechanism?
1. Denial
2. Projection
3. Rationalization
4. Intellectualization
1. Denial
12. A mclient'smunresolved mfeelingsmrelated mtomlossmwould mbemmostmlikelymobserved mduringmwhi
chmphasemof mthemtherapeuticmnurse-client mrelationship?
1. Trusting
2. Working
3. Orientation
4. Termination
4.mTermination
13. Themnursemismworkingmwithmamclient mwhomdespitemmakingmamheroicmeffort mwasmunablemto
mrescuemamneighbormtrapped minmamhousemfire.mWhichmclient-
focused mactionmshould mthemnursemengageminmduringmthemworkingmphasemof mthemnurse-
client mrelationship?
1. Exploringmthemclient'smabilitymtomfunction
2. Exploringmthemclient'smpotentialmformself-harm
, 3. Inquiringmabout mthemclient'smperceptionmormappraisalmof mwhymthemrescuemwasmunsuccessfu
l
4. Inquiringmabout mand mexaminingmthemclient'smfeelingsmformanymthat mmaymblockmadapti
vemcoping
4.mInquiringmabout mand mexaminingmthemclient'smfeelingsmformanymthat mmaymblockmadaptivemc
oping
14. Themnursememployed minmammentalmhealthmunit mof mamhospitalmismthemleadermof mamgroupm
psychotherapymsession.mWhat mismthemnurse'smrolemduringmthemterminationmstagemof mgro
upmdevelopment?
1. Acknowledgingmthat mthemgroupmhasmidentified mgoals
2. Encouragingmthemaccomplishment mof mthemgroup'smwork
3. Acknowledgingmthemcontributionsmof meachmgroupmmember
4. Encouragingmmembersmtombecomemacquainted mwithmonemanother
3. Acknowledgingmthemcontributionsmof meachmgroupmmember
15. Whichmaremcharacteristicsmof mthemterminationmstagemof mgroupmdevelopment?mSelectmallmth
atmapply.
1. Themgroupmevaluatesmthemexperience.
2. Themrealmworkmof mthemgroupmismaccomplished.
3. Groupminteractionminvolvesmsuperficialmconversation.
4. Groupmmembersmbecomemacquainted mwithmeachmother.
5. Somemstructuringmof mgroupmnorms,mroles,mand mresponsibilitiesmtakesmplace.
6. Themgroupmexploresmmembers'mfeelingsmabout mthemgroupmand mthemimpendingmseparation.
o 1.mThemgroupmevaluatesmthemexperience.
o 6.mThemgroupmexploresmmembers'mfeelingsmabout mthemgroupmand mthemimpendi
ngmseparation.
16. Whenmamclient mismadmitted mtomanminpatient mmentalmhealthmunit mwithmthemdiagnosismof manore
xiamnervosa,mamcognitivembehavioralmapproachm ismused masmpart mof mthemtreatment mplan.mThem
nursemunderstandsmthat mwhichmismthempurposemof mthismapproach?
1. Providingmamsupportivemenvironment
2. Examiningmintrapsychicmconflictsmand mpast missues
3. Emphasizingmsocialminteractionmwithmclientsmwhomwithdraw
4. Helpingmthemclient mtomexaminemdysfunctionalmthoughtsmand mbeliefs
4.mHelpingmthemclient mtomexaminemdysfunctionalmthoughtsmand mbeliefs
17. Themnursemunderstandsmthat mwhichmbestmdescribesmGestalt mtherapy?
1. It memphasizesmself-expression,mself-exploration,mand mself-awarenessminmthempresent.
2. It mpromotesmthemindividual'smcomfort minmthemgroup,mwhichmthenmtransfersmtomoth
ermrelationships.
3. Themtherapist mfocusesmonmhow mirrationalmbeliefsmand mthoughtsmcontributemto
1. Themhomemcaremnursemismvisitingmanmoldermclient mwhosemspousemdied m6mmonthsmago.mWhi
chmbehaviormbymthemclient mindicatesmineffectivemcoping?
1. Neglectingmpersonalmgrooming
2. Lookingmat mold msnapshotsmof mfamily
3. Participatingminmamseniormcitizens'mprogram
4. Visitingmtheirmspouse'smgravemoncemammonth
1. Neglectingmpersonalmgrooming
2. A mclient mwithmamdiagnosismof mmajormdepressionmwhomhasmattempted msuicidemsaysmtomthe
mnurse,m"I mshould mhavemdied.mI'vemalwaysmbeenmamfailure.mNothingmevermgoesmright mform
me."mWhichmresponsemdemonstratesmtherapeuticmcommunication?
1. "Youmhavemeverythingmtomlivemfor."
2. "Whymdomyoumseemyourself masmamfailure?"
3. "Feelingmlikemthismismallmpart mof mbeingmdepressed."
4. "You'vembeenmfeelingmlikemamfailuremformamwhile?"
4.m"You'vembeenmfeelingmlikemamfailuremformamwhile?"
3. Whenmthemmentalmhealthmnursemvisitsmamclient mat mhome,mthemclient mstates,m"I mhaven't mslept
mat mallmthemlast mcouplemof mnights."mWhichmresponsembymthemnursem illustratesmamtherapeuti
cmcommunicationmresponsemtomthismclient?
1. "I msee."
2. "Really?"
3. "You'remhavingmdifficultymsleeping?"
4. "Sometimes,mI mhavemtroublemsleepingmtoo."
3.m"You'remhavingmdifficultymsleeping?"
4. A mclient mexperiencingmdisturbed mthought mprocessesmbelievesmthat mhismfood mismbeingmpois
oned.mWhichmcommunicationmtechniquemshould mthemnursemusemtomencouragemthemclient mt
omeat?
1. Usingmopen-ended mquestionsmand msilence
2. Sharingmpersonalmpreferencemregardingmfood mchoices
3. Documentingmreasonsmwhymthemclient mdoesmnot mwant mtomeat
4. Offeringmopinionsmabout mthemnecessitymof madequatemnutrition
1.mUsingmopen-ended mquestionsmand msilence
,5. A mclient madmitted mtomammentalmhealthmunit mformtreatment mof mpsychoticmbehaviormspendsmho
ursmat mthemlocked mexit mdoormshouting,m"Let mmemout.mThere'smnothingmwrongmwithmme.mI mdo
n't mbelongmhere."mWhat mdefensemmechanismmismthemclient mimplementing?
1. Denial
2. Projection
3. Regression
4. Rationalization
1. Denial
6. A mclient mdiagnosed mwithmterminalmcancermsaysmtomthemnurse,m"I'mmgoingmtomdie,mand mI mwish
mmymfamilymwould mstopmhopingmformamcure!mI mget msomangrymwhenmtheymcarrymonmlikemthis.m
Aftermall,mI'mmthemonemwho'smdying."mWhichmresponsembymthemnursemismtherapeutic?
1. "Havemyoumshared myourmfeelingsmwithmyourmfamily?"
2. "I mthinkmwemshould mtalkmmoremabout myourmangermwithmyourmfamily."
3. "You'remfeelingmangrymthat myourmfamilymcontinuesmtomhopemformyoumtombemcured?"
4. "Youmaremprobablymverymdepressed,mwhichmismunderstandablemwithmsuchmamdiagnosis."
3.m"You'remfeelingmangrymthat myourmfamilymcontinuesmtomhopemformyoumtombemcured?"
7. Onmreview mof mthemclient'smrecord,mthemnursemnotesmthat mthemmentalmhealthmadmissionmw
asmvoluntary.mBased monmthisminformation,mthemnursemanticipatesmwhichmclient mbehavio
r?
1. Fearfulnessmregardingmtreatment mmeasures.
2. Angermand maggressivenessmdirected mtoward mothers.
3. Anmunderstandingmof mthempathologymand msymptomsmof mthemdiagnosis.
4. Amwillingnessmtomparticipateminmthemplanningmof mthemcaremand mtreatment mplan.
4.A willingnessmtomparticipateminmthemplanningmof mthemcaremand mtreatment mplan.
8. Whenmreviewingmthemadmissionmassessment,mthemnursemnotesmthat mamclient mwasmadmitted m
tomthemmentalmhealthmunit minvoluntarily.mBased monmthismtypemof madmission,mthemnursemsh
ould mprovidemwhichminterventionmformthismclient?
1. Monitormcloselymformharmmtomself mormothers.
2. Assist minmcompletingmanmapplicationmformadmission.
3. Supplymthemclient mwithmwrittenminformationmabout mtheirmmentalmillness.
4. Providemanmopportunitymformthemfamilymtomdiscussmwhymtheymfelt mthemadmissionmw
asmneeded.
1. Monitormcloselymformharmmtomself mormothers.
9. Themnursemismpreparingmamclient mformthemterminationmphasemof mthemnurse-
client mrelationship.mThemnursemprepares mtomimplement mwhichmnursingmtaskmthat mism mostm
appropriatemformthismphase?
1. Planningmshort-termmgoals
2. Makingmappropriatemreferrals
, 3. Developingmrealisticmsolutions
4. Identifyingmexpected moutcomes
2. Makingmappropriatemreferrals
10. Themnurseminmthemmentalmhealthmunit mrecognizesmwhichmasmbeingmtherapeuticmcommunicati
onmtechniques?mSelectmallmthatmapply.
1. Restating
2. Listening
3. Askingmthemclient,m"Why?"
4. Maintainingmneutralmresponses
5. Providingmacknowledgment mand mfeedback
6. Givingmadvicemand mapprovalmormdisapproval
o 1.mRestating
o 2.mListening
o 4.mMaintainingmneutralmresponses
o 5.mProvidingmacknowledgment mand mfeedback
11. A mclient mbeingmseenminmthememergencymdepartment mimmediatelymaftermbeingmsexually
massaulted mappearsmcalmmand mcontrolled.mThemnursemanalyzesmthismbehaviormasmindicati
ngmwhichmdefensemmechanism?
1. Denial
2. Projection
3. Rationalization
4. Intellectualization
1. Denial
12. A mclient'smunresolved mfeelingsmrelated mtomlossmwould mbemmostmlikelymobserved mduringmwhi
chmphasemof mthemtherapeuticmnurse-client mrelationship?
1. Trusting
2. Working
3. Orientation
4. Termination
4.mTermination
13. Themnursemismworkingmwithmamclient mwhomdespitemmakingmamheroicmeffort mwasmunablemto
mrescuemamneighbormtrapped minmamhousemfire.mWhichmclient-
focused mactionmshould mthemnursemengageminmduringmthemworkingmphasemof mthemnurse-
client mrelationship?
1. Exploringmthemclient'smabilitymtomfunction
2. Exploringmthemclient'smpotentialmformself-harm
, 3. Inquiringmabout mthemclient'smperceptionmormappraisalmof mwhymthemrescuemwasmunsuccessfu
l
4. Inquiringmabout mand mexaminingmthemclient'smfeelingsmformanymthat mmaymblockmadapti
vemcoping
4.mInquiringmabout mand mexaminingmthemclient'smfeelingsmformanymthat mmaymblockmadaptivemc
oping
14. Themnursememployed minmammentalmhealthmunit mof mamhospitalmismthemleadermof mamgroupm
psychotherapymsession.mWhat mismthemnurse'smrolemduringmthemterminationmstagemof mgro
upmdevelopment?
1. Acknowledgingmthat mthemgroupmhasmidentified mgoals
2. Encouragingmthemaccomplishment mof mthemgroup'smwork
3. Acknowledgingmthemcontributionsmof meachmgroupmmember
4. Encouragingmmembersmtombecomemacquainted mwithmonemanother
3. Acknowledgingmthemcontributionsmof meachmgroupmmember
15. Whichmaremcharacteristicsmof mthemterminationmstagemof mgroupmdevelopment?mSelectmallmth
atmapply.
1. Themgroupmevaluatesmthemexperience.
2. Themrealmworkmof mthemgroupmismaccomplished.
3. Groupminteractionminvolvesmsuperficialmconversation.
4. Groupmmembersmbecomemacquainted mwithmeachmother.
5. Somemstructuringmof mgroupmnorms,mroles,mand mresponsibilitiesmtakesmplace.
6. Themgroupmexploresmmembers'mfeelingsmabout mthemgroupmand mthemimpendingmseparation.
o 1.mThemgroupmevaluatesmthemexperience.
o 6.mThemgroupmexploresmmembers'mfeelingsmabout mthemgroupmand mthemimpendi
ngmseparation.
16. Whenmamclient mismadmitted mtomanminpatient mmentalmhealthmunit mwithmthemdiagnosismof manore
xiamnervosa,mamcognitivembehavioralmapproachm ismused masmpart mof mthemtreatment mplan.mThem
nursemunderstandsmthat mwhichmismthempurposemof mthismapproach?
1. Providingmamsupportivemenvironment
2. Examiningmintrapsychicmconflictsmand mpast missues
3. Emphasizingmsocialminteractionmwithmclientsmwhomwithdraw
4. Helpingmthemclient mtomexaminemdysfunctionalmthoughtsmand mbeliefs
4.mHelpingmthemclient mtomexaminemdysfunctionalmthoughtsmand mbeliefs
17. Themnursemunderstandsmthat mwhichmbestmdescribesmGestalt mtherapy?
1. It memphasizesmself-expression,mself-exploration,mand mself-awarenessminmthempresent.
2. It mpromotesmthemindividual'smcomfort minmthemgroup,mwhichmthenmtransfersmtomoth
ermrelationships.
3. Themtherapist mfocusesmonmhow mirrationalmbeliefsmand mthoughtsmcontributemto
