1)A nurse who is caring for a mentally ill client establishes a supportive and honest
relationship with the client and maintains client confidentiality. This is an example of
which principle of mental health care?
Avoid emotional trauma.
Develop mutual trust.
Encourage dependence.
Encourage situational withdrawal.
The development of mutual trust between mental health care providers and clients is
important for successful management of mental illness. The development of trust between
clients and caregivers involves three concepts: caring, empathy, and advocacy. Exploration
of behaviors and emotions, not avoidance, is a principle of mental health care.
Encouragement of responsibility, not dependence, is a principle of mental health care.
Encouragement of effective adaptation, not withdrawal, is a principle of mental health care.
2)Which of the following is the foundation of therapeutic relationships?
Confidence
Sympathy
Dependence
Trust
Trust forms the basis for the success or failure of all actions. Confidence in a relationship is
important, but trust is the foundation of therapeutic relationships. Empathy, not sympathy,
is integral to the development of trust. Dependence is not the foundation of therapeutic
relationships.
3)A mentally ill client begins to argue and hit another client because of a money
dispute. This is an example of which coping behavior?
Psychomotor
Cognitive
Affective
Somatic
Coping mechanisms are divided into three main types: psychomotor (physical), cognitive
(intellectual), and affective (emotional). Fighting is an example of a psychomotor
mechanism for coping. Fighting is not a cognitive mechanism for coping. Fighting is not an
effective mechanism for coping. Somatism is not a coping mechanism.