NUR 2459: Mental and Behavioral Health Nursing Exam 2 (Latest 2020
Rasmussen
1. Do many nurses tend to be more comfortable with meeting physical needs than in
focusing on
emotional needs?
a. Yes, because we haven’t dealt as much with emotional needs as we have
physical needs.
2. What is stigma in mental illness?
a. A negative attitude toward something.
b. “They’re just lazy, they’re unmotivated; that’s why they fake their mental illness.
They
don’t want to work.”
3. Do elderly patients sometimes show behaviors that look like mental illness, but may have
difficulty hearing the nurses?
a. Yes
b. I think the question may indicate the answer
4. What is the coordinating role of the community psychiatric nurse case manager?
a. We make sure they get rides, housing, medications are available. Make sure they go to
therapy.
b. A nurse receives three phone calls regarding a newly admitted patient.
The psychiatrist wishes complete an assessment
interview. The medical doctor wants to perform a physical
examination. The patient's attorney wants an
appointment with the patient.
The nurse schedules the activities for the patient. Which role has the nurse fulfilled?
i. Case manager
c. A patient was hospitalized for a reaction to a psychotropic medication. A new
medication was prescribed, and the patient was monitored for 24 hours. During
pre-discharge planning, the case manager learned that the patient received a notice
of eviction on the
day of admission. Select the most appropriate action for the case manager.
i. Arrange a temporary place for the patient to stay until new housing can
be arranged. Rationale: The case manager should intervene by arranging
temporary shelter for the patient until an apartment can be
found. This is part of
the coordination and delivery of services that falls under the case
,NUR 2459: Mental and Behavioral Health Nursing Exam 2 (Latest 2020
Rasmussen
manager role.
5. List different coping strategies patients are taught or they might have:
a. Limiting stimuli
b. Talk yourself through stimuli
c. Breathing exercises
d. Etc.
6. What allows the nurse to make culturally sensitive assessments and plan for care with
patients?
, NUR 2459: Mental and Behavioral Health Nursing Exam 2 (Latest 2020
Rasmussen
a. You have to know a little bit about the culture.
b. According to the values of cultures whose members use folk healing practices,
features most important for a nurse to possess include: (Select all that apply.)
a. ethnocentrism.
b. cultural skill.
c. cultural desire.
d. cultural knowledge.
e. academic credentials.
f. respect for persons.
c. ANS: B, C, D, F
Cultural skill allows the nurse to make culturally sensitive assessments and plan for care.
Cultural desire refers to willingness to learn from the patient. Cultural knowledge
alerts the nurse to areas where cultural differences may be present, helps with
understanding, and reduces misinterpretations. Respect for persons is important to
members of all cultures and part of cultural desire.
Ethnocentrism may result in imposing the nurse's cultural norms on a patient. Academic
credentials are not of concern because curative factors focus on folk healing. More
important are collaboration with cultural translators and extensive involvement with
the family and the community when delivering
education and making treatment plans.
7. Know nursing planning with a patient who has anergia and anhedonia.
a. Try helping them with pleasurable experiences. Let’s talk about it.
b. The admission note indicates a patient diagnosed with major depression has
anergia and anhedonia. For which measures should the nurse plan? Select all
that apply.
a. Channeling excessive energy
b. Reducing guilty ruminations
c. Instilling a sense of hopefulness
Rasmussen
1. Do many nurses tend to be more comfortable with meeting physical needs than in
focusing on
emotional needs?
a. Yes, because we haven’t dealt as much with emotional needs as we have
physical needs.
2. What is stigma in mental illness?
a. A negative attitude toward something.
b. “They’re just lazy, they’re unmotivated; that’s why they fake their mental illness.
They
don’t want to work.”
3. Do elderly patients sometimes show behaviors that look like mental illness, but may have
difficulty hearing the nurses?
a. Yes
b. I think the question may indicate the answer
4. What is the coordinating role of the community psychiatric nurse case manager?
a. We make sure they get rides, housing, medications are available. Make sure they go to
therapy.
b. A nurse receives three phone calls regarding a newly admitted patient.
The psychiatrist wishes complete an assessment
interview. The medical doctor wants to perform a physical
examination. The patient's attorney wants an
appointment with the patient.
The nurse schedules the activities for the patient. Which role has the nurse fulfilled?
i. Case manager
c. A patient was hospitalized for a reaction to a psychotropic medication. A new
medication was prescribed, and the patient was monitored for 24 hours. During
pre-discharge planning, the case manager learned that the patient received a notice
of eviction on the
day of admission. Select the most appropriate action for the case manager.
i. Arrange a temporary place for the patient to stay until new housing can
be arranged. Rationale: The case manager should intervene by arranging
temporary shelter for the patient until an apartment can be
found. This is part of
the coordination and delivery of services that falls under the case
,NUR 2459: Mental and Behavioral Health Nursing Exam 2 (Latest 2020
Rasmussen
manager role.
5. List different coping strategies patients are taught or they might have:
a. Limiting stimuli
b. Talk yourself through stimuli
c. Breathing exercises
d. Etc.
6. What allows the nurse to make culturally sensitive assessments and plan for care with
patients?
, NUR 2459: Mental and Behavioral Health Nursing Exam 2 (Latest 2020
Rasmussen
a. You have to know a little bit about the culture.
b. According to the values of cultures whose members use folk healing practices,
features most important for a nurse to possess include: (Select all that apply.)
a. ethnocentrism.
b. cultural skill.
c. cultural desire.
d. cultural knowledge.
e. academic credentials.
f. respect for persons.
c. ANS: B, C, D, F
Cultural skill allows the nurse to make culturally sensitive assessments and plan for care.
Cultural desire refers to willingness to learn from the patient. Cultural knowledge
alerts the nurse to areas where cultural differences may be present, helps with
understanding, and reduces misinterpretations. Respect for persons is important to
members of all cultures and part of cultural desire.
Ethnocentrism may result in imposing the nurse's cultural norms on a patient. Academic
credentials are not of concern because curative factors focus on folk healing. More
important are collaboration with cultural translators and extensive involvement with
the family and the community when delivering
education and making treatment plans.
7. Know nursing planning with a patient who has anergia and anhedonia.
a. Try helping them with pleasurable experiences. Let’s talk about it.
b. The admission note indicates a patient diagnosed with major depression has
anergia and anhedonia. For which measures should the nurse plan? Select all
that apply.
a. Channeling excessive energy
b. Reducing guilty ruminations
c. Instilling a sense of hopefulness
