and answers39
Which action by the nurse violates the nurse-patient boundary?
A. Squeezing a patient's hand
B. Asking the patient about his weekend
C. Requesting to meet the patient's family
D. Bringing the patient a casserole from home - ANSWERS -D
An aggressive psychiatric patient is admitted to the unit for a short-term stay and refuses to
allow the nurse to complete the assessment. When should the nurse complete the patient
assessment?
A. Immediately
B. Once the family arrives
C. After the patient calms down
D. Once the health care provider is notified - ANSWERS -C
What should the nurse do to maintain therapeutic communication with a visually impaired
patient?
Select all that apply.
A. Speak in soft tones
B. Ask the family for help
C. Use descriptive language
D. Engage the social worker
E. Approach the patient slowly - ANSWERS -A, C, E
,When communicating with adolescents, which consideration is most important in helping them
to achieve independence?
A. Respecting privacy
B. Addressing insecurity
C. Avoiding embarrassment
D. Encouraging positive body image - ANSWERS -A
Which action must the nurse take in order to maintain therapeutic communication with a
difficult patient?
A. Develop cultural competence
B. Put aside personal frustrations
C. Call the patient out on the behavior
D. Sign the patient up for group therapy - ANSWERS -B
The mental health nurse uses which frameworks to maintain patient safety?
Select all that apply.
A. QSEN
B. Nursing process
C. Standards of practice
D. Self-awareness assessment
E. Health promotion diagnosis - ANSWERS -A, B, C
The psychiatric nurse uses the HEADSSS tool when assessing which patient population?
A. Child
B. Adolescent
C. Adult
D. Older adult - ANSWERS -B
,Which is the priority step the mental health nurse would take when documenting a patient's
nonadherence?
A. Use neutral language
B. Complete a risk assessment
C. Explain the nurse's position about the behavior
D. Include the nurse-patient discussion about patient rights - ANSWERS -A
Which are characteristics of nonverbal communication that the nurse may use when
communicating with psychiatric patients?
Select all that apply.
A. Touch
B. Cough
C. Whispering
D. Eye movement
E. Facial expressions - ANSWERS -A, B, D, E
Which is the most important focus of therapeutic communication?
A. The family's wishes
B. The patient's needs
C. The health care provider's goals for the patient
D. The intimate relationship between the nurse and patient - ANSWERS -B
Which are expected transformations of the mental health care system that may affect
psychiatric nursing under "A Vision for Mental Health Care in America"?
Select all that apply.
A. Mental health care will be medically driven.
, B. Research in mental health will be commercially funded.
C. Mental health care and information will be accessible via technology.
D. Americans will understand the link between mental health and overall health.
E. Common practice will include early mental health screening, assessment, and referral to
services. - ANSWERS -C, D, E
As defined which component of mental health is a focus of mental health nurses?
A. Identifying legislative mandates
B. Establishment of government's policies and procedures
C. Considering professional biases and individual differences
D. Recognition of the stability of the definition of mental health over time - ANSWERS -C
The mental health nurse teaches the mental health patient that the health promotion concept
of resiliency is most closely related to which mental health process?
A. Coping
B. Adapting
C. Assertiveness
D. Self-awareness - ANSWERS -B
The mental health nurse is providing care within the interdisciplinary team. Which describes the
mental health nurse's role in assessment of the patient?
A. Prescribe medications
B. Provide orders for care
C. Evaluate patient condition
D. Perform baseline assessment - ANSWERS -D
Which member of the psychiatric interdisciplinary team leads the planning meetings?