NURS 2488 Mental Health(MH) Exam (Verified Answers)

A nurse places a client in a seclusion room until he admits to starting a fight in the day room earlier. What does the nurse’s behavior constitute? a. Assault b. Battery c. False improvement d. Malpractice 2. During the orientation phase of the nurse client relationship what takes places? a. Rapport is established b. Information regarding the client is obtained from the chart c. Ones feelings are examined d. Identity problem solving skills 3. What is nursing behavior consistent with therapeutic communication? a. Offering opinions b. Active listening c. Speaking in period of silence d. Approving of behavior 4. Which statement by the nurse demonstrates an understanding of nonverbal communication? a. Its always easier to understand nonverbal communication b. If a client avoids others, I’m sure he is depressed c. Most communication is verbal, not nonverbal d. It is important to check for congruent verbal and nonverbal responses 5. Which statement about mental illness is accurate? a. Mental illness changes with culture, time, and history and the group defining it b. It is the inability to reach the level of love and belonging in Maslow’s hierarchy of needs c. Mental illness is demonstrating irrational illogical behavior d. It is a matter of individual nonconfirmatory to social norms 6. What percent of communication is nonverbal? a. 10-20 b. 30-40 c. 50-60 d. 70-80 7. What is the primary reason the client should be included in his/her treatment planning, if possible? a. To be involved in the objectives/goal planning for care b. To hear what each team member has to say about the prognosis c. To read the medical record d. It provides an opportunity to discuss staff roles 8. What would be criteria for an involuntary mental health admission? a. The client reports past suicidal attempts b. The client is unable to provide for basic needs c. The client is homeless and doesn’t feel safe d. The client refuses admission 9. The nurse is preparing the client for electroconvulsive therapy the following day, the teaching should include what information regarding side effects? a. You may experience memory loss and disorientation immediately after treatment b. Agitation and confusion are side effects of ECT c. Tachycardia and dysrhythmia often occur but you are constantly monitored d. There are no side effects that should concern you 10. What is the most significant trigger for the development of a nurse focused countertransference situation? a. The degree of authority the nurse has b. The nature of the client’s diagnosis c. The similar histories of the nurse and client d. The similarities between the client and the nurse’s mother 11. A client uses the defense mechanism sublimination in dealing with her alcohol problem, how is this expressed? a. The client states she does not have a problem b. She states she tries hard not think about it c. The client blames other for her problem d. The client speaks with adolescents about the dangers of substance abuse 12. Which nursing intervention demonstrates the ethical principle of autonomy? a. Refusing to administer a placebo b. Staying with the client who is very anxious c. Taking a course to increase knowledge about client’s rights d. Respecting the client’s decision to not have treatment 13. What tasks are included during the working phase of the nurse client relationship? Select all a. Provide education about the disorder b. Promote symptom management c. Summarize goals and objectives d. Gather more information/data 14. The client states that you remind him of his very stern aunt. This statement is an example of what type of an issue that can happen in therapy? a. Countertransference b. Transference c. Making a judgement d. Giving recognition 15. The nurse is caring for a client for an admission diagnosis of potential for self-harm. The nurse is now in the evaluation process, what happens during this step of the nursing process? a. A contract is obtained that the client will not harm self b. The client’s prognosis will be discussed at this point c. Interventions reviewed to determine if they have assisted the client of meeting outcomes d. A concept map is developed 16. How is the defense mechanism reaction formation demonstrated? a. An individual would like to be in a stable loving relationship but insists she will never settle down or marry b. An individual is afraid of animals and becomes a veterinarian to please her parents. She presents at a career fair about the satisfaction of her career c. An individual learns about the death of a dear friend from college and becomes busy planning a reunion with others from school d. An individual argues and the following day brings her a gift 17. A client becomes agitated and shouts at the nurse “if you come any closer, I will hit you” what is the best response by the nurse? a. You need to stay calm you are responsible for your behavior b. I am not planning to come any closer “what is happening now”? c. I am going to get your medication try and relax while I am gone d. I am calling for assistance, you have until then to get it together 18. A client tries to embarrass a nurse by making a sexually explicit comment. How should the nurse respond to the client? a. I am going to leave now b. I am no longer going to continue this conversation c. That comment was inappropriate d. Let’s talk about the weather 19. Which response by the nurse indicates an understanding of therapeutic communication technique giving a board opening? a. Yes, I see go on… b. Please explain what you mean c. You seem upset d. What would you like to talk about? 20. The nurse is caring for a client who has difficulty hearing. What should the nurse do to facilitate therapeutic communication? a. Stand within 3 feet when talking to the client b. Use monosyllabic words when possible c. Ask close ended questions d. Make sure the client can visualize lip movement 21. The nurse is explaining milieu therapy to a new nurse in a psychiatric unit. What would be reviewed with the employee? Select all a. We continuously monitor the environment for safety b. If a client becomes hostile, we can restrain or seclude c. When we admit a client, we orientate and explain the group therapy schedule d. You will be taught crisis prevention techniques