79 Questions
Which speech pattern involves losing the train of thought?
Blocking
What is the term for describing an overabundant amount of detail while talking about something?
Circumstantiality
What speech pattern involves clients with mental illness repeating the last word they heard?
Echolalia
What speech pattern involves clients speaking constantly and shifting between loosely related topics?
Loose association
What speech pattern involves rapidly shifting between unrelated topics?
Flight of ideas
What speech pattern involves coming up with new words and definitions?
Neologism
What speech pattern involves repeating words, phrases, or sentences several times?
Verbigeration
What treatment uses low voltage shock waves passed through the brain to induce short periods of seizure activity?
Electroconvulsive Therapy
Why does ECT treatment help with relieving serious symptoms of mental illness?
The seizures caused by the shock waves restores chemical balance within the brain.
Which drug classes are central nervous system depressants that slow down brain activity?
Benzodiazepines, Barbiturates
Which of the following best defines mental illness?
A disturbance in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biologic, or developmental processes underlying mental functioning
Which of the following factors may cause people to turn to faith healers, deny problems exist, or view symptoms as punishment for wrongdoing?
Cultural, ethnic, and religious influences in an individual's life
What is the result of a threat or challenge to our well-being that requires us to adapt or adjust to the environment?
Stress
What is the feeling of apprehension, uneasiness, or uncertainty that occurs as a response to a real or perceived threat from an unknown source?
Anxiety
What are the four levels of anxiety?
Mild, Moderate, Severe, and Panic
What would be two external stressors that contribute to stress and anxiety?
Abusive relationship, Poor living conditions
What are the five stages of loss as described by Kubler-Ross?
Denial, Anger, Bargaining, Depression, Acceptance
Under what circumstances would it be required to disclose client information?
Intent to commit a crime, Duty to warn endangered individuals, Evidence of child abuse, Initiation of involuntary hospitalization, Infection by HIV
What is it called when someone is ordered by court to continue to be held in a mental health facility involuntarily?
OPC (Order of Protective Custody)
What are some internal stressors that contribute to anxiety?
Physical triggers, Psychological triggers, Emotional triggers, Personality type
Which treatment uses low voltage shock waves passed through the brain to induce short periods of seizure activity?
Electroconvulsive Therapy (ECT)
Which medication is commonly used to treat acute anxiety and anxiety disorders?
Buspirone
Which treatment aims at restoring chemical balance within the brain?
Electroconvulsive Therapy (ECT)
What could influence a patient's behavior of refusing treatment for their mental illness?
The cultural, ethnic, and religious influences in the patient's life
Which speech pattern involves constantly shifting between loosely related topics while speaking?
Loose association
A nurse is caring for a patient who has a diagnosis of mental illness. The nurse observes that the patient constantly shifts between loosely related topics while speaking. This speech pattern is best described as:
Loose association
During a discussion about stress and anxiety, a patient mentions having difficulties in their relationship and living in poverty. As a nurse, you recognize these as examples of which type of stressors?
External stressors
Who was the first nurse trained in mental health nursing in the United States?
Linda Richards
A 19th century school teacher worked to expose the conditions of patients with mental problems. Because of this person, mental hospitals that had standards of care were constructed. Who was this person?
Dorothea Dix
In the mid 1950s, antipsychotic drugs were introduced. As medications made caring for the mentally ill somewhat easier, what movement gained momentum?
The move to deinstitutionalize mentally ill clients
The nurse is admitting a 36-year-old Arabic female diagnosed with severe postpartum depression to the mental health unit. The culturally sensitive nurse is aware that cultural incompetence among mental health providers and professionals is what?
The single most pivotal barrier to equality in delivery of mental health care
When admitting a patient to a mental health setting, what does the nurse do to aid in preserving the rights of the client?
Give the client the opportunity to read the Mental Health Systems Act Bill of Rights
In the child behavioral unit on which you work with the family of a prospective patient, you are having a discussion with the mother. The mother asks you how she knows her child will not be mistreated when he misbehaves. What is the best statement in the Patient Bill of Rights to discuss with this mother regarding her child's treatment?
Be treated with dignity, concern, and respect at all times
A client is admitted on an emergent basis to a local mental health facility after being detained by the police when he was found walking naked down the middle of a four-lane highway. The nurse knows that the client can be held for what length of time?
48-72 hours
You work in a mental health facility and are admitting a client who has been brought to the emergency department of a local hospital after being picked up while attempting to jump from the rail of a bridge. The physician feels that the patient is serious about attempting suicide and so sends the patient to you for admission. What type of admission would you document this as?
Involuntary
On admittance to a mental health unit, a client tells the nurse that he or she does not want anyone to know that he or she is a patient there. The next day the nurse receives a phone call requesting information about the client. The nurse refuses to acknowledge that the client is a patient on the unit. What is the best way to describe how this nurse is acting?
Ethically
What does the Health Insurance Portability and Accountability Act (HIPAA) of 1996 hold mental health care professionals legally and ethically responsible for?
Client confidentiality
As a student nurse, you are accountable for the care that you provide. Where would you find the scope and minimum standard of practice for the care you provide?
D) Nurse practice act of your state
While providing care to a client who has moderate to severe Alzheimer disease, a mental health nurse has what responsibility?
A) Protecting the clients rights
Federal regulations and Joint Commission standards regulate the use of seclusion and restraints by health care workers. What do these regulations mandate with regard to the use of restraints?
C) Restraints can only be applied under the supervision of a registered nurse
You are caring for a client who is under 24-hour suicide watch when the client becomes very aggressive and belligerent. When you are trying to talk the client down, the client hits you. What would you recommend for this client?
Restraints
As an emergency department nurse, you deal with some mentally healthy clients who are experiencing a temporary mental instability. What type of nursing would you practice in this situation?
B) Crisis intervention nursing
Holistic nursing is practiced in every practice setting. Because of this, no matter what the health care setting, what should the nurse be prepared to do?
C) Be prepared to initiate interventions to address the psychosocial needs of each client
What must a nurse in a correctional facility provide to a patient newly diagnosed with HIV?
B) Counseling and support
A nurse researcher is conducting a study on how a mother perceives her infant at the age of 4 months. The researcher is asking the mother to identify general prominent features, some of which are seen in all the infants' behavior patterns and are most often used as descriptors of the infant. What is the best term for these features?
C) Central traits
What type of the following personality theories views a person as a whole?
B) Humanistic
When caring for patients, the nurse recognizes that each person has a certain disposition. How else could disposition be described?
C) Temperament
The nurse knows that as persons grow from childhood to adulthood, they respond to the realization that they are an autonomous being and therefore capable of controlling themselves. This realization forms what?
B) Patterns of behavior
The nurse reads the admission notes in the chart of a new patient. The admitting nurse mentions that the patient uses humor as a defense mechanism. If this defense mechanism is used short term, how would its use be described?
D) Adaptive
Erikson's theory of psychosocial development recognizes that not everyone will be successful at each stage of development. Erikson's view emphasizes that failure in one stage of development means what for the person in later stages of development?
A) The failure can be corrected by successes
Piaget theorizes that as humans grow and move from one stage to another, they seek cognitive balance. What term does Piaget's theory use to describe this process of achieving cognitive balance?
A) Equilibration
A pediatric nurse is caring for a 5-year-old female patient. When giving the child an injection preoperatively, the patient cries and states, "Now everything will leak out." The nurse knows that this is an example of what?
C) Magical thinking
Based on Piaget's work, Kohlberg developed a theory of moral development. According to Kohlberg's theory, each of the levels builds on the one prior with what?
C) A more complex view of a moral issue
A mental health nurse must develop what with the clients to be able to provide patient care?
D) A therapeutic relationship
When working with a patient on the behavioral unit, a mental health nurse notes that the patient does not demonstrate an understanding of own actions or the results of those actions. Practicing Peplau's theory, the nurse sees what as a basis for therapeutic interaction with this client?
A) Stages of developmental growth
A nurse working on the pediatric unit is caring for a toddler. The nurse knows that according to Peplau's theory, the child is learning what?
B) Delaying self-gratification
A mother and daughter are seeing a mental health advanced practice nurse. The daughter, 15 years old, ran away a month ago and was found at a friend's home 3 days later. The daughter says she ran away because her mother beat her. The mother tells the APN that she is raising her daughter the way she was raised. What theory would the mental health APN use to treat this patient dyad?
C) Family Systems theory
Bowen, in the Family Systems theory, proposes that anxiety, an individual reaction to stress, is directly correlated to the person's what?
B) Level of differentiation
Peplau's theory of psychodynamic nursing purports that an individual must do what before being able to live successfully and interact as a member of society?
D) Learn to practice self-control
The nurse caring for a child is explaining to the mother about development. At what age would the nurse tell the mother the superego starts developing?
C) 3-4 years
You are working on a mental health unit that follows the theory of interpersonal development. You would know that this theory's major concepts include what?
C) The person develops three images of self
The mental health APN is counseling with a family that he has identified as being made up of individuals who are predominantly a solid self. This means that the nurse is interacting with what type of family system?
A) Open
A client is admitted to the mental health unit with a diagnosis of bipolar disorder. What is the aim of this client's treatment?
A) To allow the client to live and function in society with improved personal and interpersonal skills
The support of the nurse for the client in a therapeutic relationship encourages what from the client?
C) Growth and change
The parents of a 10-year-old child being admitted to the children's behavioral unit ask the nurse what a therapeutic milieu is. What is the nurse's best answer?
C) A safe and secure structured environment
A mental health nurse on an inpatient unit is often in a position to maintain the milieu as a place where there is what?
D) Dignity and acceptance
A new LVN/LPN is being oriented to the psychiatric unit at a local hospital. At the end of the day, the new nurse asks the preceptor to explain what the RN is accountable for on the unit. What would be the preceptor's best answer?
A) Both the physical and the mental health care of the clients
An LPN/LVN is working on a closed (locked) mental health unit. What would his or her responsibilities include?
B) Observing behaviors and administering medications
As an LVN/LPN on a mental health unit, a basic part of your nursing assessment is what?
C) The observation of inappropriate behaviors
A client asks the nurse to explain what is wrong with the client. What is the nurse's responsibility in this instance?
D) Provide an explanation at the client's level of understanding
An essential part of the nurse's role in the therapeutic process is what?
A) Unconditionally accepting the client as a person
As the nurse sees the situation from the client's perspective and demonstrates an empathetic positive regard for client needs, what usually improves in the client?
B) Compliance with treatment
A mental health APN is talking with a client and the spouse about treatment for depression. The client asks what the most common method of treatment is. What would be the APN's best answer?
D) Psychotherapy and medication
A client in psychotherapy asks the mental health practitioner what the goal of this treatment is. What would be the practitioner's best response?
A) The goal is to reduce the symptoms of the emotional disturbance.
A mental health nurse is passing drugs on an inpatient unit. Clients ask why they have to take medicine. What would the nurse include in the explanation to the clients?
B) The medicine helps you to have a manageable level of existence
What type of individual therapy is nondirective and focuses on helping the client to clarify his or her own feelings?
D) Humanistic
A nurse is getting a patient ready for the first electroconvulsive therapy treatment. The client's spouse asks what the expected outcome of ECT is. What would be the nurse's best response?
C) We expect this treatment to restore a chemical balance within the brain.
On a mental health unit, the nurse spends a great deal of time with the clients. Because of this, the nurse is seen as what?
D) A role model for social behaviors
What type of therapy uses monitoring devices during situations that trigger specific types of anxiety?
B) Biofeedback
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