Mental Health Nursing Quiz PDF

Chapter 1 and 2 mental health- quiz Chapter 1- Mental Health 1. Assessment in Mental Health Nursing ​ ​ Use observation, interviewing, physical exam, and collaboration. ​ ​ Respect personal space and communicate therapeutically. ​ ​ Gather detailed medical and psychosocial h...

Chapter 1 and 2 mental health- quiz Chapter 1- Mental Health 1. Assessment in Mental Health Nursing ​ ​ Use observation, interviewing, physical exam, and collaboration. ​ ​ Respect personal space and communicate therapeutically. ​ ​ Gather detailed medical and psychosocial history. ​ ​ Continuous ongoing assessment with each client encounter. 2. Psychosocial History ​ ​ Perception of health/illness ​ ​ Activity level & leisure activities ​ ​ Substance use history ​ ​ Coping abilities & support systems 3. Mental Status Examination (MSE) Level of Consciousness: ​ ​ Alert: Responds normally. ​ ​ Lethargic: Drowsy, falls asleep easily. ​ ​ Stuporous: Needs vigorous stimuli to respond. ​ ​ Comatose: Unconscious, no response to pain. ​ ​ Decorticate rigidity: Flexed arms/legs. ​ ​ Decerebrate rigidity: Extended arms/legs. Physical Appearance ​ ​ Hygiene, grooming, nutritional status. ​ ​ Behavior ​ ​ Mood (subjective feeling). ​ ​ Affect (objective expression). ​ ​ Cognitive & Intellectual Abilities ​ ​ Orientation (person, place, time) ​ ​ Memory (immediate, recent, remote) ​ ​ Abstract thinking (problem-solving) ​ ​ Judgment (decision-making ability) 4. Cultural & Spiritual Considerations ​ ​ Assess cultural beliefs, practices, and dietary restrictions. ​ ​ Religion vs. spirituality: ​ ​ Spirituality = internal values and purpose. ​ ​ Religion = structured beliefs and rituals. 5. Standardized Screening Tools ​ ​ Adverse Childhood Experiences Questionnaire ​ ​ Brief Patient Health Questionnaire (Brief PHQ) ​ ​ Mini-Mental State Examination (MMSE) ​ ​ Orientation, memory, attention, language. 6. Considerations Across the Lifespan ​ ​ Children & Adolescents: ​ ​ Consider family dynamics, culture, and development. ​ ​ Use HEADSS tool (Home, Education, Activities, Drugs, Sexuality, Suicide risk, Safety). ​ ​ Older Adults: ​ ​ Functional ability, social support, safety risks. 7. Trauma-Informed Care ​ ​ Recognize signs of trauma and triggers. ​ ​ Avoid re-traumatization. 8. Mental Health Diagnoses ​ ​ DSM-5-TR (2022) is used for diagnosing disorders. ​ ​ Serious mental illness (SMI) = persistent disorders affecting daily life. 9. Role & Life Changes ​ ​ Major transitions like loss of employment, divorce, or retirement can impact mental health. ​ ​ Assess coping strategies, support systems, and functional ability. 10. Therapeutic Strategies ​ ​ Counseling (therapeutic communication). ​ ​ Milieu Therapy (structured, supportive environment). ​ ​ Screening (trauma history, coping skills). ​ ​ Self-Care Promotion (independent care skills). ​ ​ Psychobiological Interventions (medication management). ​ ​ Cognitive-Behavioral Therapy (CBT techniques). ​ ​ Health Promotion (smoking cessation, lifestyle changes). ​ ​ Case Management (holistic care planning). Chapter 2 Legal and Ethical Issues in Mental Health Nursing 1. Legal Rights of Clients in Mental Health Settings Clients with mental health disorders have the same legal rights as any other citizen, including: ​ ​ Right to humane treatment & care (medical, dental, and psychiatric care) ​ ​ Right to vote ​ ​ Right to obtain, forfeit, or deny a driver’s license ​ ​ Right to press charges against another person ​ ​ Informed consent & right to refuse treatment ​ ​ Confidentiality (HIPAA) ​ ​ Freedom from physical or chemical restraint, abuse, or neglect ​ ​ Right to a psychiatric advance directive ​ ​ Provision of care in the least restrictive environment (avoiding unnecessary seclusion or restraints) 2. Ethical Principles in Mental Health Nursing ​ ​ Beneficence – Acting in the client’s best interest Example: A nurse helps a newly admitted client with psychosis feel safe in the environment. ​ ​ Autonomy – Client’s right to make their own decisions Example: Instead of making decisions for a client, a nurse helps them explore options. ​ ​ Justice – Fair treatment for all Example: A nurse leads a discussion to ensure facility rules are enforced fairly. ​ ​ Fidelity – Keeping commitments, being loyal Example: A nurse stays with a client during a difficult moment instead of leaving. ​ ​ Veracity – Being truthful Example: A nurse honestly explains why staff were discussing a client’s behavior. Types of Admission to a Mental Health Facility ​ ​ Informal Admission – Least restrictive, client can leave anytime. ​ ​ Voluntary Admission – Client chooses admission and can refuse medication/treatment. ​ ​ Temporary Emergency Admission – Admitted for emergency mental health care; usually limited to ≤15 days. ​ ​ Involuntary Admission – Admission against will, based on: ​ ​ Danger to self or others ​ ​ Severe disability (unable to care for self) ​ ​ Court review required after 60 days ​ ​ Long-Term Involuntary Admission – Court-ordered, lasts 60–180 days or longer. 4. Client Rights Regarding Seclusion & Restraint ​ ​ Use only if less restrictive interventions fail. ​ ​ Restraint Time Limits: ​ ​ ≥18 years old: 4 hours ​ ​ 9-17 years old: 2 hours ​ ​ ≤8 years old: 1 hour ​ ​ Frequent monitoring & documentation required (every 15-30 mins). ​ ​ Seclusion or restraints must be discontinued as soon as the client is safe. ​ ​ PRN (as-needed) prescriptions for restraints are NOT allowed. 5. Confidentiality & HIPAA ​ ​ Do NOT discuss client info publicly (e.g., social media, public places). ​ ​ Only share info with team members involved in treatment. Exceptions to confidentiality: ​ ​ Duty to warn potential victims of harm (Tarasoff Law) ​ ​ Reporting abuse (child or vulnerable adult) 6. Legal & Ethical Client Issues ​ ​ Torts = Civil wrongs that cause harm Intentional Torts: ​ ​ False imprisonment – Unjustly confining a client ​ ​ Assault – Verbal threats ​ ​ Battery – Physical harm (e.g., forcing medication) Unintentional Torts: ​ ​ Negligence – Failure to meet the expected standard of care. ​ ​ Malpractice – Professional negligence leading to harm. 7. Documentation Guidelines ​ ​ Be clear, factual, and objective. ​ ​ Include client behavior (e.g., “Client ran down the hall screaming”). ​ ​ Include staff response (e.g., “Nurse calmly redirected the client and ensured safety”). ​ ​ Include when the provider was notified.