Mental health exam #1

How should the nurse behave (which ethical principle?) when it comes to including giving the benefit of the doubt?

Justice

what kind of stigma is attached to patients with mental illness?

negative

how are mental health disorders broken down?

manifestations

which of the following is an example of a holistic practice?

acupuncture

when should the nurse ask the patient about cultural beliefs?

always ask about culture and include in care as best as we can

trying to avoid restraints is an example of what ethical principle?

non-malefience

when discussing consent with the client what should be included?

informed consent; potential alternative treatments available for the client

what is capacity?

client's availability to understand information

what is competency?

used when judging client's condition

what should the nurse do if a client is angry and demanding to be transferred?

assist the client in finding a different psychiatrist

emotional exhaustion, depersonalization, being distracted, chronic disease, GI problems is an example of what disorder?

burnout

what is a responsibility of the mental health nurse?

providing case management

what would be an alternative to managing an 8-year-old after yelling?

have the child go their room (least restrictive alternative which would allow the child to gain control)

incivility and bullying would cause what outcome in the work place?

high staff turnover rate

which person part of the healthcare team would help prepare a patient for discharge?

social worker

for a client with schizophrenia, which of the following team members is responsible for reviewing meds?

pharmacist

what qualifies as being a psychological stress?

being only ethnicity in school setting

what indicates success for a client who wants to start an exercise regimen?

client is able to verbalize healthy alternatives

when interviewing a client who is contemplating behavior change, what indicates client is engaged with nurse?

client discusses topics that are important in their life (family, or significant other)

when a nurse is experiencing countertransference with a client who looks like their sister, what action should the nurse manager take?

reassign nurse to different client

when the nurse is using therapeutic communication techniques, how should the nurse structure conversation?

invite client to communicate feelings, and use reflection statement so client clarifies emotions or statements

what is developing policy related to?

social role

when looking for ways to improving active listening skills, what should the nurse recommend?

avoid looking at other clients or doors or external activities when conducting interviews, maintain eye contact

which modality uses technology as primary mental health treatment?

video conference

if a nurse states that she is experiencing moral conflicts when taking care of clients, what might happen?

more prone to providing lower quality of care to clients or experiencing burnout

what skill should the nurse utilize when describing appearance or affect?

assessment

when caring for a client with GAD (generalized anxiety disorder), which of the following goals contain all the elements?

SMART goals (specific, measurable, attainable, realistic, timely)

what should you document when providing care to a patient with a mental illness?

behavior, mental status, interventions used, and client's response to interventions used

when discharging what is important/true?

making sure communication is essential, and they have all necessary resources

what should you do to build repour when admitting new clients?

allow them time to respond, use open ended questions

positive influences on stress include?

develop client centered plan of care, protective factors, client's lifestyle, and spirituality

which therapy is indicated when experiencing a panic attack

biofeedback

a client is experiencing elevated BP and HR, financial and marital problems, what should the nurse instruct the patient to do first?

instruct client to deep breathe to slow HR, lower BP, and help with relaxation

what defensive mechanism is the partner of a patient who has been diagnosed with end stage lung cancer and has only a few months left to live?

denial

when it comes to managing stress what is a solution?

journaling (help identify triggers)

what does the ANA say about nurses engaging in religious rituals with patients?

ANA says it is in the nurses right to participate or if they want to refuse okay too

If a patient is experiencing prolonged grief disorder, what will they be experiencing?

the ability to function, angry, sleep loss, irritable

The nurse is caring for a client who is returning from a bereavement group, what statement shows the client is changing?

client verbalizes taking family to the ocean and spending more fond time with them (client is accepting loss and dealing with bereavement)

what is an action that nurses should consider when taking care of someone who has a terminal illness?

self-care and reflection

a nurse just completed an assessment of a client whose family died what can they expect as signs of death anxiety and insecurity?

patient can not stop thinking about their own death

why is screening for mental illness difficult?

mental health cannot be detected through lab screenings

what role do neurotransmitters play in the brain?

they are responsible for chemical communications

when can serotonin syndrome occur?

if individuals are using herbal remedies

what are manifestations of non-suicidal self-harm?

bruising from hitting onself, bite marks on arms, burn marks, difficulty managing painful emotions

what is an example of economic abuse?

caregiver writing checks without person consent or stealing money directly

what is neglect?

failure to provide basic needs

what can be used as an example of stalking?

through emails or text not just in person

a nurse is taking care of a client managing their anger which of the following statements stated by the client should the nurse recognize as a sign of anger?

a neightbor has been letting their dog in my yard everyday

when speaking with a client who is experiencing physical assault which of the following actions should the nurse take?

allow client to take control of the conversation

when instructing a new nurse about mental health disorders what should you inform them?

recognize patterns