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Exam 1- Psych
Terms in this set (32)
At what point should the nurse determine that a client is at risk for developing a mental illness?
When the patient experiences significant daily dysfunction.
What assessment data would the psychiatric nurse find in a client who is mentally healthy?
The client's stressors are mitigated by rest, balanced diet, and rational thinking.
Which of the following is an example of the diathesis-stress model?
Experiencing depression as a result of stress plus a biological predisposition.
Which statement best describes the DSM-5?
It is a medical psychiatric assessment system.
As of April 26, 2019, CDC had reported 704 new cases of measles in the United States since the beginning of 2019. This finding is an example of:
A psychiatric nurse intern states, "This client's use of defense mechanisms should be eliminated." Which is a correct evaluation of this nurse's statement?
Defense mechanisms can be appropriate responses to stress and need not always be eliminated.
A person who struggles with decreased self-esteem was given some constructive feedback by the manager at work. The person's first thought was "I never do anything right". This is an example of:
How would a nurse describe mental health?
a state of well-being in which the individual copes with normal life stressors, works productively and realizes their own potential.
A 78-year-old woman, with a history of multiple divorces, is admitted to the mental health unit after phoning her daughter stating, "I'm disgusted with the way my life turned out. The world would be a better place without me." This woman is struggling with which of Erikson's developmental tasks?
Ego integrity versus despair
When a nursing student expresses concerns about how mental health nurses "lose all their nursing skills", the best response by the mental health nurse is:
"Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations."
Which therapeutic communication technique is being used in the following nurse-client interaction?
Client: "When I am anxious, the only thing that calms me down is alcohol."
Nurse: "Other than drinking, what positive coping skills could you explore to decrease anxiety?"
Formulating a plan of action
Which term implies special feelings on the part of both the client and the nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.
Which of the following is not included in a therapeutic nurse-client relationship?
Meeting the psychological needs of the nurse and the client.
The nurse is interviewing a newly admitted psychiatric client. Which of the following nursing statements is an example of offering a "general lead"?
"Yes, I see. Go on."
What should a nurse provide for a patient who has just communicated to him?
Which client action should a nurse expect during the working phase of the nurse-client relationship?
The client gains insight and incorporates alternative behaviors.
Which term refers to a nurse's behavioral and emotional response to a client which may be related to unresolved feelings toward significant others from the nurse's past.
What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?
Establish rapport and develop treatment goals.
Which nursing behavior displays therapeutic communication?
Summarizing the essence of the patient's comments in your own words
The student nurse observed the depressed patient crying and kindly asked "Why you are crying"? Considering therapeutic communication skills, evaluate the effectiveness of the student's question.
The question can be interpreted as judgmental.
Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems?
Assessment provides a holistic view of the client, including biopsychosocial aspects.
Which statement regarding nursing interventions should a nurse identify as accurate?
Nursing interventions occur independently but in concert with overall treatment team goals.
Within the nurse's scope of practice, which function is exclusive to the advanced practice psychiatric nurse?
Providing psychotherapy to improve mental health status
A client begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item "Encourage patient to attend one psychoeducational group daily"?
What is the purpose of a nurse gathering client information?
It enables the nurse to make sound clinical judgments and plan appropriate care.
What nursing action provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability?
Identify nursing diagnoses/client needs.
Which statement made by a client during an initial assessment interview should serve as the priority focus for the plan of care?
"I hear evil voices that tell me to do bad things"
How should a nurse prioritize nursing diagnoses/client needs?
By the life-threatening potential.
During which step of the nursing process would the nurse perform the following action: measure a client's vital signs and review past history?
During which step of the nursing process would the nurse perform the following action: determine if antianxiety medication is decreasing a client's stress?
Besides anti anxiety agents, which classification of meds is also used commonly to treat anxiety disorders?
Which drug group can cause abnormal movement disorders such as extrapyramidal symptoms?
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