Test bank for mental health nursing 6th edition by fontaine

Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrity E Movement toward the mental illness end of the continuum may begin with a sense of disharmony

Trang 1

Link full download:

https://getbooksolutions.com/download/test-bank-for-mental-health-nursing-6th-edition-by-fontaine

Test Bank for Mental Health Nursing 6th Edition by Fontaine

Chapter 1: Introduction to Mental Health Nursing

MULTIPLE CHOICE Choose the one alternative that best completes the

statement or answers the question

1) The nurse is teaching the family various factors that are important in

understanding the concepts of mental

health and mental illness What factors should be included in the nurse’s teaching? Select all that apply

disharmony that is distressing to family or friends

Cognitive Level: Application

Nursing Process: Planning

Client Need: Psychosocial Integrity

Trang 2

B) Movement toward the mental illness end of the continuum may begin with a sense of

disharmony that is distressing to the individual

C) Behavior that can be considered as being at the mental illness end of the

continuum in one

culture can be considered normal and acceptable in another culture

D) Research has shown that brain chemicals and processes are frequently altered in mental

illnesses

E) Movement toward the mental illness end of the continuum may begin with a sense of

disharmony that is distressing to the community or society

Trang 3

2) During the nursing assessment of an adult client, the nurse finds the client’s beliefs and actions related to

common health practices to be “bizarre.” Which action would be most appropriate for the nurse to take at this

time?

A) Write a nursing diagnosis to address the “bizarre” beliefs and actions

B) Repeat the assessment later in the day

C) Inquire as to the culture with which the client identifies

D) Communicate the findings to the health care team

Trang 4

cultural assessment will most likely result in the same incomplete data

Nursing Process: Implementation

B) A thorough assessment is needed before proceeding with other steps of the

C) A thorough assessment is needed before proceeding with other steps of the

Trang 5

findings will be communicated and used for nursing diagnosis formulation later in the process,

these steps are built upon a thorough assessment Repeating the assessment

without the

D) A thorough assessment is needed before proceeding with other steps of the nursing process

Cultural beliefs strongly influence what is defined as mental illness or mental health Behavior

that is considered bizarre in one cultural context may be considered desirable in another While

findings will be communicated and used for nursing diagnosis formulation later in the process,

these steps are built upon a thorough assessment Repeating the assessment

without the

3) The nurse is sharing client assessment data with the mental health care team Which comment by the nurse is

Trang 6

most likely irrelevant and indicates a misunderstanding of mental illness? “The client reports:

A) Significant emotional distress about the current situation.”

B) A lot of time is spent in fear and anxiety.”

C) A loss of interest in usual pleasurable interpersonal relationships.”

D) Some very different religious ideas and spiritual beliefs.”

individual, family, friends, community, or society Therefore, this choice indicates a

misunderstanding of the concept of mental illness Reports of fear, anxiety,

emotional distress,

and disharmony with interpersonal relationships are very relevant and are

indications of the

client’s movement toward the mental illness end of the continuum

Nursing Process: Evaluation

2

B) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as

Trang 7

symptoms of mental illness, unless the deviance is causing a sense of disharmony to the

emotional distress,

indications of the

C) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as

emotional distress,

indications of the

Trang 8

D) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as

emotional distress,

indications of the

3

4) The psychiatric-mental health nurse is collecting data regarding the client’s

position on the mental

health-mental illness continuum Which client behavior will be most relevant to the assessment of insight? The

client is:

A) Laughing at a few humorous aspects of the current situation

B) Identifying goals and making plans for the future

C) Demonstrating the ability to accomplish simple problem-solving

Trang 9

D) Self-evaluating personal values, attitudes, and behaviors

directly measure insight

Nursing Process: Assessment

B) The ability to self-evaluate or ask difficult interpersonal questions and give honest answers

indicates the degree of insight While finding humor in situations, problem-solving, identifying

goals and making plans are indications of the mental health factor of resilience; these do not

Trang 10

C) The ability to self-evaluate or ask difficult interpersonal questions and give

D) The ability to self-evaluate or ask difficult interpersonal questions and give

5) The client’s spouse is verbalizing feelings of guilt and asks the cause of the client’s mental illness What is the

nurse’s correct response?

Trang 11

A) “Mental illness is the result of a brain disorder.”

B) “No one really knows the cause of mental illness.”

C) “Why do you think the mental illness occurred?”

D) “Sometimes people just let their problems make themselves sick.”

that mental illness might be under personal control

Trang 12

B) Genetic and neurobiological data indicate that mental illness is basically a brain disorder All

functions of the mind reflect functions in the brain Research has provided many theories as to

the cause of mental illness Even though cultural, intrapersonal, and interpersonal factors

impact movement on the mental illness-mental health continuum, the overall causative factors

are neurobiological and not the “fault” of the individual This “at-fault” belief

C) Genetic and neurobiological data indicate that mental illness is basically a brain disorder All

Trang 13

D) Genetic and neurobiological data indicate that mental illness is basically a brain disorder All

Trang 14

Trang 15

C) Create changes through learning that in turn create changes in neuronal

functioning

D) Encourage completion of developmental tasks that were not successfully

completed earlier in life

disorders rather than principles associated with neurobiological theory

Cognitive Level: Analysis

B) Neurobiological theory offers the belief that all functions of the mind reflect functions of the

brain and includes the principle that counseling and therapy can create long-term changes

through learning which in turn creates changes in neuronal functioning

Self-discovery of

Trang 16

unconscious personality components, completion of developmental tasks, and reinforcement of

desirable thoughts, feelings, and behaviors describe earlier prebiological models of mental

C) Neurobiological theory offers the belief that all functions of the mind reflect functions of the

D) Neurobiological theory offers the belief that all functions of the mind reflect functions of the

Trang 17

B) The content and frequency of recent dreams

C) The degree of satisfaction with interpersonal relationships

D) A description of self-esteem

Answer: A

Explanation: A) Neurobiological research theorizes a genetic susceptibility and a familial genetic anticipation;

Trang 18

therefore, a family history of mental illness becomes priority information in a

nursing

assessment While self-esteem, interpersonal relationships, and perhaps dreams will

be

assessed at some point, these concepts are derived from earlier prebiological

theories and are

not the priority in this situation

B) Neurobiological research theorizes a genetic susceptibility and a familial genetic anticipation;

nursing

be

theories and are

C) Neurobiological research theorizes a genetic susceptibility and a familial genetic anticipation;

Trang 19

nursing

be

theories and are

D) Neurobiological research theorizes a genetic susceptibility and a familial genetic anticipation;

nursing

be

theories and are

8) The psychiatric-mental health nurse is planning interventions for a client using the diathesis-stress model as a

Trang 20

theoretical guide Given this framework, which of the following nursing

interventions should be included in the

plan of care?

A) Teach anxiety management skills for use in various situations

B) Assist to identify ways to achieve self-actualization

C) Assist to identify strategies to delay gratification

D) Teach common defense mechanisms

intrapersonal and social-interpersonal theories

B) The diathesis-stress model proposes that disease develops in biologically vulnerable persons

Trang 21

when exposed to stressors; therefore, anxiety management skills to decrease the impact of the

stressors are appropriate and should be included as interventions Defense mechanisms and

gratification issues (Freud), and self-actualization (Maslow) are associated with older

C) The diathesis-stress model proposes that disease develops in biologically vulnerable persons

stressors are appropriate and should be included as interventions Defense mechanisms and

D) The diathesis-stress model proposes that disease develops in biologically vulnerable persons

Trang 22

stressors are appropriate and should be included as interventions Defense

mechanisms and

9) The psychiatric-mental health nurse attends a presentation on various theories of mental disorders Which

comment by the psychiatric nurse indicates an understanding of intrapersonal theories of personality

C) “Every human’s personality is genetically driven and individually developed.”

D) “People become who they are through a learning process using reinforcements and punishments.”

Answer: B

Trang 23

Explanation: A) Intrapersonal theorists believe that personality is shaped by events occurring in the earliest

years of life This theory states that symptoms of mental disorders are rooted in events in the

first five years of life The theory that personality is genetically driven and

Trang 24

developed is consistent with neurobiological theory The theory that personality is manifested

only in a person’s interactions with others is more congruent with

C) Intrapersonal theorists believe that personality is shaped by events occurring in the earliest

Trang 25

learning process using reinforcements and punishments reflects behavioral theory, particularly

B.F Skinner

D) Intrapersonal theorists believe that personality is shaped by events occurring in the earliest

Trang 26

10) The psychiatric-mental health nurse is planning care for the client The nurse first plans to establish a

therapeutic client relationship Which theorist espouses a therapeutic client relationship?

psychotherapy to help individuals return to childhood issues to finish incomplete

developmental tasks Abraham Maslow, a social-interpersonal theorist, believed in a priority of

needs from a humanistic perspective

Trang 27

C) Hildegard Peplau, the mother of psychiatric nursing, defined nursing as an

interpersonal

process using the nurse-client relationship to facilitate change in the client B.F Skinner, a

Trang 28

behavioral theorist, promoted learning through the use of reinforcements and

D) Hildegard Peplau, the mother of psychiatric nursing, defined nursing as an

Trang 29

10

11) The client is experiencing a crisis Using principles of crisis theory, what is the nurse’s priority assessment?

A) The client’s social-interpersonal history

B) The length of time since the event occurred

C) The family history in relation to mental illness

D) The client’s perception of the situation

Trang 30

B) A crisis state occurs when an event is perceived as a threat and usual resources and coping

skills are no longer effective Eliciting the client’s perception is a priority balancing factor The

length of time since the event, the client’s social-interpersonal history, and a family history in

relation to mental illness are not specific to balancing factors or variables that determine a

person’s potential for entering a crisis state

C) A crisis state occurs when an event is perceived as a threat and usual resources and coping

Trang 31

D) A crisis state occurs when an event is perceived as a threat and usual resources and coping

12) The psychiatric-mental health nurse is developing a plan of care for a client experiencing depression From a

cognitive theoretical framework, which of the following nursing interventions would take priority?

A) Facilitating the completion of developmental tasks

B) Reinforcing desirable behaviors and punishing undesirable behaviors

C) Challenging misperceptions and correcting misinformation

D) Encouraging use of new learning in interpersonal relationships

Trang 32

B) Cognitive theory states that emotional upset and dysfunctional behaviors are related to

misperceptions and misinterpretations of experiences Reinforcement and

Trang 33

New learning within the context of interpersonal relationships is more congruent with

social-interpersonal theories

C) Cognitive theory states that emotional upset and dysfunctional behaviors are related to

D) Cognitive theory states that emotional upset and dysfunctional behaviors are related to

punishment is more

Trang 34

consistent with behavioral theory Completion of developmental tasks and

13) The nurse is serving on a committee charged with reviewing the roles and

responsibilities of the nurses on the

psychiatric unit Which publication should the nurse bring to the first meeting? A) American Nurses’ Association, Code of Ethics

B) Diagnostic and Statistical Manual of Mental Disorders

C) American Nurses’ Credentialing Center certification requirements

D) Psychiatric-Mental Health Nursing Standards of Practice

Answer: D

12

Explanation: A) The Psychiatric-Mental Health Nursing Standards of Practice,

organized around the nursing

process, delineates psychiatric-mental health nursing roles and functions and serves

as

Trang 35

guidelines for providing quality care The Diagnostic and Statistical Manual of

nurse, but does not clarify use of the nursing process, roles and nursing care actions

Certification requirements outline steps toward certification that acknowledges knowledge and

expertise, but does not delineate roles and responsibilities

Client Need: Safe, Effective Care Environment

B) The Psychiatric-Mental Health Nursing Standards of Practice, organized around the nursing

Trang 36

C) The Psychiatric-Mental Health Nursing Standards of Practice, organized around the nursing

Trang 37

D) The Psychiatric-Mental Health Nursing Standards of Practice, organized around the nursing

13

14) The client is experiencing low self-esteem issues, alterations in mood, and

thoughts of harming the self, in

addition to physical pain The nurse’s priority area for assessment is:

A) Self-esteem

B) Risk of harm

Trang 38

self-esteem, and mood are being assessed

B) Safety issues take priority The client’s safety must be ensured while the other areas of pain,

C) Safety issues take priority The client’s safety must be ensured while the other areas of pain,

Trang 39

D) Safety issues take priority The client’s safety must be ensured while the other areas of pain,

Trang 40

B) The interview is the initial step in the assessment process unless physical needs dictate priority

The initial interview is used to establish rapport with the client in order to enhance the

effectiveness of the other assessments which will then follow: physical assessment, neuropsychiatric assessment, and functional assessment

C) The interview is the initial step in the assessment process unless physical needs dictate priority

The initial interview is used to establish rapport with the client in order to enhance the

effectiveness of the other assessments which will then follow: physical assessment, neuropsychiatric assessment, and functional assessment

D) The interview is the initial step in the assessment process unless physical needs dictate priority

Định dạng
Số trang	81
Dung lượng	686,08 KB