Link full download 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

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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

Cognitive Level: Application

Nursing Process: Planning

Client Need: Psychosocial Integrity

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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 Cognitive Level: Application

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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

cultural assessment will most likely result in the same incomplete data

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Nursing Process: Implementation

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

these steps are built upon a thorough assessment Repeating the assessment

without the cultural assessment will most likely result in the same

incomplete data

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

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incomplete data

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,

incomplete data

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

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

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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.”

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

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symptoms of mental illness, unless the deviance is causing a sense of disharmony to the individual, family, friends, community, or society Therefore, this choice indicates

a

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

emotional distress,

continuum

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

a

emotional distress,

continuum

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

a

emotional distress,

continuum

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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

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

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 directly measure insight

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

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

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?

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.”

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

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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

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

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position, does not answer the spouse’s question, and contributes to the inaccurate perception that mental illness might be under personal control

B) Allow for reinforcement of desirable thoughts, feelings, and behaviors

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

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through learning which in turn creates changes in neuronal functioning

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

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

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

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7) The psychiatric-mental health nurse is admitting a new client to the psychiatric unit Given the contemporary neurobiological perspective of mental disorders, the nurse’s priority assessment is: A) A family history of mental illness

B) The content and frequency of recent dreams

C) The degree of satisfaction with interpersonal relationships

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

theories and are not the priority in this situation Cognitive Level:

Application

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

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

nursing

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

be

Application

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

nursing

be

Application

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

nursing

be

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assessed at some point, these concepts are derived from earlier prebiological theories and are not the priority in this situation Cognitive Level:

Application

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

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

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gratification issues (Freud), and self-actualization (Maslow) are associated with older intrapersonal and social-interpersonal theories

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

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

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

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

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 development?

A) “Personality is manifested only in a person’s interactions with another person or group.”

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B) “Personality is more strongly shaped by events occurring in the earliest years of life than by those occurring later.”

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.”

Cognitive Level: Analysis

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C) 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

individually

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

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

D) 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

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learning process using reinforcements and punishments reflects behavioral theory, particularly

B.F Skinner

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

therapeutic nurse-client relationship Which theorist espouses a therapeutic

nurseclient relationship? A) B.F Skinner

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change continuing throughout the life span Erickson used his intrapersonal theory

of 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

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

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

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of 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

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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

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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

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

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

Answer: C

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

misperceptions and misinterpretations of experiences Reinforcement and

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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

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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

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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

nursing care actions

Certification requirements outline steps toward certification that acknowledges knowledge and expertise, but does not delineate roles and responsibilities

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Client Need: Safe, Effective Care Environment

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

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

as

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guidelines for providing quality care The Diagnostic and Statistical Manual of

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

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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:

B) Safety issues take priority The client’s safety must be ensured while the other areas of pain, self-esteem, and mood are being assessed

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C) Safety issues take priority The client’s safety must be ensured while the other areas of pain, self-esteem, and mood are being assessed

D) Safety issues take priority The client’s safety must be ensured while the other areas of pain, self-esteem, and mood are being assessed

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assessment, neuropsychiatric assessment, and functional assessment

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

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

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

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16) The psychiatric nurses who are observing a client ask themselves if the client is

a danger to self or others What type of observation are the nurses using?

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