Final Exam Flashcards
What percent of all countries in the world have no clear governmental policy that addresses mental health issues?
50
To implement the concept of the least restrictive treatment environment, health care team members:
Assess available community resources
A nurse and an adolescent female client develop a plan of care together that addresses the client’s difficult relationship with her parents. The client says that her parents just don’t understand her, and she is always getting privileges taken away for not doing things that she is supposed to do. What is the nurses best action:
Identify two priority responsibilites that are agreed upon between the client and her parents, and monitor her ability to comply with the plan for 1 week.
A female client has been attending group therapy for support regarding an abusive relationship with her husband. The client voices concern about her 10-year-old daughter growing up in this environment but states that she just can’t find the strength to leave her husband. The nurse responds by using the nontherapeutic technique of reassuring. Which statement is the best example of this nontherapeutic technique?
“I’m sure it wont be that bad to be out on your own. I know you can do it.”
A 22-year-old woman is brought in to the inpatient unit for attempting suicide. Her clothes are clean and her general appearance is neat and well groomed. She appears to be well nourished. In considering Maslow’s hierarchy of needs, which is a priority for the client?
Safety and security
A male client with the diagnosis of depression is taking an MAOi. which is the most important teaching point the nurse must include in his care plan?
Avoiding alcoholic beverages.
The assessment phase of the nursing process refers to the phase when data collection occurs. Which methods does the nurse use to collect data?
- Interviewing the client and significant others
- Observing client behavior
- Performing physical assessment
- Reviewing diagnostic testing results
For children older than 4 years, separation anxiety should last for no longer than:
a few weeks
Environmental problems often lead to mental health problems among adolescents. Approximately ____ million children and adolescents must cope with the issue of having a parent in jail or on parole.
7
Which intervention will be most effective when one is teaching a client about his or her medications and their administration?
Referring to medications by name and providing written instructions
The charge nurse is angry with another nurse who arrived 1 hour after the shift begins. Rather than expressing her anger, the nurse avoids confrontation by denying approval of the nurse’s requested vacation day. What does this behavior demonstrate?
Substitution
The behavioral state of thoughts, feelings and activities that follow a loss is called:
Bereavement
During the continuation phase of therapy, a client with a diagnosis of depression asks, “what is the goal of therapy during this 4- to 9- month period?” What is the nurse’s best response?
Our goal is to prevent you from relapsing and experiencing distressing emotional states.
A male client with a dissociative disorder copes with his low self-esteem by displaying behaviors associated with an exaggerated sense of self-importance. Which behaviors would this client most likely exhibit?
- Bragging about special abilities
- Setting unrealistic goals
- Having unrealistic dreams
An adult female whose fiance recently called off the wedding attempts suicide by taking an overdose of sleeping medication. Immediately after taking the medication, she calls friends and family to tel them what she has done. Her friends and family active the emergency response system and she is taken to the emergency department and is admitted to a mental health facility for monitoring. She is exhibiting signs and symptoms most evident of which suicidal motivational category?
Cry for help
It is important for the nurse to ensure that the client understands the physical reactions associated with drinking alcohol while taking disulfiram (Antabuse). Which of the following are reactions that may result from ingesting alcohol while taking Antabuse?
- Headache
- Blurred vision
- Nausea
- Vomiting
Choose the types of relationships that put individuals at greatest risk for sexually transmitted diseases, including HIV/AIDS:
- Bisexual
- Functional homosexual
- Dysfunctional homosexual
- Open-coupled homosexual
The rate of pregnancy and transmission of HIV is higher in the adolescent population than the general population of sexually active adults due to the fact that adolescents:
Utilize ineffective contraception
The client lives so completely in a world of his or her own that he or she is unable to recognize reality, relate to others, or cope wiht life’s demands. This client is considered:
Psychotic
(Note: Neurotic is -not- correct)
In 1949, an Australian physician discovered which therapy to be an effective treatment for bipolar (manic-depressive) illness?
Lithium carbonate therapy
Which client communication problem can the nurse most easily correct?
Cultural differences
Which elements must be present for communication to occur?
Feedback, transmission, sender, receiver, context
As the nurse begins to discuss discharge plans for a 45-year old female client hospitalized for anxiety, the client states “You never really cared whether I get better! Why not stop this charade?” The nurse recognizes this to be:
Transference
(Note: This is the client’s emotional response based on earlier relationships)
Before the diagnosis of intellectual disability can be made, which factors must be present?
- Inability to communicate effectively
- Poor adaptation to social situations
- IQ less than 70
- Inability to care for self-appropriate to age
- Maladaptive coping skills
It is important for the nurse to be aware that ____% of individuals over 45 years old take prescription medications, OTC meds, or a combination of these medications.
75
The nurse anticipates that the normal aging process of losing neurons and shrinkage of brain size will result in which assessment findings in older adults?
- Slower response times
- Deficiencies in short-term memory
(Note: Depression and confusion are not correct and are not normal signs of aging)
Three years after the loss of her husband of 35 years, the widow has a full-time job but finds that she cannot sleep well at night, has frequent mood changes, and attends the couple’s night out with friends that she and her husband attended. Upon seeking counseling, she discovers that she is exhibiting symptoms of:
Complicated grief
(Note: Complicated grief is persistent yearning for the deceased person without signs of depression. This is different from bereavement related grief/depression)
