finals Flashcards

1
Q

During the 1930s, what common treatment for schizophrenia caused clients to fall into a coma that could last as long as 50 hours?

A

Insulin therapy

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2
Q

The case manager is working with an 11-year-old boy with ADHD. He struggles with group therapy and shows signs of depression and difficulty regulating his emotions. Which team member would best assist in this situation?

A

Expressive therapist

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3
Q

A client is continually late for his appointment at the mental health clinic. What is a likely reason for his lack of punctuality?

A

Time orientation

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4
Q

The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational soul could be compared with the belief of the more recent psychological theorist:

A

Freud.

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5
Q

A woman is admitted to an inpatient psychiatric unit after a suicide attempt by overdose. The primary rationale for her admission is to:

A

provide her with a safe and secure environment.

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6
Q

A 45-year-old married man comes to the community mental health center after he is suspended from his job for fighting. Upon talking to him, the nurse discovers he and his wife recently moved to the United States and his wife needs to work to pay bills. He is angry and embarrassed that he cannot be the sole provider for his family. His behavior may be the result of:

A

gender role conflict.

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7
Q

An older Asian female with a diagnosis of depression is cared for by her granddaughter. Her granddaughter is very attentive to the client’s needs, attends every therapy session, and is active in the planning and implementing of the treatment plan. The granddaughter’s valuing of her grandmother is most likely due to her:

A

cultural beliefs.

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8
Q

Which member of the multidisciplinary mental health care team is primarily responsible for conducting the initial psychosocial assessment, as well as diagnosis and planning of treatment for new clients?

A

Clinical psychologist

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9
Q

A nurse preparing to interview a client in the client’s room begins to move newspapers off a chair to sit down. The client requests that the nurse sit in another chair and leave the newspapers where they were. The client is demonstrating:

A

territoriality.

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10
Q

The case manager brings in a nutritionist to work with a female client who suffers from anorexia nervosa. Which component of the case management system does this demonstrate?

A

Consultation

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11
Q

An important responsibility of the nurse in a mental health facility is to ensure that clients do not __________ from the facility without a discharge order, by carefully supervising and accurately documenting client behaviors and therapeutic actions.

A

elope

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12
Q

Disease is defined as:

A

physical dysfunction.

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13
Q

This individual is known as a pioneer of public health and is credited with bringing about public awareness and reform for the care of the mentally ill, by surveying asylums, jails, and almshouses throughout the United States, Canada, and Scotland and petitioning for legislative reform.

A

Dorothea Dix

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14
Q

If a client is involuntarily committed to a mental health care facility indefinitely, the law requires that the case must be reviewed every:

A

12 months.

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15
Q

A male client is seeking help in a mental health clinic for anger management problems. He voices that he is fearful that his wife may divorce him because of his anger problem, and he is willing to do “whatever it takes” to control his anger. Later in the week, the client’s wife also seeks assistance because she is going to divorce her husband. The nurse who is caring for both of these clients tries to decide the correct action to take. The nurse is experiencing:

A

an ethical conflict (or dilemma)

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16
Q

If a female client tells the nurse of extensive plans, she has to harm the girlfriend of her ex-husband, what is the nurse’s best action?

A

Inform the girlfriend of the intentions of the client.

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17
Q

This French hospital director is credited as being the father of psychiatric medicine. He advocated for humane treatment and recognition of mental health patients as individuals with the same basic needs as others:

A

Pinel.

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18
Q

A male client is being argumentative during a group therapy session. The psychiatric technician warns the client that if he does not cooperate with the nurse, he will be physically restrained and taken to his room for the remainder of the day. For which action could the technician be held liable?

A

Assault

19
Q

The nurse in the emergency department finds a woman collapsed on the floor and crying loudly. The woman’s husband was in a car accident and is being attended to by the medical staff. Which statement by the nurse best demonstrates acting in a culturally competent manner?

A

“Let me take you to a room with more privacy so we can talk.”

20
Q

A male teenage client tells the nurse that he and his friends like to drink alcohol occasionally and smoke marijuana. He reports seeing nothing wrong with these behaviors. The client states that his parents tell him “kids will be kids” and they rarely interfere with his habits. Which mode of transmission best describes how this client’s particular value was formed?

A

Laissez-faire

21
Q

The nurse recognizes that a client with schizophrenia who is also struggling with addiction to methamphetamines is at risk for developing:

A

permanent psychotic states.

22
Q

As a direct result of Clifford Beers’ work and book, A Mind That Found Itself, the Committee for Mental Hygiene was formed in 1909 with a focus on prevention of mental illness and:

A

removing the stigma attached to mental illness.

23
Q

In the early 1900s, the first theory of mental illness that showed behavior could be changed is attributed to:

A

Freud.

24
Q

n the 1930s, what mental health disorder was electroconvulsive therapy (ECT) most often used to treat?

A

Severe depression

25
Q

A homeless client with bipolar has had a number of admissions to the inpatient unit. After getting stabilized on medications and being discharged to the community, the client misses their outpatient appointments and is placed on a hold for DTS due to walking into traffic and making suicidal statements. This frequent re-hospitalization is an example of:

A

recidivism.

26
Q

The __________ model views clients holistically with the goal of creating a support system designed to encourage independence in the client with a mental health disorder.

A

community support systems

27
Q

The client is feeling very anxious and has requested that a prn. antianxiety medication be ordered. The nurse informs the client that the medication can be administered only every 4 hours and was given 3 hours ago. The nurse promises to give the client the medication as soon as it is due, but the nurse goes to lunch 1 hour later without giving the client the medication. Which ethical principle did the nurse violate?

A

Fidelity

28
Q

The nurse often assists in the process of obtaining informed consent from the client for treatment and/or procedures. Who has the responsibility of providing information to the client so he can give informed consent?

A

Physician

29
Q

Which client communication problem can the nurse most easily correct?

A

Cultural differences

30
Q

During the mid-1500s, behaviors associated with mental illness were more accurately recorded by professionals. This practice led to ______________ for different abnormal behaviors.

A

classifications

31
Q

Culture includes common beliefs and practices in areas such as religion, economics, diet, health, and:

A

Culture includes common beliefs and practices in areas such as religion, economics, diet, health, and:

32
Q

__________ is a side effect that can occur while a client is taking an antipsychotic medication, causing muscle rigidity, high fever, unstable vital signs, confusion, and agitation.

A

Neuroleptic malignant syndrome (NMS)

33
Q

Carl Jung was the founder of analytical psychotherapy; he differed from Freud in that he believed that the mind was divided into three levels: the conscious ego, the personal unconscious, and the:

A

collective unconscious.

34
Q

During a conversation with a male client, he voices that he really appreciates his family, likes his job, and enjoys groups in which he volunteers. According to Maslow’s theory, what is this client experiencing?

A

Self-actualization

35
Q

During group therapy, certain group change mechanisms may be observed. When an individual engages in helping others, resulting in improvement in his or her own self-esteem, which group change mechanism has the individual experienced?

A

Altruism

36
Q

Group therapy, which assists in relieving emotional distress and encourages psychological and behavioral changes, was developed following World War II as a result of a:

A

Group therapy, which assists in relieving emotional distress and encourages psychological and behavioral changes, was developed following World War II as a result of a:

37
Q

Humanistic theories are important to health care because these theories serve as the foundation for the concept of:

A

holistic care.

38
Q

In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:

A

sodium.

39
Q

Selective serotonin reuptake inhibitors (SSRIs) are most health care providers’ drug of choice for the treatment of depression because:

A

he side effects are more manageable than with other antidepressants.

40
Q

The CMA is administering an antianxiety medication to a client. Monitoring side effects is the responsibility of which member of the health care team?

A

Nurse

41
Q

The nurse is administering medications to a client with a diagnosis of paranoid schizophrenia. The nurse would expect to see which medication ordered for this client?

A

Risperdal

42
Q

The nurse is developing a teaching plan for a client who has been diagnosed recently with a mental health disorder and has been prescribed a psychotropic medication. Which interventions regarding the medication should the nurse include in the teaching plan? (Select all that apply.)

A

Teach signs and symptoms of side effects and what to do if these occur., Provide written information regarding the purpose, dosage, route, and dosing schedule., Ask the client and significant other to verbally explain when it is necessary to contact the physician should side effects occur.

43
Q

The nurse is working with a health care team with the philosophy of reality therapy. The nurse is aware that the team’s belief is centered around:

A

not considering the client’s past to determine present behavior and future goals.