MH Final Exam Flashcards
A nursing instructor is teaching about recovery as it applies to mental illness. Which student statement indicates that further teaching is needed?
A. “The goal of recovery is improved health and wellness.”
B. “The goal of recovery is expedient, comprehensive behavioral change.”
C. “The goal of recovery is the ability to live a self-directed life.”
D. “The goal of recovery is the ability to reach full potential.”
B. “The goal of recovery is expedient, comprehensive behavioral change.”
The Substance Abuse and Mental Health Services Administration (SAMHSA) defines recovery from mental health disorders and substance use disorders as a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. Change in recovery is not an expedient process. It occurs incrementally over time.
Which situation presents an example of the basic concept of a recovery model?
A. The client’s family is encouraged to make decisions in order to facilitate discharge.
B. A social worker, discovering the client’s income, changes the client’s discharge placement.
C. A psychiatrist prescribes an antipsychotic drug on the basis of observed symptoms.
D. A client diagnosed with schizophrenia schedules follow-up appointments and group therapy.
D. A client diagnosed with schizophrenia schedules follow-up appointments and group therapy.
The basic concept of a recovery model is empowerment of the consumer. The recovery model is designed to allow consumers primary control over decisions about their own care.
A nursing instructor is teaching about the guiding principles of the recovery model, as described by the SAMHSA. Which student statement indicates that further teaching is needed?
A. “Recovery occurs via many pathways.”
B. “Recovery emerges from strong religious affiliations.”
C. “Recovery is supported by peers and allies.”
D. “Recovery is culturally based and influenced.”
B. “Recovery emerges from strong religious affiliations.”
SAMHSA lists the following as guiding principles for the recovery model: recovery emerges from hope; recovery is person-driven; recovery occurs via many pathways; recovery is holistic; recovery is supported by peers and allies; recovery is supported through relationship and social networks; recovery is culturally based and influenced; recovery is supported by addressing trauma; recovery involves individual, family, and community strengths and responsibility; and recovery is based on respect. Recovery emerges from hope, but affiliation with any particular religion would have little bearing on the recovery process.
A client diagnosed with alcohol abuse disorder is referred to a residential care facility after discharge. According to the SAMHSA, which dimension of recovery is supporting this client?
A. Health
B. Home
C. Purpose
D. Community
B. Home
SAMHSA describes the dimension of Home as a stable and safe place to live.
A client diagnosed with obsessive-compulsive disorder states, “I really think my future will improve because of my successful treatment choices. I’m going to make my life better.” Which guiding principle of recovery has assisted this client?
A. Recovery emerges from hope.
B. Recovery is person-driven.
C. Recovery occurs via many pathways.
D. Recovery is holistic.
A. Recovery emerges from hope.
A nurse maintains a client’s confidentiality, addresses the client appropriately, and does not discriminate on the basis of gender, age, race, or religion. Which guiding principle of recovery has this nurse employed?
A. Recovery is culturally based and influenced.
B. Recovery is based on respect.
C. Recovery involves individual, family, and community strengths and responsibility.
D. Recovery is person-driven.
B. Recovery is based on respect.
The SAMHSA lists the following as guiding principles for the recovery model: recovery emerges from hope; recovery is person-driven; recovery occurs via many pathways; recovery is holistic; recovery is supported by peers and allies; recovery is supported through relationship and social networks; recovery is culturally based and influenced; recovery is supported by addressing trauma; recovery involves individual, family, and community strengths and responsibility; and recovery is based on respect. This nurse accepts and appreciates clients who are affected by mental health and substance use problems. This nurse protects the rights of clients and does not discriminate against them.
A nurse on an inpatient unit helps a client understand the significance of treatments and provides the client with copies of all documents related to the plan of care. This nurse is employing which commitment in the “Tidal Model of Recovery?”
A. Know that Change Is Constant
B. Reveal Personal Wisdom
C. Be Transparent
D. Give the Gift of Time
C. Be Transparent
Barker & Buchanan-Barker developed a set of essential values termed The 10 Tidal Commitments, upon which the Tidal Model is based. They include Value the Voice, Respect the Language, Develop Genuine Curiosity, Become the Apprentice, Use the Available Toolkit, Craft the Step Beyond, Give the Gift of Time, Reveal Personal Wisdom, Know that Change Is Constant, and Be Transparent. This nurse is employing the Be Transparent commitment.
Which is the priority focus of recovery models?
A. Empowerment of the health-care team to bring their expertise to decision-making
B. Empowerment of the client to make decisions related to individual health care
C. Empowerment of the family system to provide supportive care
D. Empowerment of the physician to provide appropriate treatments
B. Empowerment of the client to make decisions related to individual health care
A client experiences an exacerbation of psychiatric symptoms to the point of threatening self-harm. Which action step of the Wellness Recovery Action Plan (WRAP) model should be employed, and what action reflects this step?
A. Step 3: Triggers that cause distress or discomfort are listed.
B. Step 4: Signs indicating relapse are identified and plans for responding are developed.
C. Step 5: A specific plan to help with symptoms is formulated.
D. Step 6: Following client-designed plan, caregivers now become decision-makers.
D. Step 6: Following client-designed plan, caregivers now become decision-makers.
A nursing instructor is teaching about components present in the recovery process, as described by Andresen and associates, which led to the development of the Psychological Recovery Model. Which student statement indicates that further teaching is needed?
A. “A client has a better chance of recovery if he or she truly believes that recovery can occur.”
B. “If a client is willing to give the responsibility of treatment to the health-care team, he or she is likely to recover.”
C. “A client who has a positive sense of self and a positive identity is likely to recover.”
D. “A client has a better chance of recovery if he or she has purpose and meaning in life.”
B. “If a client is willing to give the responsibility of treatment to the health-care team, he or she is likely to recover.”
A client states, “My illness is so devastating, I feel like my life is on hold.” The nurse recognizes that this client is in which stage of the Psychological Recovery Model as described by Andersen and associates?
A. Moratorium
B. Awareness
C. Preparation
D. Rebuilding
A. Moratorium
A client states, “I have come to the conclusion that this disease has not paralyzed me.” The nurse recognizes that this client is in which stage of the Psychological Recovery Model as described by Andersen and associates?
A. Moratorium
B. Awareness
C. Preparation
D. Rebuilding
B. Awareness
A psychiatrist who embraces the Psychological Recovery Model tells the nurse that a client is in the Growth stage. What should the nurse expect to find when assessing this client?
A. A client feeling confident about achieving goals in life.
B. A client who is aware of the need to set goals in life.
C. A client who has mobilized personal and external resources.
D. A client who begins to actively take control of his or her life.
A. A client feeling confident about achieving goals in life.
Which of the following has the SAMHSA described, as major dimensions of support for a life of recovery? Select all that apply.
A. Health B. Community C. Home D. Religious affiliation E. Purpose
A. Health
B. Community
C. Home
E. Purpose
A nurse uses the commitments of the Tidal Model of Recovery in psychiatric nursing practice. Which of the following nursing actions reflect the use of the Develop Genuine Curiosity commitment? Select all that apply.
A. The nurse expresses interest in the client’s story.
B. The nurse asks for clarification of certain points.
C. The nurse encourages the client to speak his own words in his own unique way.
D. The nurse assists the client to unfold the story at his or her own rate.
E. The nurse provides the clients with copies of all documents relevant to care.
A. The nurse expresses interest in the client’s story.
B. The nurse asks for clarification of certain points.
D. The nurse assists the client to unfold the story at his or her own rate.
Order the six steps of The Wellness Recovery Action Plan (WRAP) Model as described by Copeland et al.
A.\_\_\_\_\_\_\_\_ Daily Maintenance List B.\_\_\_\_\_\_\_\_ Things Are Breaking Down or Getting Worse C. \_\_\_\_\_\_\_\_Crisis Planning D.\_\_\_\_\_\_\_\_ Develop a Wellness Toolbox E.\_\_\_\_\_\_\_\_\_Early Warning Signs F. \_\_\_\_\_\_\_\_ Triggers
Step1: Develop a Wellness Toolbox Step2: Daily Maintenance List Step3: Triggers Step4: Early Warning Signs Step5: Things Are Breaking Down or Getting Worse Step6: Crisis Planning
________________________ from mental health disorders and substance use disorders is a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.
Recovery
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which nursing action should be prioritized to maintain this clients safety?
A. Assess for medication noncompliance
B. Note escalating behaviors and intervene immediately
C. Interpret attempts at communication
D. Assess triggers for bizarre, inappropriate behaviors
B. Note escalating behaviors and intervene immediately
A client diagnosed with schizoaffective disorder is admitted for social skills training. Which information should be taught by the nurse?
A. The side effects of medications
B. Deep breathing techniques to decrease stress
C. How to make eye contact when communicating
D. How to be a leader
C. How to make eye contact when communicating
A 16-year-old client diagnosed with schizophrenia experiences command hallucinations to harm others. The clients parents ask a nurse, Where do the voices come from? Which is the appropriate nursing reply?
A. Your child has a chemical imbalance of the brain, which leads to altered thoughts.
B. Your childs hallucinations are caused by medication interactions.
C. Your child has too little serotonin in the brain, causing delusions and hallucinations.
D. Your childs abnormal hormonal changes have precipitated auditory hallucinations.
A. Your child has a chemical imbalance of the brain, which leads to altered thoughts.
Parents ask a nurse how they should reply when their child, diagnosed with schizophrenia spectrum disorder, tells them that voices command him to harm others. Which is the appropriate nursing response?
A. Tell him to stop discussing the voices.
B. Ignore what he is saying, while attempting to discover the underlying cause.
C. Focus on the feelings generated by the hallucinations and present reality.
D. Present objective evidence that the voices are not real.
C. Focus on the feelings generated by the hallucinations and present reality.
A nurse is assessing a client diagnosed with schizophrenia spectrum disorder. The nurse asks the client, Do you receive special messages from certain sources, such as the television or radio? The nurse is assessing which potential symptom of this disorder?
A. Thought insertion
B. Paranoia
C. Magical thinking
D. Delusions of reference
D. Delusions of reference
A client diagnosed with schizophrenia spectrum disorder states, Cant you hear him? Its the devil. Hes telling me Im going to hell. Which is the most appropriate nursing response?
A. Did you take your medicine this morning?
B. You are not going to hell. You are a good person.
C. I’m sure the voices sound scary. I don’t hear any voices speaking.
(The voices must sound scary, but the devil is not talking to you. This is part of your illness)
D. The devil only talks to people who are receptive to his influence.
C. I’m sure the voices sound scary. I don’t hear any voices speaking.
(The voices must sound scary, but the devil is not talking to you. This is part of your illness)
A client diagnosed with schizophrenia spectrum disorder tells a nurse about voices commanding him to kill the president. Which is the priority nursing diagnosis for this client?
- Disturbed sensory perception
- Altered thought processes
- Risk for violence: directed toward others
- Risk for injury
- Risk for violence: directed toward others