Nursing 2 Flashcards
a nurse is facilitating a group discussion about mental health at a local community center. one of the group members states, “my family lost their home and now my child and I are living in a community shelter. it’s all been so much to handle. I can’t eat or sleep and it’s affecting my ability to work.” which of the following facotrs should the nurse id as indications this pt is at an increased risk for mental health disorder? select all that apply.
a. dietary intake
b. workload
c. current living situation
d. sleep habits
e. parenthood
a. dietary intake
c. current living situation
d. sleep habits
look for adverse life events and physiological effects
what is the diathesis-stress model?
tw part theory that explains how mentla illness develops and is exacerbated.
diathesis: indv’s genetic or biological predisposition for developign an illness
stress: change in one’s environment may precipitate to express sx of mental illness.
a newly hired nurse asks their charge nurse about the purpose of the DSM-5 when carin gfor their pt who has been dx with schizophrenia. which of the following information should the charge nurse give? select all that apply
a. the DSM manual provides a list of meds to tx schizophrenia
b. The DSM assists prviders in dx mental disorders
C. the DSM provides a care plan for the pt’s dx
D. the DSM provides standardized language to describe illness
b. the DSM assists providers in dx mental disorders
d. the DSM provides a standardized language to describe illnesses
a nurse is caring for an adul pt who has depression. the nurse receives a phone call from the pt’s caregiver who requests an update on the pt’s condition. which of the following responses should the nurse give?
a. “that pt is not on the unit. i do not have information to share”
b. the pt is doing well. would you like to talk with them?”
c. i am unable to give information on a pt’s condition without their consent”
d. “you will need to contact the pt’s provider”
c. i am unable to give inforamtion on a pt’s condition without their consent.
a nurse is preparing a poster presentation on the priorities of Healthy People 2030. Which of the following priority goals should the nurse include?
a. the practice of trephination for the tx of mental illness
b. prevention practices related to cyber bullying in teens
c. increasing institutionalization of pt who have severe mental health disorders
d. limit screening of mental illness to those individuals who display manifestations
b. prevention practices related to cyber bullying in teens
a nurse is discussing the DSM 5 with a newly licensed practical nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the DSM?
a. i would use the DSM to dx pts who have mental health disorders
b. the DSM sassists in planning nursing interventions for pts who have a mental health disorder
c. I would use the DSM as a guide instructing what specific criteria or questions should be asked for a suspected mental health dx.
d. the DSm tells how to tx a pt who has a mental health dx
b. the DSM assists in planning nursing interventions for pts who have a mental health disorder
a nurse is discussing different factors of the determinants of mental health during a staff meeting. which of the following factors should the nurse include in the discussion? select all that apply.
a. receiving paid maternity leave
b. unsafe drinking water
c. exposure to an adverse childhood event
d. a playground in the neighborhood
e. national policy addressing cyber bullying
b. unsafe drinking water
c. exposure to ACE’s
d. playground in the neighborhood
e. national policy addressing cyber bullying
playgrounds are protective factors
a nurse is caring for a pt who is newly admitted to the acute psychiatric unit for alcohol use disorder. the pt reports growing up in an Amish community. which of the following actions should the nurse take?
a. inform the pt that the nurse follows Judaism
b. provide the pt with a Bible
c. assess for personal bias related to alcohol used disorder before interacting with the pt
d. ask the pt where they grew up practicing Amish traditions
c. addess for personal bias related to alcohol use disorder before interacting with the pt.
a newly licensed nurse is reviewing the American Nurses Association’s core professional values of nurisng. which of the following actions by the nurse demonstrates the value of empowerment?
a. the nruse becomes a trainer for new equipment for other nurses on the unity
b. the nurse schedules care around the pt’s religious practices of daily prayer
c. the nurse supports the autonomy of a pt who refuses chemotherapy, evne though their family wants it
d. the nurse provides resources to the pt who wants to create a living will before they have surgery
d. the nurse provides resources tot he pt who wants to create a living will before they have surgery
a nurse is providing teaching to a group of newly licensed nurses about stigma. which of the following pt scenarious should the nurse include as an example of self-stigma?
a. a pt refuses to go to their provider for manifestations of anxiety until they meet with their cultural leader, a shaman.
b. a pt stops taking their medication for anxiety b/c they do not like how it makes them feel.
c. a pt refuses to pick up their rx for an antidepressant b/c they do not want the pharmacist to know that they are on an antidepressant.
d. a pt refuses a follow up appointment for their anxiety b/c they are waiting until they can arrange transportation
c. a pt refuses to pick up their rx for an antidepressant b/c they do not want the pharmacist to know that they are on an antidepressant
a nurse is caring for a pt who reports that they are having a hard time completing their ADLs due to feeling anxious. the pt also reports feeling tired, difficulty sleeping, and having a poor appetitie. the nurse should anticipate they would fall in whch end of the mental health continuum?
a. the pt would fall closer towards the mental illness end or struggling
b. the pt would fall closer towards the mental health end or thriving
c. the pt would not fall clearly on the mental health continuum as they do not have a mental illness dx
d. the pt should be evaluated by the provider before the abservance on the mental health continuum is noted, as currently they would fall in the middle.
a. the pt would fall closer towards the mental illness end or struggling
a nurse is presenting information on mental health services over the last 50 yearsto a group of newly licensed nurses. In 1946, the National Mental Health Act was signed into law, which resulted in which of the following?
a. the establishment of the mental health court to determine soundness or fitness to stand trial
b. the development of mental health centers throught the community settings
c. the creating of the National Institute for Mental Health
D. the coverage of mental health services for children and youth
c. the creation of the National Institute for Mental Health
a charge nurse is presenting on the topic of mental health dx during a unit meeting. the charge nurse should id that the DSM classification is used in conjuction or paired with what other classification system?
a. nursing intervention classifications
b. Maslow’s hierarchy of needs
c. International Classification of Disease
D. Erikson’s Stages of Psychosocial development
C. International Classification of Disease
a nurse is reviewing the medical records of a group of pts. the nurse should id that which of the following factors places a pt at risk for mental illness?
a. a family member with a dx of diabetes
b. a medical dx of diabetes
c. a hx of using community support services
d. a hx of abuse
d. a hx of abuse
a nurse is preparing an in service for nursing staff on the concept of holistic nursing. which of the following components should the nurse include in the teaching?
a. holistic nursing considers the pt’s emotional health
b. pracitcing holistic nursing requires certification beyond nursing licensure
c. assessment of holistic pt practices is limited to outpatient settings
d. holistic nursing care is limited to spiritual health practices
a. holistic nursing consider’s the pt’s emotional health
