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study guide for mental health exam #1
Mental Health Nursing (NUR-355)
California Baptist University
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- Know what indications to the nurse that a client is at risk for developing a mental illness? ● Patient is at risk for developing mental illness when maladaptive responses to stress are coupled with interference in daily functioning
- Know what statements made by the student that learning has taken place and is effective regard to the concepts of mental health and mental. ● The concepts are multidimensional and culturally defined ● Mental Health,successful adaptation to stressors from the internal or external environment, evidenced by thoughts, feelings and behaviors that are age-appropriate and congruent with local and cultural norms ● Mental Illness,maladaptive responses to stressors from the internal or external environment evidenced by thoughts, feelings, and behaviors that are incongruent with the local and cultural norms and that interfere with the individual’s social, occupation and/or physical functioning
- Know which psychoneurotic responses to severe anxiety are identified in the DSM-5? ● Anxiety Disorders ● Somatic Symptom Disorders ● Dissociative Disorders ● Panic Anxiety ● Psychosis
- Know what kind of statements demonstrates the nurse understands an individual’s experiencing of neurosis? ● Aware they are experiencing distress ● Aware their behaviors are maladaptive ● Unaware of any possible psychological causes of the distress ● Feel helpless to change their situation ● Experience no loss of contact with reality
- Know which disorders are recognized as a mental health disorder in the DSM-5 verses a medical diagnosis? ● Generalized anxiety disorder
- Know which theorist believed that mental illness was curable? ● Dorothea Dix
- Know the most appropriate nursing action to implement, to decrease the possibility of a lawsuit if you have an involuntarily committed client that is verbally abusive to the staff and repeatedly threatens to sue. The client records the full names and phone numbers of the staff. ● Continue professional attempts to establish positive working relationship with the client
- Know when a professional can override treatment refusal if the client is actively suicidal or homicidal. ● Patients have the right to refuse treatment unless immediate intervention is required to prevent death or serious harm to the patient or another person.
- Know and identify statements that a client verbalizes that will potentially make him a candidate for involuntarily commitment. ● Patient threatening to commit suicide
● Being dangerous to others ● Being gravely disabled and unable to meet basic needs 10 if a schizophrenia patient refuses to take medication, citing the right of autonomy. Under which circumstance would a nurse have the right to medicate the client? ● A client physically attacks another client after being confronted in group therapy. 11 what situation exemplifies both assault and battery? ● The nurse threatens to "tie down" the client and then does so, against the client's wishes. 12 the next steps taken if an inpatient client, whom the treatment team has determined to be a danger to self, gives notice of intent to leave the hospital. Know who determines the length of time a psychiatric facility that can hold a client. ● State law determines how long a psychiatric facility can hold a client 13 the concept of competency. Know which information that nurses is true regarding. ● A competent client has the ability to make reasonable judgements and decisions for themselves ● The client is not oriented to person, place, date, or time 14 the legal significance of a nurse’s action when the nurse threatens to restrain a client physically? ● The nurse can be charged with assault. 15 the priority nursing action during the orientation (introductory) phase of the nurse-client relationship? ● Establish rapport and develop mutually agreeable treatment goals. 16 the phase of the nurse-client relationship that begins when the nurse and client first meet and is characterized by an agreement to continue meeting and working on setting client-centered goals? ● Orientation 17 a client’s statement that indicates to the nurse that the client may be experiencing a transference reaction? ● "I need a real nurse. You are young enough to be my daughter and I don't want to tell you about my personal life." 18 and understand what is the foundation of patient-centered care? ● Therapeutic relationship 19 therapeutic behavior that a nurse maintains when she has an uncrossed arm and leg posture. Know the nonverbal behavior it reflects in which letter of the SOLER acronym for active listening? ● S:Sit squarely facing the patient
- Gives message nurse is there to listen and interested ● O:Observe an open posture
- “Open” = arms and legs remain uncrossed ● L:Lean forward toward the patient
- Conveys that the nurse is involved in interaction and interested ● E:Establish eye contact
- Conveys involvement and willingness to listen to what patient is saying ● R:Relax
30 nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group. Know the group topics that are appropriate? ● Stress management 31 the best rationale for including the client’s family in therapy within the inpatient milieu? ● To facilitate discharge from hospitalization 32 which member of the interdisciplinary team should a nurse collaborate with, to review results when a client has undergone psychological testing. ● The clinical psychologist 33 what type of interventions should a nurse implement if a client tells the nurse she is anxious and loudly demands the nurse give her Ativan right now. The nurse replies, “I understand you are having anxiety; however, demanding medication in a loud voice is unacceptable behavior. ● Limit setting 34 what action should the nurse initially implement when in the course of an assessment interview, a female client reveals a history of bisexual orientation. ● Self-assess personal attitudes toward homosexuality 35 what would be the most appropriate client’s outcome the nurse to expect during the first week of hospitalization when working with a client diagnosed with Pedophilic Disorder. ● The client will identify triggers that lead to inappropriate behaviors. 36 the which mental disorder refers to when a client reports during his visit to the mental health clinic that he is distressed by repetitive sexual fantasies that involve humiliating his sexual partner. ● Paraphilic disorder 37 the appropriate nursing response reflects appropriate legal and ethical obligations. ● The nurse refuses to give any information to the caller, citing rules of confidentiality. 38 what a psychiatric nurse should say or do while working on an inpatient unit and receives a call asking if an individual has been a client in the facility. ● The nurse refuses to give any information to the caller, citing rules of confidentiality. 39 the symptoms of a typical of the fight-or-flight response? ● Increased HR ● ↑ HR/RR, HA, sweaty palms, sensation of dizziness Physical Component Adaptation Response
Adrenal medulla ● Releases norepinephrine and epinephrine Eye ● Pupils dilate ● Secretion increases from lacrimal glands Respiratory system ● Bronchioles dilate ● Respiration rate increases
Cardiovascular system ● Force of cardiac contraction increases ● Cardiac output increases ● Heart rate increases ● Blood pressure increases Gastrointestinal system ● Gastric and intestinal motility decreases ● Secretions decrease ● Sphincters contract Liver ● Glycogenolysis and gluconeogenesis increase ● Glycogen synthesis decreases Urinary system ● Ureter motility increases ● Bladder muscle contracts ● Bladder sphincter relaxes Sweat glands ● Secretion increases Fat cells Lipolysis
40 the best response a nurse should give if a family member asks “How does a psychiatrist determine which diagnosis to give a patient?” ● Psychiatrists use pre-established criteria from APA’s DSM- 41 the most important initial step in learning on how to manage anxiety when providing education on anxiety and stress management. ● Awareness of factors creating stress 42 what data-gathering technique is employed during the assessment phase of the nursing process. ● Asking the client to describe any thoughts of self-harm 43 the category of focused charting if a nurse charts “Verbalizes understanding of the side effects of Prozac.” ● Response 44 which cognition tool would be appropriate for a nurse to use when assessing mental acuity prior to and immediately following electroconvulsive therapy (ECT). ● MMSE 45 what area is being assessed when a nurse asks a client to identify name, date, residential address, and situation. ● Orientation 46 how should a nurse prioritize nursing diagnoses. ● By the life-threatening potential 47 the nursing diagnosis that accurately reflects a client’s problem with schizophrenia that is exhibiting nonverbal behaviors indicating that he is hearing things that others do not. ● Altered sensory perception 48 what should be assessed and should be performed, to maximize the learning process prior to discharge teaching, with a patient diagnosed with Generalized Anxiety Disorder. ● Assessing the client's level of anxiety
study guide for mental health exam #1
Course: Mental Health Nursing (NUR-355)
University: California Baptist University
