mental health quiz #2 study guide for lecture PDF

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mental health quiz #2 study guide for lecture...

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3. Which therapeutic communication technique is being used in this nurse-client interaction? Client: "When I am anxious, the only thing that calms me down is alcohol." Nurse: "Other than drinking, what alternatives have you explored to decrease anxiety?" A. Reflecting B. Making observations C. Formulating a plan of action D. Giving recognition 4. What is the purpose of a nurse providing appropriate feedback? A. To give the client good advice B. To advise the client on appropriate behaviors C. To evaluate the client's behavior D. To give the client critical information

4 . Ac l i e n td i a g n o s e dwi t hpo s t t r a uma t i cs t r e s sdi s o r de ri sa d mi t t e dt oa ni n p a t i e n tp s y c h i a t r i c u n i tf o re v a l ua t i o na n dme d i c a t i o ns t a bi l i z a t i o n .Wh i c ht he r a pe ut i cc o mmuni c a t i o nt e c hni que u s e db yt h en ur s ei sa ne x a mp l eo fabr o a do pe ni ng? A. Wh a to c c ur r e dp r i o rt ot h er a p e ,a n dwh e nd i dy oug ot ot h ee me r g e n c yd e p a r t me nt ? B. “ Wh a two u l dy oul i k et ot a l ka b ou t ? ” C. In o t i c ey o us e e mu n c o mf o r t a b l ed i s c us s i n gt h i s . D. Ho wc a nweh e l py o uf e e ls a f ed u r i n gy o u rs t a yhe r e ?

5. When interviewing a client, which nonverbal behavior should a nurse employ? A. Maintaining indirect eye contact with the client B. Providing space by leaning back away from the client C. Sitting squarely, facing the client D. Maintaining open posture with arms and legs crossed 6. An angry client on an inpatient unit approaches a nurse stating, "Someone took my lunch! People need to respect others, and you need to do something about this now!" The nurse's response should be guided by which basic assumption of milieu therapy? A. Conflict should be avoided at all costs on inpatient psychiatric units. B. Conflict should be resolved by the nursing staff. C. Every interaction is an opportunity for therapeutic intervention. D. Conflict resolution should only be addressed during group therapy.

23. Which nursing behavior will enhance the establishment of a trusting relationship with a client diagnosed with schizophrenia? A. Establishing personal contact with family members. B. Being reliable, honest, and consistent during interactions. C. Sharing limited personal information. D. Sitting close to the client to establish rapport. A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of "offering self." a. "I've also had traumatic life experiences. Maybe it would help if I told you about them." b. "Why do you think you had so much difficulty adjusting to this change in your life?" c. "I hope you will feel better after getting accustomed to how this unit operates." d. "I'd like to sit with you for a while to help you get comfortable talking to me." A patient with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died! I've always been a failure. Nothing ever goes right for me." Which response demonstrates therapeutic communication? A "You have everything to live for." B "Why do you see yourself as a failure?" C "Feeling like this is all part of being depressed." D. "You've been feeling like a failure for a while?" A client diagnosed with dependant personality disorder states, "Do you think I should move from my parent's house and get a job?" Which nursing response is most appropriate? A "It would be best to do that in order to increase independence." B "Why would you want to leave a secure home?" C "Let's discuss and explore all of your options." D "I'm afraid you would feel very guilty leaving your parents."

A mother rescues two of her four children from a house fire. In the emergency department, she cries, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response? A "The smoke was too thick. You couldn't have gone back in." B "You're feeling guilty because you weren't able to save your children." C "Focus on the fact that you could have lost all four of your children." D "It's best if you try not to think about what happened. Try to move on." A newly admitted client diagnosed with obsessive-compulsive disorder (OCD) washes hands continually. This behavior prevents unit activity attendance. Which nursing statement best addresses this situation? A "Everyone diagnosed with OCD needs to control their ritualistic behaviors." B "It is important for you to discontinue these ritualistic behaviors." C "Why are you asking for help if you won't participate in unit therapy?" D "Let's figure out a way for you to attend unit activities and still wash your hands."

Which example of a therapeutic communication technique would be effective in the planning phase of the nursing process? A "We've discussed past coping skills. Let's see if these coping skills can be effective now." B "Please tell me in your own words what brought you to the hospital." C "This new approach worked for you. Keep it up." D "I notice that you seem to be responding to voices that I do not hear."

A client tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital." Which nursing response is therapeutic? A "It's quite common for clients to feel that way after a lengthy hospitalization." B "Why don't you talk to your mother? You may find out she doesn't feel that way." C "Your mother seems like an understanding person. I'll help you approach her." D "You feel that your mother does not want you to come back home?" A client's younger daughter is ignoring curfew. The client states, "I'm afraid she will get pregnant." The nurse responds, "Hang in there. Don't you think she has a lot to learn about life?" This is an example of which communication block? A Requesting an explanation B Belittling the client C Making stereotyped comments D Probing Which nursing statement is a good example of the therapeutic communication technique of giving recognition? A "You did not attend group today. Can we talk about that?" B "I'll sit with you until it is time for your family session." C "I notice you are wearing a new dress and you have washed your hair." D "I'm happy that you are now taking your medications. They will really help." A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client's actions? A "You seem to be motivated to change your behavior." B "How will these changes affect your family relationships?" C "Why don't you make a list of the behaviors you need to change." The nurse asks a newly admitted client, "What can we do to help you?" What is the purpose of this therapeutic communication technique? A To reframe the client's thoughts about mental health treatment B To put the client at ease C To explore a subject, idea, experience, or relationship D To communicate that the nurse is listening to the conversation A student nurse tells the instructor, "I'm concerned that when a client asks me for advice I won't have a good solution." Which should be the nursing instructor's best response? A "It's scary to feel put on the spot by a client. Nurses don't always have the answer." B "Remember, clients, not nurses, are responsible for their own choices and decisions." C "Just keep the client's best interests in mind and do the best that you can." D "Set a goal to continue to work on this aspect of your practice."

Which nursing statement is a good example of the therapeutic communication technique of focusing? A "Describe one of the best things that happened to you this week." B "I'm having a difficult time understanding what you mean." C "Your counseling session is in 30 minutes. I'll stay with you until then." D "You mentioned your relationship with your father. Let's discuss that further." After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, "You are incompetent!" Which is the nurse's best response? A "Do you believe that I was the cause of your blood test being canceled?" B "I see that you are upset, but I feel uncomfortable when you swear at me." C "Have you ever thought about ways to express anger appropriately?" D "I'll give you some space. Let me know if you need anything." During a nurse-client interaction, which nursing statement may belittle the client's feelings and concerns? A "Don't worry. Everything will be alright." B "You appear uptight." C "I notice you have bitten your nails to the quick." D "You are jumping to conclusions." A client on an inpatient psychiatric unit tells the nurse, "I should have died because I am totally worthless." In order to encourage the client to continue talking about feelings, which should be the nurse's initial response? A "How would your family feel if you died?" B "You feel worthless now, but that can change with time." C "You've been feeling sad and alone for some time now?" D "It is great that you have come in for help." Which nursing response is an example of the nontherapeutic communication block of requesting an explanation? A "Can you tell me why you said that?" B "Keep your chin up. I'll explain the procedure to you." C "There is always an explanation for both good and bad behaviors." D "Are you not understanding the explanation I provided?" A client states, "You won't believe what my husband said to me during visiting hours. He has no right treating me that way." Which nursing response would best assess the situation that occurred? A "Does your husband treat you like this very often?" B "What do you think is your role in this relationship?" C "Why do you think he behaved like that?" D "Describe what happened during your time with your husband." Which nursing statement is a good example of the therapeutic communication technique of offering self? A "I think it would be great if you talked about that problem during our next group session." B "Would you like me to accompany you to your electroconvulsive therapy treatment?" C "I notice that you are offering help to other peers in the milieu." D "After discharge, would you like to meet me for lunch to review your outpatient progress?"

A client slammed a door on the unit several times. The nurse responds, "You seem angry." The client states, "I'm not angry." What therapeutic communication technique has the nurse employed and what defense mechanism is the client unconsciously demonstrating? A Making observations and the defense mechanism of suppression B Verbalizing the implied and the defense mechanism of denial C Reflection and the defense mechanism of projection D Encouraging descriptions of perceptions and the defense mechanism of displacement Which of the following individuals are communicating a message? (Select all that apply.) A A mother spanking her son for playing with matches B A teenage boy isolating himself and playing loud music C A biker sporting an eagle tattoo on his biceps D A teenage girl writing, "No one understands me" E A father checking for new e-mail on a regular basis According to the therapeutic communication theory, what criteria must be met for successful communication? A Nonverbal communication is consistent with verbal communication. B The communication needs to be efficient, appropriate, flexible, and include feedback. C The individuals communicating with each other must share a similar perception of the conversation. D The communication must be intrapersonal, interpersonal, group, or societal in nature. The nonverbal communication that expresses emotion is: A Body positioning. B Eye contact. C Facial expressions. D Cultural artifacts. A client with a history of major depression tells the nurse "I wish I weren't alive. I have been a failure my entire life and I am totally useless to anyone." The most therapeutic response to the client is: A "You've been feeling like a failure your entire life?" B "You shouldn't talk like that. You're not a failure." C "Once the antidepressants start working you will feel better about yourself." D "Things could be worse. You should be grateful for what you have." The nurse is completing the sexual history section of the admission assessment. The client tells the nurse "I don't want to talk about this. This is private between my spouse and me." Which nurse response reflects empathy? A "Yes, I know just how you feel." B "I know some of these questions are difficult for you." C "I am a professional nurse and I know what I am doing." D "I understand this is difficult for you to talk about, but I have to complete the admission assessment." To provide effective feedback to a client, the nurse will focus on: A The client. B Making inferences of the behaviors observed.

C Providing solutions to the client. D The present and not the past....