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Psych
| Question | Answer |
|---|---|
| An important aspect of developing a therapeutic relationship with a mental health client is for the nurse to show that she cares about the client. The nurse who is working on an impatient unit can show sign o caring by: | Asking a client what his or her favorite movie is, then showing that movie during a movie night on the unit. |
| A nurse directs the client interaction and plans for interventions to achieve client goals. According to Peplau's framework for psychodynamics nursing, what therapeutic role is this nurse assuming? | The role of a leader |
| Which therapeutic communication technique is being used in this nurse-clien interaction? C:"When I am anxious, the only thing that calms me down is alcohol" N: "other than drinking, what alternatives have you explored to decrease anxiety?" | Formulating a plan of action |
| Which condition promote a therapeutic community? | 1. Unit responsibilities re assigned according to client capabilities 2.A democratic form of government exists |
| When a caregiver becomes a role model for a client during a therapeutic relationship, the caregiver is functioning in the role of a : | Change agent |
| The emotional developmental task of industry vs. inferiority that occurs in childhood is characteristic of which age group? | School age: 6 to 12 years old |
| In which situation does a nurse leader demonstrate a laissez-faire leadership style? | Sits silently as the group members veer away from the assigned topic |
| The nurse asks the client a series of questions upon entry into a mental health care system. This action is an example of which phase of the nursing process? | Assessment |
| When should the nurse begin preparations for the termination phase of a therapeutic relationship? | Prior to the last meeting |
| The nurse is talking w/ male client, he alludes to the fact that he started to drink again after a fight with his wife.The nurse uses clarification to ensure an accurate understanding of client. Which statement is the best example of clarification? | Could you tell me again when and what happened that you feel caused you to start drinking again |
| A female client tells a nurse that she feels very depressed about her recent divorce. Which is the nurse's best response? | I know this must be difficult for you |
| A newly admitted client asks,"Why do we need a unit schedule? I'm not going to these groups. I'm here to get some rest" Which is the most appropriate nursing response? | The purpose of a group therapy is to learn and practice new coping skills |
| A 25 year old client diagnosed with major depressive disorder remains in his room and avoids others. According to Erikson, which describes the client's developmental task assessment? | Isolation |
| During a group discussion, members freely interact with each other. Which member statement is an example of Yalom's curative group factor of imparting of information? | I found a Web site explaining the different types of brain tumors and their treatment |
| Which nursing statement and/or questions represent appropriate communication to assess an individual in crises? | 1.Tell me what happened 2 What coping methods have you used,and did they work? 3 Lets focus on the current problem |
| The nurses ability to interpret communication effectively in the mental health setting depends mostly on: | The nurse's ability to listen to and observe the client's verbal and nonverbal messages |
| According to Freud's theory, a ban who is crying is response to wanted to be held by his mother is an example of which part of the personality's control over behavior? | ID |
| The treatment team meets with a client for the first time and determines,w/ the clients input, a nursing diagnosis,goal, and steps to reach this goal.In addition to a nursing diagnoses, the treatment team has completed which phase of the nursing process? | Planning |
| When documenting in a client's mental health record, the nurse would be most accurate by: | Documenting exact words and phrases spoken by the client when appropriate |
| Which group function should a nurse identify as helping an extremely withdrawn, paranoid client increase feelings of security? | Support |
| Following completion of a male client's series of group therapy sessions, the nurse periodically talks w/ the client to determine whether he has any signs of relapse of his previous problems. This action by the nurse is as example of: | Assessment |
| A client response to the termination phase of the therapeutic relationship is withdrawal. This response most often is manifested by client behaviors such as: | Being absent from appointments |
| A therapeutic relationship differs form other relationship in that the focus of a therapeutic relationship is on: | The client |
| A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the soler acronym for active listening? | O |
| Which qualities must be communicated to a client for the establishment of a therapeutic relationship between the nurse and the client? | 1Genuineness 2Rapport Acceptance |
| After studying concepts of personality development, the nursing student understands that Freud is to psychoanalytic as Peplau is to | Nursing theory |
| During as admission assessment, a male client states that he has been having auditory hallucinations and difficulty concentrating at work.. THis type of data is referred to as: | Subjective |
| Which is an example of appropriate psychosexual development? | an 18 month old relieves anxiety by the use of a pacifier |
| Which nursing diagnosis should a nurse identify as being correctly formulated? | self-care deficit:Hygiene related to altered thought as evidenced by disheveled appearance |
| Which nurse responses could block effective communication with a client? | 1This is what i think you should say 2Dont stress over it, everything will turn our fine3Why did you do that4Most ppl in your circumstance.. |
| How many stages of human life cycle did Erik Erikson identify? | 8 |
| wife brings her husband to an er after an attempt to hang himself.He is a full time student and works 8 hours at night to support his family.He states"I can't function any longer under all this stress"Which type of crisis is the client experiencing? | Psychiatric emergency |
| An inpatient client with a known history of violence suddenly begins to pace. Which client behavior should alert a nurse escalation anger and aggression? | The client has a tense facial expression and body language |
| Therapeutic communication techniques support effective communication between the client an nurse. Which group of therapeutic techniques is a most likely to be effective when one is conversing with a client? | Listening, silence, and reflection |
| The nurse who is caring for a c begins to have very protective feelings toward the c that are interfering w/the therapeutic relationship betwen the n,c, an c fam.This is an ex of a problem that encountered in some therapeutic relationship and is known as | Countertransference |
| A nurse administers antidepressant medications to a c in an assisted-living facility. This is an example of which phase of the nursing process | Intervention |
| A male client is being discharged from a mental health facility and is worried about what to tell his friends and co-workers regarding his time away. The nurse helps to plan an plan. The nurse is functioning in a role of | a teacher |
| Which interventions should a nurse utilize when caring for an inpatient client who expresses anger inappropriately | 1maintain a calm demeanor2clearly delineate the consequences of the behavior3set limits on the behavior |
| Indicating that there is no cause for anxiety is to "reassuring" as sanctioning or denouncing the client's ideas of behaviors is to | Approving/disapproving |
| Showing empathy toward a client is an effective tool in establishing rapport.Which nurse statement is the best example of an empathetic response? | It must be difficult for you going through this loss |
| a 25 year old man has a yet to graduate from college, changed his major area of study 3 times since entering college at the age of 18, an cannot maintain a personal relationship. This individual most likely is struggling with: | Developmental tasks of young adulthood |
| college student is admitted to hospital following a suicide attempt. the client states Im such a loser no one will ever love me"according to Eriksons theory of personality development,a n should recognize that this c has not adequately completed which sta | Intimacy versus isolation |
| The nursing student is assigned a c to interview and is asked to practice the therapeutic communication technique of sharing perceptions. Which statement made by the student nurse best described this technique? | I noticed that u pace the halls and u have a tense look on your face. I sense that u are anxious about something |
| When a nurse communicates openly and is self-congruent, authentic, and transparent, the nurse is exhibiting which communication-centered skill? | Genuineness |
| Which of the following are signs that indicate that the menial health nurse is becoming overly involved with a client's care? | Showing greater levels of concern for one client over all clients2Feeling hat the nurse is the only caregiver who understands the client3 being committed to providing competent health care at all times |
| While the nurse is talking with a female client, the client becomes silent for several seconds. Which is the nurse's best response? | To remain silent and be attentive to the client's nonverbal communication |
| An angry client on an inpatient unit aproaches a nurse stating,"someone took my lunch!Ppl need to respect others, an you need to do something about this now!" The nurse's response should be guided by wich basic assumption of milieu therapy? | On inpatient units, every interaction is an opportunity for therapeutic intervention. |
| Female client has been attending group therapy for support regarding abusive relationship w/ her husband. C voices concern about her 10 year old daughter growing up in this environment but states that she just can't find the strength to leave her husband | I'm sure it won't be that bad to be out on your own. I know you can do it |
| The nurse is talking with a male client with a diagnosis of schizophrenia who often experiences auditory hallucinations. For this communication to be most effective, the nurse should: | Use simple, concrete language |
| A nurse is caring for a hospiltilezd client is quarrelsome, opinionated, and has little regard for others. According to Sullivan's interpersonal theory, the nurse should associate the client's behaviors w/ previous deficit in which stage of development? | Childhood |
Created by:
markot1672