Mental Health Nurse Flashcards, test questions and answers

Question 1

A nurse’s identification badge includes the term, ”Psychiatric Mental Health Nurse.” A client with a history of paranoia asks, ”What does that title mean?” The nurse responds best by answering:

Answer

”We have the specialized skills needed to care for those with mental illnesses.”
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Question 2

A client tells the mental health nurse ”I am terribly frightened! I hear whispering that someone is going to kill me.” Which criterion of mental health can the nurse assess as lacking?

Answer

Appraisal of reality
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Question 3

Which phase of individual psychotherapy involves establishing mutual boundaries of the relationship between the client and the mental health nurse?

Answer

Introductory
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Question 4

. A client tells the mental health nurse “I am terribly frightened! I hear whispering that someone is going to kill me.” Which criterion of mental health can the nurse assess as lacking? A. Control over behavior B. Appraisal of reality C. Effectiveness in work D. Healthy self-concept

Answer

B. Appraisal of reality The appraisal of reality is lacking for this client. The client does not have a picture of what is happening around himself or herself. Reference: pp. 2-3
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Question 5

. A nurse’s identification badge includes the term, “Psychiatric Mental Health Nurse.” A client with a history of paranoia asks, “What does that title mean?” The nurse responds best by answering: A. “Don’t be afraid; it means I’m here to help, not hurt, you.” B. “Psychiatric mental health nurses care for people with mental illnesses.” C. “We have the specialized skills needed to care for those with mental illnesses.” D. “The nurses who work in mental health facilities have that title.”

Answer

C. “We have the specialized skills needed to care for those with mental illnesses.” A psychiatric mental health nurse has specialized nursing skills and implements the nursing process to manage and deliver nursing care to the mentally ill. The remaining options either do not effectively answer the client’s question or assume that the question is the result of the client’s paranoia.
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Question 6

When the mental health nurse visits a client at home, the client states, “I haven’t slept at all the last couple of nights.” Which response by the nurse illustrates a therapeutic communication response to this client? 1. “I see.” 2. “Really?” 3. “You’re having difficulty sleeping?” 4. “Sometimes, I have trouble sleeping too.”

Answer

3. “You’re having difficulty sleeping?” Rationale: The correct option uses the therapeutic communication technique of restatement. Although restatement is a technique that has a prompting component to it, it repeats the client’s major theme, which assists the nurse to obtain a more specific perception of the problem from the client. The remaining options are not therapeutic responses since none encourage the client to expand on the problem. Offering personal experiences moves the focus away from the client and onto the nurse.
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Question 7

When a nursing student expresses concerns about how mental health nurses “lose all their nursing skills,” the best response by the mental health nurse is: a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients’ problems.” b. “Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations.” c. “That’s a misconception. Psychiatric nurses frequently use high technology monitoring equipment and manage complex intravenous therapies.” d. “Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses do. That appeals to me.”

Answer

B
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Question 8

A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following as examples of community-based nursing? (Select all that apply.) a. A home health nurse performing wound care for a client who is immobile b. An occupational health nurse providing classes on body mechanics at a local industrial plant c. A school nurse teaching a student who has asthma about medications d. A parish nurse teaching a class on low-sodium cooking techniques e. A mental health nurse discussing stress management techniques with a support group

Answer

a, c
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Question 9

What is the role of a Psychiatric-mental health nurse?

Answer

provides, structures, and maintains a safe and therapeutic environment in collaboration with patients, families, and other health care clinicians.”
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