Link full download test bank for mental health nursing 6th edition by fontaine

Test Bank for Mental Health Nursing 6th Edition by Fontaine Chapter 1: Introduction to Mental Health Nursing MULTIPLE CHOICE Choose the one alternative that best completes the statement or answers the question 1) The nurse is teaching the family various factors that are important in understanding the concepts of mental health and mental illness What factors should be included in the nurse’s teaching? Select all that apply A) Interpersonal factors B) Personal factors C) Culture D) Brain function E) Social conditions Answer: A, B, C, D, E Explanation: A) Movement toward the mental illness end of the continuum may begin with a sense of disharmony that is distressing to family or friends Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrity B) Movement toward the mental illness end of the continuum may begin with a sense of disharmony that is distressing to the individual Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrity C) Behavior that can be considered as being at the mental illness end of the continuum in one culture can be considered normal and acceptable in another culture Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrity D) Research has shown that brain chemicals and processes are frequently altered in mental illnesses Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrity E) Movement toward the mental illness end of the continuum may begin with a sense of disharmony that is distressing to the community or society Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrity 2) During the nursing assessment of an adult client, the nurse finds the client’s beliefs and actions related to common health practices to be “bizarre.” Which action would be most appropriate for the nurse to take at this time? A) Write a nursing diagnosis to address the “bizarre” beliefs and actions B) Repeat the assessment later in the day C) Inquire as to the culture with which the client identifies D) Communicate the findings to the health care team Answer: C Explanation: A) A thorough assessment is needed before proceeding with other steps of the nursing process Cultural beliefs strongly influence what is defined as mental illness or mental health Behavior that is considered bizarre in one cultural context may be considered desirable in another While findings will be communicated and used for nursing diagnosis formulation later in the process, these steps are built upon a thorough assessment Repeating the assessment without the cultural assessment will most likely result in the same incomplete data Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity B) A thorough assessment is needed before proceeding with other steps of the nursing process Cultural beliefs strongly influence what is defined as mental illness or mental health Behavior that is considered bizarre in one cultural context may be considered desirable in another While findings will be communicated and used for nursing diagnosis formulation later in the process, these steps are built upon a thorough assessment Repeating the assessment without the cultural assessment will most likely result in the same incomplete data Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity C) A thorough assessment is needed before proceeding with other steps of the nursing process Cultural beliefs strongly influence what is defined as mental illness or mental health Behavior that is considered bizarre in one cultural context may be considered desirable in another While findings will be communicated and used for nursing diagnosis formulation later in the process, these steps are built upon a thorough assessment Repeating the assessment without the cultural assessment will most likely result in the same incomplete data Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity D) A thorough assessment is needed before proceeding with other steps of the nursing process Cultural beliefs strongly influence what is defined as mental illness or mental health Behavior that is considered bizarre in one cultural context may be considered desirable in another While findings will be communicated and used for nursing diagnosis formulation later in the process, these steps are built upon a thorough assessment Repeating the assessment without the cultural assessment will most likely result in the same incomplete data Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity 3) The nurse is sharing client assessment data with the mental health care team Which comment by the nurse is most likely irrelevant and indicates a misunderstanding of mental illness? “The client reports: A) Significant emotional distress about the current situation.” B) A lot of time is spent in fear and anxiety.” C) A loss of interest in usual pleasurable interpersonal relationships.” D) Some very different religious ideas and spiritual beliefs.” Answer: D Explanation: A) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as symptoms of mental illness, unless the deviance is causing a sense of disharmony to the individual, family, friends, community, or society Therefore, this choice indicates a misunderstanding of the concept of mental illness Reports of fear, anxiety, emotional distress, and disharmony with interpersonal relationships are very relevant and are indications of the client’s movement toward the mental illness end of the continuum Cognitive Level: Application Nursing Process: Evaluation Client Need: Psychosocial Integrity B) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as symptoms of mental illness, unless the deviance is causing a sense of disharmony to the individual, family, friends, community, or society Therefore, this choice indicates a misunderstanding of the concept of mental illness Reports of fear, anxiety, emotional distress, and disharmony with interpersonal relationships are very relevant and are indications of the client’s movement toward the mental illness end of the continuum Cognitive Level: Application Nursing Process: Evaluation Client Need: Psychosocial Integrity C) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as symptoms of mental illness, unless the deviance is causing a sense of disharmony to the individual, family, friends, community, or society Therefore, this choice indicates a misunderstanding of the concept of mental illness Reports of fear, anxiety, emotional distress, and disharmony with interpersonal relationships are very relevant and are indications of the client’s movement toward the mental illness end of the continuum Cognitive Level: Application Nursing Process: Evaluation Client Need: Psychosocial Integrity D) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as symptoms of mental illness, unless the deviance is causing a sense of disharmony to the individual, family, friends, community, or society Therefore, this choice indicates a misunderstanding of the concept of mental illness Reports of fear, anxiety, emotional distress, and disharmony with interpersonal relationships are very relevant and are indications of the client’s movement toward the mental illness end of the continuum Cognitive Level: Application Nursing Process: Evaluation Client Need: Psychosocial Integrity 4) The psychiatric-mental health nurse is collecting data regarding the client’s position on the mental health-mental illness continuum Which client behavior will be most relevant to the assessment of insight? The client is: A) Laughing at a few humorous aspects of the current situation B) Identifying goals and making plans for the future C) Demonstrating the ability to accomplish simple problem-solving D) Self-evaluating personal values, attitudes, and behaviors Answer: D Explanation: A) The ability to self-evaluate or ask difficult interpersonal questions and give honest answers indicates the degree of insight While finding humor in situations, problem-solving, identifying goals and making plans are indications of the mental health factor of resilience; these not directly measure insight Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity B) The ability to self-evaluate or ask difficult interpersonal questions and give honest answers indicates the degree of insight While finding humor in situations, problem-solving, identifying goals and making plans are indications of the mental health factor of resilience; these not directly measure insight Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity C) The ability to self-evaluate or ask difficult interpersonal questions and give honest answers indicates the degree of insight While finding humor in situations, problem-solving, identifying goals and making plans are indications of the mental health factor of resilience; these not directly measure insight Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity D) The ability to self-evaluate or ask difficult interpersonal questions and give honest answers indicates the degree of insight While finding humor in situations, problem-solving, identifying goals and making plans are indications of the mental health factor of resilience; these not directly measure insight Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity 5) The client’s spouse is verbalizing feelings of guilt and asks the cause of the client’s mental illness What is the nurse’s correct response? A) “Mental illness is the result of a brain disorder.” B) “No one really knows the cause of mental illness.” C) “Why you think the mental illness occurred?” D) “Sometimes people just let their problems make themselves sick.” Explanation: A) Countertransference may be occurring Discussing feelings with the instructor is the best approach and will help bring the countertransference into conscious awareness so that the feelings not interfere with the ability to provide effective nursing care Countertransference is the student nurse’s problem, not the client’s problem; therefore, this transference would be inappropriate to discuss with the client The nursing student should seek to resolve personal needs and issues outside of the nurse-client relationship Ignored feelings may jeopardize the effectiveness of the nursing care given to the client Asking to change assignments does not address the issue and denies the nursing student opportunity for personal and professional growth This choice also increases the probability that the feelings will surface again with another client Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity B) Countertransference may be occurring Discussing feelings with the instructor is the best approach and will help bring the countertransference into conscious awareness so that the feelings not interfere with the ability to provide effective nursing care Countertransference is the student nurse’s problem, not the client’s problem; therefore, this transference would be inappropriate to discuss with the client The nursing student should seek to resolve personal needs and issues outside of the nurse-client relationship Ignored feelings may jeopardize the effectiveness of the nursing care given to the client Asking to change assignments does not address the issue and denies the nursing student opportunity for personal and professional growth This choice also increases the probability that the feelings will surface again with another client Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity C) Countertransference may be occurring Discussing feelings with the instructor is the best approach and will help bring the countertransference into conscious awareness so that the feelings not interfere with the ability to provide effective nursing care Countertransference is the student nurse’s problem, not the client’s problem; therefore, this transference would be inappropriate to discuss with the client The nursing student should seek to resolve personal needs and issues outside of the nurse-client relationship Ignored feelings may jeopardize the effectiveness of the nursing care given to the client Asking to change assignments does not address the issue and denies the nursing student opportunity for personal and professional growth This choice also increases the probability that the feelings will surface again with another client Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity D) Countertransference may be occurring Discussing feelings with the instructor is the best approach and will help bring the countertransference into conscious awareness so that the feelings not interfere with the ability to provide effective nursing care Countertransference is the student nurse’s problem, not the client’s problem; therefore, this transference would be inappropriate to discuss with the client The nursing student should seek to resolve personal needs and issues outside of the nurse-client relationship Ignored feelings may jeopardize the effectiveness of the nursing care given to the client Asking to change assignments does not address the issue and denies the nursing student opportunity for personal and professional growth This choice also increases the probability that the feelings will surface again with another client Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity 26 27) The psychiatric-mental health nurse functions from the perspective that clients benefit from an internal locus of control Which client behavior demonstrates progress toward the client’s goal of operating from an internal locus of control? The client: A) Verbalizes that “poor” genetics is the cause of everything B) Asks the nurse what actions should be taken C) Shares feelings and treatment preferences with the nurse D) States the belief that God will take care of everything Answer: C Explanation: A) An internal locus of control enables clients to feel empowered rather than victimized and facilitates participation in their own healing process by sharing feelings and treatment preferences with the nurse Asking the nurse what actions should be taken, stating that God will take care of everything, and verbalizing that “poor” genetics is the cause of everything are examples of behaviors originating from an external locus of control Cognitive Level: Analysis Nursing Process: Evaluation Client Need: Psychosocial Integrity B) An internal locus of control enables clients to feel empowered rather than victimized and facilitates participation in their own healing process by sharing feelings and treatment preferences with the nurse Asking the nurse what actions should be taken, stating that God will take care of everything, and verbalizing that “poor” genetics is the cause of everything are examples of behaviors originating from an external locus of control Cognitive Level: Analysis Nursing Process: Evaluation Client Need: Psychosocial Integrity C) An internal locus of control enables clients to feel empowered rather than victimized and facilitates participation in their own healing process by sharing feelings and treatment preferences with the nurse Asking the nurse what actions should be taken, stating that God will take care of everything, and verbalizing that “poor” genetics is the cause of everything are examples of behaviors originating from an external locus of control Cognitive Level: Analysis Nursing Process: Evaluation Client Need: Psychosocial Integrity D) An internal locus of control enables clients to feel empowered rather than victimized and facilitates participation in their own healing process by sharing feelings and treatment preferences with the nurse Asking the nurse what actions should be taken, stating that God will take care of everything, and verbalizing that “poor” genetics is the cause of everything are examples of behaviors originating from an external locus of control Cognitive Level: Analysis Nursing Process: Evaluation Client Need: Psychosocial Integrity 27 28) The psychiatric nurse is seeking to shift from a more traditional practice to an evidence-based practice Which action should the nurse take first? A) Develop a procedure that might address a specific nursing problem B) Link a nursing problem with outcomes and interventions C) Gather data reflecting a current specific nursing problem D) Identify what resources are available to address a nursing problem Answer: C Explanation: A) Assessment is the first step of the nursing process Identifying and gathering data reflecting a specific nursing problem to be addressed is the first step toward evidence-based practice Linking a nursing problem with outcomes and interventions, developing procedures, and identifying resources are tasks within a planning stage and reflect later steps in the process of moving toward evidence-based practice Cognitive Level: Application Nursing Process: Implementation Client Need: Safe, Effective Care Environment B) Assessment is the first step of the nursing process Identifying and gathering data reflecting a specific nursing problem to be addressed is the first step toward evidence-based practice Linking a nursing problem with outcomes and interventions, developing procedures, and identifying resources are tasks within a planning stage and reflect later steps in the process of moving toward evidence-based practice Cognitive Level: Application Nursing Process: Implementation Client Need: Safe, Effective Care Environment C) Assessment is the first step of the nursing process Identifying and gathering data reflecting a specific nursing problem to be addressed is the first step toward evidence-based practice Linking a nursing problem with outcomes and interventions, developing procedures, and identifying resources are tasks within a planning stage and reflect later steps in the process of moving toward evidence-based practice Cognitive Level: Application Nursing Process: Implementation Client Need: Safe, Effective Care Environment D) Assessment is the first step of the nursing process Identifying and gathering data reflecting a specific nursing problem to be addressed is the first step toward evidence-based practice Linking a nursing problem with outcomes and interventions, developing procedures, and identifying resources are tasks within a planning stage and reflect later steps in the process of moving toward evidence-based practice Cognitive Level: Application Nursing Process: Implementation Client Need: Safe, Effective Care Environment 29) The psychiatric nurse is seeking to apply evidence-based nursing practice Which sequence best demonstrates an understanding of the process? A) Identify a problem, link with outcomes, and research available reliable evidence B) Identify a problem, develop a protocol or procedure, and get people involved C) Open communication channels, review research, and identify a problem for change D) Involve others, design a change in practice, and review the research Answer: A 28 Explanation: A) To help nurses shift from traditional practice to evidence-based practice, Rosswurm and Larrabee (1999) suggests the following sequence: · Identify a problem within nursing practice · Get others involved · Examine data that reflects the need for change · Link the problem with outcomes · Review the research · Design a change in practice; develop a protocol or procedure · Implement and evaluate · Integrate and maintain the change by opening communication channels Cognitive Level: Application Nursing Process: Evaluation Client Need: Safe, Effective Care Environment B) To help nurses shift from traditional practice to evidence-based practice, Rosswurm and Larrabee (1999) suggests the following sequence: · Identify a problem within nursing practice · Get others involved · Examine data that reflects the need for change · Link the problem with outcomes · Review the research · Design a change in practice; develop a protocol or procedure · Implement and evaluate · Integrate and maintain the change by opening communication channels Cognitive Level: Application Nursing Process: Evaluation Client Need: Safe, Effective Care Environment C) To help nurses shift from traditional practice to evidence-based practice, Rosswurm and Larrabee (1999) suggests the following sequence: · Identify a problem within nursing practice · Get others involved · Examine data that reflects the need for change · Link the problem with outcomes · Review the research · Design a change in practice; develop a protocol or procedure · Implement and evaluate · Integrate and maintain the change by opening communication channels Cognitive Level: Application Nursing Process: Evaluation Client Need: Safe, Effective Care Environment D) To help nurses shift from traditional practice to evidence-based practice, Rosswurm and Larrabee (1999) suggests the following sequence: · Identify a problem within nursing practice · Get others involved · Examine data that reflects the need for change · Link the problem with outcomes · Review the research · Design a change in practice; develop a protocol or procedure · Implement and evaluate · Integrate and maintain the change by opening communication channels Cognitive Level: Application Nursing Process: Evaluation Client Need: Safe, Effective Care Environment 29 30) The psychiatric-mental health nursing staff is working to enhance the quality of nursing care on the unit by applying evidence-based practice Toward this goal, the nursing staff should collect data and information from which of the following sources? A) Clients’ choices and concerns B) Personal clinical experiences C) Nursing research D) Policy and procedure manuals Answer: C Explanation: A) Nursing research is the tool by which evidence-based practices are developed, tested, evaluated, and incorporated into nursing practice Personal clinical experiences and client’s choices and concerns may help to identify areas for research and change, but are not the source for evidence-based practices Policy and procedure manuals will only address what is currently in place Cognitive Level: Application Nursing Process: Assessment Client Need: Safe, Effective Care Environment B) Nursing research is the tool by which evidence-based practices are developed, tested, evaluated, and incorporated into nursing practice Personal clinical experiences and client’s choices and concerns may help to identify areas for research and change, but are not the source for evidence-based practices Policy and procedure manuals will only address what is currently in place Cognitive Level: Application Nursing Process: Assessment Client Need: Safe, Effective Care Environment C) Nursing research is the tool by which evidence-based practices are developed, tested, evaluated, and incorporated into nursing practice Personal clinical experiences and client’s choices and concerns may help to identify areas for research and change, but are not the source for evidence-based practices Policy and procedure manuals will only address what is currently in place Cognitive Level: Application Nursing Process: Assessment Client Need: Safe, Effective Care Environment D) Nursing research is the tool by which evidence-based practices are developed, tested, evaluated, and incorporated into nursing practice Personal clinical experiences and client’s choices and concerns may help to identify areas for research and change, but are not the source for evidence-based practices Policy and procedure manuals will only address what is currently in place Cognitive Level: Application Nursing Process: Assessment Client Need: Safe, Effective Care Environment