Exam 1: Framework of Psychiatric-Mental Health Nursing

The nurse is teaching the patient about the concept of mental disorders. When instructing the patient, what areas should be covered when explaining what impacts the determination of a mental disorder? Select all that apply.

A new nurse is discouraged because a patient with whom she has been working for four months recently refused to continue group therapy. The nurse tells her supervisor that she doubts the patient will ever have an effective recovery. What is an appropriate response from her supervisor?

A patient presents to the emergency department. Her husband, who drove her, explains that the patient has a history of depression and told him she intends to take sleeping pills and "just end it all." What stage in the Murphy-Moller wellness model is the patient demonstrating?

A nurse is caring for a patient who likely has obsessive-compulsive disorder. The nurse is not familiar with the assessment data and behaviors associated this disorder. What action would be most appropriate for the nurse to take?

What evaluative tool is most important in assessing a patient's mental condition?

What is the standardized source for classifying psychiatric diagnoses?

A nursing assistant tells the psychiatric nurse that normal people do not have mental disorders. What action by the nurse is most appropriate?

A nurse is providing mental health services to a 45-year-old homeless man who is diagnosed with bipolar disorder. Based on a wellness model, which services could broaden the patient's base of social supports?

A nurse, newly assigned to a 55-year-old Native American patient diagnosed with major depression, is concerned about the patient's reliance on certain totemic objects for comfort. What should the nurse do in order to address her concern?

What are some of the goals of trauma-informed care? Select all that apply.

A 20-year-old college student recently diagnosed with schizophrenia is taking antipsychotic medication to control his hallucinations. Which are appropriate activities for level 2 of wellness that could be included in this patient's treatment? Select all that apply.

A nurse is providing services at a shelter established for tornado survivors. The nurse is wondering what she is accomplishing just by listening to the disaster victims. Why is it important for the nurse to use active listening when caring for these patients?

During the shift report, a nurse describes a patient as "crazy." Which approach by the charge nurse would be best?

A nurse is teaching a class on psychiatric-mental health nursing. She asks her class to identify the most challenging part of this practice. What response would let her know that a student understands the difficulties in providing psychiatric-mental health nursing?

A novice nurse is working with a preceptor on a medical-surgical unit. After assessment of a patient, the novice nurse states to the preceptor, "This patient has many odd ideas about several common health practices. He seems like a deviant to me." What concept will guide the preceptor's response?

A nurse is preparing a presentation on serious mental illness. Which conditions should be included? Select all that apply.