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    Exam Review

    1. What is the goal of trauma-informed care?
      A)
      To create a safe and healing environment for the client
      B)
      To repair and resolve the client's trauma
      C)
      To focus solely on the client's trauma history
      D)
      To minimize the client's trauma manifestations
    2. A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?
      A)
      "Allow the client's family to attend all group therapies with the client."
      B)
      "Listen attentively to a client and summarize their comments"
      C)
      "Asking questions easily answered with one-word responses is important with mental health clients."
      D)
      "Avoid asking clients direct questions regarding suicidal behaviors or thoughts."
    3. Which situation is an exception to the rule of maintaining patient confidentiality?
      A)
      Sharing patient information with a family member without consent.
      B)
      Talking about patient care in a public setting where others might overhear.
      C)
      Releasing information to authorities if the patient poses a threat to themselves or others.
      D)
      Discussing patient details with another healthcare provider who is not involved in the patient's care.
    4. Which of the following is a strategy to reduce nursing burnout?
      A)
      Taking on extra shifts to compensate for staffing issues
      B)
      Neglecting to seek support from colleagues and supervisors
      C)
      Maintaining a balanced diet and regular exercise
      D)
      Avoiding self-care activities to focus solely on work
    Page 1 of 14

    Exam Review

    1. A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the Interview to invite the client to clarify feelings?
      A)
      “Do you need any more resources or information?"
      B)
      “You feel like you have the support needed to be successful."
      C)
      "Tell me what kind of coping skills you have."
      D)
      "Do you understand your next step in treatment?"
    2. A nurse in a mental health unit is discussing the concepts of competency and capacity with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concepts?
      A)
      "Competency and capacity are often discussed as being the same thing, but they are different."
      B)
      "Capacity and competency are the same thing and can be used interchangeably."
      C)
      "A client who has been deemed legally incompetent can provide informed consent for treatment."
      D)
      "Competency and capacity are rarely a concern when caring for clients who have a mental illness."
    3. A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?
      A)
      Autonomy
      B)
      Justice
      C)
      Beneficence
      D)
      Nonmaleficence
    4. A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?
      A)
      “The gathering spaces should have the chairs positioned around the perimeter of the day room."
      B)
      “The milieu consists of the physical and psychosocial environmental factors."
      C)
      “The clients can keep any personal items they would like in their rooms."
      D)
      "A therapeutic milieu requires unstructured programming, allowing clients to focus on their interests."
    Page 2 of 14

    Exam Review

    1. A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:
      A)
      Cultural humility
      B)
      Countertransference
      C)
      Transference
      D)
      Professional competency
    2. A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?
      A)
      The client must be calm and cooperative.
      B)
      The client must verbalize remorse for their behavior.
      C)
      The client only verbalizes anger toward the staff.
      D)
      The provider who prescribed the restraints must be present to assess the client before the restraints can be removed.
    3. A nurse notes that a colleague seems exhausted, discouraged, distracted, and expresses dissatisfaction with being a nurse. The nurse should identify these as manifestations of which of the following conditions?
      A)
      Dementia
      B)
      Burnout
      C)
      Traumatic brain injury
      D)
      Bipolar disorder
    4. A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?
      A)
      “I am trying to help you, but you haven't told me why you are overwhelmed yet."
      B)
      "Have you tried to avoid the situations that are causing you so much stress?"
      C)
      “Tell me about what you are doing to reduce or cope with your stress."
      D)
      “I would like to help you. Can you tell me more about what you are feeling?"
    Page 3 of 14

    Exam Review

    1. A nurse in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?
      A)
      High energy
      B)
      Connects well with others
      C)
      Compassion fatigue
      D)
      Consistent self-care
    2. In nursing, veracity refers to the nurse's obligation to provide truthful and accurate information to the client. Which of the following best describes the principle of veracity?
      A)
      Being trustworthy in following through with promises
      B)
      Taking actions to promote access to mental health services
      C)
      Providing ethically sound practice for clients and families
      D)
      Being truthful and authentic with clients
    3. A nurse is reinforcing teaching with a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include?
      A)
      "Therapeutic communication is important for nurse-to-nurse interactions, but not as critical for nurse-to-client interactions."
      B)
      "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client."
      C)
      “Therapeutic communication is no different than how we communicate in general conversation outside of health care."
      D)
      "Therapeutic communication is not as important as medication in the care of our clients."
    4. A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks. "How is a unit which has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?
      A)
      "A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are in an acute phase of mental illness."
      B)
      "A mental health unit, which includes milieu therapy, is less intensive, focusing only on one psychiatric illness or substance abuse disorder."
      C)
      "A mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment."
      D)
      "A mental health unit, which includes milieu therapy, is focused on long-term care of clients who have specific mental health disorders."
    Page 4 of 14

    Exam Review

    1. During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?
      A)
      Establishing trust and rapport
      B)
      Implementing interventions and treatment plans
      C)
      Evaluating the effectiveness of interventions
      D)
      Assessing the client's health needs
    2. A nurse is discussing torts with a newly licensed nurse. Which of the following information should the nurse include?
      A)
      Assault is a tort that only occurs if a client is physically harmed.
      B)
      False imprisonment does not apply to use of chemical restraints.
      C)
      Negligence is the most common unintentional tort.
      D)
      Battery occurs when a person verbally threatens to harm another person.
    3. A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?
      A)
      Beneficence
      B)
      Justice
      C)
      Autonomy
      D)
      Nonmaleficence
    4. What is the definition of patient autonomy?
      A)
      The right to refuse care
      B)
      The right to self-determination and making decisions about their own healthcare
      C)
      The right to receive care without any input or involvement in decision-making
      D)
      The right to make decisions on behalf of the healthcare provider
    Page 5 of 14

    Exam Review

    1. A nurse in a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?
      A)
      Social worker
      B)
      Psychiatrist
      C)
      Occupational therapist
      D)
      Psychologist
    2. In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?
      A)
      Exploitation phase
      B)
      Termination phase
      C)
      Orientation phase
      D)
      Working phase
    3. A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?
      A)
      Resolving insurance issues
      B)
      Providing case management
      C)
      Determining a mental health diagnosis
      D)
      Securing affordable housing for clients
    4. A nurse in a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?
      A)
      Upon admission
      B)
      While administering chemical or physical restraints
      C)
      When a client becomes agitated
      D)
      During debriefing after restraint removal
    Page 6 of 14