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    Exam Review

    1. Which of the following is true regarding mental health and mental illness?
      A)
      Persons who engage in fantasies are mentally ill.
      B)
      In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.
      C)
      It is easy to determine if a person is mentally healthy or mentally ill.
      D)
      Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures.
    2. What is meant by the term "revolving door effect" in mental health care?
      A)
      Shorter and more frequent hospital stays for persons with severe and persistent mental illness.
      B)
      Most effective and least expensive treatment settings.
      C)
      Flexible treatment settings for mentally ill.
      D)
      An overall reduction in incidence of severe mental illness.
    3. Which of the following statements made by the nurse to the client's family is true of the treatment of people with mental illness in the United States today?
      A)
      "Substance abuse is effectively treated with brief hospitalization."
      B)
      "Only one in four people needing mental health services are receiving those services."
      C)
      "Emergency department visits by persons who are acutely disturbed are declining."
      D)
      "Financial resources are reallocated from state hospitals to community programs and support."
    4. The appropriate action for a student nurse who says the wrong thing is to:
      A)
      state that it was a joke.
      B)
      pretend that they did not say it.
      C)
      restate it by saying, "That didn't come out right. What I meant was..."
      D)
      ignore the error, since no one is perfect.
    Page 1 of 13

    Exam Review

    1. A teenage client defies the nurse's repeated requests to turn off the video game and go to sleep. The teen says angrily, "You sound just like my mother at home!" and continues to play the video game. The nurse understands that this statement likely indicates:
      A)
      an expression of developing autonomy.
      B)
      the presence of transference.
      C)
      early signs of oppositional defiant disorder.
      D)
      the need for stricter discipline at home.
    2. The nurse has established a therapeutic relationship with a client. The client is beginning to share feelings openly with the nurse. The relationship has entered which phase according to Peplau's theory?
      A)
      identification
      B)
      orientation
      C)
      resolution
      D)
      exploitation
    3. According to Peplau, there are several roles of the nurse in a therapeutic relationship. These can be seen individually with the client or in a group setting. Which role would be used to offer direction to the client or group?
      A)
      resource person
      B)
      counselor
      C)
      leader
      D)
      teacher
    4. The priority of inpatient care for people with severe mental illness is:
      A)
      social skills.
      B)
      insight into illness.
      C)
      symptom management.
      D)
      family issues.
    Page 2 of 13

    Exam Review

    1. The nurse understands that empathy is essential to the therapeutic relationship. When a client makes the statement, "I am just devastated that my marriage is falling apart," the nurse can best show empathy through which of the following responses?
      A)
      "I have been divorced, too. I know how hard it is."
      B)
      "It will get better; let's talk about it."
      C)
      "You feel like your world is falling apart right now."
      D)
      "I feel so bad for what you are going through."
    2. A client who had been in a substance abuse treatment program asks the nurse for a date after the client is discharged. The nurse talks to the client about the importance of a therapeutic relationship and its characteristics. The nurse is using which of the following techniques?
      A)
      Defining boundaries.
      B)
      Reprimanding the client.
      C)
      Defining therapy.
      D)
      Letting the client down gently.
    3. During a regular home health visit to an elderly client, the nurse observes that the client has feelings of hopelessness and despair. The client says, "I'm old, and my life has no purpose anymore. But promise me you won't tell anyone." How should the nurse respond?
      A)
      "I'm sorry, but I can't keep that kind of secret."
      B)
      "Don't worry, I won't tell anyone else."
      C)
      "What can we do to help you feel better?"
      D)
      "Let's talk about something to cheer you up."
    4. The client is getting ready to be discharged from the psych unit. A nurse and client have just completed reviewing the client's take-home medications. The nurse is exemplifying which role during this intervention?
      A)
      teacher
      B)
      parent surrogate
      C)
      advocate
      D)
      caregiver
    Page 3 of 13

    Exam Review

    1. The nurse using therapeutic communication asks the client what he would like to talk about. This is an example of which of the following?
      A)
      encouraging expression
      B)
      focusing
      C)
      broad opening
      D)
      offering self
    2. The client expresses frustration that the doctor does not spend enough time with her when making rounds. The nurse replies, "The doctors are very busy. What can I help you with?" The nurse incorporated which nontherapeutic technique in this response?
      A)
      defending
      B)
      introducing an unrelated topic
      C)
      disagreeing
      D)
      belittling
    3. The nurse is sitting with a client who is crying. After a few minutes, the nurse places one hand on the client's shoulder. Which of the following best describes the purpose of the nurse's touch with this client?
      A)
      To assess the client's skin temperature and circulation status.
      B)
      To offer comfort and support for the client.
      C)
      To express sympathy to the client.
      D)
      To extend an offer of friendship to the client.
    4. The client stated, "I was so upset about my sister ignoring me when I was talking about being ashamed." Which nontherapeutic communication technique would the nurse be using if the nurse asked, "How are your stress reduction classes going?"
      A)
      changing the subject
      B)
      offering advice
      C)
      disapproving
      D)
      challenging
    Page 4 of 13

    Exam Review

    1. A nurse is providing culturally competent care. In order to do so adequately, the nurse must do which of the following?
      A)
      Maintain good eye contact at all times during the interview.
      B)
      Engage other family members to get a broader perspective.
      C)
      Inquire about client values, beliefs, and health practices.
      D)
      Open all initial visits with a kind, firm handshake.
    2. The client tells the nurse, "That new TV anchor is telling the world about me." This is an example of what type of thought processing?
      A)
      thought broadcasting
      B)
      persecutory delusions
      C)
      ideas of reference
      D)
      thought insertion
    3. A married man expresses to the nurse that his wife's frequent nagging angers him. The nurse role-plays assertive communication techniques with the husband. Which of the following statements indicates the husband understands how to use assertive techniques effectively?
      A)
      "I really wish you would stop nagging me."
      B)
      "You are not perfect either."
      C)
      "I feel unappreciated when you criticize me."
      D)
      "Are you telling me you want me to change?"
    4. A nurse is working with a client to develop assertive communication skills. The nurse documents achievement of treatment outcomes when the client makes a statement such as:
      A)
      "You are pushing me too hard."
      B)
      "I feel upset when you interrupt me."
      C)
      "I'm not going to listen to other people anymore."
      D)
      "I'm sorry. I'm not picking this up very quickly."
    Page 5 of 13

    Exam Review

    1. Building trust is important in:
      A)
      the problem identification subphase of the relationship.
      B)
      the orientation phase of the relationship.
      C)
      all phases of the relationship.
      D)
      the exploitation subphase of the relationship.
    2. Abstract standards that provide a person with their own code of conduct are:
      A)
      beliefs.
      B)
      values.
      C)
      personal philosophy.
      D)
      attitudes.
    3. Ideas that one holds as true are:
      A)
      values.
      B)
      beliefs.
      C)
      attitudes.
      D)
      personal philosophy.
    4. The emotional frame of reference by which one sees the world is created by:
      A)
      values.
      B)
      attitudes.
      C)
      personal philosophy.
      D)
      beliefs.
    Page 6 of 13