Psychiatric Mental Health Nursing 8th Edition - Foundations of Psychiatric?Mental Health Nursing

Psychiatric Mental Health Nursing 8th Edition - Foundations of Psychiatric?Mental Health Nursing Related

Review Psychiatric Mental Health Nursing 8th Edition - Foundations of Psychiatric?Mental Health Nursing related questions and content

A student appears very nervous on the first day of clinical in a psychiatric setting. The student reviews the instructor's guidelines and appropriately takes which of the following actions?

  • A. Tells the client about personal events and interests
  • B. Discusses the anxious feelings with the instructor
  • C. Assumes that the client's unwillingness to talk to a student nurse is a personal insult or failure
  • D. Builds rapport with the patient before asking personal questions
  • E. Consults the instructor if a shocking situation arises
  • F. Gravitates to clients that the student may know personally
Correct Answer: B,D,E

Rationale: Listening carefully, showing genuine interest, and caring about the client are extremely important rather than speaking about oneself. The student must deal with his or her own anxiety about approaching a stranger to talk about very sensitive and personal issues. Student nurses should not see the client's unwillingness to talkಸ�ದtalk to a student nurse as a personal insult or behavior. Being available and willing to listen are often all it takes to begin a significant interaction with someone. Questions involving personal matters should not be the first thing a student says to the client. These issues usually arise after some trust and rapport have been established. The nursing instructor and staff are always available to assist if the client is shocking or distressing to the student. If the student recognizes someone he or she knows, it is usually best for the student to talk with the client and reassure him or her about confidentiality.

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Which of the following are true regarding mental health and mental illness?

  • A. Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures.
  • B. It is easy to determine if a person is mentally healthy or mentally ill.
  • C. 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.
  • D. Persons who engage in fantasies are mentally ill.
Correct Answer: C

Rationale: What one society may view as acceptable and appropriate behavior, another society may see that as maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. 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. Persons who engage in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy is an individual factor that may contribute to mental illness.

A client diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Treatment most likely provided at the center includes

  • A. Medical management of symptoms.
  • B. Daily psychotherapy.
  • C. Constant staff supervision.
  • D. Psychological stabilization.
Correct Answer: A

Rationale: Community mental health centers focus on rehabilitation, vocational needs, education, and socialization, as well as on management of symptoms and medication. Daily therapies, constant supervision, and stabilization require a more acute care inpatient setting.

Which is included in Healthy People 2020 objectives?

  • A. To decrease the incidence of mental illness
  • B. To increase the number of people who are identified, diagnosed, treated, and helped to live healthier lives
  • C. To provide mental health services only in the community
  • D. To decrease the numbers of people who are being treated for mental illness
Correct Answer: B

Rationale: One of the Healthy People 2020 objectives is to increase the number of people who are identified, diagnosed, treated, and helped to live healthier lives. It may not be possible to decrease the incidence of mental illness or to provide services only in the community.

Before the period of the enlightenment, treatment of the mentally ill included

  • A. Creating large institutions to provide custodial care.
  • B. Focusing on religious education to improve their souls.
  • C. Placing the mentally ill on display for the public's amusement.
  • D. Providing a safe refuge or haven offering protection.
Correct Answer: C

Rationale: In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and ridiculing the mentally ill, who were seen as animals, less than human. Custodial care was not often provided, and primitive beliefs often led to harsh treatments like exorcisms or witch hunts.

One of the unforeseen effects of the movement toward community mental health services is

  • A. Fewer clients suffering from persistent mental illnesses.
  • B. An increased number of hospital beds available for clients seeking treatment.
  • C. An increased number of admissions to available hospital services.
  • D. Longer hospital stays for people needing mental health services.
Correct Answer: C

Rationale: Although people with severe and persistent mental illness have shorter hospital stays, they are admitted to hospitals more frequently. Although deinstitutionalization reduced the number of public hospital beds by 80%, the number of admissions to those beds correspondingly increased by 90%.

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