Psychiatric Mental Health Nursing Practice Questions

Psychiatric Mental Health Nursing Practice Questions Related

Review Psychiatric Mental Health Nursing Practice Questions related questions and content

An involuntarily committed client is verbally abusive to the staff and repeatedly threatening to sue. The client records the full names and phone numbers of the staff. Which nursing action is most appropriate to decrease the possibility of a lawsuit?

  • A. Verbally redirect the client, and then limit one-on-one interaction.
  • B. Involve the hospitals security division as soon as possible.
  • C. Notify the client that documenting personal staff information is against hospital policy.
  • D. Continue professional attempts to establish a positive working relationship with the client.
Correct Answer: C

Rationale: The most appropriate nursing action is to choose option C: Notify the client that documenting personal staff information is against hospital policy. This response is effective in addressing the situation because it clearly communicates boundaries to the client and informs them of the hospital's policy. By doing so, the client is made aware that their behavior is not acceptable and that there are consequences for violating the policy. This action also helps to protect the staff members' privacy and security.

Option A: Verbally redirect the client and then limit one-on-one interaction, may not effectively address the issue of the client recording personal staff information. Option B: Involve the hospital's security division as soon as possible, is a more drastic measure that may escalate the situation unnecessarily. Option D: Continue professional attempts to establish a positive working relationship with the client, is not appropriate in this scenario as the client's behavior is threatening and abusive.

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Which of the following behavioral skills should a nurse implement when leading a group that is functioning in the orientation phase of group development? Select all that apply.

  • A. Encouraging members to provide feedback to each other about individual progress
  • B. Ensuring that rules established by the group do not interfere with goal fulfillment
  • C. Working with group members to establish rules that will govern the group
  • D. Emphasizing the need for and importance of confidentiality within the group
Correct Answer: A

Rationale: The correct answer is A: Encouraging members to provide feedback to each other about individual progress. In the orientation phase of group development, it is crucial for the nurse leader to foster open communication and trust within the group. Encouraging members to provide feedback helps promote mutual understanding and support, which can enhance cohesion and collaboration. This also helps in identifying individual strengths and areas for improvement.

Explanation of why the other choices are incorrect:
B: Ensuring that rules established by the group do not interfere with goal fulfillment - This choice could be more suitable for the norming or performing phase, where balancing rules with achieving goals is essential.
C: Working with group members to establish rules that will govern the group - This is more relevant for the initial phase of group development, not specifically the orientation phase.
D: Emphasizing the need for and importance of confidentiality within the group - While confidentiality is important throughout group development, it may not be the primary focus during the orientation phase.

A client diagnosed with somatic symptom disorder is most likely to exhibit which personality disorder characteristics?

  • A. Uses splitting and manipulation in relationships
  • B. Is socially irresponsible, exploitative, and guiltless and disregards rights of others
  • C. Expresses heightened emotionality, seductiveness, and strong dependency needs
  • D. Uncomfortable in social situations; perceived as timid, withdrawn, cold, and strange
Correct Answer: C

Rationale: The correct answer is C because individuals with somatic symptom disorder often display characteristics of heightened emotionality, seductiveness, and strong dependency needs. These traits are consistent with histrionic personality disorder, which is commonly comorbid with somatic symptom disorder. Choice A (splitting and manipulation) is more indicative of borderline personality disorder. Choice B (socially irresponsible, exploitative) aligns with antisocial personality disorder. Choice D (uncomfortable in social situations) is more in line with schizoid or avoidant personality disorder. Thus, choice C is the most appropriate match for individuals with somatic symptom disorder.

A geriatric client is confused and wandering in and out of every door. Which scenario reflects the least restrictive alternative for this client?

  • A. The client is placed in seclusion.
  • B. The client is placed in a geriatric chair with tray.
  • C. The client is placed in soft Posey restraints.
  • D. The client is monitored by an ankle bracelet.
Correct Answer: D

Rationale: The correct answer is D - The client is monitored by an ankle bracelet. This option allows for monitoring and tracking the client's movements without physical restraint, promoting autonomy and freedom of movement. Seclusion (A) is restrictive and isolating. Placing the client in a geriatric chair with tray (B) limits mobility and can be degrading. Soft Posey restraints (C) restrict movement and can lead to physical and psychological harm. An ankle bracelet (D) is the least restrictive option as it allows for monitoring while still allowing the client some independence and mobility.

Which rationale by a nursing instructor best explains why it is challenging to globally classify the Asian American culture?

  • A. Extremes of emotional expression prevent accurate assessment of this culture.
  • B. Suspicion of Western civilization has resulted in minimal cultural research.
  • C. The small size of this subpopulation makes research virtually impossible.
  • D. The Asian American culture includes individuals from many different countries.
Correct Answer: D

Rationale: The correct answer is D because the Asian American culture is not monolithic but comprises individuals from diverse Asian countries with unique customs, languages, and traditions. This diversity makes it challenging to globally classify the culture as a whole. Option A is incorrect as emotional expression varies within Asian American communities. Option B is incorrect as there has been cultural research on Asian Americans. Option C is incorrect as the size of the population does not hinder research efforts.

A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening?

  • A. What occurred prior to the rape, and when did you go to the emergency department?
  • B. What would you like to talk about?
  • C. I notice you seem uncomfortable discussing this.
  • D. How can we help you feel safe during your stay here?
Correct Answer: B

Rationale: The correct answer is B because it allows the client to lead the conversation and express their concerns freely. By asking, "What would you like to talk about?" the nurse demonstrates empathy, respect, and openness to the client's needs, facilitating a client-centered approach. Choice A is specific and may not be what the client wants to discuss. Choice C reflects the nurse's observation rather than encouraging the client to share. Choice D focuses on the nurse's agenda rather than the client's preferences.

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