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The nurse best assures that a psychiatric client's rights are respected and preserved by:
- A. Educating each client as to his or her legally protected rights.
- B. Being knowledgeable of the state laws that regulate client rights.
- C. Participating as a member of the client's multidisciplinary health care team.
- D. Referring all issues of a legal nature to the appropriate facility committee.
Correct Answer: B
Rationale: The correct answer is B because being knowledgeable of state laws regulating client rights enables the nurse to advocate effectively. By understanding the legal framework, the nurse can ensure the client's rights are upheld. Choice A may not cover all legal aspects, choice C focuses on healthcare teamwork, and choice D may delay addressing legal issues promptly. Being well-versed in state laws is crucial for protecting client rights.
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A family has presented at a community mental health clinic. The mother reports that the children ages 8 and 10 are 'not doing well since their father died three months ago.' The nurse demonstrates an understanding of the goals of a family mental health assessment when initially:
- A. Assessing the mother's ability to provide physical care for her children.
- B. Encouraging the mother to discuss the problems with the children's teachers.
- C. Observing how the children interact with both their mother and with each other.
- D. Arranging for the family members to attend age-appropriate grief management groups.
Correct Answer: D
Rationale: The correct answer is D because arranging for the family members to attend age-appropriate grief management groups aligns with the goal of assessing and addressing the family's mental health needs following a significant loss. This approach recognizes the impact of the father's death on the children and the mother, providing them with support and coping strategies. It acknowledges the importance of addressing grief and promoting healthy coping mechanisms within the family unit.
Choices A, B, and C are incorrect because they do not directly address the family's mental health needs in the context of grief and loss. Assessing the mother's ability to provide physical care, encouraging discussions with teachers, and observing interactions are important but do not specifically target the emotional and psychological impact of the father's death on the family.
The psychological test that measures projective personality is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. DAT
Correct Answer: A
Rationale: Rorschach uses projective responses to reveal personality.
The focus of generic crisis intervention is to:
- A. Introduce the nurse as a caring resource to those in crisis.
- B. Assist as many in-crisis individuals as quickly as possible.
- C. Remove the individual in crisis from immediate sources of stress.
- D. Serve as a liaison between the individual in crisis and needed services.
Correct Answer: B
Rationale: The correct answer is B because generic crisis intervention aims to assist as many individuals in crisis as quickly as possible to minimize harm and provide immediate support. This approach focuses on rapidly addressing the crisis and ensuring the safety and well-being of those involved. Introducing the nurse as a caring resource (A) may be part of the intervention process, but it is not the primary focus. Removing the individual from immediate sources of stress (C) may be necessary in some situations but is not always feasible or effective as the first step. Serving as a liaison between the individual and needed services (D) is important, but it is not the primary goal of generic crisis intervention, which prioritizes immediate assistance and support.
he theorist who believes that human nature is positive is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: B
Rationale: Carl Rogers' humanistic approach views human nature as inherently positive, with a drive toward growth.
A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room. The patient is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the health care provider will prescribe?
- A. Monoamine oxidase inhibitor, such as phenelzine (Nardil)
- B. Phenothiazine, such as thioridazine (Mellaril)
- C. Benzodiazepine, such as lorazepam (Ativan)
- D. Narcotic analgesic, such as morphine
Correct Answer: C
Rationale: The correct medication to anticipate for this patient is a benzodiazepine, such as lorazepam (Ativan).
Rationale:
1. Benzodiazepines are commonly used to treat acute agitation and anxiety in patients, which is present in this case.
2. Lorazepam has a rapid onset of action and can help calm the patient quickly.
3. It can help manage the patient's perception of the window blinds as snakes and reduce agitation.
4. Benzodiazepines are safer for patients with alcohol intoxication compared to other sedatives or antipsychotics.
Summary of Incorrect Choices:
A: Monoamine oxidase inhibitors are not typically used for acute agitation and anxiety. They have a slower onset of action and are not first-line for this situation.
B: Phenothiazines may worsen the patient's condition due to their potential side effects like sedation and hypotension.
D: Narcotic analgesics are not appropriate for managing anxiety or agitation