Psychiatric Mental Health Nursing Practice Questions

Psychiatric Mental Health Nursing Practice Questions Related

Review Psychiatric Mental Health Nursing Practice Questions related questions and content

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.

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What is the priority nursing action during the orientation (introductory) phase of the nurseclient relationship?

  • A. Acknowledge the clients actions and generate alternative behaviors.
  • B. Establish rapport and develop treatment goals.
  • C. Attempt to find alternative placement.
  • D. Explore how thoughts and feelings about this client may adversely impact care.
Correct Answer: B

Rationale: The correct answer is B: Establish rapport and develop treatment goals. During the introductory phase of the nurse-client relationship, establishing rapport is essential to build trust and a therapeutic alliance. Developing treatment goals collaboratively with the client sets the foundation for the care plan. This action promotes client engagement and empowerment. Acknowledging client actions and generating alternative behaviors (A) is more suited for later phases. Attempting to find alternative placement (C) is not appropriate in the introductory phase. Exploring how thoughts and feelings impact care (D) is important but not the priority 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.

Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?

  • A. My sister has the same diagnosis as you and she also hears voices.
  • B. I understand that the voices seem real to you, but I do not hear any voices.
  • C. Why not turn up the radio so that the voices are muted.
  • D. I wouldnt worry about these voices. The medication will make them disappear.
Correct Answer: B

Rationale: The correct answer is B because it demonstrates empathy and validation without reinforcing the hallucinations. By acknowledging the client's experience while maintaining reality orientation, the nurse can build trust and rapport. Choice A may unintentionally normalize the hallucinations. Choice C could dismiss the client's experience and avoid addressing the underlying issue. Choice D minimizes the client's distress and relies solely on medication without addressing the client's emotional needs.

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.

A client is prescribed alprazolam (Xanax) for acute anxiety. What client history should cause a nurse to question this order?

  • A. History of alcohol dependence
  • B. History of personality disorder
  • C. History of schizophrenia
  • D. History of hypertension
Correct Answer: A

Rationale: The correct answer is A: History of alcohol dependence. Alprazolam is a benzodiazepine and can be addictive, especially for individuals with a history of substance abuse like alcohol dependence. This client population is at higher risk for misuse, addiction, and overdose. It is important for the nurse to question this order to avoid potential harm. Choices B, C, and D are incorrect as they do not directly impact the safety or efficacy of alprazolam for acute anxiety.

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