Test
2809NRS Mental Health Nursing Practice
Preguntas del test (150)
1Preceptorship is a long-term relationship that extends outside the person’s workplace and helps people to grow and develop and achieve their personal potential.
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2One of the most important principles of the therapeutic relationship when the nurse works with a client with a mental disorder is that:
- Athe nurse should self-disclose.
- Bthe client is the primary focus of the interaction.
- Cthe nurse should have an empathetic relationship with the client.
- Dthe client’s conversation should be recorded.
3A client tells you, the student nurse, that she doesn’t want to talk about her problems to anyone, as she feels that she will be seen as ‘crazy’ and is worried that people will reject her. As the student nurse, you would:
- Aadvise her not to be worried, as that would never happen in this unit.
- Ballow the client to continue talking and use your active listening techniques.
- Ctell the client she needs to speak to someone more senior than you.
- Dask the client whether she feels anxious and commence relaxation and slow-breathing techniques.
4The primary purpose of reflection for a nurse is to:
- Abetter understand the client’s situation.
- Bdevelop assessment and intervention skills.
- Cincrease their own understanding and self-awareness.
- Ddevelop self-management and leadership skills.
5The elements of ‘burnout’ syndrome are:
- Apositive patterns of coping in a stressful situation.
- Bfeelings of exhaustion and depersonalisation.
- Ca catalyst for effecting positive change.
- Dan underlying component of stress.
6Whose responsibility is it to maintain professional boundaries?
- AThe nurse
- BThe client
- CThe supervisor
- DThe employer
7A nurse experiencing ‘burnout’ should keep working, because the feelings will pass. After all, everyone feels exhausted, uninterested and ineffective at work, and so there is no reason to be unduly concerned.
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8To develop self-awareness, a nurse must be willing to be:
- Areflective.
- Bthorough.
- Cuncritical.
- Dnon-judgemental.
9The main focus of clinical supervision for nursing staff is:
- Aprofessional support for the nurse’s clinical work, interactions and interventions.
- Bpersonal problems that interfere with work.
- Ccollegiality and professional behaviour.
- Ddeveloping empathy, acceptance and reflection.
10Central to a therapeutic relationship in mental health nursing is:
- Acountertransference.
- Bdiagnostic criteria.
- Cinterpretation.
- Dempathy.
11Reflection is an important part of recovery-informed practice.
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12What is the best description of peer support in mental health? Peer support is described as:
- Aa set of constructs, hypotheses, principles and propositions about a specific phenomenon.
- Ba combination of professional–client interactions within a recovery paradigm.
- Ca recovery-oriented approach to mental healthcare that includes community peers.
- Dsupport to peers by people who have also experienced mental health challenges.
13The recovery paradigm focuses on which one of the following factors?
- AParticipation by health professionals in problem solving.
- BInvolving the consumer’s family and significant others.
- CActive participation, choices and the person’s right to self-determine.
- DAn intense rehabilitation program designed for the consumer.
14Recovery-informed practice focuses on:
- Aconsumer-directed goals and outcomes.
- Badvice from the multidisciplinary team.
- Cimplementing mental health policy.
- Devidence-based practice.
15Focusing on a person’s strengths has superseded the deficits-based approach to practice. The main aim of working with strengths is to:
- Again an understanding of what a person finds helpful in their illness.
- Bvalue a person’s talents, uniqueness and resilience.
- Cprotect a person’s autonomy and individuality.
- Dshare this information with the multidisciplinary team.
16Reflection informs nursing practice by:
- Apromoting client-awareness and holistic care.
- Bself-awareness and a sense of empowerment.
- Cusing evidence to inform client interactions.
- Dpromoting self-awareness and critical thinking.
17Psychiatric rehabilitation has shifted to the concept of recovery because of:
- Aemphasis on the goals of the service and of the staff who work in the service.
- Bworking more closely with the client’s family and their part in the client’s illness.
- Cemphasis on the goals, outcomes and options of the consumer.
- Dredirecting rehabilitation towards a community focus.
18The nurses primary role is to:
- Aadopt distinct professional approaches to treatment.
- Bprovide a holistic and person-centred approach to care.
- Cemphasise the different approaches taken by professional groups.
- Dpractise within the framework of community mental health.
19The foundation for recovery-informed practice is:
- Adiagnosis.
- Btreatment plan.
- Crelationships.
- Dmanagement plan.
20The Tidal Model is the right theory on which beginning practitioners should base their nursing practice.
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21The first public hospital was created in Egypt five centuries before the Christian Era.
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22Many formal medical schools were founded in Mediterranean cities in the centuries before the Christian Era.
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23The Sisters of Charity, who combined care of the insane with general nursing, developed from an association formed by St Vincent de Paul in which year?
- A1210
- B1455
- C1617
- D1894
24One belief regarding mental illness that spread with the spread of Christianity is that:
- Ahallucinations and delusions were the devil’s work.
- Bhallucinations and delusions were supernatural beings.
- Cthere were no such things as hallucinations and delusions.
- Dthere was no such thing as mental illness.
25The Latin term insana means:
- Anot of right mind.
- Bviolent and agitated.
- Cwithdrawn and listless.
- Dloss of respect and position.
26The humoural theory, which underpinned the ancient Greek medical system described in the Hippocratic Corpus, was based on the belief that the body contained within it four humours:
- Aurine, phlegm, water and bile.
- Byellow, red, brown and black bile.
- Cblood, and yellow, black and green bile.
- Dblood, phlegm, yellow bile and black bile.
27The first medical writers to have differentiated between madness caused by a physiological problem and divinely caused madness were:
- AEgyptian.
- BBabylonian.
- CRoman.
- DGreek.
28The ‘melancholic’ person in the Hippocratic Corpus was believed to have:
- Aexcessive yellow bile in their system.
- Bexcessive black bile in their system.
- Cexcessive phlegm in their system.
- Dexcessive blood in their system.
29H. Fuller Torrey postulated that schizophrenia is the product of:
- Aincreased technological advances occurring in the past century.
- Bimmunisation in the past century.
- Ca genetic mutation occurring in recent centuries.
- Dhistorical events occurring in the past two millennia.
30In the ancient Graeco-Roman world which of these conditions was considered to be a mental disorder requiring treatment?
- AEpilepsy
- BPhobia
- CAlcoholism
- DPersonality disorder
31Deinstitutionalisation was a process that eventually led to the closure of psychiatric hospitals and a reduced focus on custodial care in favour of care in the community. Underlying deinstitutionalisation is the premise that:
- Aall consumers need to be looked after by the community.
- Bpersonal autonomy outweighs duty of care.
- Cconsumers need to be treated in the least restrictive environment.
- Dhomeless shelters and gaols are to replace psychiatric hospitals.
32The principle of least restrictive alternative implies that:
- Athe consumer has the right to be placed only in the community.
- Bthe family’s needs are to be considered first before this principle is applied.
- Ctreatment can only commence when this principle is enforced.
- Da consumer’s level of autonomy, acceptance and potential for harm have been taken into consideration.
33Enrolled nurses are accountable for their practice within the relevant framework of competencies, but they work under the direction and supervision of registered nurses.
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34Membership of professional and industrial bodies is compulsory in Australian and New Zealand workplaces, because all nurses need to maintain the advantages gained by these bodies and to be responsible as health professionals for the representative bodies that maintain their conditions of employment and advocate on professional issues.
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35Authorities in Australia and New Zealand are charged with maintaining professional standards. Which task(s) do nurse registration and practice regulation authorities not oversee?
- AComplaints and disciplinary processes
- BWages
- CAccreditation of educational institutions and nursing programs
- DRegisters of individuals licensed to practise nursing
36Consumers can reveal personal information during conversations and ask that confidentiality be maintained. Which of the following examples is a breach of confidentiality?
- APosting the information on Facebook
- BNot disclosing to friends
- CNot discussing with another consumer
- DDiscussing with another nurse
37Standards of practice in mental health nursing predominantly:
- Ainvolve the department of health in individual states and countries.
- Bdescribe the expected performance of nurses providing mental healthcare.
- Cdocument rules of practice among mental health nurses in all states and countries.
- Drecognise individual differences in each nurse’s workplace.
38Mental health nurses in Australia and New Zealand follow the ethical principles of autonomy, justice, beneficence and non-maleficence.
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39Power should not be abused in therapeutic relationships. Which of the following form the basis for ethical practice in interpersonal therapy?
- AProtecting the consumer from exploitation.
- BUpholding consumer rights.
- CFostering growth and wellness.
- DAll the answers are correct.
40In emergency situations, the essence of the principle of ‘duty of care’ for the nurse is to:
- Abalance the necessity for emergency treatment against the consumer’s right to autonomy.
- Bensure that there is a reasonable duty by the nurse to organise care that is not injurious to the nurse.
- Cadmit a consumer who has been injured by loss of care by another consumer or a nurse.
- Davoid a consumer because the duty of care has been enacted by another nurse.
41The first step in the progression towards culturally safe practice that involves understanding that there is a difference is referred to as:
- Acultural sensitivity.
- Bcultural safety.
- Ccultural awareness.
- Dcultural competence.
42Culturally safe nurses:
- Atreat everyone in exactly the same way.
- Blearn about themselves and their own culture, examining their own attitudes and values.
- Cstandardise care by creating stereotypes and generalisations.
- Dshare the client’s cultural practices.
43Which of the following factors promote a person’s wellbeing?
- ABeing healthy
- BPersonal relationships
- CA sense of achievement and purpose
- DAll answers are correct
44Anxiety and affective disorders have a higher incidence in:
- Aboys.
- Bwomen.
- Cmen.
- Dgirls.
45Some commonly held misconceptions about mental health consumers are:
- Aall people with mental health problems are unpredictable, violent and dangerous.
- Bpeople who are mentally ill have an intellectual disability or brain damage.
- Cpeople with a mental health problem will never recover.
- DAll answers are correct.
46Cultural safety is the practice of:
- Adescribing the practices of diverse ethnic groups.
- Blearning about the diverse cultural practices of consumers and clients.
- Cthe nurse being aware of his or her own cultural bias.
- Ddescribing how one can be safe when using different cultural beliefs.
47Culture may be defined as learned behaviours, passed on by role modelling, learning and tradition, and used by the individual to interpret experience and to generate social behaviour.
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48People with comorbid conditions are:
- Amore vulnerable to alcohol and drug relapses.
- Bmore vulnerable to relapse of mental health problems
- Cgreater users of health services.
- DAll answers are correct.
49Which of the following constitutes a misconception about mental health?
- APeople with a mental illness will never recover.
- BThe media can have a negative impact on the image of mental illness.
- CMore contact with people with a mental illness can lessen stigma.
- DThe media can be used as a tool to educate and change public opinion.
50Ethnically diverse service users are those who are indigenous or who are refugees.
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51The therapeutic milieu refers to environments where the emphasis is:
- Aa holistic approach to client needs.
- Binpatient safety.
- Cintegrated healthcare.
- Dcommunity health.
52In all settings the client is supported as a person in interactions with others, rather than as someone suffering from a health problem or disability.
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53The French physician Philippe Pinel (1745–1826) believed that the cure for mental illness was:
- Aarrest and confinement.
- Bconfinement outside the community.
- Cmoral treatment.
- Duse of chains.
54The goal of involvement in the therapeutic community is to:
- Aencourage clients to be actively engaged in their treatment.
- Bassess individual health and wellbeing rather than relationships.
- Cwork out problems within the therapeutic community.
- Dwork more effectively in the therapeutic community.
55Components of the therapeutic milieu are:
- Acontainment and structure.
- Bsupport and involvement.
- Cvalidation and symptom management.
- DAll the answers are correct.
56The Englishman and Quaker tea merchant William Tuke (1732–1822) followed the contemporary trends in the treatment of the mentally ill when he employed blood-letting, purges, chains and denial of the basic necessities of life to treat mental illness at the York Retreat.
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57An underlying principle of validation in a therapeutic milieu for the client involves:
- Ainformation being available for medication compliance.
- Baccessibility of treatment programs such as group work.
- Cencouraging open discussion of values, feelings and goals.
- Dopenness with family members concerning treatment options.
58What is the overarching strategy that staff can use to empower clients?
- ACommitment to supporting clients/families
- BCommitment to spending time with clients
- CTelling them what they should do
- DProviding support to find solutions to problems
59One of the main purposes of the multidisciplinary team is to:
- Aensure comprehensive coordinated care by a range of health professionals.
- Bprovide an opportunity for communication.
- Cestablish routine work delegation among team members.
- Destablish rules and regulations for team membership.
60The principles of caring in the community are:
- Aopen communication, democratisation, reality confrontation, permissiveness and the multidisciplinary team.
- Bcollaboration, recovery and goal setting, and working with clients’ strengths.
- Ccontainment, structure, support, involvement, validation and symptom management.
- Ddevelopment of the client as a person in interaction with others.
61Electroconvulsive therapy involves the application of two metal electrodes to the head, through which an electric current is delivered.
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62A person classified with a borderline personality disorder might be most effectively helped by which of the following interventions?
- AElectroconvulsive therapy
- BPsychopharmacology
- CPsychotherapy
- DDialectical behaviour therapy
63Motivational interviewing (MI) was initially an intervention developed for working with which type of clients?
- APeople with mood disorders
- BPeople with perceptual disorders and problems
- CPeople with substance abuse and dependence problems
- DPeople with depressive and suicidal problems
64The underlying principle of family therapy is based on the fundamental premise that:
- Athe family is a unit that needs to be opened up to scrutiny.
- Bwhen a person has a problem, it usually involves the whole family.
- Cwhen a family has a problem, there is usually one person to blame.
- Dthe multidisciplinary team needs to use family therapy.
65One of the main concerns regarding the use of electroconvulsive therapy (ECT) as an intervention is that:
- Apeople prefer medication to ECT.
- Bit remains controversial.
- Cpeople have family options to consider.
- Dpeople are not certain of how ECT is seen by the media.
66Social skills training helps people to:
- Arelearn skills.
- Bmanage psychodynamic groups.
- Cunderstand psychoeducation.
- Drole-play.
67When a family is deemed to have high levels of expressed emotion (EE), which of the following is the appropriate intervention?
- APsychotherapy
- BPsychopharmacology
- CPsychoeducation
- DPsychogenesis
68The nurse is counselling a client with schizophrenia and their family about the effects of the illness and exploring the ways in which they can prevent relapse. The nurse is using a counselling approach known as:
- Aconflict management.
- Bpsychoeducation.
- Cbibliotherapy.
- Dtoken economy.
69Routine case management usually involves a ratio of around 50–60 clients per case manager.
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70When beginning a group counselling session using the open group system, the nurse/therapist should explain to the group members that one advantage of an open group system is that:
- Ait can offer the best treatment outcomes.
- Bthe topics for the group can be controlled.
- Crelationships are more easily established in the group.
- Dnew members can join the group at any time.
71Which type of medication can affect both the ‘positive’ and the ‘negative’ symptoms of schizophrenia?
- AAtypical antipsychotic
- BTraditional antipsychotic
- CAntiparkinsonian
- DAntidepressant
72Benzodiazepines are a commonly prescribed anti-anxiety drug. They reduce anxiety by facilitating the:
- Aaction of the neurotransmitter GABA.
- Belevation of CNS depressants.
- Canticonvulsant potentiation.
- Dinhibition of CNS.
73The nurse is caring for a client who is receiving lithium carbonate therapy. It is important for the nurse to educate the client on:
- Aside effects and signs of toxicity.
- Brespiratory pattern disturbances.
- Cmobility pattern disturbances.
- Dmuscle tone.
74The biological action of a drug depends on how its structure interacts with a specific:
- Aorgan.
- Benzyme.
- Cion.
- Dreceptor.
75Tardive dyskinesia results in the client developing a rigid, mask-like facial expression, shuffling gait and drooling.
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76The term ‘non-compliance’ was used to indicate that a prescribed medication regimen was not being followed by the client, but the accepted terminology has been changed to ‘non-adherence’.
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77In the past, the traditional antipsychotics, particularly haloperidol, have been prescribed as prn medication for acute agitation and disturbed behaviour. New evidence suggests that:
- Amood stabilisers are now more effective than traditional antipsychotics as prn medication.
- BSSRIs can be just as effective as traditional antipsychotic prn medication.
- Cantiparkinsonian drugs are more effective than traditional antipsychotics as prn medication.
- Dbenzodiazepines are just as effective as traditional antipsychotics as prn medication.
78Selective serotonin reuptake inhibitors (SSRIs) belong to which group of psychotropic drugs?
- AAntipsychotics
- BMood stabilisers
- CAnxiolytics
- DAntidepressants
79One side effect of traditional or typical antipsychotic medication is an adverse anticholinergic effect such as:
- Adry mouth.
- Bhypertension.
- Cdizziness.
- Dtremors.
80Non-adherence to the prescribed medication regimen may result in:
- Arecurring side effects for a client.
- Bhospital readmission for a client.
- Cfamily interaction with a client.
- Dmultidisciplinary interaction with a client.
81If the nurse feels unsure about the best course of action following an interview, they should do which of the following?
- ASummarise the discussion and further validate the consumer’s concerns
- BProvide opportunity to further discuss important issues
- CDiscuss their concerns with the consumer’s family
- DOpenly discuss this with a co-interviewer and include the consumer in that discussion
82A patient’s affect describes:
- Aan internal feeling or emotion.
- Ba delusional feeling or thought.
- Can observable expressed emotion.
- Dlanguage disturbance.
83Prior to the interview commencing the nurse will have some indication of the consumer’s level of distress and willingness to participate in the interview. To ensure safety the nurse should take all of the follow actions during the course of the interview except:
- Aensuring a second clinician is present.
- Bcontinuously assessing the consumer’s mental state.
- Cabandoning the interview if the consumer becomes too distressed.
- Dcontinuing the interview if feeling threatened.
84An assessment of strengths and resources for a consumer would include which of the following?
- ARealistic expectations
- BSupport systems
- CFinancial insight
- DDietary factors
85Which of the following may contribute to the consumer feeling vulnerable during an interview?
- AGender
- BEthnicity
- CAge difference
- DAll answers are correct
86Standardised assessment instruments are used to assess cognitive function and include all of the following except:
- AMMSE (Mini-Mental State Examination).
- BACE-R (Addenbrooke’s Cognitive Examination—Revised).
- CGDS (Geriatric Depression Scale short form).
- DCAM (Confusion Assessment Method) .
87The mental health nurse who is interviewing a client for the first time should begin the client’s assessment with:
- Adelineating common goals.
- Bopen-ended questions.
- Cclosed questions.
- Dobservation of the client’s behaviour.
88The ICD-10 is a comprehensive manual of all known diseases, with its fifth chapter being devoted to mental and behavioural disorders, while the DSM-5 exclusively catalogues mental illnesses.
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89There is no set format for recording a mental state assessment, but the BATOMI mnemonic is a useful for guiding assessment and includes all of the following except:
- Abehaviour and appearance.
- Battitude and temperament.
- Caffect and mood.
- Dcognition and sensorium.
90Standardised assessment instruments cannot assist in the actual process of assessment and in evaluating changes in consumers’ clinical presentation.
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91In Western industrialised countries and urban communities, people with schizophrenia tend to be:
- Asocially disadvantaged.
- Blower middle class.
- Cmiddle class.
- Dupper class.
92Delusional thinking may be described by which of the following definitions?
- ARetreat into an inner fantasy world, socially isolating or withdrawing oneself and losing contact with reality
- BFalse, fixed belief that is inconsistent with one’s social, cultural and religious beliefs and cannot logically be reasoned with
- CSevere and debilitating illness with disorganised motor behaviour and the inability to relate to external stimuli
- DFalse, fixed perception that one can see, hear, smell, touch or taste external stimuli, but is losing contact with reality
93One effective nursing management strategy for auditory hallucinations is to:
- Atouch the client on the shoulder to ‘reality base’ them.
- Bplace medication in the client’s food to calm them.
- Cdiscuss the client’s care with their family for suggestions.
- Didentify with the person activities that appear to stimulate hallucinations and devise ways of coping.
94A client who has schizophrenia is preparing to be discharged from the hospital. The nurse should instruct the client and family members that relapse is most likely to occur if the client:
- Aloses their job.
- Bstops taking the prescribed medications.
- Cdevelops an infection.
- Dloses a favourite possession.
95A client is experiencing a hallucination that includes ‘being watched by the FBI via cameras attached to the overhead lighting’. The most appropriate response for the nurse to make is:
- A‘I’m sure many people have felt the same way you do.’
- B‘It must be frightening to feel as if you are being watched.’
- C‘There are staff members here who believe we are being watched.’
- D‘You know that this is not true. Why do you believe you are being watched?’
96A client who continually says that ‘men are after me’ and ‘the water is poisoned’ but whose speech is clear and who has a normal affect is most likely to have a diagnosis of the schizophrenia subtype termed:
- Aundifferentiated type.
- Bparanoid type.
- Cdisorganised type.
- Dcatatonic type.
97Individuals are far more likely to show symptoms of schizophrenia if one or more parents have the disorder, an identical twin has the disorder, or a fraternal twin or non-twin sibling has the disorder.
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98Atypical antipsychotics target unusual or ‘atypical’ symptoms of schizophrenia, such as depression and anxiety.
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99An acute dystonic reaction that is a side effect of some typical antipsychotic medications is:
- Auncontrollable coarse tremor.
- Brestless leg syndrome.
- Csalivary drooling.
- Doculogyric crisis.
100Bleuler’s ‘four As’ for identification of symptoms of schizophrenia consisted of:
- Aattrition, association disturbance, autism and association looseness.
- Bautism, ambivalence, affective disturbance and associative looseness.
- Cambiguousness, affective disturbance, autism and association looseness.
- Dautism, affective disturbance, attrition and associative looseness.
101Women are 40% more likely than men to be diagnosed with a mood or anxiety disorder. (Ministry of Health 2014 New Zealand Health Survey: annual update of key results 2013/2014. Ministry of Health, Wellington)
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102Methods that the nurse can employ to deal with the depressed client’s distressing negative thoughts and anger include:
- Alimit setting.
- Bgroup work.
- Cfocusing on their strengths.
- Dbehaviour modification.
103A major depressive disorder is a condition wherein the client experiences significant distress and either a depressed mood or the loss of interest or pleasure in nearly all activities, for at least:
- A1 Week.
- B2 Weeks.
- C1 Month.
- D2 Months.
104Mania is characterised by three main features: persistently elevated mood (elation or irritability), plus increased activity and:
- Apoor judgement.
- Bone depressive episode.
- Csubstance misuse.
- Dphysical exhaustion.
105The depressed person can undergo many changes in behaviour, cognition, communication and physical functioning. The observable behaviours associated with changes in a person’s mood, such as crying and looking dejected, are called:
- Aruminations.
- Bwithdrawal.
- Cself-awareness.
- Daffect.
106A client diagnosed with major depression should be assessed for one of the most common sleep disturbances associated with depression, which is:
- Anarcolepsy.
- Bsomnambulism.
- Csleep apnoea.
- Dinsomnia.
107During the period of mood disturbance associated with a manic episode, which of the following symptoms may be present?
- AInflated self-esteem or grandiosity
- BDecreased need for sleep
- CMore talkative than usual
- DAll answers are correct
108A major depressive disorder is usually recognised when the client presents with a range of physical ailments.
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109Withdrawn people are still very aware of where they are and who they are with. Which of the following are appropriate nursing interventions to support the person?
- ASpending time with them
- BBeing non-threatening
- CProviding positive regard
- DAll answers are correct
110One of the underlying principles for nursing a person with a mood disorder is to recognise that the key to working effectively with the person is a collaborative relationship characterised by:
- Agroup work activities.
- Bopenness and respect.
- Ctherapeutic medication administration.
- Dcommunity-based services.
111A person is exhibiting evidence of some paranoid ideation, lacking social networks or friends, expressing odd beliefs and thinking in their speech, and is odd in their appearance. They may be showing signs of which of the following personality disorders?
- AAntisocial personality disorder
- BAvoidant personality disorder
- CObsessive-compulsive personality disorder
- DSchizotypal personality disorder
112Cognitive behavioural therapy (CBT) is used to treat people with personality disorders by focusing on the client’s dependence issues and teaching the client better financial planning, social skills and assertiveness.
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113Personality disorders:
- Ahave their onset in adolescence.
- Bfluctuate over time.
- Cintensify in adulthood.
- Dhave their onset in childhood.
114The onset of symptoms for some personality disorders may be attributed to which of the following?
- AChildhood abuse and neglect
- BDrug dependence
- CAlcohol dependence
- DAdolescent illness
115A person who exhibits disregard for the law; is reckless, aggressive, deceitful and impulsive; and does not show remorse may be showing signs of which of the following personality disorders?
- AAntisocial personality disorder
- BAvoidant personality disorder
- CObsessive-compulsive personality disorder
- DSchizotypal personality disorder
116The nurse assessing a client who has borderline personality disorder would expect to find a history of:
- Aanxiety disorders.
- Bhallucinations.
- Cintense and unstable relationships.
- Dsubstance abuse.
117One interactive therapy that helps to actively incorporate social skills training for the client is:
- Apharmacological therapy.
- Btherapeutic community.
- Cdialectical behaviour therapy.
- Dindividual therapy.
118One of the principles of nursing care of a client with a personality disorder is that the nurse must:
- Areject the client’s dependence on their primary care.
- Bmonitor the client for signs of self-harm and suicidality.
- Cmonitor involvement of this client with others.
- Disolate this client from other clients in the unit.
119A person who experiences considerable impairment in activities of daily living, such as disturbances in relationships and impulsivity, may have borderline personality disorder.
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120A person can be considered to have a personality disorder when personality traits seem to be beyond the scope of what is considered reasonable as observed by their behaviour and attitude to others.
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121A diagnosis of PTSD is not made in the first month of symptoms because what percentage of people fully recover within three months of onset?
- A10%
- B35%
- C50%
- D100%
122When a client is having a panic attack, it is best to speak to them in short, simple sentences, and to take a directive and instructive approach—for example, to say, ‘Please sit down’ rather than asking, ‘Would you like to sit down?’.
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123A client with obsessive-compulsive disorder does not gain enjoyment from any ritual but is compelled to undertake the ritual in an effort to:
- Adispel any contamination that has occurred.
- Bward off uncomfortable and relentless anxiety.
- Ccombat feelings of inadequacy.
- Dundertake their own duty of care.
124Which of the following is a component of cognitive behavioural interventions?
- AECT.
- BArousal management.
- CDialectical therapy.
- DIncreased negative reinforcement.
125Which technique might a client be able to learn in order to help reduce anxiety and prevent hyperventilation occurring during a panic attack?
- ADesensitisation
- BGraded exposure
- CSlow breathing
- DFocused exposure
126The patient experiencing a panic attack may exhibit which of the following symptoms?
- AVarious phobias
- BIncreased verbalisations
- CTachycardia or chest pain
- DPersistent fears
127An examination of the contemporary epidemiology of anxiety disorders reveals that, despite being highly publicised and effectively treated in the population, they are not an extreme health concern, being neither highly prevalent nor greatly disabling.
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128According to current evidence, psychological interventions for anxiety disorders include:
- Aacceptance and commitment therapy.
- Bapplied relaxation.
- Cmindfulness-based stress reduction.
- DAll answers are correct.
129A client with a panic disorder has been prescribed a benzodiazepine medication. One of the risks of benzodiazepines is:
- Adietary restrictions.
- Bdependence.
- Cagitation.
- Dconstipation.
130All of the following disorders may occur with substance abuse except:
- Asocial anxiety disorder.
- Bpanic disorder.
- Cseasonal affective disorder.
- Dgeneralised anxiety disorder.
131Cognitive changes that may be associated with starvation in eating disorders include:
- Alack of concentration, and increased obsession with food and body image.
- Bsecretive behaviour in relation to disposal of food.
- Cbody image avoidance and dissatisfaction.
- Ddisrupted body mass index.
132Cognitive behavioural therapy (CBT) for a client with an eating disorder focuses on encouraging the client to think more positively about meals that are higher in kilojoules and nutritionally sound, so that the weight-maintaining process in eating-disordered pathology is disrupted.
- AVerdadero
- BFalso
133Anorexia nervosa is primarily characterised by determined efforts to lose weight or avoid weight gain, whereas bulimia nervosa is primarily characterised by:
- Alow body mass index.
- Bdisturbed body image.
- Cbinge eating.
- Ddependence behaviour.
134A key strategy to successful inpatient treatment is:
- Aproviding a collaborative structured program.
- Bplanned goal-setting sessions.
- Cdecreased behaviour modification.
- Dincreased inpatient surveillance.
135One of the major predictors of eating disorders is:
- Amedia exposure.
- Bhigh-frequency dieting.
- Cobsession with clothes.
- Dobsessions and compulsions.
136It might be anticipated that a client hospitalised with a diagnosis of anorexia nervosa might have a poor outcome if the disorder is associated with:
- Aa comorbid mental disorder.
- Blate age of onset.
- Cdental enamel erosion.
- Dimpulsive behaviours.
137In follow-up studies of clients with anorexia nervosa, the recovery rate for adolescents was reported to be:
- Aup to 40%.
- Bup to 50%.
- Cup to 70%.
- Dup to 90%.
138Ninety per cent of clients with anorexia nervosa are female.
- AVerdadero
- BFalso
139The most dangerous complication of vomiting and purgative abuse by people with an eating disorder is which of the following?
- AAmenorrhoea
- BDelayed gastric emptying
- CDepletion of potassium, chloride and sodium
- DBone mineral density problems
140Risk factors for the development of eating disorders include:
- Ahaving a very thin father.
- Blow self-esteem.
- Chigh self-confidence.
- Dintimate family relationships.
141Informing drug users about how to inject safely, reducing the quantity of the drug if the person has not used it for an extended period of time and providing supervised injecting rooms are making it easier for people to survive drug use and therefore encouraging drug use.
- AVerdadero
- BFalso
142When a nurse is taking a substance use history, it is important to:
- Aundertake an in-depth mental health exam.
- Bapproach the topic openly and treat substance use as an accepted behaviour.
- Cask why the patient needs to take these substances.
- Dinvolve the family in the discussion about use.
143The term ‘dual diagnosis’ is used when a patient is found to have a mental illness and a:
- Aphysical illness.
- Bposttraumatic stress reaction.
- Csubstance use disorder.
- Dsomatoform disorder.
144Teaching consumers cognitive and behavioural strategies may enhance their ability to cope with high-risk situations. This is called:
- Abehavioural prevention.
- Breminiscence prevention.
- Crelapse prevention.
- Dpsychiatric rehabilitation.
145Marijuana is the most-used drug in Australia and New Zealand.
- AVerdadero
- BFalso
146Harm-reduction strategies aim to:
- Aprevent the client from doing any more harm to others.
- Breduce the involvement of the case manager in the reduction of alcohol and other drugs.
- Creduce problems associated with continuing use of alcohol and other drugs.
- Dprevent the family from being harmed by a client using alcohol or other drugs.
147‘Pre-contemplative’, ‘contemplative’ and moving into the ‘action stage’ are part of which therapy?
- ADialectical behaviour therapy (DBT)
- BMotivational interviewing (MI)
- CCognitive behaviour therapy (CBT)
- DPsychotherapy
148A client has been admitted to the hospital with a diagnosis of Wernicke-Korsakoff syndrome. What is administered to treat this condition?
- AThiamine
- BVitamin C
- CRiboflavin
- DVitamin K
149Comorbidity is a term used to describe:
- Asomeone who is drug dependent.
- Banyone who has an alcohol and drug disorder problem.
- Csomeone who has more than one disorder at the same time.
- Dsomeone who has a substance use disorder.
150Nursing care for clients with a dual diagnosis (of substance use and mental illness) can be complicated by:
- Amandatory admissions.
- Bthe client’s ‘readiness to change’.
- Cthe requirement for appropriate medications.
- Dconfused care pathways.
Información
- Descripción
- Psychiatric and Mental Health Nursing Textbook Module 1 - Chapter 2,3,9 and 4 Module 2 - Chapter 1,5,25,2 and 23 Module 3 - Chapter 17,19,16,21,18 and 20
- Autor
- Kathleen Jackson
- Idioma
- English
- Visitas
- 1.305
- Etiquetas
- Valoración
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