Contemporary Psychiatric-Mental Health Nursing 3rd Edition Kneisl Test Bank Chapter 1 Question 1
Type: MCSA
During the shift report, a nurse describes a client as “crazy.” Which approach by the nurse would be best?
- Ask the staff what terminology they wish to use.
- Say nothing.
- Suggest that staff use the term “mentally ill.”
- Role model using the term “nervous breakdown.”
Correct Answer: 3
Rationale 1: The nurse should suggest that staff use the term “mentally ill,” thus, reinforcing that the client has an illness. The term “nervous breakdown” is too general and nonspecific for clinical usage. Saying nothing or asking staff what terminology to use is not implementing the client–advocate role of the professional nurse.
Rationale 2: The nurse should suggest that staff use the term “mentally ill,” thus, reinforcing that the client has an illness. The term “nervous breakdown” is too general and nonspecific for clinical usage. Saying nothing or asking staff what terminology to use is not implementing the client–advocate role of the professional nurse.
Rationale 3: The nurse should suggest that staff use the term “mentally ill,” thus, reinforcing that the client has an illness. The term “nervous breakdown” is too general and nonspecific for clinical usage. Saying nothing or asking staff what terminology to use is not implementing the client–advocate role of the professional nurse.
Rationale 4: The nurse should suggest that staff use the term “mentally ill,” thus, reinforcing that the client has an illness. The term “nervous breakdown” is too general and nonspecific for clinical usage. Saying nothing or asking staff what terminology to use is not implementing the client–advocate role of the professional nurse.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Define and explain mental disorder.
Question 2
Type: MCSA 1 / 4
The psychiatric mental health nursing student is preparing to attend a meeting of the psychiatric mental health care team to discuss possible updates to clients’ diagnoses. In preparing for this meeting, the nursing student should consult which of the following references?
- Standards of Psychiatric Nursing Practice
- Psychiatric nursing care plan manual
- Diagnostic and Statistical Manual of Mental Disorders
- Dictionary of common mental disorders
Correct Answer: 3
Rationale 1: Mental disorders are identified, standardized, and categorized in the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association (APA). All members of the health care team use this reference. A psychiatric nursing care plan manual is a reference for nursing care and a dictionary will offer only a general definition. Standards of Psychiatric Nursing Practice outlines nursing responsibilities, but does not apply to clients or other members of the multidisciplinary health care team.
Rationale 2: Mental disorders are identified, standardized, and categorized in the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association (APA). All members of the health care team use this reference. A psychiatric nursing care plan manual is a reference for nursing care and a dictionary will offer only a general definition. Standards of Psychiatric Nursing Practice outlines nursing responsibilities, but does not apply to clients or other members of the multidisciplinary health care team.
Rationale 3: Mental disorders are identified, standardized, and categorized in the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association (APA). All members of the health care team use this reference. A psychiatric nursing care plan manual is a reference for nursing care and a dictionary will offer only a general definition. Standards of Psychiatric Nursing Practice outlines nursing responsibilities, but does not apply to clients or other members of the multidisciplinary health care team.
Rationale 4: Mental disorders are identified, standardized, and categorized in the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association (APA). All members of the health care team use this reference. A psychiatric nursing care plan manual is a reference for nursing care and a dictionary will offer only a general definition. Standards of Psychiatric Nursing Practice outlines nursing responsibilities, but does not apply to clients or other members of the multidisciplinary health care team.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: Define and explain mental disorder.
Question 3 2 / 4
Type: MCSA
The nurse is sharing client assessment data with the multidisciplinary health care team. Which comment by the nurse is irrelevant and indicates a misunderstanding of the concept of a mental disorder?
- “The client reports significant emotional distress about the current situation.”
- “The client reports a loss of interest in usual pleasurable activities and commitments.”
- “The client denies thoughts of harming self or others.”
- “The client has some very inappropriate religious ideas and spiritual beliefs.”
Correct Answer: 4
Rationale 1: Deviant religious beliefs and behavior are not generally labeled as mental disorders unless the deviance is a symptom of dysfunction. Thoughts of harming self or others, emotional distress, and a loss of interest in usual pleasurable activities and commitments are relevant and meet the generally accepted definition of a mental disorder.
Rationale 2: Deviant religious beliefs and behavior are not generally labeled as mental disorders unless the deviance is a symptom of dysfunction. Thoughts of harming self or others, emotional distress, and a loss of interest in usual pleasurable activities and commitments are relevant and meet the generally accepted definition of a mental disorder.
Rationale 3: Deviant religious beliefs and behavior are not generally labeled as mental disorders unless the deviance is a symptom of dysfunction. Thoughts of harming self or others, emotional distress, and a loss of interest in usual pleasurable activities and commitments are relevant and meet the generally accepted definition of a mental disorder.
Rationale 4: Deviant religious beliefs and behavior are not generally labeled as mental disorders unless the deviance is a symptom of dysfunction. Thoughts of harming self or others, emotional distress, and a loss of interest in usual pleasurable activities and commitments are relevant and meet the generally accepted definition of a mental disorder.
Global Rationale:
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: Define and explain mental disorder.
Question 4
Type: MCSA 3 / 4
The nursing assistant verbalizes to the psychiatric nurse that normal people don’t have mental disorders. Which approach by the nurse would be best?
- Instruct the nursing assistant that anyone can have a mental health problem.
- Alert the nursing manager of the nursing assistant’s remark.
- Refer the nursing assistant back to the psychiatric orientation materials.
- Ignore the comment; the nurse has no responsibility in this situation.
Correct Answer: 1
Rationale 1: The nurse should instruct that given the right circumstances, anyone can have a mental health problem or disorder. The nursing assistant’s ability to be therapeutic with clients may be decreased if misinformation is not corrected. Referring the assistant back to the orientation materials, alerting the nursing manager, and ignoring the comment do not address the situation directly. The nurse has an opportunity to be a positive role model and teacher and promote therapeutic care.
Rationale 2: The nurse should instruct that given the right circumstances, anyone can have a mental health problem or disorder. The nursing assistant’s ability to be therapeutic with clients may be decreased if misinformation is not corrected. Referring the assistant back to the orientation materials, alerting the nursing manager, and ignoring the comment do not address the situation directly. The nurse has an opportunity to be a positive role model and teacher and promote therapeutic care.
Rationale 3: The nurse should instruct that given the right circumstances, anyone can have a mental health problem or disorder. The nursing assistant’s ability to be therapeutic with clients may be decreased if misinformation is not corrected. Referring the assistant back to the orientation materials, alerting the nursing manager, and ignoring the comment do not address the situation directly. The nurse has an opportunity to be a positive role model and teacher and promote therapeutic care.
Rationale 4: The nurse should instruct that given the right circumstances, anyone can have a mental health problem or disorder. The nursing assistant’s ability to be therapeutic with clients may be decreased if misinformation is not corrected. Referring the assistant back to the orientation materials, alerting the nursing manager, and ignoring the comment do not address the situation directly. The nurse has an opportunity to be a positive role model and teacher and promote therapeutic care.
Global Rationale:
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Define and explain mental disorder.
Question 5
Type: MCMA
- / 4