Chapter 2 History and Trends in Psychiatric-Mental Health Nursing

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Chapter 2  History and Trends in Psychiatric-Mental Health Nursing

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

A)
Establishing a therapeutic relationship and environment
B)
Assisting clients learn positive coping skills concerning real-life problems
C)
Providing care for physical symptoms
D)
Giving advice to clients on a variety of topics
Ans:
D

Feedback:

All except giving advice are appropriate roles for psychiatric nurses. The role of the psychiatric nurse is to assist the client to arrive at his or her own answers to problems, not to give advice to the client.

2.
Which of the following factors has the least influence on the development of mental health in the client who has anxiety disorder?
A)
The client’s mother also suffered from an anxiety disorder.
B)
The client was raised in a household with high stress and frequent geographic moves.
C)
The client’s mother often related to her in ways that reflected her mother’s high level of anxiety.
D)
The client is often late to school and makes poor grades in most of her subjects.
Ans:
D

Feedback:

Being late to school and making poor grades are behaviors that indicate that the client is having difficulty; they are not factors influencing the development of her anxiety disorder.

3.
Which of the following describes an application of Psychiatric–Mental Health Nursing: Scope and Standards of Practice (ANA, 2007)?
A)
Diagnosing disorders using the Diagnostic and Statistical Manual III-R published by the American Psychiatric Association
B)
Assisting clients in regaining or improving previous coping abilities and preventing further disability
C)
Providing psychoanalysis to unravel psychoneuroses common to clients with schizophrenia
D)
Applying somatic therapies, such as electroconvulsive therapy, to severely depressed clients
Ans:
B

Feedback:

All of these activities except the activity described in option B are not considered to be within the scope of practice of the psychiatric–mental health nurse.

4.
An appropriate goal for clients who are learning about the healthy use of ego defense mechanisms is what?
A)
Reduce fear and protect self-esteem.
B)
Eliminate anxiety and apprehension.
C)
Avoid conflict and unpleasant consequences.
D)
Reduce workload and communicate better.
Ans:
A

Feedback:

Ego defense mechanisms help to reduce fear and protect self-esteem. It is not a goal to eliminate anxiety, avoid conflict, or reduce workload.

5.
A client asks the nurse to help her understand what her psychologist meant when he said that she displaced her anger. The nurse replies that displacement is?
A)
Replacing consciously unacceptable emotions, drives, attitudes, or needs by those that are more acceptable
B)
Making up for a real or imagined inability or deficiency by engaging in a specific behavior to maintain self-respect or self-esteem
C)
Transferring feelings, such as frustration, hostility, or anxiety, from an idea, person, or object to one that is less threatening
D)
Negating a previous unconsciously tolerable action or experience to reduce or alleviate feelings of guilt
Ans:
C

Feedback:

Displacement means the transferal of feelings from one object to another. It involves neither replacement or making up for feelings nor negating them.

 

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