Mental Health Nursing Test #5113

Front 1

Who believed that nursing is multifaceted and that the nurse must be a tool to educate and promote wellness, as well as a person who delivers care to the ill?

Back 1

Hildegard Peplau

Front 2

Dr. Peplau saw the nurse as four things...

Back 2

1. Resource person
2. Counslor
3. Surrogate
4. Technical Support

Front 3

The availability of mental health treatment centers depends on what?

Back 3

the size of the community

Front 4

What did the group of Psychotropic medications like phenothiazines do for people with mental disorders?

Back 4

The psychotropic medicines had a calming and tranquilizing effect on them.

Front 5

Why was the discovery of Psychotropic medications an important discovery for people with mental disorders?

Back 5

It made it possible to control behavior to a degree and let patients function independently

Front 6

With the use of phenothiazines being so effective for the mentally ill, what is the major change/movement in mental healthcare that this brought about?

Back 6

deinstitutionalization

Front 7

How a LPN functions in a Mental Health setting varies according to what?

Back 7

laws, customs & location (Nurse Practice Act)

Front 8

Every state has adopted its own code or set of rules by which all nurses are expected to perform. This is the...

Back 8

Nurse Practice Act

Front 9

Who was the founder of nursing?

Back 9

Florence Nightingale

Front 10

Name some nursing organizations?

Back 10

ANA - American Nurses Association
NLN - National League for Nursing
NFLPN - National Federation of Licensed Practical Nurses
NAPNES - National Association for Practical Nurse Education & Service

Front 11

The main goal of deinstitutionalization was to:

A. Let all mentally ill people care for themselves
B Return as many people as possible to a "normal" life
C Keep all mentally ill people in locked wards
D Close all community hospitals

Back 11

B Return as many people as possible to a "normal" life, The main goal of deinstitutionalization was to allow as many people as possible to return to the community and lead as normal life as they could.

Front 12

A major breakthrough of the 1950s that assisted in the deinstitutionalization movement was:

A The Community Mental Health Centers Act
B The Nurse Practice Act
C The development of psychotropic medications
D Electroshock therapy

Back 12

C The development of psychotropic medications in the 1950's was a keystone to allowing people to return to their homes.

Front 13

The set of regulations that dictates the scope of nursing practice is called:

A National League for Nursing
B American Nurses Association
C Patient Bill of Rights
D Nurse Practice Act

Back 13

D Nurse Practice Act, which is written specifically for each state, is the set of regulations that dictate the scope of nursing practice.

Front 14

As a result of deinstitutionalization and changes in the health-care delivery system, nurses can expect to care for people with mental health issues in which of the following settings?

A Psychiatric hospitals only
B Outpatient settings only
C Medical-surgical hospital settings
D All of the above

Back 14

D All of the above, Nurses will care for patients with mental illnesses in all of the settings listed.

Front 15

What form of communication is not self-responsible and most often begins with the word "you"?

Back 15

Agressive Communication

Front 16

Why is aggressive communication wrong?

Back 16

It is "aggressive" and is meant to harm another person. It is the form of defense mechanism projection, or blaming, and it attempts to put the responsibility for the interaction on the other person.

Front 17

What form of communication is self-responsible and the statements begin with "I"?

Back 17

Assertive Communication

Front 18

What makes Assertive Communication better than Aggressive?

Back 18

Assertive Communication deals with thoughts and feelings and they deal with honesty.

Front 19

Name some blocks to Therapeutic (Helping) Communication:

Back 19

1) False Reassurance/Social Cliches
2) Minimizing Belittling
3) The word "WHY"
4) Advising
5 Agreeing or Disagreeing
6) Closed-Ended Questions
7) Providing the Answer w/ the Question
8) Changing the Subject
9) Approving/Disapproving

Front 20

What effect does Reflecting/Repeating/Parroting have on the patient?

Back 20

1. Encourages exploring meaning of the statement
2. Caution: Use sparingly; can be irritating if overused

Front 21

What effect does Clarifying Terms have on the patient?

Back 21

1. Encourages patient to restate the comment
2. Improves chances that the message sent is the message received

Front 22

What effect does Open-Ended Questions have on the patient?

Back 22

1. Discourages "yes/no" answers
2. Encourages patient to express self in his or her own terms

Front 23

What effect does Asking For What You Want or Need have on the patient?

Back 23

1. States purpose for the interaction
2. Keeps speaker assertive and self-reponsible

Front 24

What effect does Identifying Thoughts and Feelings have on the patient?

Back 24

1. Helps the patient to identify and label thoughts and emotions
2. May give insight to underlying concerns or complications of healing

Front 25

What does the effect Using Empathy have on the patient?

Back 25

1. Acknowledges patient's feelings
2. Keeps nurse in position of control and helpfulness

Front 26

What does the effect Silence have on the patient?

Back 26

1. Shows that nurse is comfortable with what patient
2. Allows nurse and patient to collect their thoughts

Front 27

What does the effect Giving Information have on the patient?

Back 27

1. Increases rapport.
2. Eases patient's anxiety
3. Honestly confirms that the physician has given prior information
4. Suggests collaboration

Front 28

What does the effect Using General Leads have on the patient?

Back 28

1. Tells patient nurse is listening
2. Encourages patient to elaborate

Front 29

What does the effect Stating Implied Thoughts and Feelings have on the patient?

Back 29

1. Lets the patient know you are paying attention to him or her
2. Identifies a specific behavior or change in behavior, which lowers chance of denying it
3. Patient hears that the nurse cares and wishes to help

Front 30

What effect does the Block False Reassurance/ Social Cliches have on the patient?

Back 30

1. Tells patient his or her concers are not valid
2. May jeopardize patient's trust in nurse

Front 31

What effect does the Block Minimizing Belittling have on the patient?

Back 31

Implies that the patient's feelings are not special

Front 32

What effect does the Block "WHY" have on the patient?

Back 32

1. Patient feels obligated to answer something he or she may not wish to answer or may not be able to answer
2. Probes in an abrasive way

Front 33

What effect does the Block Advising have on the patient?

Back 33

1. Places a value on the action
2. Gives idea that the nurse's value are the "right" ones
3. Jeopardizes nurse's credibility if the "should" doesn't work for the patient

Front 34

What effect does the Block Agreeing or Disagreeing have on the patient?

Back 34

1. Places a value of 'right' or "wrong" on the action
2. Can be augmentation
3. Patient may feel reluctant to change his or her mind, because the nurse has expressed a value.

Front 35

What effect does the Block Closed- Ended Questions have on the patient?

Back 35

1. Allows "Yes" or "No" answer
2. Discourages further exploration of the topic
3. Discourages patient from giving information

Front 36

What effect does the Block Providing the Answer w/ the Question have on the patient?

Back 36

1. Combines a closed-ended question
2. Discourages patient from providing own answers

Front 37

What effect does the Block Changing the Subject have on the patient?

Back 37

1. Discounts the importance of the patient's need to explore personal thoughts and feelings
2. May be a reflection of the nurse's own "uncomfort" level with this topic

Front 38

What effect does the Block Approving/ Disapproving have on the patient?

Back 38

1. Can sound judgemental
2. Can set the patient up for failure if the approval or disapproval doesn't help.

Front 39

Describe how a nurse should use empathy:

Back 39

1. Nurses need to be able to identify the emotion and relate to it while keeping the focus on the patient's needs.
2. Nurses need to be able to help the patients deal with their feelings and still maintain professional control of the situation.

Front 40

Which of the following is an example of a therapeutic, open-ended question?

A Why did you do that, Mrs. Jones?
B How can I help you, Mr. Thompson?
C Can I help you, Ms. Greene?
D Please, can I ask you a question, Mark?

Back 40

A Why did you do that, Mrs. Jones?
B How can I help you, Mr. Thompson?

Front 41

The purpose of "therameutic communication" is to:
A Develop a friendly, social relationship with the patient.
B Develop a parental, authoritarian relationship with the patient.
C Develop a helping, purposeful relationship with the patient.
D Develop a cool, businesslike relationship with the patient.

Back 41

C Develop a helping, purposeful relationship with the patient.

Front 42

As a nurse you should show and let your patient know that their accepted as an individual but what do you do if they show repeated bad or inappropriate behavior?

Back 42

Explain to them that certain behaviors are unacceptable

Front 43

What are some ways you can practice in mental health nursing?

Back 43

1) accept all people
2) understand yourself
3) understand how you effect others

Front 44

What is the purpose of nursing regulations and standards of practice?

Back 44

To protect the public

Front 45

In reference to charting, legally the general assumption is...

Back 45

if it is not charted it has not been done

Front 46

Who should you chart for?

Back 46

YOURSELF ONLY!

Front 47

What is the new law that makes it illegal to share patient's records or information without a signed authorization by the patient?

Back 47

HIPPA

Front 48

What is the leading, national accrediting body of healthcare organizations?

Back 48

JCAHO

Front 49

When is the only exception for not getting consent for treatment, procedure, medication or surgery?

Back 49

An emergency situation

Front 50

Can a Patient choose when to receive their bedtime medicine?

Back 50

Yes the Patients Bill of Rights says it is their choice to get or refuse medication and say when they want to go to sleep which would adjust the timing of bedtime medicine.

Front 51

A Public Health Nurse has the opportunity to assist people in the community with _________________?

Back 51

Mental Illness

Front 52

The code of behavior that combines professional expectations that border on legal issues is called:

A Commitment
B Ethics
C Nurse Practice Act
D Patient Bill of Rights

Back 52

B Ethics

Front 53

The document that defines the scope of nursing practice in each state is called:

A Commitment
B Ethics
C Nurse Practice Act
D Patient Bill of Rights

Back 53

C Nurse Practice Act

Front 54

You see a new nurse charting her medications and treatments before she administers them. A few hours later she goes home sick. You know she charted before giving medication and you saw her giving some. What should you do?

A Do nothing
B Give all the medicine again
C Call the physician
D When in doubt, report to the RN or supervisor about the situation

Back 54

D When in doubt, report to the RN or supervisor about the situation

Front 55

The Health Insurance Portability and Accountability Act:

A Requires patients to be treated in designated regional treatment centers
B Approves of patient records being transported in personal vehicles by medical staff
C Allows patients to have some say in what medical information can be divulged and to whom
D Prohibits all transmission of medical records electronically

Back 55

C Allows patients to have some say in what medical information can be divulged and to whom

Front 56

Who is the leading national accrediting body of healthcare organizations?

Back 56

JCAHO

Front 57

Who should inform the patient of their rights?

Back 57

The nurse or a facility representative should explain the Patients Bill of Rights to the patient while they are under facility care.

Front 58

According to the Community Mental Health Centers Act every community must offer some form of help to people in need. How do they do that?

Back 58

In the form of hospital ERs, shelters, crisis centers, or social service offices

Front 59

What psychologist was the first to offer a reasonable organized method of treatment?

Back 59

Sigmund Freud

Front 60

Children aged 2-6 done understand death is real, they think ...

Back 60

That death is reversible. When they do realize that their loved one isn't coming back its important that they understand that they didn't cause the death.