Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 56. Mental Health Function, Assessment, and Therapeutic Measures
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient with a suspected mental health disorder having blood drawn to check electrolyte levels asks what blood work have to do with mental health. Which response by the nurse is correct?
| a. | “Electrolyte imbalances are the cause of certain mental health disorders.” |
| b. | “Some mental health disorders cause the electrolytes to be out of balance.” |
| c. | “The doctor wants to make sure your symptoms are not caused by a physical problem.” |
| d. | “People with mental illnesses frequently take illicit drugs that can cause electrolyte imbalances.” |
____ 2. The nurse is assisting a patient identify coping mechanisms. What general definition of “coping” is the nurse most likely using with this patient?
| a. | The way one adapts to a stressor |
| b. | The adaptation to mental health problems |
| c. | The use of specific mechanisms to reduce anxiety |
| d. | The development of unconscious behaviors to reduce psychological distress |
____ 3. A student feels anxious about being unprepared for an upcoming test. Which action is a positive response to this anxiety?
| a. | Canceling nonessential activities for 3 days to study |
| b. | Staying up all night the night before the test to study |
| c. | Borrowing notes from another student who has had the class in the past |
| d. | Choosing not to worry about studying because grades have been good so far |
____ 4. A patient who has been diagnosed with a mental illness tells the nurse about plans to find a voodoo doctor. How should the nurse respond?
| a. | “You know voodoo doctors can’t really help you. Don’t waste your money.” |
| b. | “Be sure to mention your plan to your psychiatrist. It is important to follow up with that treatment plan also.” |
| c. | “Research has shown that voodoo can effectively treat many mental health disorders. That decision is up to you.” |
| d. | “I do not think using voodoo is safe. I would recommend you think about it carefully before contacting a voodoo doctor.” |
____ 5. After being admitted for a surgical procedure a patient with a history of schizophrenia becomes extremely agitated when other patients are around and believes that others want to cause the patient harm. Which intervention should the nurse use to provide a therapeutic milieu for the patient?
| a. | Place the patient in a private room. |
| b. | Request an order for antipsychotic medications. |
| c. | Help the patient clarify the meaning of the feelings. |
| d. | Suggest the patient be scheduled for a psychotherapy session. |
MULTIPLE CHOICE
Some mental health symptoms can be caused by physical illness. Laboratory tests are done to rule out problems such as electrolyte imbalances, hypothyroidism, infections, dehydration, drug toxicity, or pregnancy. A. B. Electrolyte imbalances can cause symptoms but do not cause mental illness. D. There is no evidence in the question that the patient takes illicit drugs.
PTS: 1 DIF: Moderate
KEY: Client Need: Psychosocial Integrity | Cognitive Level: Application
Coping is the way one adapts psychologically, physically, and behaviorally to a stressor. B. C. D. These statements might be a part of coping however does not capture the best general definition.
PTS: 1 DIF: Moderate
KEY: Client Need: Psychosocial Integrity | Cognitive Level: Application
Canceling nonessential activities to study helps the student reach the goal of knowing the information and passing the test. A. Not worrying will not help the student pass the test. B. Staying up all night will cause the student to be tired and not think clearly. C. Borrowing notes may help but is not as reliable as a book or other good study habits.
PTS: 1 DIF: Moderate
KEY: Client Need: Psychosocial Integrity | Cognitive Level: Application
Giving advice is not the role of the nurse. The nurse can help the patient to explore options or focus thinking. In this instance, the nurse can refer the comment to the psychiatrist, who is licensed to make treatment recommendations. A. D. These statements imply that the nurse knows what is best. C. This statement does not strengthen the patient-care provider relationship.
PTS: 1 DIF: Moderate
KEY: Client Need: Psychosocial Integrity | Cognitive Level: Application
A therapeutic milieu is an environment that provides containment, support, structure, involvement, and validation during the patient’s stay. In this case, it will help keep the patient psychologically safe while undergoing care for a physiological problem. B. The patient is likely already receiving antipsychotic agents. C. D. Psychotherapy and exploring feelings are not the priority at this time—keeping the patient safe for surgery is the priority.
PTS: 1 DIF: Moderate
KEY: Client Need: Psychosocial Integrity | Cognitive Level: Application
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