Kathleen Jackson
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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

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Kathleen Jackson
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2809NRS Mental Health Nursing Practice

Frage 1 von 150

1

Preceptorship is a long-term relationship that extends outside the person’s workplace and helps people to grow and develop and achieve their personal potential.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 2 von 150

1

One of the most important principles of the therapeutic relationship when the nurse works with a client with a mental disorder is that:

Wähle eine der folgenden:

  • the nurse should self-disclose.

  • the client is the primary focus of the interaction.

  • the nurse should have an empathetic relationship with the client.

  • the client’s conversation should be recorded.

Erklärung

Frage 3 von 150

1

A 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:

Wähle eine der folgenden:

  • advise her not to be worried, as that would never happen in this unit.

  • allow the client to continue talking and use your active listening techniques.

  • tell the client she needs to speak to someone more senior than you.

  • ask the client whether she feels anxious and commence relaxation and slow-breathing techniques.

Erklärung

Frage 4 von 150

1

The primary purpose of reflection for a nurse is to:

Wähle eine der folgenden:

  • better understand the client’s situation.

  • develop assessment and intervention skills.

  • increase their own understanding and self-awareness.

  • develop self-management and leadership skills.

Erklärung

Frage 5 von 150

1

The elements of ‘burnout’ syndrome are:

Wähle eine der folgenden:

  • positive patterns of coping in a stressful situation.

  • feelings of exhaustion and depersonalisation.

  • a catalyst for effecting positive change.

  • an underlying component of stress.

Erklärung

Frage 6 von 150

1

Whose responsibility is it to maintain professional boundaries?

Wähle eine der folgenden:

  • The nurse

  • The client

  • The supervisor

  • The employer

Erklärung

Frage 7 von 150

1

A 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 8 von 150

1

To develop self-awareness, a nurse must be willing to be:

Wähle eine der folgenden:

  • reflective.

  • thorough.

  • uncritical.

  • non-judgemental.

Erklärung

Frage 9 von 150

1

The main focus of clinical supervision for nursing staff is:

Wähle eine der folgenden:

  • professional support for the nurse’s clinical work, interactions and interventions.

  • personal problems that interfere with work.

  • collegiality and professional behaviour.

  • developing empathy, acceptance and reflection.

Erklärung

Frage 10 von 150

1

Central to a therapeutic relationship in mental health nursing is:

Wähle eine der folgenden:

  • countertransference.

  • diagnostic criteria.

  • interpretation.

  • empathy.

Erklärung

Frage 11 von 150

1

Reflection is an important part of recovery-informed practice.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 12 von 150

1

What is the best description of peer support in mental health? Peer support is described as:

Wähle eine der folgenden:

  • a set of constructs, hypotheses, principles and propositions about a specific phenomenon.

  • a combination of professional–client interactions within a recovery paradigm.

  • a recovery-oriented approach to mental healthcare that includes community peers.

  • support to peers by people who have also experienced mental health challenges.

Erklärung

Frage 13 von 150

1

The recovery paradigm focuses on which one of the following factors?

Wähle eine der folgenden:

  • Participation by health professionals in problem solving.

  • Involving the consumer’s family and significant others.

  • Active participation, choices and the person’s right to self-determine.

  • An intense rehabilitation program designed for the consumer.

Erklärung

Frage 14 von 150

1

Recovery-informed practice focuses on:

Wähle eine der folgenden:

  • consumer-directed goals and outcomes.

  • advice from the multidisciplinary team.

  • implementing mental health policy.

  • evidence-based practice.

Erklärung

Frage 15 von 150

1

Focusing on a person’s strengths has superseded the deficits-based approach to practice. The main aim of working with strengths is to:

Wähle eine der folgenden:

  • gain an understanding of what a person finds helpful in their illness.

  • value a person’s talents, uniqueness and resilience.

  • protect a person’s autonomy and individuality.

  • share this information with the multidisciplinary team.

Erklärung

Frage 16 von 150

1

Reflection informs nursing practice by:

Wähle eine der folgenden:

  • promoting client-awareness and holistic care.

  • self-awareness and a sense of empowerment.

  • using evidence to inform client interactions.

  • promoting self-awareness and critical thinking.

Erklärung

Frage 17 von 150

1

Psychiatric rehabilitation has shifted to the concept of recovery because of:

Wähle eine der folgenden:

  • emphasis on the goals of the service and of the staff who work in the service.

  • working more closely with the client’s family and their part in the client’s illness.

  • emphasis on the goals, outcomes and options of the consumer.

  • redirecting rehabilitation towards a community focus.

Erklärung

Frage 18 von 150

1

The nurses primary role is to:

Wähle eine der folgenden:

  • adopt distinct professional approaches to treatment.

  • provide a holistic and person-centred approach to care.

  • emphasise the different approaches taken by professional groups.

  • practise within the framework of community mental health.

Erklärung

Frage 19 von 150

1

The foundation for recovery-informed practice is:

Wähle eine der folgenden:

  • diagnosis.

  • treatment plan.

  • relationships.

  • management plan.

Erklärung

Frage 20 von 150

1

The Tidal Model is the right theory on which beginning practitioners should base their nursing practice.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 21 von 150

1

The first public hospital was created in Egypt five centuries before the Christian Era.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 22 von 150

1

Many formal medical schools were founded in Mediterranean cities in the centuries before the Christian Era.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 23 von 150

1

The 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?

Wähle eine der folgenden:

  • 1210

  • 1455

  • 1617

  • 1894

Erklärung

Frage 24 von 150

1

One belief regarding mental illness that spread with the spread of Christianity is that:

Wähle eine der folgenden:

  • hallucinations and delusions were the devil’s work.

  • hallucinations and delusions were supernatural beings.

  • there were no such things as hallucinations and delusions.

  • there was no such thing as mental illness.

Erklärung

Frage 25 von 150

1

The Latin term insana means:

Wähle eine der folgenden:

  • not of right mind.

  • violent and agitated.

  • withdrawn and listless.

  • loss of respect and position.

Erklärung

Frage 26 von 150

1

The 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:

Wähle eine der folgenden:

  • urine, phlegm, water and bile.

  • yellow, red, brown and black bile.

  • blood, and yellow, black and green bile.

  • blood, phlegm, yellow bile and black bile.

Erklärung

Frage 27 von 150

1

The first medical writers to have differentiated between madness caused by a physiological problem and divinely caused madness were:

Wähle eine der folgenden:

  • Egyptian.

  • Babylonian.

  • Roman.

  • Greek.

Erklärung

Frage 28 von 150

1

The ‘melancholic’ person in the Hippocratic Corpus was believed to have:

Wähle eine der folgenden:

  • excessive yellow bile in their system.

  • excessive black bile in their system.

  • excessive phlegm in their system.

  • excessive blood in their system.

Erklärung

Frage 29 von 150

1

H. Fuller Torrey postulated that schizophrenia is the product of:

Wähle eine der folgenden:

  • increased technological advances occurring in the past century.

  • immunisation in the past century.

  • a genetic mutation occurring in recent centuries.

  • historical events occurring in the past two millennia.

Erklärung

Frage 30 von 150

1

In the ancient Graeco-Roman world which of these conditions was considered to be a mental disorder requiring treatment?

Wähle eine der folgenden:

  • Epilepsy

  • Phobia

  • Alcoholism

  • Personality disorder

Erklärung

Frage 31 von 150

1

Deinstitutionalisation 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:

Wähle eine der folgenden:

  • all consumers need to be looked after by the community.

  • personal autonomy outweighs duty of care.

  • consumers need to be treated in the least restrictive environment.

  • homeless shelters and gaols are to replace psychiatric hospitals.

Erklärung

Frage 32 von 150

1

The principle of least restrictive alternative implies that:

Wähle eine der folgenden:

  • the consumer has the right to be placed only in the community.

  • the family’s needs are to be considered first before this principle is applied.

  • treatment can only commence when this principle is enforced.

  • a consumer’s level of autonomy, acceptance and potential for harm have been taken into consideration.

Erklärung

Frage 33 von 150

1

Enrolled nurses are accountable for their practice within the relevant framework of competencies, but they work under the direction and supervision of registered nurses.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 34 von 150

1

Membership 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 35 von 150

1

Authorities in Australia and New Zealand are charged with maintaining professional standards. Which task(s) do nurse registration and practice regulation authorities not oversee?

Wähle eine der folgenden:

  • Complaints and disciplinary processes

  • Wages

  • Accreditation of educational institutions and nursing programs

  • Registers of individuals licensed to practise nursing

Erklärung

Frage 36 von 150

1

Consumers can reveal personal information during conversations and ask that confidentiality be maintained. Which of the following examples is a breach of confidentiality?

Wähle eine der folgenden:

  • Posting the information on Facebook

  • Not disclosing to friends

  • Not discussing with another consumer

  • Discussing with another nurse

Erklärung

Frage 37 von 150

1

Standards of practice in mental health nursing predominantly:

Wähle eine der folgenden:

  • involve the department of health in individual states and countries.

  • describe the expected performance of nurses providing mental healthcare.

  • document rules of practice among mental health nurses in all states and countries.

  • recognise individual differences in each nurse’s workplace.

Erklärung

Frage 38 von 150

1

Mental health nurses in Australia and New Zealand follow the ethical principles of autonomy, justice, beneficence and non-maleficence.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 39 von 150

1

Power should not be abused in therapeutic relationships. Which of the following form the basis for ethical practice in interpersonal therapy?

Wähle eine der folgenden:

  • Protecting the consumer from exploitation.

  • Upholding consumer rights.

  • Fostering growth and wellness.

  • All the answers are correct.

Erklärung

Frage 40 von 150

1

In emergency situations, the essence of the principle of ‘duty of care’ for the nurse is to:

Wähle eine der folgenden:

  • balance the necessity for emergency treatment against the consumer’s right to autonomy.

  • ensure that there is a reasonable duty by the nurse to organise care that is not injurious to the nurse.

  • admit a consumer who has been injured by loss of care by another consumer or a nurse.

  • avoid a consumer because the duty of care has been enacted by another nurse.

Erklärung

Frage 41 von 150

1

The first step in the progression towards culturally safe practice that involves understanding that there is a difference is referred to as:

Wähle eine der folgenden:

  • cultural sensitivity.

  • cultural safety.

  • cultural awareness.

  • cultural competence.

Erklärung

Frage 42 von 150

1

Culturally safe nurses:

Wähle eine der folgenden:

  • treat everyone in exactly the same way.

  • learn about themselves and their own culture, examining their own attitudes and values.

  • standardise care by creating stereotypes and generalisations.

  • share the client’s cultural practices.

Erklärung

Frage 43 von 150

1

Which of the following factors promote a person’s wellbeing?

Wähle eine der folgenden:

  • Being healthy

  • Personal relationships

  • A sense of achievement and purpose

  • All answers are correct

Erklärung

Frage 44 von 150

1

Anxiety and affective disorders have a higher incidence in:

Wähle eine der folgenden:

  • boys.

  • women.

  • men.

  • girls.

Erklärung

Frage 45 von 150

1

Some commonly held misconceptions about mental health consumers are:

Wähle eine der folgenden:

  • all people with mental health problems are unpredictable, violent and dangerous.

  • people who are mentally ill have an intellectual disability or brain damage.

  • people with a mental health problem will never recover.

  • All answers are correct.

Erklärung

Frage 46 von 150

1

Cultural safety is the practice of:

Wähle eine der folgenden:

  • describing the practices of diverse ethnic groups.

  • learning about the diverse cultural practices of consumers and clients.

  • the nurse being aware of his or her own cultural bias.

  • describing how one can be safe when using different cultural beliefs.

Erklärung

Frage 47 von 150

1

Culture 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 48 von 150

1

People with comorbid conditions are:

Wähle eine der folgenden:

  • more vulnerable to alcohol and drug relapses.

  • more vulnerable to relapse of mental health problems

  • greater users of health services.

  • All answers are correct.

Erklärung

Frage 49 von 150

1

Which of the following constitutes a misconception about mental health?

Wähle eine der folgenden:

  • People with a mental illness will never recover.

  • The media can have a negative impact on the image of mental illness.

  • More contact with people with a mental illness can lessen stigma.

  • The media can be used as a tool to educate and change public opinion.

Erklärung

Frage 50 von 150

1

Ethnically diverse service users are those who are indigenous or who are refugees.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 51 von 150

1

The therapeutic milieu refers to environments where the emphasis is:

Wähle eine der folgenden:

  • a holistic approach to client needs.

  • inpatient safety.

  • integrated healthcare.

  • community health.

Erklärung

Frage 52 von 150

1

In all settings the client is supported as a person in interactions with others, rather than as someone suffering from a health problem or disability.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 53 von 150

1

The French physician Philippe Pinel (1745–1826) believed that the cure for mental illness was:

Wähle eine der folgenden:

  • arrest and confinement.

  • confinement outside the community.

  • moral treatment.

  • use of chains.

Erklärung

Frage 54 von 150

1

The goal of involvement in the therapeutic community is to:

Wähle eine der folgenden:

  • encourage clients to be actively engaged in their treatment.

  • assess individual health and wellbeing rather than relationships.

  • work out problems within the therapeutic community.

  • work more effectively in the therapeutic community.

Erklärung

Frage 55 von 150

1

Components of the therapeutic milieu are:

Wähle eine der folgenden:

  • containment and structure.

  • support and involvement.

  • validation and symptom management.

  • All the answers are correct.

Erklärung

Frage 56 von 150

1

The 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 57 von 150

1

An underlying principle of validation in a therapeutic milieu for the client involves:

Wähle eine der folgenden:

  • information being available for medication compliance.

  • accessibility of treatment programs such as group work.

  • encouraging open discussion of values, feelings and goals.

  • openness with family members concerning treatment options.

Erklärung

Frage 58 von 150

1

What is the overarching strategy that staff can use to empower clients?

Wähle eine der folgenden:

  • Commitment to supporting clients/families

  • Commitment to spending time with clients

  • Telling them what they should do

  • Providing support to find solutions to problems

Erklärung

Frage 59 von 150

1

One of the main purposes of the multidisciplinary team is to:

Wähle eine der folgenden:

  • ensure comprehensive coordinated care by a range of health professionals.

  • provide an opportunity for communication.

  • establish routine work delegation among team members.

  • establish rules and regulations for team membership.

Erklärung

Frage 60 von 150

1

The principles of caring in the community are:

Wähle eine der folgenden:

  • open communication, democratisation, reality confrontation, permissiveness and the multidisciplinary team.

  • collaboration, recovery and goal setting, and working with clients’ strengths.

  • containment, structure, support, involvement, validation and symptom management.

  • development of the client as a person in interaction with others.

Erklärung

Frage 61 von 150

1

Electroconvulsive therapy involves the application of two metal electrodes to the head, through which an electric current is delivered.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 62 von 150

1

A person classified with a borderline personality disorder might be most effectively helped by which of the following interventions?

Wähle eine der folgenden:

  • Electroconvulsive therapy

  • Psychopharmacology

  • Psychotherapy

  • Dialectical behaviour therapy

Erklärung

Frage 63 von 150

1

Motivational interviewing (MI) was initially an intervention developed for working with which type of clients?

Wähle eine der folgenden:

  • People with mood disorders

  • People with perceptual disorders and problems

  • People with substance abuse and dependence problems

  • People with depressive and suicidal problems

Erklärung

Frage 64 von 150

1

The underlying principle of family therapy is based on the fundamental premise that:

Wähle eine der folgenden:

  • the family is a unit that needs to be opened up to scrutiny.

  • when a person has a problem, it usually involves the whole family.

  • when a family has a problem, there is usually one person to blame.

  • the multidisciplinary team needs to use family therapy.

Erklärung

Frage 65 von 150

1

One of the main concerns regarding the use of electroconvulsive therapy (ECT) as an intervention is that:

Wähle eine der folgenden:

  • people prefer medication to ECT.

  • it remains controversial.

  • people have family options to consider.

  • people are not certain of how ECT is seen by the media.

Erklärung

Frage 66 von 150

1

Social skills training helps people to:

Wähle eine der folgenden:

  • relearn skills.

  • manage psychodynamic groups.

  • understand psychoeducation.

  • role-play.

Erklärung

Frage 67 von 150

1

When a family is deemed to have high levels of expressed emotion (EE), which of the following is the appropriate intervention?

Wähle eine der folgenden:

  • Psychotherapy

  • Psychopharmacology

  • Psychoeducation

  • Psychogenesis

Erklärung

Frage 68 von 150

1

The 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:

Wähle eine der folgenden:

  • conflict management.

  • psychoeducation.

  • bibliotherapy.

  • token economy.

Erklärung

Frage 69 von 150

1

Routine case management usually involves a ratio of around 50–60 clients per case manager.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 70 von 150

1

When 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:

Wähle eine der folgenden:

  • it can offer the best treatment outcomes.

  • the topics for the group can be controlled.

  • relationships are more easily established in the group.

  • new members can join the group at any time.

Erklärung

Frage 71 von 150

1

Which type of medication can affect both the ‘positive’ and the ‘negative’ symptoms of schizophrenia?

Wähle eine der folgenden:

  • Atypical antipsychotic

  • Traditional antipsychotic

  • Antiparkinsonian

  • Antidepressant

Erklärung

Frage 72 von 150

1

Benzodiazepines are a commonly prescribed anti-anxiety drug. They reduce anxiety by facilitating the:

Wähle eine der folgenden:

  • action of the neurotransmitter GABA.

  • elevation of CNS depressants.

  • anticonvulsant potentiation.

  • inhibition of CNS.

Erklärung

Frage 73 von 150

1

The nurse is caring for a client who is receiving lithium carbonate therapy. It is important for the nurse to educate the client on:

Wähle eine der folgenden:

  • side effects and signs of toxicity.

  • respiratory pattern disturbances.

  • mobility pattern disturbances.

  • muscle tone.

Erklärung

Frage 74 von 150

1

The biological action of a drug depends on how its structure interacts with a specific:

Wähle eine der folgenden:

  • organ.

  • enzyme.

  • ion.

  • receptor.

Erklärung

Frage 75 von 150

1

Tardive dyskinesia results in the client developing a rigid, mask-like facial expression, shuffling gait and drooling.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 76 von 150

1

The 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’.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 77 von 150

1

In the past, the traditional antipsychotics, particularly haloperidol, have been prescribed as prn medication for acute agitation and disturbed behaviour. New evidence suggests that:

Wähle eine der folgenden:

  • mood stabilisers are now more effective than traditional antipsychotics as prn medication.

  • SSRIs can be just as effective as traditional antipsychotic prn medication.

  • antiparkinsonian drugs are more effective than traditional antipsychotics as prn medication.

  • benzodiazepines are just as effective as traditional antipsychotics as prn medication.

Erklärung

Frage 78 von 150

1

Selective serotonin reuptake inhibitors (SSRIs) belong to which group of psychotropic drugs?

Wähle eine der folgenden:

  • Antipsychotics

  • Mood stabilisers

  • Anxiolytics

  • Antidepressants

Erklärung

Frage 79 von 150

1

One side effect of traditional or typical antipsychotic medication is an adverse anticholinergic effect such as:

Wähle eine der folgenden:

  • dry mouth.

  • hypertension.

  • dizziness.

  • tremors.

Erklärung

Frage 80 von 150

1

Non-adherence to the prescribed medication regimen may result in:

Wähle eine der folgenden:

  • recurring side effects for a client.

  • hospital readmission for a client.

  • family interaction with a client.

  • multidisciplinary interaction with a client.

Erklärung

Frage 81 von 150

1

If the nurse feels unsure about the best course of action following an interview, they should do which of the following?

Wähle eine der folgenden:

  • Summarise the discussion and further validate the consumer’s concerns

  • Provide opportunity to further discuss important issues

  • Discuss their concerns with the consumer’s family

  • Openly discuss this with a co-interviewer and include the consumer in that discussion

Erklärung

Frage 82 von 150

1

A patient’s affect describes:

Wähle eine der folgenden:

  • an internal feeling or emotion.

  • a delusional feeling or thought.

  • an observable expressed emotion.

  • language disturbance.

Erklärung

Frage 83 von 150

1

Prior 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:

Wähle eine der folgenden:

  • ensuring a second clinician is present.

  • continuously assessing the consumer’s mental state.

  • abandoning the interview if the consumer becomes too distressed.

  • continuing the interview if feeling threatened.

Erklärung

Frage 84 von 150

1

An assessment of strengths and resources for a consumer would include which of the following?

Wähle eine der folgenden:

  • Realistic expectations

  • Support systems

  • Financial insight

  • Dietary factors

Erklärung

Frage 85 von 150

1

Which of the following may contribute to the consumer feeling vulnerable during an interview?

Wähle eine der folgenden:

  • Gender

  • Ethnicity

  • Age difference

  • All answers are correct

Erklärung

Frage 86 von 150

1

Standardised assessment instruments are used to assess cognitive function and include all of the following except:

Wähle eine der folgenden:

  • MMSE (Mini-Mental State Examination).

  • ACE-R (Addenbrooke’s Cognitive Examination—Revised).

  • GDS (Geriatric Depression Scale short form).

  • CAM (Confusion Assessment Method) .

Erklärung

Frage 87 von 150

1

The mental health nurse who is interviewing a client for the first time should begin the client’s assessment with:

Wähle eine der folgenden:

  • delineating common goals.

  • open-ended questions.

  • closed questions.

  • observation of the client’s behaviour.

Erklärung

Frage 88 von 150

1

The 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 89 von 150

1

There 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:

Wähle eine der folgenden:

  • behaviour and appearance.

  • attitude and temperament.

  • affect and mood.

  • cognition and sensorium.

Erklärung

Frage 90 von 150

1

Standardised assessment instruments cannot assist in the actual process of assessment and in evaluating changes in consumers’ clinical presentation.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 91 von 150

1

In Western industrialised countries and urban communities, people with schizophrenia tend to be:

Wähle eine der folgenden:

  • socially disadvantaged.

  • lower middle class.

  • middle class.

  • upper class.

Erklärung

Frage 92 von 150

1

Delusional thinking may be described by which of the following definitions?

Wähle eine der folgenden:

  • Retreat into an inner fantasy world, socially isolating or withdrawing oneself and losing contact with reality

  • False, fixed belief that is inconsistent with one’s social, cultural and religious beliefs and cannot logically be reasoned with

  • Severe and debilitating illness with disorganised motor behaviour and the inability to relate to external stimuli

  • False, fixed perception that one can see, hear, smell, touch or taste external stimuli, but is losing contact with reality

Erklärung

Frage 93 von 150

1

One effective nursing management strategy for auditory hallucinations is to:

Wähle eine der folgenden:

  • touch the client on the shoulder to ‘reality base’ them.

  • place medication in the client’s food to calm them.

  • discuss the client’s care with their family for suggestions.

  • identify with the person activities that appear to stimulate hallucinations and devise ways of coping.

Erklärung

Frage 94 von 150

1

A 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:

Wähle eine der folgenden:

  • loses their job.

  • stops taking the prescribed medications.

  • develops an infection.

  • loses a favourite possession.

Erklärung

Frage 95 von 150

1

A 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:

Wähle eine der folgenden:

  • ‘I’m sure many people have felt the same way you do.’

  • ‘It must be frightening to feel as if you are being watched.’

  • ‘There are staff members here who believe we are being watched.’

  • ‘You know that this is not true. Why do you believe you are being watched?’

Erklärung

Frage 96 von 150

1

A 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:

Wähle eine der folgenden:

  • undifferentiated type.

  • paranoid type.

  • disorganised type.

  • catatonic type.

Erklärung

Frage 97 von 150

1

Individuals 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 98 von 150

1

Atypical antipsychotics target unusual or ‘atypical’ symptoms of schizophrenia, such as depression and anxiety.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 99 von 150

1

An acute dystonic reaction that is a side effect of some typical antipsychotic medications is:

Wähle eine der folgenden:

  • uncontrollable coarse tremor.

  • restless leg syndrome.

  • salivary drooling.

  • oculogyric crisis.

Erklärung

Frage 100 von 150

1

Bleuler’s ‘four As’ for identification of symptoms of schizophrenia consisted of:

Wähle eine der folgenden:

  • attrition, association disturbance, autism and association looseness.

  • autism, ambivalence, affective disturbance and associative looseness.

  • ambiguousness, affective disturbance, autism and association looseness.

  • autism, affective disturbance, attrition and associative looseness.

Erklärung

Frage 101 von 150

1

Women 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)

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 102 von 150

1

Methods that the nurse can employ to deal with the depressed client’s distressing negative thoughts and anger include:

Wähle eine der folgenden:

  • limit setting.

  • group work.

  • focusing on their strengths.

  • behaviour modification.

Erklärung

Frage 103 von 150

1

A 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:

Wähle eine der folgenden:

  • 1 Week.

  • 2 Weeks.

  • 1 Month.

  • 2 Months.

Erklärung

Frage 104 von 150

1

Mania is characterised by three main features: persistently elevated mood (elation or irritability), plus increased activity and:

Wähle eine der folgenden:

  • poor judgement.

  • one depressive episode.

  • substance misuse.

  • physical exhaustion.

Erklärung

Frage 105 von 150

1

The 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:

Wähle eine der folgenden:

  • ruminations.

  • withdrawal.

  • self-awareness.

  • affect.

Erklärung

Frage 106 von 150

1

A client diagnosed with major depression should be assessed for one of the most common sleep disturbances associated with depression, which is:

Wähle eine der folgenden:

  • narcolepsy.

  • somnambulism.

  • sleep apnoea.

  • insomnia.

Erklärung

Frage 107 von 150

1

During the period of mood disturbance associated with a manic episode, which of the following symptoms may be present?

Wähle eine der folgenden:

  • Inflated self-esteem or grandiosity

  • Decreased need for sleep

  • More talkative than usual

  • All answers are correct

Erklärung

Frage 108 von 150

1

A major depressive disorder is usually recognised when the client presents with a range of physical ailments.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 109 von 150

1

Withdrawn 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?

Wähle eine der folgenden:

  • Spending time with them

  • Being non-threatening

  • Providing positive regard

  • All answers are correct

Erklärung

Frage 110 von 150

1

One 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:

Wähle eine der folgenden:

  • group work activities.

  • openness and respect.

  • therapeutic medication administration.

  • community-based services.

Erklärung

Frage 111 von 150

1

A 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?

Wähle eine der folgenden:

  • Antisocial personality disorder

  • Avoidant personality disorder

  • Obsessive-compulsive personality disorder

  • Schizotypal personality disorder

Erklärung

Frage 112 von 150

1

Cognitive 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 113 von 150

1

Personality disorders:

Wähle eine der folgenden:

  • have their onset in adolescence.

  • fluctuate over time.

  • intensify in adulthood.

  • have their onset in childhood.

Erklärung

Frage 114 von 150

1

The onset of symptoms for some personality disorders may be attributed to which of the following?

Wähle eine der folgenden:

  • Childhood abuse and neglect

  • Drug dependence

  • Alcohol dependence

  • Adolescent illness

Erklärung

Frage 115 von 150

1

A 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?

Wähle eine der folgenden:

  • Antisocial personality disorder

  • Avoidant personality disorder

  • Obsessive-compulsive personality disorder

  • Schizotypal personality disorder

Erklärung

Frage 116 von 150

1

The nurse assessing a client who has borderline personality disorder would expect to find a history of:

Wähle eine der folgenden:

  • anxiety disorders.

  • hallucinations.

  • intense and unstable relationships.

  • substance abuse.

Erklärung

Frage 117 von 150

1

One interactive therapy that helps to actively incorporate social skills training for the client is:

Wähle eine der folgenden:

  • pharmacological therapy.

  • therapeutic community.

  • dialectical behaviour therapy.

  • individual therapy.

Erklärung

Frage 118 von 150

1

One of the principles of nursing care of a client with a personality disorder is that the nurse must:

Wähle eine der folgenden:

  • reject the client’s dependence on their primary care.

  • monitor the client for signs of self-harm and suicidality.

  • monitor involvement of this client with others.

  • isolate this client from other clients in the unit.

Erklärung

Frage 119 von 150

1

A person who experiences considerable impairment in activities of daily living, such as disturbances in relationships and impulsivity, may have borderline personality disorder.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 120 von 150

1

A 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 121 von 150

1

A diagnosis of PTSD is not made in the first month of symptoms because what percentage of people fully recover within three months of onset?

Wähle eine der folgenden:

  • 10%

  • 35%

  • 50%

  • 100%

Erklärung

Frage 122 von 150

1

When 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?’.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 123 von 150

1

A client with obsessive-compulsive disorder does not gain enjoyment from any ritual but is compelled to undertake the ritual in an effort to:

Wähle eine der folgenden:

  • dispel any contamination that has occurred.

  • ward off uncomfortable and relentless anxiety.

  • combat feelings of inadequacy.

  • undertake their own duty of care.

Erklärung

Frage 124 von 150

1

Which of the following is a component of cognitive behavioural interventions?

Wähle eine der folgenden:

  • ECT.

  • Arousal management.

  • Dialectical therapy.

  • Increased negative reinforcement.

Erklärung

Frage 125 von 150

1

Which technique might a client be able to learn in order to help reduce anxiety and prevent hyperventilation occurring during a panic attack?

Wähle eine der folgenden:

  • Desensitisation

  • Graded exposure

  • Slow breathing

  • Focused exposure

Erklärung

Frage 126 von 150

1

The patient experiencing a panic attack may exhibit which of the following symptoms?

Wähle eine der folgenden:

  • Various phobias

  • Increased verbalisations

  • Tachycardia or chest pain

  • Persistent fears

Erklärung

Frage 127 von 150

1

An 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 128 von 150

1

According to current evidence, psychological interventions for anxiety disorders include:

Wähle eine der folgenden:

  • acceptance and commitment therapy.

  • applied relaxation.

  • mindfulness-based stress reduction.

  • All answers are correct.

Erklärung

Frage 129 von 150

1

A client with a panic disorder has been prescribed a benzodiazepine medication. One of the risks of benzodiazepines is:

Wähle eine der folgenden:

  • dietary restrictions.

  • dependence.

  • agitation.

  • constipation.

Erklärung

Frage 130 von 150

1

All of the following disorders may occur with substance abuse except:

Wähle eine der folgenden:

  • social anxiety disorder.

  • panic disorder.

  • seasonal affective disorder.

  • generalised anxiety disorder.

Erklärung

Frage 131 von 150

1

Cognitive changes that may be associated with starvation in eating disorders include:

Wähle eine der folgenden:

  • lack of concentration, and increased obsession with food and body image.

  • secretive behaviour in relation to disposal of food.

  • body image avoidance and dissatisfaction.

  • disrupted body mass index.

Erklärung

Frage 132 von 150

1

Cognitive 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 133 von 150

1

Anorexia nervosa is primarily characterised by determined efforts to lose weight or avoid weight gain, whereas bulimia nervosa is primarily characterised by:

Wähle eine der folgenden:

  • low body mass index.

  • disturbed body image.

  • binge eating.

  • dependence behaviour.

Erklärung

Frage 134 von 150

1

A key strategy to successful inpatient treatment is:

Wähle eine der folgenden:

  • providing a collaborative structured program.

  • planned goal-setting sessions.

  • decreased behaviour modification.

  • increased inpatient surveillance.

Erklärung

Frage 135 von 150

1

One of the major predictors of eating disorders is:

Wähle eine der folgenden:

  • media exposure.

  • high-frequency dieting.

  • obsession with clothes.

  • obsessions and compulsions.

Erklärung

Frage 136 von 150

1

It might be anticipated that a client hospitalised with a diagnosis of anorexia nervosa might have a poor outcome if the disorder is associated with:

Wähle eine der folgenden:

  • a comorbid mental disorder.

  • late age of onset.

  • dental enamel erosion.

  • impulsive behaviours.

Erklärung

Frage 137 von 150

1

In follow-up studies of clients with anorexia nervosa, the recovery rate for adolescents was reported to be:

Wähle eine der folgenden:

  • up to 40%.

  • up to 50%.

  • up to 70%.

  • up to 90%.

Erklärung

Frage 138 von 150

1

Ninety per cent of clients with anorexia nervosa are female.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 139 von 150

1

The most dangerous complication of vomiting and purgative abuse by people with an eating disorder is which of the following?

Wähle eine der folgenden:

  • Amenorrhoea

  • Delayed gastric emptying

  • Depletion of potassium, chloride and sodium

  • Bone mineral density problems

Erklärung

Frage 140 von 150

1

Risk factors for the development of eating disorders include:

Wähle eine der folgenden:

  • having a very thin father.

  • low self-esteem.

  • high self-confidence.

  • intimate family relationships.

Erklärung

Frage 141 von 150

1

Informing 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 142 von 150

1

When a nurse is taking a substance use history, it is important to:

Wähle eine der folgenden:

  • undertake an in-depth mental health exam.

  • approach the topic openly and treat substance use as an accepted behaviour.

  • ask why the patient needs to take these substances.

  • involve the family in the discussion about use.

Erklärung

Frage 143 von 150

1

The term ‘dual diagnosis’ is used when a patient is found to have a mental illness and a:

Wähle eine der folgenden:

  • physical illness.

  • posttraumatic stress reaction.

  • substance use disorder.

  • somatoform disorder.

Erklärung

Frage 144 von 150

1

Teaching consumers cognitive and behavioural strategies may enhance their ability to cope with high-risk situations. This is called:

Wähle eine der folgenden:

  • behavioural prevention.

  • reminiscence prevention.

  • relapse prevention.

  • psychiatric rehabilitation.

Erklärung

Frage 145 von 150

1

Marijuana is the most-used drug in Australia and New Zealand.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 146 von 150

1

Harm-reduction strategies aim to:

Wähle eine der folgenden:

  • prevent the client from doing any more harm to others.

  • reduce the involvement of the case manager in the reduction of alcohol and other drugs.

  • reduce problems associated with continuing use of alcohol and other drugs.

  • prevent the family from being harmed by a client using alcohol or other drugs.

Erklärung

Frage 147 von 150

1

‘Pre-contemplative’, ‘contemplative’ and moving into the ‘action stage’ are part of which therapy?

Wähle eine der folgenden:

  • Dialectical behaviour therapy (DBT)

  • Motivational interviewing (MI)

  • Cognitive behaviour therapy (CBT)

  • Psychotherapy

Erklärung

Frage 148 von 150

1

A client has been admitted to the hospital with a diagnosis of Wernicke-Korsakoff syndrome. What is administered to treat this condition?

Wähle eine der folgenden:

  • Thiamine

  • Vitamin C

  • Riboflavin

  • Vitamin K

Erklärung

Frage 149 von 150

1

Comorbidity is a term used to describe:

Wähle eine der folgenden:

  • someone who is drug dependent.

  • anyone who has an alcohol and drug disorder problem.

  • someone who has more than one disorder at the same time.

  • someone who has a substance use disorder.

Erklärung

Frage 150 von 150

1

Nursing care for clients with a dual diagnosis (of substance use and mental illness) can be complicated by:

Wähle eine der folgenden:

  • mandatory admissions.

  • the client’s ‘readiness to change’.

  • the requirement for appropriate medications.

  • confused care pathways.

Erklärung

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