Kathleen Jackson
Quiz por , criado more than 1 year ago

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
Criado por Kathleen Jackson aproximadamente 6 anos atrás
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2809NRS Mental Health Nursing Practice

2809NRS Mental Health Nursing Practice

Questão 1 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 2 de 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:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 3 de 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:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 4 de 150

1

The primary purpose of reflection for a nurse is to:

Selecione uma das seguintes:

  • better understand the client’s situation.

  • develop assessment and intervention skills.

  • increase their own understanding and self-awareness.

  • develop self-management and leadership skills.

Explicação

Questão 5 de 150

1

The elements of ‘burnout’ syndrome are:

Selecione uma das seguintes:

  • positive patterns of coping in a stressful situation.

  • feelings of exhaustion and depersonalisation.

  • a catalyst for effecting positive change.

  • an underlying component of stress.

Explicação

Questão 6 de 150

1

Whose responsibility is it to maintain professional boundaries?

Selecione uma das seguintes:

  • The nurse

  • The client

  • The supervisor

  • The employer

Explicação

Questão 7 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 8 de 150

1

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

Selecione uma das seguintes:

  • reflective.

  • thorough.

  • uncritical.

  • non-judgemental.

Explicação

Questão 9 de 150

1

The main focus of clinical supervision for nursing staff is:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 10 de 150

1

Central to a therapeutic relationship in mental health nursing is:

Selecione uma das seguintes:

  • countertransference.

  • diagnostic criteria.

  • interpretation.

  • empathy.

Explicação

Questão 11 de 150

1

Reflection is an important part of recovery-informed practice.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 12 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 13 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 14 de 150

1

Recovery-informed practice focuses on:

Selecione uma das seguintes:

  • consumer-directed goals and outcomes.

  • advice from the multidisciplinary team.

  • implementing mental health policy.

  • evidence-based practice.

Explicação

Questão 15 de 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:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 16 de 150

1

Reflection informs nursing practice by:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 17 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 18 de 150

1

The nurses primary role is to:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 19 de 150

1

The foundation for recovery-informed practice is:

Selecione uma das seguintes:

  • diagnosis.

  • treatment plan.

  • relationships.

  • management plan.

Explicação

Questão 20 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 21 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 22 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 23 de 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?

Selecione uma das seguintes:

  • 1210

  • 1455

  • 1617

  • 1894

Explicação

Questão 24 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 25 de 150

1

The Latin term insana means:

Selecione uma das seguintes:

  • not of right mind.

  • violent and agitated.

  • withdrawn and listless.

  • loss of respect and position.

Explicação

Questão 26 de 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:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 27 de 150

1

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

Selecione uma das seguintes:

  • Egyptian.

  • Babylonian.

  • Roman.

  • Greek.

Explicação

Questão 28 de 150

1

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

Selecione uma das seguintes:

  • excessive yellow bile in their system.

  • excessive black bile in their system.

  • excessive phlegm in their system.

  • excessive blood in their system.

Explicação

Questão 29 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 30 de 150

1

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

Selecione uma das seguintes:

  • Epilepsy

  • Phobia

  • Alcoholism

  • Personality disorder

Explicação

Questão 31 de 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:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 32 de 150

1

The principle of least restrictive alternative implies that:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 33 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 34 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 35 de 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?

Selecione uma das seguintes:

  • Complaints and disciplinary processes

  • Wages

  • Accreditation of educational institutions and nursing programs

  • Registers of individuals licensed to practise nursing

Explicação

Questão 36 de 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?

Selecione uma das seguintes:

  • Posting the information on Facebook

  • Not disclosing to friends

  • Not discussing with another consumer

  • Discussing with another nurse

Explicação

Questão 37 de 150

1

Standards of practice in mental health nursing predominantly:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 38 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 39 de 150

1

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

Selecione uma das seguintes:

  • Protecting the consumer from exploitation.

  • Upholding consumer rights.

  • Fostering growth and wellness.

  • All the answers are correct.

Explicação

Questão 40 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 41 de 150

1

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

Selecione uma das seguintes:

  • cultural sensitivity.

  • cultural safety.

  • cultural awareness.

  • cultural competence.

Explicação

Questão 42 de 150

1

Culturally safe nurses:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 43 de 150

1

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

Selecione uma das seguintes:

  • Being healthy

  • Personal relationships

  • A sense of achievement and purpose

  • All answers are correct

Explicação

Questão 44 de 150

1

Anxiety and affective disorders have a higher incidence in:

Selecione uma das seguintes:

  • boys.

  • women.

  • men.

  • girls.

Explicação

Questão 45 de 150

1

Some commonly held misconceptions about mental health consumers are:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 46 de 150

1

Cultural safety is the practice of:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 47 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 48 de 150

1

People with comorbid conditions are:

Selecione uma das seguintes:

  • more vulnerable to alcohol and drug relapses.

  • more vulnerable to relapse of mental health problems

  • greater users of health services.

  • All answers are correct.

Explicação

Questão 49 de 150

1

Which of the following constitutes a misconception about mental health?

Selecione uma das seguintes:

  • 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.

Explicação

Questão 50 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 51 de 150

1

The therapeutic milieu refers to environments where the emphasis is:

Selecione uma das seguintes:

  • a holistic approach to client needs.

  • inpatient safety.

  • integrated healthcare.

  • community health.

Explicação

Questão 52 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 53 de 150

1

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

Selecione uma das seguintes:

  • arrest and confinement.

  • confinement outside the community.

  • moral treatment.

  • use of chains.

Explicação

Questão 54 de 150

1

The goal of involvement in the therapeutic community is to:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 55 de 150

1

Components of the therapeutic milieu are:

Selecione uma das seguintes:

  • containment and structure.

  • support and involvement.

  • validation and symptom management.

  • All the answers are correct.

Explicação

Questão 56 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 57 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 58 de 150

1

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

Selecione uma das seguintes:

  • Commitment to supporting clients/families

  • Commitment to spending time with clients

  • Telling them what they should do

  • Providing support to find solutions to problems

Explicação

Questão 59 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 60 de 150

1

The principles of caring in the community are:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 61 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 62 de 150

1

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

Selecione uma das seguintes:

  • Electroconvulsive therapy

  • Psychopharmacology

  • Psychotherapy

  • Dialectical behaviour therapy

Explicação

Questão 63 de 150

1

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

Selecione uma das seguintes:

  • People with mood disorders

  • People with perceptual disorders and problems

  • People with substance abuse and dependence problems

  • People with depressive and suicidal problems

Explicação

Questão 64 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 65 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 66 de 150

1

Social skills training helps people to:

Selecione uma das seguintes:

  • relearn skills.

  • manage psychodynamic groups.

  • understand psychoeducation.

  • role-play.

Explicação

Questão 67 de 150

1

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

Selecione uma das seguintes:

  • Psychotherapy

  • Psychopharmacology

  • Psychoeducation

  • Psychogenesis

Explicação

Questão 68 de 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:

Selecione uma das seguintes:

  • conflict management.

  • psychoeducation.

  • bibliotherapy.

  • token economy.

Explicação

Questão 69 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 70 de 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:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 71 de 150

1

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

Selecione uma das seguintes:

  • Atypical antipsychotic

  • Traditional antipsychotic

  • Antiparkinsonian

  • Antidepressant

Explicação

Questão 72 de 150

1

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

Selecione uma das seguintes:

  • action of the neurotransmitter GABA.

  • elevation of CNS depressants.

  • anticonvulsant potentiation.

  • inhibition of CNS.

Explicação

Questão 73 de 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:

Selecione uma das seguintes:

  • side effects and signs of toxicity.

  • respiratory pattern disturbances.

  • mobility pattern disturbances.

  • muscle tone.

Explicação

Questão 74 de 150

1

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

Selecione uma das seguintes:

  • organ.

  • enzyme.

  • ion.

  • receptor.

Explicação

Questão 75 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 76 de 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’.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 77 de 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:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 78 de 150

1

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

Selecione uma das seguintes:

  • Antipsychotics

  • Mood stabilisers

  • Anxiolytics

  • Antidepressants

Explicação

Questão 79 de 150

1

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

Selecione uma das seguintes:

  • dry mouth.

  • hypertension.

  • dizziness.

  • tremors.

Explicação

Questão 80 de 150

1

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

Selecione uma das seguintes:

  • recurring side effects for a client.

  • hospital readmission for a client.

  • family interaction with a client.

  • multidisciplinary interaction with a client.

Explicação

Questão 81 de 150

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 82 de 150

1

A patient’s affect describes:

Selecione uma das seguintes:

  • an internal feeling or emotion.

  • a delusional feeling or thought.

  • an observable expressed emotion.

  • language disturbance.

Explicação

Questão 83 de 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:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 84 de 150

1

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

Selecione uma das seguintes:

  • Realistic expectations

  • Support systems

  • Financial insight

  • Dietary factors

Explicação

Questão 85 de 150

1

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

Selecione uma das seguintes:

  • Gender

  • Ethnicity

  • Age difference

  • All answers are correct

Explicação

Questão 86 de 150

1

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

Selecione uma das seguintes:

  • MMSE (Mini-Mental State Examination).

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

  • GDS (Geriatric Depression Scale short form).

  • CAM (Confusion Assessment Method) .

Explicação

Questão 87 de 150

1

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

Selecione uma das seguintes:

  • delineating common goals.

  • open-ended questions.

  • closed questions.

  • observation of the client’s behaviour.

Explicação

Questão 88 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 89 de 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:

Selecione uma das seguintes:

  • behaviour and appearance.

  • attitude and temperament.

  • affect and mood.

  • cognition and sensorium.

Explicação

Questão 90 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 91 de 150

1

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

Selecione uma das seguintes:

  • socially disadvantaged.

  • lower middle class.

  • middle class.

  • upper class.

Explicação

Questão 92 de 150

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 93 de 150

1

One effective nursing management strategy for auditory hallucinations is to:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 94 de 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:

Selecione uma das seguintes:

  • loses their job.

  • stops taking the prescribed medications.

  • develops an infection.

  • loses a favourite possession.

Explicação

Questão 95 de 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:

Selecione uma das seguintes:

  • ‘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?’

Explicação

Questão 96 de 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:

Selecione uma das seguintes:

  • undifferentiated type.

  • paranoid type.

  • disorganised type.

  • catatonic type.

Explicação

Questão 97 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 98 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 99 de 150

1

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

Selecione uma das seguintes:

  • uncontrollable coarse tremor.

  • restless leg syndrome.

  • salivary drooling.

  • oculogyric crisis.

Explicação

Questão 100 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 101 de 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)

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 102 de 150

1

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

Selecione uma das seguintes:

  • limit setting.

  • group work.

  • focusing on their strengths.

  • behaviour modification.

Explicação

Questão 103 de 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:

Selecione uma das seguintes:

  • 1 Week.

  • 2 Weeks.

  • 1 Month.

  • 2 Months.

Explicação

Questão 104 de 150

1

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

Selecione uma das seguintes:

  • poor judgement.

  • one depressive episode.

  • substance misuse.

  • physical exhaustion.

Explicação

Questão 105 de 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:

Selecione uma das seguintes:

  • ruminations.

  • withdrawal.

  • self-awareness.

  • affect.

Explicação

Questão 106 de 150

1

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

Selecione uma das seguintes:

  • narcolepsy.

  • somnambulism.

  • sleep apnoea.

  • insomnia.

Explicação

Questão 107 de 150

1

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

Selecione uma das seguintes:

  • Inflated self-esteem or grandiosity

  • Decreased need for sleep

  • More talkative than usual

  • All answers are correct

Explicação

Questão 108 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 109 de 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?

Selecione uma das seguintes:

  • Spending time with them

  • Being non-threatening

  • Providing positive regard

  • All answers are correct

Explicação

Questão 110 de 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:

Selecione uma das seguintes:

  • group work activities.

  • openness and respect.

  • therapeutic medication administration.

  • community-based services.

Explicação

Questão 111 de 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?

Selecione uma das seguintes:

  • Antisocial personality disorder

  • Avoidant personality disorder

  • Obsessive-compulsive personality disorder

  • Schizotypal personality disorder

Explicação

Questão 112 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 113 de 150

1

Personality disorders:

Selecione uma das seguintes:

  • have their onset in adolescence.

  • fluctuate over time.

  • intensify in adulthood.

  • have their onset in childhood.

Explicação

Questão 114 de 150

1

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

Selecione uma das seguintes:

  • Childhood abuse and neglect

  • Drug dependence

  • Alcohol dependence

  • Adolescent illness

Explicação

Questão 115 de 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?

Selecione uma das seguintes:

  • Antisocial personality disorder

  • Avoidant personality disorder

  • Obsessive-compulsive personality disorder

  • Schizotypal personality disorder

Explicação

Questão 116 de 150

1

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

Selecione uma das seguintes:

  • anxiety disorders.

  • hallucinations.

  • intense and unstable relationships.

  • substance abuse.

Explicação

Questão 117 de 150

1

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

Selecione uma das seguintes:

  • pharmacological therapy.

  • therapeutic community.

  • dialectical behaviour therapy.

  • individual therapy.

Explicação

Questão 118 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 119 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 120 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 121 de 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?

Selecione uma das seguintes:

  • 10%

  • 35%

  • 50%

  • 100%

Explicação

Questão 122 de 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?’.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 123 de 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:

Selecione uma das seguintes:

  • dispel any contamination that has occurred.

  • ward off uncomfortable and relentless anxiety.

  • combat feelings of inadequacy.

  • undertake their own duty of care.

Explicação

Questão 124 de 150

1

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

Selecione uma das seguintes:

  • ECT.

  • Arousal management.

  • Dialectical therapy.

  • Increased negative reinforcement.

Explicação

Questão 125 de 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?

Selecione uma das seguintes:

  • Desensitisation

  • Graded exposure

  • Slow breathing

  • Focused exposure

Explicação

Questão 126 de 150

1

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

Selecione uma das seguintes:

  • Various phobias

  • Increased verbalisations

  • Tachycardia or chest pain

  • Persistent fears

Explicação

Questão 127 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 128 de 150

1

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

Selecione uma das seguintes:

  • acceptance and commitment therapy.

  • applied relaxation.

  • mindfulness-based stress reduction.

  • All answers are correct.

Explicação

Questão 129 de 150

1

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

Selecione uma das seguintes:

  • dietary restrictions.

  • dependence.

  • agitation.

  • constipation.

Explicação

Questão 130 de 150

1

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

Selecione uma das seguintes:

  • social anxiety disorder.

  • panic disorder.

  • seasonal affective disorder.

  • generalised anxiety disorder.

Explicação

Questão 131 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 132 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 133 de 150

1

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

Selecione uma das seguintes:

  • low body mass index.

  • disturbed body image.

  • binge eating.

  • dependence behaviour.

Explicação

Questão 134 de 150

1

A key strategy to successful inpatient treatment is:

Selecione uma das seguintes:

  • providing a collaborative structured program.

  • planned goal-setting sessions.

  • decreased behaviour modification.

  • increased inpatient surveillance.

Explicação

Questão 135 de 150

1

One of the major predictors of eating disorders is:

Selecione uma das seguintes:

  • media exposure.

  • high-frequency dieting.

  • obsession with clothes.

  • obsessions and compulsions.

Explicação

Questão 136 de 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:

Selecione uma das seguintes:

  • a comorbid mental disorder.

  • late age of onset.

  • dental enamel erosion.

  • impulsive behaviours.

Explicação

Questão 137 de 150

1

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

Selecione uma das seguintes:

  • up to 40%.

  • up to 50%.

  • up to 70%.

  • up to 90%.

Explicação

Questão 138 de 150

1

Ninety per cent of clients with anorexia nervosa are female.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 139 de 150

1

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

Selecione uma das seguintes:

  • Amenorrhoea

  • Delayed gastric emptying

  • Depletion of potassium, chloride and sodium

  • Bone mineral density problems

Explicação

Questão 140 de 150

1

Risk factors for the development of eating disorders include:

Selecione uma das seguintes:

  • having a very thin father.

  • low self-esteem.

  • high self-confidence.

  • intimate family relationships.

Explicação

Questão 141 de 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 142 de 150

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 143 de 150

1

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

Selecione uma das seguintes:

  • physical illness.

  • posttraumatic stress reaction.

  • substance use disorder.

  • somatoform disorder.

Explicação

Questão 144 de 150

1

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

Selecione uma das seguintes:

  • behavioural prevention.

  • reminiscence prevention.

  • relapse prevention.

  • psychiatric rehabilitation.

Explicação

Questão 145 de 150

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 146 de 150

1

Harm-reduction strategies aim to:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 147 de 150

1

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

Selecione uma das seguintes:

  • Dialectical behaviour therapy (DBT)

  • Motivational interviewing (MI)

  • Cognitive behaviour therapy (CBT)

  • Psychotherapy

Explicação

Questão 148 de 150

1

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

Selecione uma das seguintes:

  • Thiamine

  • Vitamin C

  • Riboflavin

  • Vitamin K

Explicação

Questão 149 de 150

1

Comorbidity is a term used to describe:

Selecione uma das seguintes:

  • 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.

Explicação

Questão 150 de 150

1

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

Selecione uma das seguintes:

  • mandatory admissions.

  • the client’s ‘readiness to change’.

  • the requirement for appropriate medications.

  • confused care pathways.

Explicação

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