Which is an example of an interpersonal intervention for a client on an inpatient psychiatric unit?

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Question 1 of 9

Which is an example of an interpersonal intervention for a client on an inpatient psychiatric unit?

Correct Answer: D

Rationale: The correct answer is D because acknowledging a positive person in the client's life can provide emotional support and connection, which are crucial for the client's well-being after discharge. This interpersonal intervention focuses on building a supportive network for the client, enhancing their social resources and potentially reducing the risk of relapse. A, B, and C are incorrect because they primarily focus on individual insight and awareness rather than interpersonal relationships. While these interventions may be valuable in therapy, they do not directly address the importance of social support and connection, which is essential for long-term recovery and mental health stability.

Question 2 of 9

To provide culturally competent care, the nurse should

Correct Answer: D

Rationale: The correct answer is D because providing culturally competent care involves identifying strategies that align with the patient's cultural context. This includes understanding the patient's beliefs, values, and practices to deliver care that is respectful and effective. Choice A focuses on interpretation rather than action. Choice B involves assumptions about individual perceptions. Choice C is about reducing ethnocentrism, which may not be the primary goal of cultural competence.

Question 3 of 9

After teaching a class to a group of nursing students about the historical perspectives of mental health care, the instructor determines that the group has understood the information when they identify which of the following as a common belief about mental illness during the medieval period?

Correct Answer: A

Rationale: The correct answer is A: Mental illness in an individual was the result of being possessed by demons. During the medieval period, mental illness was often attributed to supernatural causes like demons. This belief led to practices such as exorcisms to 'cure' the person. This answer is correct as it highlights a common belief about mental illness during that time. Summary of why other choices are incorrect: B: A person was removed from a contaminated environment to protect him or her - This choice does not align with the historical perspective of mental health care during the medieval period. C: Exorcisms were used as the primary mode of treatment to cleanse the person of his or her sins - While exorcisms were used, the primary belief was that mental illness was caused by demons, not necessarily sins. D: The focus was on moral treatment to promote the individual's safety and comfort - Moral treatment was a later development in mental health care, not a common belief in the medieval period.

Question 4 of 9

Delving further into a subject, idea, experience, or relationship is to"exploring" as taking notice of a single idea, or even a single word, is to:

Correct Answer: C

Rationale: The correct answer is C: "Focusing." When delving further into a subject, you are exploring in-depth. Similarly, when taking notice of a single idea or word, you are focusing on it specifically. This choice aligns with the concept of narrowing down attention to a singular point. Choices A and B do not capture the essence of concentrating on a single idea but rather imply a broader perspective or providing general leads. Choice D, "Accepting," is irrelevant to the context of focusing on a specific idea or word. Hence, the correct answer is C as it best reflects the act of concentrating on a single element.

Question 5 of 9

ALL the statements made by a widow demonstrates that her grief work has been effective EXCEPT?

Correct Answer: D

Rationale: The correct answer is D because expressing confusion or disbelief about the death of a loved one indicates unresolved grief. A: Remembering positive memories shows acceptance. B: Engaging in new activities indicates coping and moving forward. C: Acknowledging negative traits is part of the grief process. Overall, D stands out as it shows lack of acceptance and understanding of the loss.

Question 6 of 9

An adult says, 'Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it.' Which number on this mental health continuum should the nurse select?

Correct Answer: D

Rationale: The adult in the question demonstrates positive self-esteem, feeling happy and recognizing the relationship between effort and outcomes. This aligns with Level 5 on the mental health continuum, indicating high mental health and well-being. Level 1 represents severe mental health issues, Level 2 reflects low self-esteem, and Level 3 indicates moderate mental health challenges. Therefore, the correct answer is D as it best describes the individual's positive mindset and healthy perspective on life.

Question 7 of 9

A client is hospitalized on a psychiatric unit secondary to a suicide attempt. He has been diagnosed with depression. He has been consistently depressed. When assessing the client, which of the following would alert the nurse that the client's suicidal risk has worsened?

Correct Answer: C

Rationale: The correct answer is C because the client stating that he feels better as he interacts more with other clients is a significant indicator of worsening suicidal risk. This change in behavior, from being consistently depressed to feeling better with social interaction, could indicate a sudden shift in mood, which may signal a potential spike in impulsivity and risk-taking behavior, including suicidal ideation. A, B, and D are incorrect: A: Expressing feeling more depressed can be a sign of deteriorating mental health, but it doesn't necessarily indicate an immediate increase in suicidal risk. B: Lethargy and isolation are common symptoms of depression and may not directly correlate with a sudden increase in suicidal risk. D: If the energy level and degree of depression remain the same, it may not indicate a worsening of suicidal risk unless other significant changes in behavior or mood are observed.

Question 8 of 9

A group of nursing students is reviewing information about barriers to pain management. The group demonstrates the need for additional study when they identify which of the following as a barrier?

Correct Answer: B

Rationale: The correct answer is B: Adequate reimbursement. This is the correct answer because reimbursement issues do not typically act as a barrier to pain management. It is important for healthcare professionals to provide pain management regardless of reimbursement concerns. In contrast, fear of tolerance (A), concern for being a good client (C), and reluctance to report pain (D) are common barriers to pain management that can impact patient care and outcomes. Patients may fear developing tolerance to pain medications, may be hesitant to report pain due to concerns about being seen as a difficult patient, or may simply be reluctant to report pain altogether. Addressing these barriers is crucial for effective pain management.

Question 9 of 9

What was the Clinical Judgment Measurement Model (CJMM) developed to be?

Correct Answer: D

Rationale: The correct answer is D, as the Clinical Judgment Measurement Model (CJMM) was specifically developed to measure nursing judgment and knowledge of clinical skills. Step 1: The CJMM focuses on assessing how nurses make clinical decisions and apply their knowledge in real-world situations. Step 2: It evaluates critical thinking, problem-solving abilities, and clinical reasoning skills. Step 3: It does not primarily measure expert nursing knowledge (A), define scope of nursing practice (B), or regulate nursing education (C). The other choices are incorrect as they do not align with the main purpose and focus of the CJMM.

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