Description
Psychiatric Mental Health Nursing 6th Edition Mohr Test Bank
ISBN: 9780781753692
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Below you will find some free nursing test bank questions from this test bank:
Chapter 10- Collaborative Care of Individuals
| 1. | Psychotherapy is | |||
| A) | a type of psychoanalysis. | C) | a form of behavior therapy. | |
| B) | based on a trusting relationship. | D) | used for clients with Axis I disorders. | |
| 2. | Which of the following statements offers the most likely explanation for the decline in the use of Freudian psychoanalysis? | |||
| A) | Insurers will not cover the costs. | C) | It can make clients worse. | |
| B) | It lacks a supporting body of evidence. | D) | It requires extensive training. | |
| 3. | A nurse therapist finds herself feeling sad after sessions with a client. The client’s passiveness reminds her of a family member who led a very unhappy life. The term for this emotional dynamic is | |||
| A) | transference. | C) | free association. | |
| B) | countertransference. | D) | reaction formation. | |
| 4. | From the standpoint of cognitive therapy, the term “cognition” refers to | |
| A) | faulty thought patterns. | |
| B) | the client’s construction of his or her world. | |
| C) | an idea. | |
| D) | ways of responding to situations. | |
| 5. | Beck’s cognitive triad refers to the client’s views about | |||
| A) | self, the world, and the future. | C) | self, the past, and the present. | |
| B) | self, the past, and the future. | D) | self, the world, and the present. | |
| 6. | A client states that she is anxious about separating from her emotionally abusive husband because she hasn’t worked in many years. Using Beck’s cognitive triad, the nurse understands that the client is concerned primarily about | |||
| A) | threats from the world. | C) | threats about her future. | |
| B) | threats to her self. | D) | threats from her past. | |
| 7. | A 47-year-old woman who is in marital counseling states that she works obsessively because if she doesn’t, she will lose her job and they will go bankrupt. This is an example of | |||
| A) | rationalization. | C) | delusional thinking. | |
| B) | cognitive distortion. | D) | self-aggrandizement. | |
| 8. | The accumulation of a person’s learning and experience is called |
| A) schema. B) culture. C) endowment. D) worldview. |
| 9. | A client in therapy has been postponing speaking to her mother about a traumatic event in her childhood. The client cries when she thinks about bringing this up, saying, “I’ll fall apart, and it will kill her.” Which of the following responses by the nurse is best? | |
| A) | “What evidence do you have that that will happen?” | |
| B) | “What is the worst that can happen?” | |
| C) | “What other options do you have?” | |
| D) | “Falling apart about this may be a turning point for you.” | |
| 10. | A client seeks treatment for anxiety. He believes he made a major mistake at work that could cost his company hundreds of thousands of dollars. He states he is considering not showing up at work the next day when the error will be revealed and going somewhere “where nobody knows me.” Which of the following cognitive therapy techniques will be most helpful at this time? | |||
| A) | Question the evidence. | C) | Turn adversity into advantage. | |
| B) | Look for idiosyncratic meaning. | D) | Fantasize consequences. | |
| 11. | The basic concepts supporting the use of behavior therapy are | |||
| A) | positive and negative reinforcement. | C) | stimulus, response, and reinforcement. | |
| B) | behavior modification. | D) | token economies and contracts. | |
| 12. | An 8-year-old is in the company of several adults and other children. He interrupts the conversation frequently by saying silly things and performing stunts. Each time, his parents wait for him to finish and then tell him not to interrupt. Finally, his father loses his temper and yells at him. This is an example of | |||
| A) | positive reinforcement. | C) | positive reinforcement and punishment. | |
| B) | negative reinforcement. | D) | negative reinforcement and punishment. | |
| 13. | A client states that during social situations she sometimes feels panicky and must fight a strong urge to flee. The nurse, basing her response on concepts inherent in a structural and functional analysis, questions the client to learn more about | |||
| A) | the contextual variables. | C) | the client’s history of emotional trauma. | |
| B) | the client’s coping strategies. | D) | other stressors in the client’s life. | |
| 14. | The nurse is formulating a plan of care for a 10-year-old with attention deficit/hyperactivity disorder. The child’s parents relate that his attention span and impulsivity prevent him from finishing his homework and that he would rather play computer games. Which of the following goal statements is best? | |
| A) | The client will not exhibit impulsivity or low attention span. | |
| B) | The client will complete his homework before playing computer games. | |
| C) | The client will receive tokens for completing his homework, which he may exchange for computer time. | |
| D) | The client will learn how to control impulsiveness and stay on task. | |
| 15. | The concept that irrational beliefs lead to negative emotions underlies which of the following psychotherapeutic approaches? | |||
| A) | Cognitive-behavioral therapy | C) | Solution-focused brief therapy | |
| B) | Choice therapy | D) | Rational-emotive behavior therapy | |
| 16. | Making plans based on self-responsibility and self-discipline reflects which of the following psychotherapeutic approaches? | |||
| A) | Cognitive-behavioral therapy | C) | Solution-focused brief therapy | |
| B) | Choice therapy | D) | Rational-emotive behavior therapy | |
| 17. | The concept that problems arise from mishandling life’s difficulties reflects which of the following psychotherapeutic approaches? | |||
| A) | Cognitive-behavioral therapy | C) | Solution-focused brief therapy | |
| B) | Choice therapy | D) | Rational-emotive behavior therapy | |
| 18. | Which of the following activities is a function solely of the advanced practice psychiatric-mental health nurse? | |||
| A) | Crisis intervention | C) | Primary care provision | |
| B) | Case management | D) | Intake screening and evaluation | |
| 19. | The generalist psychiatric-mental health nurse counsels the client and family about relapse prevention. This is an example of | |||
| A) | secondary prevention. | C) | crisis intervention. | |
| B) | psychiatric rehabilitation. | D) | family advocacy. | |
| 20. | Designing nursing interventions to help clients with their psychiatric-mental health problems ultimately begins with | |
| A) | choosing a psychotherapeutic approach. | |
| B) | conducting a mental status examination. | |
| C) | understanding the client’s life experiences. | |
| D) | defining goals. | |
Answer Key
| 1. | B |
| Difficulty: Easy | |
| 2. | A |
| Difficulty: Moderate | |
| 3. | B |
| Difficulty: Moderate | |
| 4. | B |
| Difficulty: Easy | |
| 5. | A |
| Difficulty: Easy | |
| 6. | C |
| Difficulty: Difficult | |
| 7. | B |
| Difficulty: Moderate | |
| 8. | A |
| Difficulty: Easy | |
| 9. | B |
| Difficulty: Moderate | |
| 10. | D |
| Difficulty: Difficult | |
| 11. | C |
| Difficulty: Easy | |
| 12. | A |
| Difficulty: Moderate | |
| 13. | A |
| Difficulty: Difficult | |
| 14. | B |
| Difficulty: Moderate | |
| 15. | D |
| Difficulty: Moderate | |
| 16. | B |
| Difficulty: Moderate | |
| 17. | C |
| Difficulty: Moderate | |
| 18. | C |
| Difficulty: Easy | |
| 19. | B |
| Difficulty: Moderate | |
| 20. | C |
| Difficulty: Moderate |
