Test Bank Contemporary Psychiatric Mental Health Nursing ( 3rd Edition ) Kneisl Trigoboff

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Sample Provided Below:

Chapter 3
Question 1
Type: MCSA
A nurse has completed orientation to a locked psychiatric unit. Which statement best demonstrates that the nurse is prepared to fulfill the professional role?
1. “I took a course in self-defense so I can take care of myself.”
2. “I will ask for support from colleagues when I need it.”
3. “I know there is a fine line between the clients and the staff.”
4. “I can maintain proper distance by engaging in therapeutic interventions.”
Correct Answer: 2
Rationale 1: Asking for support indicates that the nurse recognizes the emotional challenges of working on a locked psychiatric unit, has engaged in self-reflection, and realizes the value of sharing perceptions, feelings, and concerns with professional colleagues in order to fulfill professional responsibilities. Thinking that one would need a course in self-defense reflects the self-view that the nurse’s personal integration is threatened by the environment of the locked unit. Believing that there is a fine line between the clients and staff reveals the nurse has difficulty separating his or her own identity from the client’s. Believing that engaging in therapeutic interventions will maintain boundaries indicates a hierarchical perspective of helping others and that the nurse inherently knows how clients should act or feel.
Rationale 2: Asking for support indicates that the nurse recognizes the emotional challenges of working on a locked psychiatric unit, has engaged in self-reflection, and realizes the value of sharing perceptions, feelings, and concerns with professional colleagues in order to fulfill professional responsibilities. Thinking that one would need a course in self-defense reflects the self-view that the nurse’s personal integration is threatened by the environment of the locked unit. Believing that there is a fine line between the clients and staff reveals the nurse has difficulty separating his or her own identity from the client’s. Believing that engaging in therapeutic interventions will maintain boundaries indicates a hierarchical perspective of helping others and that the nurse inherently knows how clients should act or feel.
Rationale 3: Asking for support indicates that the nurse recognizes the emotional challenges of working on a locked psychiatric unit, has engaged in self-reflection, and realizes the value of sharing perceptions, feelings, and concerns with professional colleagues in order to fulfill professional responsibilities. Thinking that one would need a course in self-defense reflects the self-view that the nurse’s personal integration is threatened by the environment of the locked unit. Believing that there is a fine line between the clients and staff reveals the nurse has difficulty separating his or her own identity from the client’s. Believing that engaging in therapeutic interventions will maintain boundaries indicates a hierarchical perspective of helping others and that the nurse inherently knows how clients should act or feel.
Rationale 4: Asking for support indicates that the nurse recognizes the emotional challenges of working on a locked psychiatric unit, has engaged in self-reflection, and realizes the value of sharing perceptions, feelings, and concerns with professional colleagues in order to fulfill professional responsibilities. Thinking that one would need a course in self-defense reflects the self-view that the nurse’s personal integration is threatened by the environment of the locked unit. Believing that there is a fine line between the clients and staff reveals the nurse has difficulty separating his or her own identity from the client’s. Believing that engaging in therapeutic interventions will maintain boundaries indicates a hierarchical perspective of helping others and that the nurse inherently knows how clients should act or feel.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Explain how self-knowledge and self-reflection are important to psychiatric–mental health nurses.

Question 2
Type: MCSA
The nurse receives the shift report on a newly admitted client with a history of drug abuse and prostitution. Prior to hospitalization, the client’s parental rights were terminated. Which of the following actions best demonstrates the nurse’s ability to enhance self-knowledge?
1. The nurse will examine his or her own feelings with regard to this client.
2. The nurse will ignore the challenge to his or her self-view.
3. The nurse will ask for guidance from the charge nurse.
4. The nurse will review the current literature pertaining to drug addiction.
Correct Answer: 1
Rationale 1: Examining one’s own feelings regarding a client who engages in behaviors that are outside the nurse’s behavior norms promotes self-awareness and acceptance of deviance, which then allows the nurse to respond with compassion and maintain empathy when meeting the client for the first time. Asking for guidance or reviewing the literature before examining one’s feelings indicates that the nurse is unaware or uncomfortable with feelings and relies on others for guidance. Ignoring how one’s self-view might be challenged by a patient situation indicates the nurse is not able to confront how the diversity of client behaviors or experiences impacts the quality and nature of the nurse’s relationships with others.
Rationale 2: Examining one’s own feelings regarding a client who engages in behaviors that are outside the nurse’s behavior norms promotes self-awareness and acceptance of deviance, which then allows the nurse to respond with compassion and maintain empathy when meeting the client for the first time. Asking for guidance or reviewing the literature before examining one’s feelings indicates that the nurse is unaware or uncomfortable with feelings and relies on others for guidance. Ignoring how one’s self-view might be challenged by a patient situation indicates the nurse is not able to confront how the diversity of client behaviors or experiences impacts the quality and nature of the nurse’s relationships with others.
Rationale 3: Examining one’s own feelings regarding a client who engages in behaviors that are outside the nurse’s behavior norms promotes self-awareness and acceptance of deviance, which then allows the nurse to respond with compassion and maintain empathy when meeting the client for the first time. Asking for guidance or reviewing the literature before examining one’s feelings indicates that the nurse is unaware or uncomfortable with feelings and relies on others for guidance. Ignoring how one’s self-view might be challenged by a patient situation indicates the nurse is not able to confront how the diversity of client behaviors or experiences impacts the quality and nature of the nurse’s relationships with others.
Rationale 4: Examining one’s own feelings regarding a client who engages in behaviors that are outside the nurse’s behavior norms promotes self-awareness and acceptance of deviance, which then allows the nurse to respond with compassion and maintain empathy when meeting the client for the first time. Asking for guidance or reviewing the literature before examining one’s feelings indicates that the nurse is unaware or uncomfortable with feelings and relies on others for guidance. Ignoring how one’s self-view might be challenged by a patient situation indicates the nurse is not able to confront how the diversity of client behaviors or experiences impacts the quality and nature of the nurse’s relationships with others.
Global Rationale:

Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: Explain how self-knowledge and self-reflection are important to psychiatric–mental health nurses.

Question 3
Type: MCSA
The nurse has just received a report on a new client admitted for depression. The client has severe cerebral palsy, communicates only with a computer, and is quadriplegic. Which of the following statements best demonstrates that the nurse has the ability to respond to this client?
1. “I will read the record and talk with the physician to understand the client’s disabilities.”

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