Block 3 Skills/Assessment

Question 1

these people are content with who they are and where they are in life

Answer 1

mentally healthy adults

Question 2

these are people who can cope with and adjust in an acceptable way to the recurrent stresses of daily living.

Answer 2

mentally healthy adults

Question 3

what are the seven principles of mental health care?

Answer 3

do NO harm
accept each client as a whole person
develop a mutual trust
explore behaviors and emotions
encourage responsibility
encourage effective adaptation
provide consistency

Question 4

what does the do no harm principle relate to?

Answer 4

“reasonable and prudent nurse(caregiver)” concept found in U.S law.

Question 5

accept each client as a whole=

Answer 5

do not treat the client as a diagnosis

Question 6

what is the foundation of therapeutic relationships?

Answer 6

trust

Question 7

how can the nurse develop trust with the patient?

Answer 7

by responding to requests for help.

Question 8

every behavior..

Answer 8

serves a purpose and has a meaning

Question 9

these can cause behavioral problems

Answer 9

distorted perception

Question 10

what should you focus on when correcting a patient

Answer 10

correct the behavior and not the person

Question 11

this infers that a person is able to exercise capability and accountability

Answer 11

responsibility

Question 12

what is the first responsibility to achieve

Answer 12

care of yourself

Question 13

astigma=

Answer 13

a mark of shame or rejection

Question 14

what does a crisis do?

Answer 14

upsets homeostasis

Question 15

what happens in an unresolved crisis?

Answer 15

maladaptive behavior hides the problem

Question 16

all mental health patients exhibit…

Answer 16

unsuccessful coping behaviors

Question 17

what three things should be encouraged when encouraging effective adaptation?

Answer 17

one step at a time
crisis intervention
learning of coping mechanisms

Question 18

what is the first step of crisis intervention?

Answer 18

immediate emotional support during the crisis

Question 19

these are thoughts or actions aimed at reducing stress

Answer 19

coping mechanisms

Question 20

caregivers act as…

Answer 20

role models

Question 21

the ability to objectively look within=

Answer 21

self-awareness

Question 22

being conscious of your personality=

Answer 22

self-awareness

Question 23

concern for the well-being of another person=

Answer 23

caring

Question 24

the ability to recognize and share the emotions of another person without actually experiencing them=

Answer 24

empathy

Question 25

the ability to see clearly and understand the nature of things. it relies on common sense, good judgement, and prudence.

Answer 25

insight

Question 26

acceptance is...

Answer 26

receiving the entire person and the world in which he or she functions.

Question 27

accepting clients does not necessarily mean....

Answer 27

that you are approving of their behavior

Question 28

when are professional boundaries crossed?

Answer 28

when caregivers become too helpful or controlling

Question 29

professional boundaries must be define by who?

Answer 29

the caregiver

Question 30

professional boundaries must be....

Answer 30

balanced. because one cannot focus on the client and the self at the same time

Question 31

every psychological problem has what type of effects?

Answer 31

physical effects

Question 32

each physical illness has what type of effects

Answer 32

psychological effects

Question 33

individuals entering into the mental health care systems undergo what?

Answer 33

a comprehensive assessment

Question 34

clients are interviewed by?

Answer 34

several members of the health care team

Question 35

when is a course of action planned for the client?

Answer 35

when the team and the client agree on the treatment goals.

Question 36

medical treatments are combined with what three things?

Answer 36

psychotherapies, behavioral therapies, and other therapeutic actions.

Question 37

treatment plans are developed especially for...

Answer 37

the individual client

Question 38

this acts as a guide for planning and implementing client care

Answer 38

mental health treatment plan

Question 39

this serves as a vehicle for monitoring the clients progress

Answer 39

mental health treatment plan

Question 40

this serves as a means for communicating and coordinating client care

Answer 40

mental health treatment

Question 41

this is the tool that is used to facilitate diagnosis and guide clinical practice

Answer 41

DSM-IV-TR-Diagnosis (The Diagnostic and Statistical Manual of Mental Disorders.

Question 42

caregivers help clients to...

Answer 42

problem solve

Question 43

what should guide you as you go

Answer 43

"do no harm" principle

Question 44

this focuses on obtaining data about the problems, coping behaviors, and resources of clients.

Answer 44

the psychiatric assessment tool

Question 45

the psychiatric assessment tool focuses on these three things...

Answer 45

obtaining data about the problems coping behaviors resources of clients

Question 46

this is required for clients who may pose a risk for violence toward themselves or other

Answer 46

risk factor assessment

Question 47

this formulates a nursing diagnosis based on the identification of risk factors that potentially present an immediate threat to the patient...

Answer 47

risk factor assessment

Question 48

this is used to protect the clients and other...

Answer 48

risk factor assessment

Question 49

the health history effective interviews rests on the caregivers ability to...

Answer 49

listen objectively and respond appropriately

Question 50

name the seven guidelines for an effective interview

Answer 50

``` personal values must not cloud judgment make no assumptions take into account the clients culture and religion pay attention to nonverbal communication have clearly set goals monitor your own reactions don't become to emotionally involved ```

Question 51

the mental status assessment=

Answer 51

allows care providers to observe and describe a clients behavior in an objective, nonjudgmental way.

Question 52

in the mental status assessment the client is assessed for these four things...

Answer 52

general appearance speech motor activity behavior during the interaction

Question 53

when assessing the clients emotional state the care provider must...

Answer 53

consider the clients mood and affect and document objective descriptions

Question 54

clients may experience these six things...

Answer 54

``` delusions obsessions phobias preoccupations amnesia confabulations ```

Question 55

if your client hears voices what do you want to do?

Answer 55

ask them to describe them

Question 56

people with a clear sensorium are...

Answer 56

oriented to time, place, and person

Question 57

in the sensorium and cognition category patients are assessed for these five things...

Answer 57

``` memory calculation judgment education level insight ```

Question 58

how should you assess the immediate recall memory

Answer 58

have them remember three things and then ask again in three minutes

Question 59

how should you assess judgment?

Answer 59

ask them questions like what would they do if they found a wallet on the ground

Question 60

how should you assess insight?

Answer 60

ask the patient what they think caused the problem

Question 61

hallucinations of these three things may have a physical cause

Answer 61

taste, touch, and smell

Question 62

hallucinations of taste, touch, and smell may...

Answer 62

have a physical cause

Question 63

the nurse is reviewing the effectiveness of her care. which phase of the nursing process is she performing?

Answer 63

evaluation

Question 64

client uses false statements to fill in gaps of memory loss. what is this called?

Answer 64

confabulation