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Review Questions

1 .
What is the purpose of developing nursing standards of practice?
  1. to evaluate the skill level of the nursing assistants
  2. to describe the competency of nursing care
  3. to compare the nursing care from one state to another
  4. to define nursing organizations in the United States
2 .
Who develops standards of nursing practice?
  1. professional nursing organizations
  2. the State Board of Nursing
  3. the American Psychiatric Association
  4. health-care facilities
3 .
Why was the Code of Ethics for Nurses with Interpretive Statements (The Code) developed?
  1. to be a guide for carrying out ethical responsibilities for nurses
  2. to help guide nurses with employer contracts
  3. to direct the nurse as they advocate for their profession
  4. to guide the nurse when discussing salary obligations
4 .
What was the purpose of the American Nurses Association when it was founded in 1896?
  1. to foster high standards of nursing practice
  2. to promote higher salary requirements for nurses
  3. to advocate for health-care issues that affect nurses only
  4. to promote a safe and ethical home environment for nurses
5 .
What group of people does the American Psychiatric Nurses Association serve?
  1. all nurses working in the mental health field in a mental health facility
  2. mental health nurses in hospital settings
  3. all nurses working in the mental health field in all practice settings
  4. all health-care professionals working in the mental health field
6 .
What is the American Psychiatric Nurses Association’s Psychiatric-Mental Health Nursing Scope and Standards of Practice?
  1. a nonauthoritarian document that can help to guide nursing care
  2. a document describing the laws governing nursing care of all clients
  3. a document assisting with the rules and regulations in caring for inpatient mental health clients only
  4. an authoritative statement that describes the responsibilities for which its practitioners are held accountable
7 .
What is the mission of the National League for Nursing?
  1. to promote excellence in nursing, to build a strong and diverse nursing workforce, and to advance the health of our national and global community
  2. to protect the public’s health and welfare by ensuring that safe and competent nursing care is provided by licensed nurses
  3. to describe the responsibilities for which all mental health professionals are held accountable
  4. to guide nurses in ethical obligations
8 .
What does the Quality and Safety Education for Nurses (QSEN) project address?
  1. the education, licensure, and attitude to improve the quality of the health-care system
  2. the knowledge, skills, and attitudes required to improve the safety of the health-care system
  3. the skills, procedures, and attitudes needed to improve the safety of the health-care system
  4. student development to support safety in health care
9 .
Why did the American Association of Colleges of Nursing (AACN) develop The Essentials: Core Competencies for Professional Nursing Education document?
  1. to outline competency expectations for baccalaureate nursing programs
  2. to outline guidelines for nursing education
  3. to outline competency expectations for baccalaureate, master’s and Doctor of Nursing Practice programs
  4. to outline clinical guidelines required for licensure for all levels of nursing practice
10 .
What is the purpose of the Nurse Practice Acts?
  1. to establish nursing guidelines for care of those with mental health disorders
  2. to establish sets of laws that govern the practice of nursing within a specific jurisdiction
  3. to improve the education of nurses by providing conferences and webinars
  4. to emphasize the importance of collaboration and evidence-based practice
11 .
Who publishes the DSM?
  1. the American Nurses Association
  2. the American Medical Association
  3. the QSEN project
  4. the American Psychiatric Association
12 .
What is a purpose of the DSM?
  1. collecting and communicating accurate public health statistics on mental health disorders
  2. defining a medical procedure or process
  3. making a nursing diagnosis
  4. part of the ICD-10 classification
13 .

What disorders or groups of disorders are covered in the DSM? Select all that apply.

  1. neurodevelopmental disorders
  2. psychotic disorders
  3. diabetes mellitus
  4. depressive disorders
14 .
What new diagnosis is included in the update to the DSM-5 in the DSM-5-TR?
  1. anxiety disorders
  2. depressive disorders
  3. prolonged grief disorder
  4. social anxiety disorders
15 .
What disorders in the DSM are diagnosed as obsessive-compulsive and related disorders?
  1. disorders characterized by intrusive thoughts
  2. disorders characterized by disruptions in memory
  3. acute amnesia disorder
  4. disorders with physical symptoms as the primary focus
16 .
What is the first step in formulating a treatment plan?
  1. psychotherapy
  2. administering medications
  3. ordering lab work
  4. assessment of clinical findings
17 .
What is a nursing problem identification?
  1. the medical diagnosis
  2. clinical judgment about an individual, family, or community’s response to an actual or potential health problem or life process
  3. the result of medical signs and symptoms after diagnostic testing is done
  4. a nonclinical judgment
18 .
What skill does assessment of the mental health client involve?
  1. observation
  2. goal setting
  3. documentation
  4. evaluation
19 .
What assessment technique do health-care providers utilize to determine the client’s current mental status?
  1. physical assessment
  2. evaluation of family support
  3. expression of current goals
  4. mental status exam
20 .
What does the mental status exam evaluate?
  1. cognitive, emotional, and long-term goals
  2. behavioral, cognitive, and emotional functioning
  3. current behavioral function only
  4. emotional support available
21 .
What does an assessment of the client’s affect include?
  1. how the client describes their mood in the past
  2. how the client describes their current mood
  3. the emotional expressions observed by the nurse
  4. what the client reports they are thinking
22 .
What is a tool that evaluates suicide risk?
  1. the Client Health Questionnaire-9
  2. the General Anxiety Disorder-7
  3. the Columbia-Suicide Severity Rating Scale
  4. the Mania Reporting Scale
23 .
How does the PMH RN prioritize a client’s health problem?
  1. using the nurse’s beliefs
  2. focusing first on safety
  3. only considering what the client wants it to be
  4. following the ICD-10 system
24 .
According to the APNA Standards and Scope of Practice, what are outcomes based on?
  1. family goals
  2. the nurse’s goal
  3. the health-care provider goals
  4. goals individualized to each client’s circumstances
25 .
What is an ongoing step in the nursing process in which subjective and objective data is obtained about the client?
  1. assessment
  2. intervention
  3. implementation
  4. evaluation
26 .
Documentation in the nursing process allows the nurse to share the client’s progress with whom?
  1. the client
  2. the family
  3. the health-care team
  4. the primary care provider
27 .
In the nineteenth century, new ideas for treatment of the mentally ill brought the advent of asylums, which were defined in what way?
  1. free of charge to the public
  2. institutions offering shelter
  3. institutions offering vocational training
  4. focused on religious conversion
28 .
What does the term consumer mean?
  1. a peer counselor
  2. those with mental illness who are hospitalized
  3. those who work in the safety industries
  4. those who purchase goods or services
29 .
What is true about deinstitutionalization?
  1. It took place in the 1940s.
  2. It was well supported by local communities.
  3. It released thousands of mentally ill persons from state institutions.
  4. It provided a seamless transfer for mental health clients to private hospitals.
30 .
What does using person-first language mean?
  1. sharing beliefs in recovery
  2. speaking of the person before the diagnosis
  3. using only verbal communication
  4. addressing the client by the name they prefer
31 .
In the recovery model of care, wellness is defined by the client, and how is resilience achieved?
  1. It is fostered by a supportive team.
  2. It is not possible due to the client’s limitations.
  3. It is addressed utilizing nonverbal communication.
  4. It is only available through insurance reimbursement.
32 .
Who sets the standards for psychiatric-mental health (PMH) nursing?
  1. the ANA only
  2. the APNA and the ANA
  3. health-care organizations
  4. the Joint Commission
33 .
What is the responsibility of the professional nurse as milieu manager?
  1. They are in charge of the therapeutic environment.
  2. They delegate only to LVN/LPNs.
  3. They administer all medications.
  4. They remain in the nurses’ station.
34 .
What regulations or organizations address delegation practice?
  1. ANA only
  2. NCSBN only
  3. ANA, NCSBN, and Nurse Practice Acts
  4. State Nurse Practice Acts only
35 .
When should a nurse use self-disclosure while maintaining professional boundaries in the therapeutic relationship?
  1. not at all
  2. liberally throughout the conversation
  3. minimally
  4. with the client’s permission
36 .
Diagnostic overshadowing is a form of what concept?
  1. clinical bias
  2. client support
  3. focus on a medical illness
  4. client’s lack of self-care
37 .
What aspect of seclusion and restraint may cause nurses to experience ethical concerns?
  1. They require lengthy time frames.
  2. They are coercive measures.
  3. They are indicated only for aggression.
  4. They do not include medication administration.
38 .
When is it important to address a client’s preferences in order to preserve client autonomy?
  1. at the beginning of a crisis
  2. at discharge
  3. only during ethics rounds
  4. prior to the need
39 .
Why may nurses struggle with delegation to assistive personnel on PMH units?
  1. confusion with LVN/LPN role
  2. no impact of unit culture
  3. same guidelines across settings
  4. lack of role standardization

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