Exam Prep Family Mental Health Nursing Robinson Ch.18

Chapter 18: Family Mental Health Nursing

Multiple Choice:

1. Which approach describes a growing trend in the care of individuals with a mental health condition?

1. Use of family members as caregivers

2. Implementation of wraparound services in all communities

3. Practice of multigenerational assessments in all settings

4. Decreased use of psychotropic medications in the treatment

2. A client is diagnosed with depression. For which comorbid condition should the nurse assess this client?

1. Social phobia

2. Panic disorder

3. Bulimia nervosa

4. Post-traumatic stress disorder

3. The nurse learns that a client with a mental health condition has an 8-year-old child. What action should the nurse take?

1. Arrange for another family member to care for the child.

2. Complete a family-centered assessment of the child’s needs.

3. Discuss placing the client in a treatment center to protect the child.

4. Identify medication that might enable the child to be more helpful to the client.

4. A client with a major depressive disorder is prescribed a serotonin reuptake inhibitor. What should the nurse instruct the family to do in order to prevent this client from developing serotonin syndrome?

1. Do not provide any herbal supplements.

2. Ignore mild fevers, as they commonly occur with this medication.

3. Stop the medication if excessive sleeping occurs.

4. Double the dosage of the medication if diarrhea occurs.

5. The nurse provides care to a client with dementia. How should the nurse communicate with this client when assisting with mealtime?

1. “Let me help you, honey.”

2. “How can I help you, Mrs. Smith?”

3. “Oh my! You made a messy!”

4. “Let me feed you so you don’t dirty your clothes.”

6. The nurse is leading a presentation on the topic of guiding principles of the Recovery Model to assist families when a mental health condition is diagnosed within the family unit. Which statement by the nurse is not appropriate when addressing the guiding principles?

1. “Discussing hope is important as a guiding principle.”

2. “Providing a holistic approach is important as a guiding principle.”

3. “Addressing trauma experienced within the family is important as a guiding principle.”

4. “Informing the family that there is only one pathway is important as a guiding principle.”

7. A new graduate nurse is working with a nurse who is using the Tidal Model when meeting with a family. Which of the following approaches would the new graduate nurse understand is not accurate regarding the Tidal Model?

1. The nurse values the voice of the family members.

2. The nurse provides their time when working with the family members.

3. The nurse reveals personal wisdom when working with the family members.

4. The nurse understands the importance of keeping some information from the family members.

Multiple Response:

8. A child with attention deficit-hyperactivity disorder is prescribed a stimulant. What should the nurse instruct the family about this medication? Select all that apply.

1. It can lead to slow bone growth.

2. A long-acting form is available.

3. Regular health checkups are required.

4. This medication will cure the disorder.

5. Impulsive behaviors will be eliminated.

9. The health care provider suggests that a family participate in psychoeducation. What should the nurse instruct the family to expect when participating in this type of instruction? Select all that apply.

1. Social support

2. Family education

3. Home care support

4. Training in coping skills

5. Behavioral therapy techniques

10. The family is concerned because a member with schizophrenia frequently has violent outbursts. What should the nurse suggest that this family include in their crisis plan? Select all that apply.

1. Safe location

2. Dose of a sedative

3. Insurance information

4. Suicide hotline telephone numbers

5. List of providers and telephone numbers

11. A client is recovering from major depression. On which areas should the nurse focus when helping this client maintain a life in recovery? Select all that apply.

1. Home

2. Health

3. Purpose

4. Community

5. Employment

12. A spouse plans to provide care at home to a client with a mental health condition. Which common tasks should the nurse instruct the spouse to expect to perform when providing care? Select all that apply.

1. Providing companionship

2. Offering emotional support

3. Performing behavioral therapy

4. Monitoring symptoms

5. Attending group therapy

13. A client taking olanzapine for schizophrenia is diagnosed with metabolic syndrome. In order to reduce the hazards of this health problem, what should the nurse instruct the family? Select all that apply.

1. Encourage exercise

2. Provide healthy foods

3. Monitor blood pressure

4. Wean off the olanzapine

5. Take anticholesterol medication as prescribed

14. The nurse learns that a family is providing care to a client with bipolar disorder. What should the nurse do to support this family? Select all that apply.

1. Offer support

2. Be noncritical

3. Remain nonjudgmental

4. Assure that cures are available

5. Provide honest information

15. The nurse is providing care to a client with an MHC using the strength-based nursing (SBN) approach. The nurse understands that which of the following would be included in the plan of care based on SBN? Select all that apply.

1. Understanding the uniqueness of the individual

2. Understanding that both the person and environment are integral

3. Understanding the importance of collaborative partnerships

4. Understanding the importance of self-determination

5. Understanding the importance of focusing on the negatives