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HONDROS NUR 180 2025/2026 Concepts of
Mental Health Nursing for the Practical Nurse
Questions with Corrects Answers Real Exam
(Score A)
What are the interrelated concepts of Mental Health? Stress, coping, cognition What is the goal of in-patient mental health? Least restrictive environment What should the LPN be aware of to protect the safety of themselves and the staff? Increased anxiety, frustration, agitation (these can lead to violence) What type of patient would be seen for in-patient treatment? Patients that are in an acute condition (pt who is experiencing hallucinations)
What is the purpose of orienting a client? Decrease anxiety, find out what their daily routine is Your patient is refusing to attend group therapy, what do you do next? Therapeutic communication- find it why they do not want to attend What is the first priority in a Crisis Intervention? Emotional support Do Not Harm Staff and client safety and most important What can you do if you need 10 minutes alone with your client? Delegate so you have uninterrupted time, provide privacy, find it about patient daily routines What is Failure to Probe? Failure to investigate during interview or conversation
Concreteness Be specific, to the point and clear. Use understandable language and avoid the use of jargon. Assistance Commit time and energy to the therapeutic relationships. Convey that you are present and available Permission Communicate this by conveying the message that it is acceptable to try new ways of behaving Protection This can be done by ensuring safety. Work with clients to anticipate trouble spots with new behavior and develop effective ways of dealing with anticipated or actual problem Listening Active process of receiving information and examining reactions to messages received (ex. Maintaining eye contact)
Restating Repeating main though expressed by client (ex you said that your mother left you when you were 5 years old?) Clarification Attempting to put into words vague ideas or unexplained clear thoughts of client (ex I'm not sure what you mean. Can you tell me again?) Reflection Directing back client's ideas, feelings, questions, and content (ex so you're feeling tense and anxious about a conversation you had with your husband, right?) Sharing Perceptions Asking a client to verify caregiver's understanding of client's message (ex you're smiling, but I sense that you are really very angry with me) Silence Lack of verbal communication for therapeutic reason (ex sitting with client and no verbally communicating interest and involvement)
A public swimming pool owner did not repair a slide that then caused a child's injury could be guilty of what? Negligence and Malpractice Factors that affect coping Family dynamics, culture, stress, addiction, cognition (Acute stress effect:) Stress is a set of what responses? Behavioral, Physiological, Emotional Typical physiological stress response Increased: HR,sweat, BP, pupil contraction, blood glucose, bronchodilation Decreased: insulin uptake in skeletal muscle, peristalsis Primary prevention prevent or decrease probability of occurence of an injury, physical or mental illness, or health-threatening situation
Secondary prevention Screening and detection, allowing for prompt interventions Tertiary prevention returning pt to optimal health, managing, restoration and rehabilitation Signs of Elder abuse unexplained bruises or injuries, burns in unusual places, STDs, poor personal hygiene, malnourished Which population has an increased risk of violence/abuse? Pregnant women Woman comes into ER and says she's been abused by her live-in boyfriend. What is the priority nursing intervention for this patient? Emotional support, interview her privately What do we as nurses need to look out for in a bullied patient?
During group therapy, a 50 year old patient is opening and closing the door repeatedly, disrupting the group. What do we do as the nurse? Continue with group and pull the patient aside later and speak with her about doing her OCD earlier before group time Causes of violence (aggression) poverty, unemployment, drug abuse, poor support system If a patient is refusing (noncompliant) to take her meds because they make her feel funny, what can you do? Give in unit doses so pt may open each dose herself If a patient is refusing to eat the food provided because she believes you are trying to poison her, what can you do? Use foods in containers (cans); let patient see others eating the same foods without difficulty Your patient is refusing to go to therapy 10 minutes before it should begin. What do you as the nurse do? Ask the patient why they are refusing to attend therapy (probe)
Voluntary admission pt admits self Involuntary admission Someone other than pt admits You pt has come in because it has become difficult to sleep. What intervention can you implement? Crisis stabilization; helps to meet immediate needs Can the staff taking care of your pt see the pt's medical records? Yes What is autonomy? being responsible or yourself The caregiver taking care of her 85 year old mother becomes ill. What can be suggested for the caregiver to do?
