Test 03 For 202

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Test 03 For 202

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Questions and Answers
  • 1. 
    A major princple that has been a driving force behind the design and creation of services for persons with an intellectual disability is
    • A. 

      Institutionalisation

    • B. 

      Normalisation

    • C. 

      Participation

    • D. 

      Privatisation

  • 2. 
    A major difficulty associated with a person with an intellectual disability and a mental illness is that
    • A. 

      People are involved in deinstitutionalisation

    • B. 

      The condition is undiagnosed and ignroed

    • C. 

      Serivice access is poor

    • D. 

      Challenging behaviours are diagnosed

  • 3. 
    A client has just been admitted to an inpatient psychiatric setting.  The nurse should begin the client's discharge planning process
    • A. 

      1 week prior to discharge

    • B. 

      As soon as the client is admitted

    • C. 

      2- to 3 days before discharge

    • D. 

      On the day of discharge

  • 4. 
    A component of the mental state examination is assessment of thought content.  One factor of thought content, if present, would include:
    • A. 

      Hallucinations

    • B. 

      Depersonalisation

    • C. 

      Delusions

    • D. 

      Derealisation

  • 5. 
    What type of repsonses can play a critical role in reaction to stress and crisis?
    • A. 

      Stress-avoidance responses

    • B. 

      Avoidance and cognitive responses

    • C. 

      Cognitive appraisal and coping responses

    • D. 

      Psychosocial responses

  • 6. 
    A life crisis can disrupt people's daily activities and routines.  people involved in a crisis might:
    • A. 

      Decide on who in the family would be able to lead in this situation

    • B. 

      Decide on permanent changes to their routines and activities

    • C. 

      Make plans throughout life in prepartion for a crisis

    • D. 

      Make behavioural, social and emotional adjustments in their lives

  • 7. 
    The nurse is conducting an initial interview with a client diagnosed with bulimia nervosa.  Besides assessment of the client's eating patterns, it is very important for the nurse to assess s the client's
    • A. 

      Exericse pattersn

    • B. 

      Elimation patterns

    • C. 

      Sleep patterns

    • D. 

      Hygiene patterns

  • 8. 
    One of the major problems with assessment of a person with an intellectual disability is the:
    • A. 

      Stigmitsation of the indivdual

    • B. 

      Labelling of the family and the individual

    • C. 

      Lack of resources for staff

    • D. 

      Difficulty of communication.

  • 9. 
    Which of the ollowing is considered to be the main use for classification systems in mental health settings?
    • A. 

      To provide an understanding of the aetiology of a client's illness

    • B. 

      To provide a written, comprehensive checklist for the multidisciplinary team to use

    • C. 

      To provide a functional, standardised and validated means of grouping phenomena

    • D. 

      To help a family and significant others to understand the diagnosis

  • 10. 
    There are a number of defining features that make up a crisis.  WHich of the following could be one of the most common?
    • A. 

      There is a sense of uncontrollability

    • B. 

      The distress continues for over a year

    • C. 

      There's denial of the crisis taking place

    • D. 

      There is turning point in an individual's life experiences

  • 11. 
    A nursing care plan can primarily be seen as;
    • A. 

      A report for dissemination of information

    • B. 

      A plan of treatment nad implementation

    • C. 

      A recovery plan for the young person and family

    • D. 

      A means of establishing a therapeutic relationship.

  • 12. 
    The ability of a young person to consent to medical treatment or seek medical consultations is referred to as
    • A. 

      Brunswick competence

    • B. 

      WHO competence

    • C. 

      Gillick competence

    • D. 

      Sawyer competnece

  • 13. 
    An improtant, useful skill tha tmental health nurses can acquire when dealing with children and adolesencents and their families is
    • A. 

      The ability to engage clients and establish rapport

    • B. 

      Knowledge and dissemination of information

    • C. 

      Knowledge of the Mental Health Act

    • D. 

      The ability to use reflection and administer meds

  • 14. 
    For the child or adolesnect, psychoeducation can be seen to facilitate
    • A. 

      Early diagnosis

    • B. 

      Early recovery

    • C. 

      Health

    • D. 

      Treatment of the illness

  • 15. 
    Which term instead of 'dual diagnosis' provides a label for a person with a mental illness whoalso has a co-morbid intellectual disability?
    • A. 

      Dual mental illness

    • B. 

      Dual disability

    • C. 

      Dual involvement

    • D. 

      Dual competency

  • 16. 
    The nurse is caring for a client in the neighbourhood clinic.  The clinic tells th enurse that ever since he was n adolescent he has avoided social situations because of his really "large nose".  The nurse observes tha tthe client's nose does not appear to be larger than normal.  The nurse sustpects that hte client may be experiencing
    • A. 

      Body dysmophic disorder

    • B. 

      Undifferentiated somatorform disorder

    • C. 

      Factitious disorder

    • D. 

      Conversion disorder

  • 17. 
    One important aspect of mental health assessment of children is the need to include evaluation of
    • A. 

      Peer support and functioning levels

    • B. 

      The envrionment and support

    • C. 

      The school needs of the child

    • D. 

      The family's functioning and coping skills

  • 18. 
    How an individual interprets events is based on the person's
    • A. 

      Cognitive schema

    • B. 

      Emotional arousal

    • C. 

      Impluse control

    • D. 

      Self-identity

  • 19. 
    Intlellectual disabilities may result form a number of factors, including
    • A. 

      Rural and remote envirnoments

    • B. 

      Instiutationalised care in any form

    • C. 

      Familial and environmental influences

    • D. 

      Alterations in activities of daily living

  • 20. 
    Assessment, planning, intervention and resolution are componentns of which of the following interventions?
    • A. 

      Strenghts-based intervention

    • B. 

      Crisis intervention

    • C. 

      Humanisitc intervention

    • D. 

      Therapeutic intervention

  • 21. 
    A patient's affect describes
    • A. 

      Delusional feeling or thought

    • B. 

      Internal feeling or emotion

    • C. 

      External emotional response

    • D. 

      Language disturbance

  • 22. 
    Two fo the most important communication skill snecessary for a positive therapeutic relationship are
    • A. 

      Empathy and presencing

    • B. 

      Reflection and empathy

    • C. 

      Paraphrasing and reflection

    • D. 

      Clarifying and empathy

  • 23. 
    One of the major factors for effective counselling of clients from culturally and linguistically diverse background is:
    • A. 

      Using a nurse from a similar cultural background to that of the client

    • B. 

      Undertaking a cultural safety course to understand the client

    • C. 

      Setting clearly established boundaries with the client

    • D. 

      Allowing relatives or significant others to interpret for the client