Elder: Psychiatric and Mental Health Nursing, 3rd Edition

Chapter 01: The effective nurse

Test Bank

MULTIPLE CHOICE

1.	In order to provide holistic care, nurses must acknowledge the spiritual needs of clients.  Choose the answer that least supports this approach
A.	Effective interpersonal skills.	
B.	Being open to the belief systems of other people.	
C.	Encourage all clients to attend the local church.	
D.	Practising self-awareness and reflective skills.	

ANS:	C	

2.	The development of a therapeutic alliance as part of evidenced-based practice is pivotal to:
A.	a reduction in admission rates.	
B.	increased waiting times for admission.	
C.	a decrease in staffing numbers.	
D.	increased fees payable by clients.	

ANS:	A	

3.	It is particularly important to understand and observe professional boundaries in a mental health setting so:
A.	the therapeutic intent is maintained and focus is on the patient’s needs.	
B.	nurses avoid taking on extra duties.	
C.	nurses continue to enjoy a paternal relationship with their clients.	
D.	clients can demand extra time and favours from their primary nurse.	

ANS:	A	

4.	Nurses employ self-disclosure in mental health care to:
A.	show the patient that they have problems too.	
B.	provide a realistic perspective and promote the normalisation of clients’ fears and difficulties.	
C.	demonstrate the descriptive phase of reflective practice.	
D.	demonstrate the value of an education.	

ANS:	B	

5.	A mentor is a person who:
A.	has been practising in the area for many years.	
B.	knows most, if not all, there is to know about mental healthcare.	
C.	generates mutual learning as well as positive growth and development for new staff.	
D.	is paid to take care of new staff members.	

ANS:	C	

TRUE/FALSE

1.	A preceptor in mental health nursing is expected to provide the commencing clinician with opportunities to develop new skills.

ANS:	T	

2.	It is important for mental health nurses to impart empathy to their clients in order to show interest.

ANS:	F	

3.	It is irrelevant to the client’s eventual outcome if their clinician does not feel hopeful about their provisional diagnosis.

ANS:	F	

4.	Nurses may display symptoms of burnout evidenced by diminished work performance alongside the misuse of drugs and alcohol.

ANS:	T	

5.	The journey of healing for mental health clients runs a smoother course if supported by quality evidence-based practice, follow-up and development of an informed support network.

ANS:	T