A nurse is admitting a new client on the mental health unit. During the conversation
the nurse should be aware that countertransference can occur if the nurse display
what feeling?
Countertransference occurs when a health care team member displaces
characteristics of people in her past onto a client. The nurse overly identifies
with the client, competes with the client, and argues with a client.
A nurse is caring for a client who states that he has abused his son because of the
stress caused by his son's mental illness. How should the nurse use the
communication tool of 'clarifying' when speaking with this client?
Paraphrases what the patient said to ensure she got the correct information
A nurse is caring for a client who is admitted to the unit for selfmutilation. What type
m
of behavioral theory would the nurse except to be ordered for this client?
er as
co
Dialectical behavior therapy is a cognitive-behavioral therapy used for clients
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who exhibit self-injurious behavior. It focuses on gradual behavior changes
and provides acceptance and validation for these clients
o.
rs e
ou urc
A community health nurse is leading a support group for clients who have completed
a substance use disorder program. What level of prevention is this?
o
Tertiary prevention
aC s
A nurse is caring for a client following a traumatic experience. What manifestations
vi y re
would alert the nurse to the possibility that the client is suffering from posttraumatic
stress disorder (PTSD)?
The client states that she is going through a divorce and her anxiety is extremely
ed d
high. The nurse needs to assess the client’s ability to adapt and cope with this
ar stu
situation. What would this includes?
●Assess the client's support systems and available resources
●Assess the client's ability to adapt to temporary/permanent role changes
is
●Assess the client's reaction to a diagnosis of acute or chronic mental
Th
illness(e.g., rationalization, hopefulness, anger)
●Assess client in coping with life changes and provide support
●Identify situations which may necessitate role changes for a client
(e.g.,spouse with chronic illness, death of parent)
sh
●Provide support to the client with unexpected altered body image
(e.g.,alopecia)
●Evaluate the constructive use of defense mechanisms by a client
●Evaluate whether the client has successfully adapted to situational role
changes
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, A nurse is caring for a client in the manic phase of bipolar disorder. Identify five (5)
clinical manifestations associated with this phase of the bipolar disorder.
During the manic phase of a bipolar disorder, the patient may present with
an elevated mood, the decreased need for sleep, racing thoughts, difficulty
maintaining attention, and excessive involvement in pleasurable activities.
A nurse is providing education regarding selfmutilation behaviors. Provide one (1)
reason a client might consider performing the act of selfmutilate. Identify three (3)
signs of possible selfmutilation?
Behavioral therapy which teaches the client ways to decrease anxiety or avoidance
behaviors. Three signs of self mutalation is
A nurse is caring for a client who is experiencing disenfranchised grief. What are
m
er as
some nursing interventions the nurse should use to facilitate mourning?
co
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Allow for the grieving process
o.
Identify expected grieving behaviors such as crying somatic manifestations and
anxiety.
rs e
ou urc
Assess clients support system
What is the purpose of therapeutic communication?
o
To obtain information and influence others mental health post assignment
aC s
vi y re
A nurse is completing a physical assessment on a child. What are three (3) potential
signs of neglect?
Dirty, unkempt appearance, low weight, not meeting developmental milestone such as
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speech and gross motor skills
ar stu
A nurse is facilitating group therapy and the group is currently in the working phase
of group development. What is the primary focus during this phase?
is
Promote problemsolving skills to facilitate behavioral changes.
Power and control issues may dominate this phase.
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A nurse is caring for an adolescent client with Autism Spectrum Disorder. Define
Autism Spectrum Disorder. What are common manifestations of Autism Spectrum
Disorder?
sh
Autism spectrum disorder is a developmental disability that can cause significant social,
communication and behavioral challenges. Manifestations included inability to make eye
contact, repetitive actions, strict observations of routines, sleep disorder, and feeding
disorder.
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