Exam (elaborations)
2020 NGN 62 Q&A | PN Mental Health Online Practice 2020 (Form A) GRADED A+ Questions & Answers
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2020 NGN 62 Q&A | PN Mental Health Online Practice 2020 (Form A) GRADED A+ Questions & Answers
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PN Mental Health Online Practice 2020(Form A) with NGN
1. A nurse is collecting data from a client who is experiencing alcohol with -
drawal. Which of the following manifestations should the nurse expect?:
Di- aphoresis
The nurse should expect a client who is experiencing alcoho l withdrawal to expe -
rience diaphoresis, or increased sweating.
2. A nurse in a long -term care center is caring for an adult client who has
Alzheimer's disease and whose partner died several years ago. The client
appears upset and asks the nurse when his par tner will visit again. The
nurse states, "It seems like you are feeling lonely. Let's take a walk outside
and talk." Which of the following communication strategies is the nurse
using?:
Validation therapy
The nurse is using validation therapy as a strategy to communicate with the
client. This strategy validates the client's feelings and emotions, even when they
don't coincide with reality. The nurse should also attempt to integrate redirection
techniques wi thout the client realizing he is being redirected.
3. A nurse is reinforcing teaching with a client who has schizophrenia and
a new prescription for chlorpromazine. Which of the following statements
should the nurse include in the teaching?:
"The voices you have been hearing should decrease"
The nurse should instruct the client that hallucinations and agitated behavior, which
are positive symptoms of schizophrenia, are targeted by conventional antipsychot -
ic agents, such as chlorpromazine.
4. A nurse is reinforcing teaching with a client who has generalized anxiety
disorder and is to start therapy with buspirone. Which of the following state -
ments should the nurse identify as an indication that the client understands
the information?:
"I should expect some improvement of my symptoms in 2 -4 weeks."
The nurse should instruct the client to expect some improvement of symptoms after
7 to 10 days. However, it takes 2 to 4 weeks for buspirone to reach its full eff ect.
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5. A nurse is caring for a client who has major depressive disorder (MDD). The
client states, "I have nothing to live for anymore. I just can't go on." Which
of the following responses should the nurse make?:
"Are you thinking about ending your life?"
The nurse should identify that this client's safety is at risk. The client's statement is
an overt statement that indicates hopelessness, which increases the risk of suicide
for a client who has MDD. It is imperative that the nurse immediately evaluate the
client for suicidal ideation.
6. A nurse at an outpatient mental health clinic is assisting with a group
therapy session. One of the participants is having difficulty staying seated
and states loudly to the therapist ," I know more than you do about the people
in this room!" The nurse should identify that which of the following findings
is the likely explanation for the client's behavior?:
Hypomania
The nurse should suspect hypomania as the likely cause of the client's current
behavior and investigate these actions further after calmly escorting the client from
the therapy session. Clients who have hypomania exhibit excessive energy and a
decreased ne ed for sleep. These clients are easily distracted in a group setting
and have a pretentious, grandiose sense of self.
7. A nurse is assisting with a mental status examination for a client who has
schizophrenia. Which of the following statements should the nurse make to
gather information about the client's ability to think abstractly?:
"How is an orange similar to an apple?"
Asking the client to explain similarities between objects or to explain the meaning
of a common proverb or figure -of-speech tests the client's ability to think abstractly.
8. A nurse is reinforcing teaching with the parent of a child who has ADHD
and is exhibiting behaviors at home. Which of the following actions should
the nurse instruct the parent to take?:
Initiate a point system for the child.
The nurse should instruct the parent to use tokens or points to reward desired
behaviors and reduce maladaptive behaviors. A point system provides an incentive
for the child to increase acceptable behaviors.
9. A nurse is collecting data from a client who is having difficulty coping with
the death of his child. Which of the following questions by the nurse is the
priority?:
"Do you think about harming your self?"
The nurse should identify that the greatest risk to this client is self-injury from
suicide. Therefore, the priority intervention is to ensure the client's safety. The best
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way the nurse can accomplish that at this time is to determine if the client has
thoughts of self -harm.
10. A nurse is reinforcing teaching about though stopping with a client
who has a phobia of riding in automobiles. Which of the following client
statements indicates an understanding of the instructions?:
"I will snap a rubber band on my wrist when I feel anxious about riding in a
car."
This statement describes thought stoppin g, which is used to interrupt a client's
negative thought with a distraction.
11. A nurse is assisting the charge nurse with the preparation for an in-ser-
vice about negligence for a group of newly licensed nurses. Which of the
following scenarios should the charge nurse use as an example to identify
negligence?:
A nurse does not notify the provider of a change in condition for a client who has
schizophrenia.
Negligence is the failure to act in a manner which follows the standard of care. The
nurse should inform the provider of any changes in a client's condition. Failure to
do so is considered negligence.
12. A nurse in a provider's office i s collecting data from an older adult
client whose adult child reports that she "seems confused and can't seem
to remember much."Which of the following findings should lead the nurse
to suspect delirium?:
The client's level of consciousness changes during the interview.
Delirium can rapidly alter the client's level of consciousness, which can manifest
as agitation or stupor. Therefore, the nurse should suspect that this client is
experiencing delirium.
13. A nurse is caring for a client who gave birth to a stillborn fetus one week
ago. She states to the nurse, "I am so angry that my doctor didn't take better
care of me and my baby." Which of the following responses should the nurse
make?:
"It is important to share what you are feeling, even if it is anger."
The nurse is encouraging the client to discuss her perception of the loss, which is
a therapeutic communication technique. It is helpful to acknowledge that anger is
an expected reaction to loss and encourage the client to verbalize her feelings.
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