Saunders Mental Health Exam Questions with Complete Solutions.
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Course
Saunders Mental Health
Institution
Saunders Mental Health
A client with a diagnosis of depression who has attempted suicide says to the nurse, "I should have died. I've always been a failure. Nothing ever goes right for me." which response by the nurse demonstrates therapeutic communication?
1. "You have everything to live for"
2. "Why do you see yourse...
Saunders Mental Health Exam Questions with Complete Solutions. A client with a diagnosis of depression who has attempted suicide says to the nurse, "I should have died. I've always been a failure. Nothing ever goes right for me." which response by the nurse demonstrates therapeutic communication?
1. "You have everything to live for"
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?" Correct Answer 4. "You've been feeling like a failure for a while?"
The nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which response by the nurse demonstrates therapeutic communication?
1. "I see."
2. "Really?"
3. "You're having difficulty sleeping?"
4. "Sometimes I have trouble sleeping too" Correct Answer 3. "You're having difficulty sleeping?"
A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client
to eat?
1. Using open-ended questions and silence
2. Sharing personal preference regarding food choices
3. Documenting reasons why the client does not want to eat
4. Offering opinions about the necessity of adequate nutrition Correct Answer 1. Using open-ended questions and silence
The nurse should plan which goals of the termination stage of group development? Select all that apply.
1. The group evaluates the experience
2. The real work of the group is accomplished
3. Group interaction involves superficial conversation
4. Group members become acquainted with one another
5. Some structuring of group norms, roles, and responsibilities takes place.
6. The group explores members' feelings about the group and the impending separation. Correct Answer 1. The group evaluates the experience
6. The group explores members' feelings about the group and the impending separation.
A client is diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish
my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." which response by the nurse is therapeutic? 1. "Have you shared your feelings with your family"
2. "I think we should talk more about your anger with your family."
3. "You're feeling angry that your family continues to hope for you to be cured?"
4. "You are probably very depressed, which is understandable with such a diagnosis." Correct Answer 3. "You're feeling angry that your family continues to hope for you to be cured?"
On review of the client's record, the nurse notes that the admission was voluntary. Based on this information, the nurse plans care anticipating which client behavior?
1. Fearfulness regarding treatment measures
2. Anger and aggressiveness directed towards others
3. An understanding of the pathology and symptoms of the diagnosis
4. A willingness to participate in the planning of the care and treatment plan Correct Answer 4. A willingness to participate in the planning of the care and treatment plan
A client admitted voluntarily for treatment of an anxiety disorder demands to be released
from the hospital. Which action should the nurse take initially? 1. Contact the clients health care provider (HCP)
2. Call the clients family to arrange for transportation. 3. Attempt to persuade the client to stay "for only a few more days."
4. Tell the client that leaving would likely results in an involuntary commitment Correct Answer 1. Contact the clients health care provider (HCP)
When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should
provide which intervention for this client?
1. Monitor closely for harm to self and others
2. Assist in completing an application for admission
3. Supply the client with written information about his or her mental illness
4. Provide an opportunity for the family to discuss why they felt the admission was needed. Correct Answer 1. Monitor closely for harm to self and others
When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a cognitive behavioral approach is used as part of the treatment plan.
The nurse plans care based on which purpose of this approach?
1. Providing a supportive environment
2. Examining intrapsychic conflicts and past issues
3. Emphasizing social interaction with clients who withdraw
4. Helping the client to examine dysfunctional thoughts and beliefs Correct Answer 4. Helping the client to examine dysfunctional thoughts and beliefs
A client is preparing to attend a Gamblers anonymous meeting for the first time. The nurse should tell the client that which is the first stop in this 12 step program?
1. Admitting to having a problem
2. Substituting other activities for gambling
3. Stating that the gambling will be stopped
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