Shadow Health - Mental Health Post Test

Shadow Health - Mental Health Post Test A 40-year-old client with schizophrenia has been brought to the emergency department (ED) after a suicide attempt. He tells you that the voices he hears told him to do it. He is extremely anxious and upset. Which assessment question would most likely help the nurse to assess the client's perception of this event? a. "Have you ever felt this way before?" b. "Can you tell me what is going on?" c. "What happened that has made you so upset?" d. "Have you ever had thoughts of hurting anyone else?" - CORRECT ANSWER a? A 50-year-old client is experiencing symptoms of post-traumatic stress disorder (PTSD) after being involved in an accident. The client complains that he is experiencing nightmares and flashbacks. The nurse knows that these symptoms most likely develop because of which of the following? a. The client is no longer able to regulate levels of dopamine. b. The body is making too much melatonin, which leads to increased nightmares. c. The pituitary gland works in overdrive, causing flashbacks. d. The client may have a hyperactive amygdala that leads to an increase of fear. - CORRECT ANSWER d? A client has been experiencing symptoms of depression along with suicidal ideations. She was started on antidepressants four days ago. She comes in for a follow-up visit today, and you note that she is more energized and communicative. Which of the following would be most important for the nurse to do? a. Recognize that the client's risk of suicide has decreased. b. Encourage her to begin to engage in group work. c. Allow the client to now be unsupervised. d. Increase vigilance with the client's suicidal precautions. - CORRECT ANSWER d. A new adult client is in your unit with a diagnosis of borderline personality disorder. When you are preparing to do your assessment of this client, which of the following would you need to keep in mind? a. They likely have a criminal history or are known to law enforcement. b. They may be suspicious about others and not be open to talk. c. They are likely to have difficulty understanding educational items. d. Their behavior is reflective of her need to prevent real or perceived abandonment. - CORRECT ANSWER a The nurse is using the CAGE questionnaire to screen for alcohol abuse. Which question would the nurse ask first? a. "Have you ever felt you should cut down on your drinking?" b. "Have you ever gotten into an argument with someone who criticized your drinking?" c. "Have you ever felt guilty about how much you are drinking?"