A nurse is caring for a client who was recently raped. The client states, "I never
should have been out on the street alone at night." Which of the following
responses should the nurse make?
A. "Your actions had nothing to do with what happened."
B. "You should focus on recovery rather than b...
A nurse is preparing to obtain a nursing history from a client who has a new
diagnosis of anorexia nervosa. Which of the following questions should the nurse
include in the assessment? (Select all that apply)
A. "What is your relationship like with your family.
B. "Why do you want to lose weight?
C. "Would you describe your current eating habits?
D. "At what weight do you believe you will look better?
E. "Can you discuss your feelings about your appearance?"
✓~ A. "What is your relationship like with your family.
C. "Would you describe your current eating habits?
E. "Can you discuss your feelings about your appearance?"
,A nurse is assessing a client who has major depressive disorder. The nurse
should identify which of the following client statements as an overt comment
about suicide? (Select all that apply)
A. "My family will be better off if I'm dead."
B. "The stress in my life is too much to handle."
C. "I wish my life was over."
D. "I don't feel like I can ever be happy again."
E. "If I kill myself then my problems will go away.
✓~ A. "My family will be better off if I'm dead."
C. "I wish my life was over."
E. "If I kill myself then my problems will go away.
A charge nurse is discussing mental status exams with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? (Select all that apply).
,A. "To assess cognitive ability, I should ask the client to count backward by
sevens."
B. "To assess affect, I should observe the client's facial expression.
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the c
✓~ A. "To assess cognitive ability, I should ask the client to count
backward by sevens."
B. "To assess affect, I should observe the client's facial expression.
C. "To assess language ability, I should instruct the client to write a sentence."
A nurse in an acute mental health facility is planning care for a client who has
dissociative fugue. Which of the following interventions should the nurse add to
the plan of care?
A. Teach the client to recognize how stress brings on a personality change in
the client
B. Repeatedly present the client with information about past events
C. Make decisions for the client regarding routine daily activities
, D. Work with the client on grounding techniques
✓~ D. Work with the client on grounding techniques
A nurse is planning care for a client who has a mental health disorder. Which of
the following actions should the nurse include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms
C. Assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of the medications.
✓~ D. Monitor the client for adverse effects of the medications.
A nurse in an outpatient mental health clinic is preparing to conduct an initial
client interview. When conducting the interview, which of the following actions
should the nurse identify as the priority?
A. Coordinate holistic care with social services
B. Identify the client's perception of her mental health status.
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