Psychiatric Mental Health Nursing Exam 2 Actual Exam
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Course
Psychiatric Mental Health Nursing
Institution
Psychiatric Mental Health Nursing
Psychiatric Mental Health Nursing Exam 2
Actual Exam
The nurse is caring for an actively suicidal client on the psychiatric
unit. What is the nurse's priority intervention?
A. Discuss strategies for the management anxiety, anger, and
frustration
B. Provide opportunities for increasing the c...
Psychiatric Mental Health Nursing Exam 2
Actual Exam
The nurse is caring for an actively suicidal client on the psychiatric
unit. What is the nurse's priority intervention?
A. Discuss strategies for the management anxiety, anger, and
frustration
B. Provide opportunities for increasing the client's self-worth,
morale, and control.
C. Place client on suicide precautions with one-to-one
observation.
D. Explore experiences that affirm self-worth and self-efficacy.
Correct Answer C. Place client on suicide precautions with one-
to-one observation.
A client admitted to the inpatient psychiatric unit with bipolar
disorder tells the nurse, "I need to sit in on change-of-shift report
because I have been appointed director of this unit." Which action
by the nurse demonstrates the best clinical judgment at this
point?
a. Invite the client to sit in on the change-of-shift report, but do not
share any confidential client information.
b. Instruct the client that this is not permitted and redirect the
client to other unit activities that are available.
c. Tell the client that they are delusional but that these symptoms
will go away with medication.
d. Place the client in seclusion for protection of self and others.
Correct Answer b. Instruct the client that this is not permitted and
redirect the client to other unit activities that are available.
A newly admitted client diagnosed with obsessive-compulsive
disorder, spends 1 hour packing and unpacking, folding and
,refolding personal belongings. What is the most likely reason for
this behavior?
A. It delays meeting unfamiliar people in the dayroom.
B. It makes the client feel good.
C. It fosters organizational skills.
D. It relieves anxiety. Correct Answer D. It relieves anxiety
A client with a history of a suicide attempt has been discharged
and is being followed in an outpatient clinic. At this time, which is
the most appropriate nursing intervention for this client?
A. Provide the client with a safe and structured environment.
B. Assist the client to develop more effective coping mechanisms.
C. Observe the client continuously to prevent self-harm
D. Isolate the client from all stressful situations that may
precipitate a suicide attempt. Correct Answer B. Assist the client
to develop more effective coping mechanisms.
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?
A. The stress in my life is too much to handle
B. I wish my life was over.
C. My family will be better off if I'm dead
D. I don't feel like I can ever be happy again. Correct Answer B. I
wish my life was over.
A nurse is teaching a newly license nurse about the use of
electroconvulsive therapy for the treatment of depression. Which
of the following statements indicates the nurses understanding?
A. ECT is recommended as the initial treament for depression and
severe mania.
,B. ECT is contraindicated for clients who have suicidal ideation.
C. ECT is prescribed to prevent relapse of depression and mania
D. ECT is effective for patients with depressive disorders or those
experiencing severe mania. Correct Answer D. ECT is effective
for patients with depressive disorders or those experiencing
severe mania.
A client, age 68, is a widow of 6 months. Over the past month
they have become socially withdrawn, has lost weight, and told
their sister today that they "don't have anything more to live for."
The client has been hospitalized with a diagnosis of major
depressive disorder. The priority nursing diagnosis for this client
is:
a. Imbalanced nutrition: Less than body requirements
b. Maladaptive grieving
c. Risk for suicide
d. Social isolation Correct Answer c. Risk for suicide
The goal of cognitive behavior therapy with depressed clients is
to:
a. Identify and change dysfunctional patterns of thinking.
b. Resolve the symptoms and initiate or restore adaptive family
functioning.
c. Alter the neurotransmitters that are creating the depressed
mood.
d. Provide feedback from peers who are having similar
experiences. Correct Answer a. Identify and change dysfunctional
patterns of thinking.
A client expresses interest in alternative treatments for depression
with seasonal variations and asks the nurse about bright light
therapy. Which evidence-based teaching points should the nurse
share with the client? (Select all that apply.)
, a. Bright light therapy has demonstrated effectiveness that is
comparable to antidepressants.
b. Bright light therapy should be used regularly until the season
changes.
c. Bright light therapy should only be used when ECT has proven
to be ineffective.
d. Side effects such as headache, nausea, or agitation, when they
occur, are usually mild and transient.
e. Bright light therapy can cause sedation so the best time to use
it is before bedtime. Correct Answer a. Bright light therapy has
demonstrated effectiveness that is comparable to
antidepressants.
b. Bright light therapy should be used regularly until the season
changes.
d. Side effects such as headache, nausea, or agitation, when they
occur, are usually mild and transient.
A client has just been admitted to the psychiatric unit with a
diagnosis of major depressive disorder. Which manifestation
might the nurse expect to assess? (Select all that apply.)
a. Slumped posture
b. Hallucinations
c. Feelings of despair
d. Appears to have boundless energy
e. Anorexia Correct Answer a. slumped posture
c. feelings of despair
e. anorexia
A client with depression asks the nurse, "Why would they be
checking my thyroid function when I clearly have depression and
I'm not overweight?" Which is an accurate response?
a. An underactive thyroid gland can manifest as depression.
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