Saunders PN Mental Health 130 questions with correct answers rated A+
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PN Mental
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PN Mental
Saunders PN Mental Health 130 questions with correct answers/Saunders PN Mental Health 130 questions with correct answers/Saunders PN Mental Health 130 questions with correct answers
Saunders PN Mental Health
The nurse is assisting in a group therapy session. Besides cost savings, which advantages does
group therapy have over individual therapy? Select all that apply. - correct answer--Mutual
Learning
-Increased Feedback
-Instilling a sense of belonging
-An opportunity to practice...
The nurse is having a conversation with a depressed client in an inpatient psychiatric unit. The
client says to the nurse, "Things would be so much better for everyone if I just wasn't around."
Which response by the nurse would be appropriate at this time? - correct answer-You sound
very unhappy. Are you thinking of harming yourself?
The nurse in the emergency department is assisting in caring for a young female victim of
sexual assault. The client's physical assessment is complete, and physical evidence has been
collected. The nurse notes that the client is withdrawn, confused, and at times physically
immobile. Which interpretation should the nurse make of these behaviors? - correct answer-
They are expected reactions to a devastating event.
The nurse is caring for a client diagnosed with catatonic stupor. The client is lying on the bed,
with the body pulled into a fetal position. Which is the appropriate nursing intervention? -
correct answer-Sit beside the client in silence and verbalize occasional open-ended questions.
The spouse of a client admitted to the hospital for alcohol withdrawal says to the nurse, "I
should get out of this bad situation." The most helpful response by the nurse should be which
statement? - correct answer-What do you find difficult about this situation?
The nurse employed in a psychiatric unit receives a client assignment for the day. Which client
assigned to the nurse is at the highest risk for committing suicide? - correct answer-A client
with severe depression and terminal cancer
Which behaviors observed by the nurse might lead to the suspicion that a depressed adolescent
client could be suicidal? - correct answer-The client gives away a DVD and a cherished
autographed picture of the performer.
The nurse is preparing for the hospital discharge of a client with a history of command
hallucinations to harm self or others. The nurse instructs the client about interventions for
hallucinations and anxiety and determines that the client understands the interventions when
the client makes which statement? - correct answer-"I can call my therapist when I'm
hallucinating so I can talk about my feelings and plans and not hurt anyone."
A client tells the nurse that he is feeling out of control. The nurse observes that the client is
pacing back and forth. Which approach by the nurse is appropriate to maintain a safe
environment? - correct answer-Move the client to a quiet room and talk about his feelings.
,Saunders PN Mental Health
The nurse is caring for an older depressed client whose son was killed in an armed robbery after
murdering two people. The client says, "I don't know what I did wrong. His dad died a hero in
Vietnam when he was only 2 years old, but he's had everything. When he threw the cat up
against the wall to see if it landed on its feet and stole money from me and denied it, his sister
covered for him." The nurse plans to make which therapeutic response to the client? - correct
answer-"It seems as if you or your daughter feel regret?"
The nurse has been caring for a client with a diagnosis of depression. The client says to the
nurse, "I wish you would just be my friend." The appropriate response by the nurse is which? -
correct answer-"Our relationship is a therapeutic and a helping one."
The nurse is working with an older client who has a diagnosis of depression. To work most
effectively with this client, the nurse recalls that which information is accurate regarding
depression and the older client? Select all that apply. - correct answer--Suicide is a frequent
cause of death among the older population.
-Some indications of dementia may actually originate as depression.
-Depression in an older person is likely to have physical manifestations.
The nurse is assisting with the data collection on a client admitted to the psychiatric unit. After
review of the obtained data, the nurse should identify which as a priority concern? - correct
answer-The client's report of self-destructive thoughts
The nurse is assessing a newly admitted client recently diagnosed with depression. Which data
best supports that the client is at risk for self-harm? - correct answer-reported hopelessness
A client who has just received a diagnosis of asthma says to the nurse, "This condition is just
another nail in my coffin." Which response by the nurse is therapeutic? - correct answer-"You
seem very distressed over learning you have asthma."
A client with a phobia will be treated for the condition using a behavior modification technique
known as systematic desensitization. The nurse describes the components of this form of
therapy to the client and reinforces which client instruction? - correct answer-The client will be
introduced to short periods of exposure to the phobic object while in a relaxed state.
A client with 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." The nurse should make which
therapeutic response to the client? - correct answer-"You've been feeling like a failure for a
while?"
, Saunders PN Mental Health
The registered nurse has written an outcome statement of, "Client will feel less anxious by the
end of session," for a client with generalized anxiety disorder. Which interventions should the
licensed practical nurse use to assist this client in meeting this goal? Select all that apply. -
correct answer--Stay with the client
-Administer anxiolytics medications
-Ensure the client is in an environment...
The parents of a teenager diagnosed with anorexia nervosa ask the nurse what part they can
play during the long recovery period. The nurse accurately relates that which actions should the
parents take? - correct answer-Planning a non-food related activity
An adolescent client is admitted to the inpatient unit after medical stabilization for an overdose
of acetaminophen. The history identifies that her boyfriend broke up with her 2 weeks ago and
that she hasn't been eating well, resulting in a loss of 15 pounds. The nurse assists in developing
a plan of care that includes which interventions? Select all that apply. - correct answer--Making
-Providing
-Ensuring
The nurse is assisting in developing a plan of care for a client with a psychotic disorder who is
experiencing altered thought processes. On review of the client's record, the nurse notes
documentation that the client believes that the food is being poisoned. The nurse plans to use
which communication technique when developing strategies that will promote adequate
nutrition and encourage the client to discuss feelings? - correct answer-Use open-ended
questions and silence.
The nurse is caring for a client with severe depression. Which activity is appropriate for this
client? - correct answer-Drawing
A client is diagnosed with schizophrenia. The nurse is asked to assist in preparing a nursing care
plan for the client. Which is important for the nurse to understand when planning? - correct
answer-Until the client's thinking is cleared, the nurse may need to assist the client with
grooming and nutrition.
The nurse is reviewing the record of a client admitted to the mental health unit and notes that
the client was admitted by voluntary status. The nurse makes which determination? - correct
answer-The client has the right to demand ...
The nurse is caring for a client who says, "I don't want you to touch me. I'll take care of myself!"
The nurse should make which therapeutic response to the client? - correct answer-Sounds like
you're feeling pretty troubled...
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