SAUNDERS PN MENTAL HEALTH EXAM
NEWEST COMPREHENSIVE ACTUAL EXAM
COMPLETE ACCURATE QUESTIONS AND
DETAILED VERIFIED ANSWERS GRADED A+
| 100% VERIFIED | 2024 UPDATE!!!
The nurse enters a client's room, and the client immediately demands
to be released from the hospital. During review of the client's record,
the nurse notes that the client was admitted 2 days ago for the
treatment of an anxiety disorder and that the admission was a
voluntary one. The nurse reports the findings to the registered nurse
(RN) and expects that the RN will take which action? - ✔✔✔ Correct
Answer > Contact the primary health care provider (PHCP).
Following a group therapy session, a client approaches the nurse and
verbalizes a need for seclusion because of uncontrollable feelings. The
nurse reports the findings to the registered nurse (RN) and expects that
the RN will take which action? - ✔✔✔ Correct Answer > Get a
written prescription from the primary health care provider (PHCP) and
obtain an informed consent.
The nurse is preparing a client for the termination phase of the nurse-
client relationship. Which task should the nurse appropriately plan for
,during this phase? - ✔✔✔ Correct Answer > Assist with making
appropraite referrals
The psychiatric nurse is greeted by a neighbor in a local grocery store.
The neighbor says to the nurse, "How is Carol doing? She is my best
friend and is seen at your clinic every week." Which is the appropriate
nursing response? - ✔✔✔ Correct Answer > I can't tell A visitor
brings a suicidal client a brightly packaged gift. The nurse accompanies
the visitor to the client's room and takes which action? - ✔✔✔
Correct Answer > Has the client open the gift with the nurse
present
The nurse is working with a victim of rape in a clinic setting and assists
in developing a plan of care for the client. Which is an inappropriate
short-term initial goal? - ✔✔✔ Correct Answer > The client will
resolve feelings of fear and anxiety related to the rape trauma.
A client arrives in the emergency department in a crisis state. The client
demonstrates signs of profound anxiety and is unable to focus on
anything but the object of the crisis and the impact on self. The initial
data collection would focus on which information? - ✔✔✔ Correct
Answer > The physical condition of the client
A furiously angry and aggressive client was put in restraints and was
told that the restraints would be removed once the client regained
control. The nurse appropriately removes the restraints when which
,action occurs? - ✔✔✔ Correct Answer > When no acts of
aggression are observed within 1 hour after release of two extremity
restraintsyou that (or similar wording)
The nurse is caring for a client with a diagnosis of depression. The nurse
monitors for signs of constipation and urinary retention, knowing that
these problems are likely caused by which situation? - ✔✔✔ Correct
Answer > Psychomotor retardation and side effects of medication
A client is admitted to the in-patient unit and is being considered for
electroconvulsive therapy (ECT). The client appears calm, but the family
is hypervigilant and anxious. The client's mother begins to cry and
states, "My child's brain will be destroyed. How can the doctor do
this?" The nurse should make which therapeutic response? - ✔✔✔
Correct Answer > "It sounds as though you have some concerns
about the ECT procedure. Why don't we sit down together and discuss
any concerns you may have?"
A mother of a teenage client with an anxiety disorder is concerned
about her daughter's progress during discharge. She states that her
daughter "stashes food, eats all the wrong things that make her
hyperactive," and "hangs out with the wrong crowd." While helping the
mother prepare for her daughter's discharge, the nurse should make
which suggestion? - ✔✔✔ Correct Answer > The mother should
restrict the amount of chocolate and caffeine products in the home.
, A manic client announces to everyone in the dayroom that a stripper is
coming to perform that evening. When the psychiatric nurse's aide
firmly states that the client's behavior is not appropriate, the manic
client becomes verbally abusive and threatens physical violence to the
nurse's aide. Based on the analysis of this situation, the nurse
determines that the appropriate action should be which intervention? -
✔✔✔ Correct Answer > Escort the manic client to his or her
room.
The nurse notes documentation in a client's record that the client is
experiencing delusions of persecution. The nurse recognizes that these
types of delusions are characteristic of which thoughts? - ✔✔✔
Correct Answer > The false belief that one is being singled out
for harm by others
A client who is diagnosed with pedophilia and recently has been
paroled as a sex offender says, "I'm in treatment and I have served my
time. Now this group has posters all over the neighborhood with my
photograph and details of my crime." Which is an appropriate response
by the nurse? - ✔✔✔ Correct Answer > "You understand that
people fear for their children, but you're feeling unfairly treated?"
The nurse is caring for a female client who was recently admitted to the
hospital for anorexia nervosa. The nurse enters the client's room and
notes that the client is doing vigorous push-ups. Which nursing action is
appropriate? - ✔✔✔ Correct Answer > Interrupt the client and
offer to take her for a walk.
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