prep u chapter 8
A newly hired psychiatric-mental health nurse has learned about the suicide
✅✅
risk assessment. Which statement made by the nurse would indicate a need
for further teaching? - -"Asking clients if they are having suicidal
thoughts may put that idea into their head."
✅✅
If the client provides a literal explanation of a proverb and cannot interpret its
meaning, which thought process is lacking? - -Abstract thinking
A nurse is assessing a hospitalized client who is hearing voices due to
psychosis. The client is easily distracted, and this is creating a barrier to
✅✅
completing the assessment. What is the most effective way for the nurse to
proceed? - -Complete the assessment in several short interactions.
A client describes the recent breakup of a dating relationship when being
✅✅
interviewed by the nurse. Which finding will the nurse determine is the client's
affect? - -An emotionless tone and flat facial expression
A nurse coming on duty reviews the chart from the previous nurse. What
✅✅
assessment finding(s) are evident in the client? Select all that apply. -
-thought broadcasting
inappropriate affect
loose associations
✅✅
Asking the client to complete serial sevens assesses what? -
-Concentration
A mental health nurse is caring for a client with schizophrenia. The nurse
✅✅
observes the client laughing about the recent death of the client's father. The
nurse would correctly document this mood as what? - -Incongruent
✅✅
The nurse is preparing to assess a client's remote memory. Which questions
would be most appropriate for the nurse to ask? - -"When did you get
your first job?"
The nurse is performing an assessment of a client in the behavioral health unit
that is in a group session. Another client informs the group that their child died
in a house fire and it has been devastating. How will the nurse document the
, ✅✅
assessment when the previous client begins smiling at the other client's loss?
- -inappropriate affect
A nurse assesses a 29-year-old client in the outpatient mental health clinic.
The nurse notes the client is speaking very quickly and jumping from topic to
topic very rapidly. There is some connection between ideas, but they are
✅✅
difficult to follow. Which term most accurately describes this thought process?
- -Flight of ideas
A nurse is caring for a client who has automatic thought patterns that interfere
✅✅
with the client's ability to function optimally. What type of intervention would
the nurse anticipate be initiated with the client? - -cognitive
A nurse is conducting a psychosocial assessment on the client and asks
✅✅
about the client's cultural beliefs and practice. What component of the
psychosocial framework is the nurse assessing? - -history
✅✅
Which would not be included as a purpose of the psychosocial assessment? -
-Previous compliance with treatment regimen
A client diagnosed with bipolar disorder is currently in a manic state. The client
✅✅
states, "I hate my brother! He stole my car and my partner!" What is the
nurse's priority statement that should be made to the client? - -''What
thoughts have you had about hurting your brother?"
A client is crying while talking about a distressing situation. The nurse states
✅✅
to the client, "That must be very upsetting for you." Which assessment
interview behavior is the nurse demonstrating? - -exhibiting empathy
A client diagnosed with major depressive disorder is admitted to the
psychiatric mental-health unit. The client is observed moving slowly while
✅✅
walking and completing activities of daily living. Which physical finding would
the nurse document as observed in the client? - -psychomotor
retardation
A psychiatric-mental health nurse is gathering psychosocial assessment data
from a client experiencing anxiety. Upon assessment, the client is restless and
cannot concentrate on answering the questions from the nurse. What is the
✅✅
priority intervention from the nurse before proceeding in the interview? -
-decreasing the client's anxiety level
A newly hired psychiatric-mental health nurse has learned about the suicide
✅✅
risk assessment. Which statement made by the nurse would indicate a need
for further teaching? - -"Asking clients if they are having suicidal
thoughts may put that idea into their head."
✅✅
If the client provides a literal explanation of a proverb and cannot interpret its
meaning, which thought process is lacking? - -Abstract thinking
A nurse is assessing a hospitalized client who is hearing voices due to
psychosis. The client is easily distracted, and this is creating a barrier to
✅✅
completing the assessment. What is the most effective way for the nurse to
proceed? - -Complete the assessment in several short interactions.
A client describes the recent breakup of a dating relationship when being
✅✅
interviewed by the nurse. Which finding will the nurse determine is the client's
affect? - -An emotionless tone and flat facial expression
A nurse coming on duty reviews the chart from the previous nurse. What
✅✅
assessment finding(s) are evident in the client? Select all that apply. -
-thought broadcasting
inappropriate affect
loose associations
✅✅
Asking the client to complete serial sevens assesses what? -
-Concentration
A mental health nurse is caring for a client with schizophrenia. The nurse
✅✅
observes the client laughing about the recent death of the client's father. The
nurse would correctly document this mood as what? - -Incongruent
✅✅
The nurse is preparing to assess a client's remote memory. Which questions
would be most appropriate for the nurse to ask? - -"When did you get
your first job?"
The nurse is performing an assessment of a client in the behavioral health unit
that is in a group session. Another client informs the group that their child died
in a house fire and it has been devastating. How will the nurse document the
, ✅✅
assessment when the previous client begins smiling at the other client's loss?
- -inappropriate affect
A nurse assesses a 29-year-old client in the outpatient mental health clinic.
The nurse notes the client is speaking very quickly and jumping from topic to
topic very rapidly. There is some connection between ideas, but they are
✅✅
difficult to follow. Which term most accurately describes this thought process?
- -Flight of ideas
A nurse is caring for a client who has automatic thought patterns that interfere
✅✅
with the client's ability to function optimally. What type of intervention would
the nurse anticipate be initiated with the client? - -cognitive
A nurse is conducting a psychosocial assessment on the client and asks
✅✅
about the client's cultural beliefs and practice. What component of the
psychosocial framework is the nurse assessing? - -history
✅✅
Which would not be included as a purpose of the psychosocial assessment? -
-Previous compliance with treatment regimen
A client diagnosed with bipolar disorder is currently in a manic state. The client
✅✅
states, "I hate my brother! He stole my car and my partner!" What is the
nurse's priority statement that should be made to the client? - -''What
thoughts have you had about hurting your brother?"
A client is crying while talking about a distressing situation. The nurse states
✅✅
to the client, "That must be very upsetting for you." Which assessment
interview behavior is the nurse demonstrating? - -exhibiting empathy
A client diagnosed with major depressive disorder is admitted to the
psychiatric mental-health unit. The client is observed moving slowly while
✅✅
walking and completing activities of daily living. Which physical finding would
the nurse document as observed in the client? - -psychomotor
retardation
A psychiatric-mental health nurse is gathering psychosocial assessment data
from a client experiencing anxiety. Upon assessment, the client is restless and
cannot concentrate on answering the questions from the nurse. What is the
✅✅
priority intervention from the nurse before proceeding in the interview? -
-decreasing the client's anxiety level
