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Terms in this set (83)
1. A nurse assesses a client C
at a community mental
health facility using the SAD A.INCORRECT: SAD PERSONS is not a tool to provide
PERSONS tool. The nurse data related to the client's current anxiety level.
knows that this tool B.INCORRECT: SAD PERSONS is not a tool to provide
provides which of the data related to a client's ability to problem solve.
following data related to a C.CORRECT: SAD PERSONS is a tool that provides data
client? related to a client's suicide potential.
A.Current anxiety level D.INCORRECT: SAD PERSONS does not provide data
B.Problem-solving ability related to a client's mood disturbance.
C.Suicide potential NCLEX® Connection: Psychosocial Integrity, Crisis
D.Mood disturbance Intervention
,1. A nurse is assisting the C, D, E
parents of a school-age
child who has oppositional A.IncOrrEct: The parents should set clear limits on
defiant disorder in unacceptable behavior.
identifying strategies to B.IncOrrEct: The parents should focus on acceptable
promote positive behavior. behavior and should demonstrate this through modeling.
Which of the following is an C.CORRECT: The parents should have a method to
appropriate strategy for the reward the child for acceptable behavior.
nurse to recommend? D.CORRECT: The parents should encourage physical
(Select all that apply.) activity through which the child can use energy and
A.Allow the child to choose obtain success.
consequences for negative E.CORRECT: The parents should set clear limits on
behavior. unacceptable behavior and should be consistent.
B.Use role playing to act out NCLEX® Connection: Psychosocial Integrity, Behavioral
unacceptable behavior. Interventions
C.Develop a reward system
for acceptable behavior.
D.Encourage the child to
participate in school sports.
E.Be consistent when
addressing unacceptable
behavior.
,1. A nurse manager is A
discussing the care of a
client who has a personality 1. A. CoRRECT: Rather than establishing a schedule, the
disorder with a newly nurse should ask for the client's input and offer realistic
licensed nurse. Which of the choices to promote the client's sense of control.
following statements by the B. inCorrECt: Caring for a client who has a personality
newly licensed nurse disorder can evoke an intense emotional response by
indicates a need for further the nurse. Self-assessment assists the nurse to cope with
teaching? these reactions.
A."I can promote my client's C. inCorrECt: When caring for a client who has a
sense of control by personality disorder, limit-setting is appropriate to help
establishing a schedule." prevent client manipulation.
B."Self-assessment will help D. inCorrECt: When caring for a client who has a
me cope with emotional personality disorder, the nurse should always maintain
reactions to client care." professional boundaries.
C."I should practice limit- NCLEX® Connection: Psychosocial Integrity, Behavioral
setting to help prevent Interventions
client manipulation."
D."Maintaining professional
boundaries is a priority of
client care."
B
2. A client says, "I plan to
A.INCORRECT: This is an appropriate action by the
commit suicide." Which of
nurse. However, it is not the priority.
the following should be the
B.CORRECT: The greatest risk to the client is self-harm as
nurse's priority assessment?
a result of carrying out a suicide plan. Therefore, the
A.Client's educational and
priority assessment is to determine how lethal the
economic background
method is, how available the method is, and how
B.Lethality of the method
detailed the plan is.
and availability of means
C.INCORRECT: This is an appropriate action by the
C.Quality of the client's
nurse. However, it is not the priority.
social support
D.INCORRECT: This is an appropriate action by the
D.Client's insight into the
nurse. However, it is not the priority.
reasons for the decision
NCLEX® Connection: Psychosocial Integrity, Crisis
Intervention
, A
2. A nurse is caring for a
client who has avoidant
A. CoRRECT: Clients who have avoidant personality
personality disorder. Which
disorder often have a fear of abandonment. Therefore,
of the following statements
this type of statement is expected.
is expected from a client
B. inCorrECt: This statement indicates manipulation,
who has this type of
which is not expected from a client who has borderline
personality disorder?
rather than avoidant personality disorder.
A."I'm scared that you're
C. inCorrECt: This statement indicates a need for
going to leave me."
admiration, which is expected from a client who has
B. "I'll go to group therapy if
narcissistic rather than avoidant personality disorder.
you'll let me smoke."
D. inCorrECt: This statement indicates a risk for self-injury,
C."I need to feel that
which is expected from a client who has borderline
everyone admires me."
rather than avoidant personality disorder.
D."I sometimes feel better if
NCLEX® Connection: Psychosocial Integrity, Mental
I cut myself."
Health Concepts
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