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MENTAL HEALTH (N243) EXAM QUESTIONS AND ANSWERS

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MENTAL HEALTH (N243) EXAM QUESTIONS AND ANSWERS define CRISIS - Ans:-a threat to equilibrium Caplan's theory states that a crisis is an internal disturbance caused by a stressful event that alters the usual way of coping with a threat to the self; this temporarily disturbs the equilibrium of th...

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  • October 22, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Mental health
  • Mental health
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GraceAmelia
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FIRST PUBLISH OCTOBER 2024




MENTAL HEALTH (N243) EXAM QUESTIONS
AND ANSWERS


define CRISIS - Ans:✔✔-a threat to equilibrium




Caplan's theory states that a crisis is an internal disturbance caused by a stressful event that alters the

usual way of coping with a threat to the self; this temporarily disturbs the equilibrium of the person

involved.


What is a therapeutic nursing action in the care of a depressed client? - Ans:✔✔-Sitting down next to the

client at frequent intervals




Sitting down next to the client at frequent intervals gives the client the nonverbal message that someone

cares and views the client as being worthy of attention and concern.


A client is admitted to a psychiatric hospital after a month of unusual behavior that has included eating

and sleeping very little, talking and singing constantly, and going on frequent shopping sprees. In the


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




hospital, the client is demanding, bossy, and sarcastic. Which disorder does the nurse associate with

these behaviors? - Ans:✔✔-Bipolar disorder, manic phase




This kind of hyperactive behavior is typical of the manic flight into reality associated with mood

disorders.


An older adult client is talking to the nurse about his Vietnam experiences and shares that he still has

flashbacks. While assessing him the nurse notes that he is jumpy and exhibits startle reactions and poor

concentration. With which mental health disorder does the nurse associate these symptoms? - Ans:✔✔-

Posttraumatic stress disorder (PTSD)




PTSD is a syndrome characterized by the development of symptoms after an extremely traumatic event.

Symptoms include helplessness, flashbacks, intrusive thoughts, memories, images, emotional numbing,

loss of interest, avoidance of any place that reminds the affected person of the traumatic event, poor

concentration, irritability, startle reactions, jumpiness, and hypervigilance.


A client who was involved in a near-fatal automobile collision arrives at the mental health clinic with

complaints of insomnia, anxiety, and flashbacks. The nurse determines that the client is experiencing

symptoms of crisis. What is the nurse's initial intervention? - Ans:✔✔-Focusing on the present




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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Crisis intervention deals with the here and now; the past is not important except in building on client

strengths. The client is anxious and uncomfortable because of the current situation; the focus is on the

present, not the past.


A client has been unable to function since her husband asked for a divorce 2 weeks ago. She is brought

to the crisis intervention center by a friend. What type of crisis is this situation? - Ans:✔✔-Situational




Situational crises involve an unanticipated loss, such as a divorce, that is threatening to the client. Social

crises involve multiple losses, such as those occurring during major disasters. Maturational crises occur

in response to stress experienced as one struggles with developmental tasks. Developmental

(maturational) crisis are associated with developmental tasks; divorce is not a developmental task.


A client who has been attending a day treatment facility for 1 month with the diagnosis of major

depression is to be discharged in a week. Because the nurse and the client are aware of this, what is the

most appropriate comment by the nurse? - Ans:✔✔-"I understand that your discharge is set for next

week. I'm wondering how you feel about that."




Plans for termination that take emotional needs into account are best made after exploration of the

client's thoughts and feelings about discharge. Noting that there are just a few sessions left and


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