Exam (elaborations)
RN MENTAL HEALTH ONLINE PRACTICE 2023 A
- Course
- Institution
RN MENTAL HEALTH ONLINE PRACTICE 2023 A
[Show more]
Content preview
RN MENTAL HEALTH ONLINE PRACTICE2023 A
A6nurse6is6establishing6a6therapeutic6relationship6with6a6client6who6has6antisocial6person
ality6disorder.6Which6of6the6following6strategies6should6the6nurse6use6when6communicati
ng6with6this6client?
Behave6in6a6friendly6manner6toward6the6client
Set6realistic6limits6on6the6client's6behavior
Show6respect6for6the6client's6need6for6isolation
Act6as6a6role6model6for6assertiveness6-6ans--Set6realistic6limits6on6the6clients6behavior
Clients6who6have6antisocial6personality6disorder6can6seem6to6be6in6control6of6their6behav
ior,6but6are6manipulative6and6impulsive6and6can6suddenly6become6aggressive6and6assa
ultive.6The6nurse6should6establish6clear6limits6on6specific6aggressive6and6demanding6be
haviors.
A6nurse6is6caring6for6a6child6who6has6conducted6disorder6and6is6behaving6in6a6destructiv
e6manner,6throwing6objects,6and6kicking6others.6Which6of6the6following6therapeutic6nursi
ng6interventions6is6the6priority?
Encourage6expression6of6feelings
Support6the6child's6attendance6at6an6assertiveness6training6group
Assist6the6child6to6perform6relaxation6breathing6
Reduce6environmental6stimuli6-6ans--Reduce6environmental6stimuli
The6greatest6risk6to6the6child6and6others6is6harm.6Therefore,6the6nurse's6priority6intervent
ion6is6to6reduce6environmental6stimuli6in6an6attempt6to6de-
escalate6the6behavior6and6prevent6injury.
A6nurse6in6a6community6health6center6is6working6with6a6group6of6clients6who6have6post-
traumatic6stress6disorder.6Which6of6the6following6interventions6should6the6nurse6include6t
o6reduce6anxiety6among6the6group6members?
,Response6prevention
Guided6imagery
Aversion6therapy
Light6therapy6-6ans--Guided6imagery
Guided6imagery6involves6assisting6the6client6to6imagine6a6restful6and6safe6place.6This6m
ethod6is6effective6in6reducing6anxiety6in6clients6who6have6post-traumatic6stress6disorder.
A6nurse6is6performing6a6cognitive6assessment6to6distinguish6delirium6from6dementia6in6a6
client6whose6family6reports6episodes6of6confusion.6Which6of6the6following6assessment6fin
dings6supports6the6nurse's6suspicion6of6delirium?
Slow6onset
Aphasia
Confabulation
Easily6distracted6-6ans--Easily6distracted
Extreme6distractibility6is6a6hallmark6manifestation6of6delirium.
A6nurse6is6caring6for6an6older6adult6client6who6begins6to6cry6and6states,6"I6knew6God6wou
ld6punish6me6and6I6deserve6this6horrible6sickness!"6Which6of6the6following6responses6sh
ould6the6nurse6make?
"Why6do6you6think6you6deserve6this6punishment?"
"Don't6worry6about6being6punished6by6God."
"Let's6talk6about6what6is6upsetting6you."
"You6shouldn't6say6things6that6will6upset6you6so6much."6-
6ans--"Let's6talk6about6what6is6upsetting6you."
The6nurse6is6acknowledging6the6client's6concerns6and6is6showing6a6desire6to6understand
6what6the6client6is6thinking6and6feeling.
A6client6who6has6a6recent6diagnosis6of6bipolar6disorder6is6placed6in6a6room6with6a6client6
who6has6severe6depression.6The6client6who6has6depression6reports6to6the6nurse,6"My6ro
ommate6never6sleeps6and6keeps6me6up,6too."6Which6of6the6following6actions6should6the6
nurse6take?
, Move6the6client6who6has6bipolar6disorder6to6a6private6room
Administer6sleep6medication6to6the6client6who6has6bipolar6disorder.
Move6the6client6who6has6severe6depression6to6a6private6room.
Administer6sleep6medication6to6the6c6-6ans--
Move6the6client6who6has6bipolar6disorder6to6a6private6room.
Clients6who6have6bipolar6disorder6can6disrupt6the6therapeutic6milieu6for6other6clients.6Th
erefore,6the6nurse6should6move6this6client6to6a6private6room.
A6nurse6is6caring6for6a6group6of6clients.6Which6of6the6following6findings6is6he6nurse6requir
ed6to6report?
A6client6who6has6bipolar6disorder6and6tested6positive6for6genital6herpes6simplex6virus6rep
orts6having6multiple6sexual6partners.
A6client6who6has6depression6reports6having6a6lack6of6interest6in6assisting6their6partner6in6
the6care6of6their6children.
A6client6who6has6borderline6personality6disorder6threatened6to6harm6their6roommate.
An6adolescent6client6who6has6anorexia6nervosa6has6a6BMI6of6-6ans--
A6client6who6has6borderline6personality6disorder6threatened6to6harm6their6roommate.
Manifestations6of6borderline6personality6disorder6include6disturbed6interpersonal6relation
ships6accompanied6by6threats6and6other-
directed6violence.6While6it6is6important6for6the6nurse6to6maintain6the6client's6confidentialit
y,6on6occasions6when6another6individual's6life6might6be6in6danger,6the6nurse6is6required6
by6law6to6report6it6to6authorities.
A6nurse6is6planning6discharge6teaching6with6a6new6family6member6of6a6client6who6has6a6
new6diagnosis6of6depression.6Which6of6the6following6information6about6relapse6should6th
e6nurse6include?
Additional6acute6episodes6of6depression6are6unlikely6following6inpatient6care.
Early6identification6of6changes,6such6as6decreased6social6involvement,6is6important.
Medication6compliance6will6prevent6further6need6for6inpatient6hospitalization.
It6is6helpful6to6regularly6reinforce6to6the6client6that6things6-6ans--
Early6identification6of6changes,6such6as6decreased6social6involvement,6is6important.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MASTERGRADE01. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
50064 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now