Preventing Client's Mood Escalation in Least-Restrictive Environment Quiz
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Questions and Answers

According to the text, what is the best response by the nurse when a client diagnosed with antisocial personality disorder asks for an additional smoke break due to anxiety?

  • I'm sorry but I can't take you. I'm busy.
  • Clients are permitted to smoke at designated times. You have to follow the rules.
  • Smoking is harmful to your health. I don't want to contribute to your bad habits.
  • I have a few minutes. I'll take you. (correct)
  • Which approach by the nurse would most likely foster a therapeutic relationship with a client who tries to manipulate people?

  • Strictness
  • Sympathy
  • Consistency (correct)
  • Aloofness
  • Based on the information provided, what is the client's reason for arriving late for unit activities?

  • Lack of interest
  • No reason given (correct)
  • Anxiety
  • Feeling tired
  • Which statement indicates a need for additional teaching for family members of clients hospitalized with depression?

    <p>&quot;My son will only need to attend outpatient appointments when he starts to feel depressed again.&quot;</p> Signup and view all the answers

    Within a therapeutic milieu, what should the nurse do initially when a client asks for medication for feeling nervous?

    <p>Talk with the client about her feelings.</p> Signup and view all the answers

    What finding indicates that a client who attempted suicide following a divorce notice is ready for discharge after 3 days of hospitalization?

    <p>Displays emotional stability.</p> Signup and view all the answers

    When coping becomes dysfunctional enough to require hospitalization, what behaviors would the nurse expect the client to exhibit?

    <p>Minimal functioning with new problems developing.</p> Signup and view all the answers

    Which of the following is a crisis intervention strategy that would be most helpful for the nurse to use with the woman in the flood situation?

    <p>Tell her that groups are being formed at the shelter for flood survivors</p> Signup and view all the answers

    When creating an educational program about safety, what information about sexual predators should the nurse include?

    <p>Child molesters gain the child's trust before making sexual advances so the child feels obligated to comply with sex</p> Signup and view all the answers

    Which of the following statements made by the nurse during the working phase of the nurse-client relationship with a client with GAD (generalized anxiety disorder) is appropriate?

    <p>&quot;I can see you are learning some of these new relaxation techniques&quot;</p> Signup and view all the answers

    When assessing a client for suicidal risk, which method of suicide should the nurse identify as most lethal?

    <p>Use of a gun to the stomach</p> Signup and view all the answers

    Which of the following findings should the nurse anticipate when performing a psychological assessment on a client with a history of alcohol abuse?

    <p>Family history of alcoholism</p> Signup and view all the answers

    When beginning a therapeutic relationship with a client on the mental health unit, which nursing actions are appropriate?

    <p>Encourage the practice of new coping skills</p> Signup and view all the answers

    In which conditions would the nurse anticipate the use of electroconvulsive therapy (ECT) as an option for a client with severe depression?

    <p>The client is having acute suicidal thoughts</p> Signup and view all the answers

    Which intervention should the nurse use first when a client admitted to the psychiatric unit 2 days ago does not attend group activities but interacts with the nurse when approached?

    <p>Include the client in interactions with other staff members.</p> Signup and view all the answers

    When a client goes to her room and slams the door immediately after the first family therapy session, and later tells the nurse that she is mad because the therapist didn't let her tell her side of the story and just agreed with everything her parents said, which nursing action would be most therapeutic in this situation?

    <p>Redirect the client to the therapist to tell him how she feels.</p> Signup and view all the answers

    A distraught father is waiting for his son to come out of surgery. He accidentally backed the car into his son, causing multiple fractures and a serious head injury. Which statement by the father would most alert the nurse to the need for a psychiatric consultation?

    <p>&quot;If he dies, there will be nothing for me to do but join him.&quot;</p> Signup and view all the answers

    The treatment team recommends that a client take an assertiveness training class offered in the hospital. Which behavior indicates that the client is becoming more assertive?

    <p>The client asks a roommate to put away dirty clothes because the untidiness bothers the client.</p> Signup and view all the answers

    Which of the following interventions would be appropriate for the nurse to use when helping a client deal with displaced anger? Select all that apply.

    <p>Acknowledge the client's behavior as inappropriate.</p> Signup and view all the answers

    Which laboratory tests should the nurse expect the physician to routinely order for a client prescribed carbamazepine? Select all that apply.

    <p>Complete blood count (CBC)</p> Signup and view all the answers

    Which of the following statements would indicate that the client has been helped after 1 week of admission? Select all that apply.

    <p>&quot;With all the help I got here, I think I may be able to survive after all.&quot;</p> Signup and view all the answers

    Which of the following statements by the client would indicate an understanding of the concept of self-esteem? Select all that apply.

    <p>&quot;I need to have healthy boundaries.&quot;</p> Signup and view all the answers

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