22 Questions
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 have a few minutes. I'll take you.
Which approach by the nurse would most likely foster a therapeutic relationship with a client who tries to manipulate people?
Consistency
Based on the information provided, what is the client's reason for arriving late for unit activities?
No reason given
Which statement indicates a need for additional teaching for family members of clients hospitalized with depression?
"My son will only need to attend outpatient appointments when he starts to feel depressed again."
Within a therapeutic milieu, what should the nurse do initially when a client asks for medication for feeling nervous?
Talk with the client about her feelings.
What finding indicates that a client who attempted suicide following a divorce notice is ready for discharge after 3 days of hospitalization?
Displays emotional stability.
When coping becomes dysfunctional enough to require hospitalization, what behaviors would the nurse expect the client to exhibit?
Minimal functioning with new problems developing.
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?
Tell her that groups are being formed at the shelter for flood survivors
When creating an educational program about safety, what information about sexual predators should the nurse include?
Child molesters gain the child's trust before making sexual advances so the child feels obligated to comply with sex
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?
"I can see you are learning some of these new relaxation techniques"
When assessing a client for suicidal risk, which method of suicide should the nurse identify as most lethal?
Use of a gun to the stomach
Which of the following findings should the nurse anticipate when performing a psychological assessment on a client with a history of alcohol abuse?
Family history of alcoholism
When beginning a therapeutic relationship with a client on the mental health unit, which nursing actions are appropriate?
Encourage the practice of new coping skills
In which conditions would the nurse anticipate the use of electroconvulsive therapy (ECT) as an option for a client with severe depression?
The client is having acute suicidal thoughts
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?
Include the client in interactions with other staff members.
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?
Redirect the client to the therapist to tell him how she feels.
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?
"If he dies, there will be nothing for me to do but join him."
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?
The client asks a roommate to put away dirty clothes because the untidiness bothers the client.
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.
Acknowledge the client's behavior as inappropriate.
Which laboratory tests should the nurse expect the physician to routinely order for a client prescribed carbamazepine? Select all that apply.
Complete blood count (CBC)
Which of the following statements would indicate that the client has been helped after 1 week of admission? Select all that apply.
"With all the help I got here, I think I may be able to survive after all."
Which of the following statements by the client would indicate an understanding of the concept of self-esteem? Select all that apply.
"I need to have healthy boundaries."
"Quiz: Preventing Escalation of Client's Mood in Least-Restrictive Environment" Test your knowledge on how to prevent escalation of a client's mood while complying with the principle of the least-restrictive environment. Identify the appropriate actions a nurse should take to ensure the client's safety and well-being.
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