26 Questions
Which 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
A nurse in the emergency room is examining a rape victim brought in by a police officer. What should the nurse do?
Collect evidence for a forensic examination
Which of the following statements about the nurse-client relationship in the working phase is correct?
The nurse should discuss how the client would like to deal with their anxiety.
Which of the following strategies would be most important when caring for clients with autism in a children's unit?
Protections from harm to self and others
Which of the following statements about sexual predators is correct?
Child molesters gain the child's trust before making sexual advances.
Which of the following crisis intervention strategies would be most needed for a woman affected by a severe flood?
Assess her for risk of suicide and other signs of decompensation.
Which action should the nurse take to prevent escalation of the client's mood?
Try to channel the client's energy into appropriate activities.
What would be the best action for the nurse caring for a client after being admitted for domestic violence?
Teach client problem-solving techniques and structured activities.
Which client rights are lost when a client is involuntarily committed to a hospital for being dangerous to themselves or others?
The right to leave the hospital against medical advice.
What should the nurse do first when a client admitted to the psychiatric unit does not attend group activities but interacts with the nurse when approached?
Include the client in interactions with other staff members.
According to the text, what is the best response for the nurse when the client's mother blames the client's father for the bed wetting problem?
Why are you blaming your child's father.
Based on the text, what behaviors would the nurse expect a client exhibiting when coping becomes dysfunctional enough to require hospitalization?
Minimal functioning with new problems developing.
According to the text, which family member's statement indicates a need for additional teaching in a psychoeducational group for family members of clients hospitalized with depression?
My son will only need to attend outpatient appointments when he starts to feel depressed again.
Based on the text, what should the nurse do initially when a client asks for medication because she is feeling nervous within a therapeutic milieu?
Talk with the client about her feelings.
Which response by the nurse is best 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
What is the correct response when a client arrives late for unit activities and says, "Because I feel like it."?
"Let's try to be on time in the future."
What is the most appropriate response when a client diagnosed with antisocial personality disorder asks for an additional smoke break due to anxiety?
"I understand you're feeling anxious, but we need to stick to the schedule."
Which approach is most likely to foster a therapeutic relationship with a client who tries to manipulate people?
Being consistent and setting clear boundaries
What is an appropriate response when a client diagnosed with antisocial personality disorder arrives late for unit activities?
"It's important to follow the schedule."
Which of the following interventions should the nurse use to help the client deal with the displaced anger?
Assist the client in identifying alternate ways of approaching the problem.
Which of the following laboratory tests should the nurse expect the physician to routinely order for a client prescribed carbamazepine?
Complete blood count (CBC)
Which of the following statements would indicate that the client has been helped after 1 week of admission?
"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 understanding of the concept of self-esteem?
"I need to have healthy boundaries."
This quiz tests your knowledge on preventing injury and promoting a least-restrictive environment in client care. Learn which action the nurse should take to prevent escalation of a client's mood while complying with these principles.
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