saunders mental health exam questions amp answers 2020
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SAUNDERS MENTAL HEALTH EXAM
QUESTIONS & ANSWERS (2021)
100% CORRECT
GRADED A DOCUMENTS
SAUNDERS MENTAL HEALTH EXAM QUESTIONS & ANSWERS (2021)
The nurse is creating a plan of care for a client in a crisis state. When developing
the plan, the nurse should consider which factor?
The home care nurse is visiting an older client whose spouse died 6 months ago.
Which behaviors by the client indicates effective coping? Select all that apply.
Neglecting personal grooming.
Looking at old snapshots of family.
Participating in a senior citizens program.
Visiting the spouse's grave once a month
,Decorating a wall with the spouse's pictures and awards received
A client with a diagnosis of depression who has attempted suicide says to the
nurse, "I should have died. I've always been a failure. Nothing ever goes right for
me." Which response by the nurse demonstrates therapeutic communication?
You have everything to live for."
"Why do you see yourself as a failure?".
"Feeling like this is all part of being depressed.".
"You've been feeling like a failure for a while?"
The nurse visits a client at home. The client states, "I haven't slept at all the last
couple of nights." Which response by the nurse demonstrates therapeutic
communication?
I see."
"Really?"
"You're having difficulty sleeping?"
"Sometimes I have trouble sleeping too."
A client experiencing disturbed thought processes believes that his food is being
poisoned. Which communication technique should the nurse use to encourage the
client to eat?
Using open-ended questions and silence (encourage the client to express feelings)
Sharing personal preference regarding food choices
Documenting reasons why the client does not want to eat
Offering opinions about the necessity of adequate nutrition
The nurse should plan which goals of the termination stage of group
development? Select all that apply.
The group evaluates the experience.
The real work of the group is accomplished.
,Group interaction involves superficial conversation.
Group members become acquainted with one another.
Some structuring of group norms, roles, and responsibilities takes place.
The group explores members' feelings about the group and the impending
separation.
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I
wish my family would stop hoping for a cure! I get so angry when they carry on
like this. After all, I'm the one who's dying." Which response by the nurse is
therapeutic?
Have you shared your feelings with your family?"
"I think we should talk more about your anger with your family."
"You're feeling angry that your family continues to hope for you to be cured?"
"You are probably very depressed, which is understandable with such a diagnosis."
On review of the client's record, the nurse notes that the admission was voluntary.
Based on this information, the nurse plans care anticipating which client behavior?
Fearfulness regarding treatment measures
Anger and aggressiveness directed toward others
An understanding of the pathology and symptoms of the diagnosis.
A willingness to participate in the planning of the care and treatment plan
When reviewing the admission assessment, the nurse notes that a client was
admitted to the mental health unit involuntarily. Based on this type of admission,
the nurse should provide which intervention for this client?
Monitor closely for harm to self or others.
Assist in completing an application for admission.
Supply the client with written information about his or her mental illness.
Provide an opportunity for the family to discuss why they felt the admission was
needed.
, When a client is admitted to an inpatient mental health unit with the diagnosis of
anorexia nervosa, a cognitive behavioral approach is used as part of the treatment
plan. The nurse plans care based on which purpose of this approach?
Providing a supportive environment
Examining intrapsychic conflicts and past issues
Emphasizing social interaction with clients who withdraw
Helping the client to examine dysfunctional thoughts and beliefs
A client is preparing to attend a Gamblers Anonymous meeting for the first time.
The nurse should tell the client that which is the first step in this 12-step program?
Admitting to having a problem.
Substituting other activities for gambling.
Stating that the gambling will be stopped.
Discontinuing relationships with people who gamble
The nurse in the mental health unit plans to use which therapeutic communication
techniques when communicating with a client? Select all that apply.
Restating
Listening
Asking the client "Why?".
Maintaining neutral responses
Providing acknowledgment and feedback
Giving advice and approval or disapproval
What is the most appropriate nursing action to help manage a manic client who is
monopolizing a group therapy session?
Ask the client to leave the group for this session only.
Refer the client to another group that includes other manic clients.
Tell the client to stop monopolizing in a firm but compassionate manner.
Thank the client for the input, but inform the client that others now need a chance
to contribute.
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