2022: PSYCHIATRIC/MENTAL HEALTH NURSING EXAM (CORRECTLY ANSWERED)
8 views 0 purchase
Course
NURSING PSYCHIATRI (NURSING)
Institution
Chamberlain College Of Nursing
2022: PSYCHIATRIC/MENTAL HEALTH NURSING EXAM (CORRECTLY ANSWERED)
-One evening a nurse finds a client who has been experiencing persecutory delusions trying to get out the door. The client begs, "Please let me go. I trust you. The Mafia is going to kill me tonight." Which response is most therapeu...
2022 psychiatricmental health nursing exam correctly answered
mental health nursing exam
one evening a nurse finds a client who has been experiencing persecutory delusions trying to ge
Written for
Chamberlain College Of Nursing
NURSING PSYCHIATRI (NURSING)
All documents for this subject (5)
Seller
Follow
Bestmaxsolutions
Reviews received
Content preview
2022: PSYCHIATRIC/MENTAL HEALTH NURSING EXAM
(CORRECTLY ANSWERED)
-One evening a nurse finds a client who has been experiencing persecutory delusions trying to get out
the door. The client begs, "Please let me go. I trust you. The Mafia is going to kill me tonight." Which
response is most therapeutic?
"You're frightened. Come with me to your room, and we can talk about it."
-It is determined that a staff nurse has a drug abuse problem. As an initial intervention the staff nurse
should be:
Referred to the employee assistance program
-Which activity is most appropriate for a nurse to introduce to a depressed client during the early part of
hospitalization?
Project involving drawing
-A client with a diagnosis of bipolar disorder, manic episode, is admitted to the mental health unit.
Because the environment is important, what should the nurse do?
Place the client in a private room to provide a quiet atmosphere
-At times a client's anxiety level is so high that it blocks attempts at communication and the nurse is
unsure of what is being said. To clarify understanding, the nurse says, "Let's see whether we mean the
same thing." What communication technique is being used by the nurse?
Seeking consensual validation
-A nurse understands that autism is a form of a pervasive developmental disorder (PDD). Which factor
unique to autism differentiates it from other forms of PDD?
Early onset, before 36 months of age
-A nurse is planning activities for a withdrawn client who is hallucinating. Which activity will be most
therapeutic for the client?
Going for a walk with the nurse
-A client with obsessive-compulsive disorder performs a specific ritual. Why should the nurse give the
client time to perform the ritual?
,Denying this activity may precipitate an increased level of anxiety.
-What is the primary reason that the nurse encourages the family of an alcoholic to become invol ved in
the treatment program?
Alcoholism involves the entire family.
-One morning a client with the diagnosis of acute depression says to the nurse, "God is punishing me for
my past sins." What is the best response by the nurse?
"You really seem to be upset about this."
-A nurse is working in a clinic that provides services to clients who abuse drugs. What effect of cocaine
should the nurse consider as the reason that it easily causes dependence?
Blurs reality
-What should a nurse identify as the most important factor in rehabilitation of a client addicted to
alcohol?
Motivational readiness
-What is an appropriate way for a nurse to help a client ease anxiety?
Help the client acquire skills with which to face stressful events
-A 6-year-old child who has autism exhibits frequent spinning and hand-flapping behaviors. What should
the nurse teach the parents to do to limit these actions?
Use another activity to distract the child
-A client with the diagnosis of schizophrenia refuses to eat meals. Which nursing action is most
beneficial for this client?
Having a staff member sit with the client in a quiet area during mealtimes
-What should a nurse consider when planning care for a client who is using ritualistic behav ior?
Clients do not want to repeat their rituals but feel compelled to do so.
-How can a nurse minimize agitation in a disturbed client?
By limiting unnecessary interactions with the client
-A nurse in a community therapeutic recreation program is working with a client with dysthymia. Th e
treatment plan suggests group activities when possible for this client. What is the priority rationale for
this intervention?
A group can offer increased support.
, -A nurse is caring for a group of children with the diagnosis of autism. Which signs and symptoms are
associated with this disorder? (Select all that apply.)
Repetitive activities
Self-injurious behaviors
Lack of communication with others
-What should nurses consider when working with depressed young children?
It is important to include the family in the treatment plan.
-What characteristic of the environment is most therapeutic for clients with the diagnosis of bulimia
nervosa?
Based on realistic limits
-A nurse is caring for an adolescent client with the diagnosis of schizophrenia, undifferentiated type.
Which signs and symptoms should the nurse expect the client to experience?
Loosened associations and hallucinations
-A delusional client refuses to eat because she believes that the food is poisoned. What is the most
appropriate initial nursing intervention?
Stating that the food is not poisoned
-An adolescent with anorexia nervosa frequently telephones home just before mealtimes. The client
uses the phone calls to avoid eating. What client behavior supports the nurse's conclusion that the
nursing plan to set limits on this avoidance behavior has been effective?
The client arrives on time for meals without being told
-A 3-year-old child is found to have a pervasive developmental disorder not otherwise specified (autistic
disorder). What should the nurse consider most unusual for the child to demonstrate?
Responsiveness to the parents
-The nurse finds a client with schizophrenia lying under a bench in the hall. The client says, "God told me
to lie here." What is the best response by the nurse?
"I didn't hear anyone talking; come with me to your room."
- A nurse concludes that a client has successfully achieved the long-term goal of mobilizing effective
coping responses when the client states that when he feels himself getting anxious he will:
Perform a relaxation exercise
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 Bestmaxsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
