NURSE 315 PN Mental Health Online Practice 2020 ,100% CORRECT
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Course
NURSE 315
Institution
NURSE 315
NURSE 315 PN Mental Health Online Practice 2020 A
A nurse is reinforcing teaching with a client whose provider has prescribed electroconvulsive therapy (ECT). Which of the following information should the nurse include?
a. The client will receive continuous oxygen during the electrical stimulatio...
NURSE 315 PN Mental Health Online Practice 2020 A
A nurse is reinforcing teaching with a client whose provider has
prescribed electroconvulsive therapy (ECT). Which of the following
information shouldthe nurse include?
a. The client will receive continuous oxygen during the electrical
stimulationintervals. Incorrect
(The client will receive oxygen throughout the procedure. However,
the oxygen will be removed during the brief electrical stimulation
intervals.)
b. A benzodiazepine will be administered prior to the procedure.
Incorrect (Abenzodiazepine should not be administered because it
interferes with the seizure process. A short-acting anesthetic, such as
propofol, will be administered.)
c. ECT is an option for clients after medication has been unsuccessful.
d. Confusion is expected for the first 2 days after treatment. (Clients
who receive ECT can have confusion and disorientation for several
hours after treatment.)
C. ECT is an option for clients after medication has been unsuccessful.
(Medication is the first-line of treatment for depression. ECT is
prescribedwhen medication has been unsuccessful.)
A nurse is assisting with discharge planning for a client who needs to
attend a day treatment center ad has limited community and financial
support.
Which of the following referrals should the nurse recommend including in
theclient's discharge plan?
A. Social worker
B. Recreational therapist(Although recreational therapists can
promote therapies, such as art and music, to help enhance and
preserve mental health, they do not usually address issues regarding
financial support andcommunity resources.)
C. Psychologist (Although psychologists can provide individual or
family therapy for clients, they do not usually address issues
regarding financialsupport and community resources.)
D. Pharmacist (Pharmacists prepare prescribed medications and
dispense medications in acute care and community settings. They
,coordinate with the provider and nurses regarding the client's
medication regime. However, theydo not address issues regarding
financial support and community resources.)
,A. Social worker (Social workers can assist clients with building a support
structure to help promote and preserve mental health, including
contactingday treatment centers and arranging for financial and other
community resources.)
A nurse is developing countertransference toward a client during the
workingphase of the nurse-client relationship. To correct the situation,
which of the following actions should the nurse take?
A. Tell the client how to change their behaviors. (This action places
responsibility on the client to correct the situation. When dealing with
countertransference, it is the nurse's responsibility to find an
appropriatesolution.)
B. Talk to the client about the developing feelings. (The nurse should
avoiddisclosing personal feelings because these feelings can interfere
with the nurse-client relationship. When dealing with
countertransference, it is the nurse's responsibility to find an
appropriate solution, not the client's.)
C. Ask to be reassigned to a different client. (In order to achieve personal
andprofessional growth, the nurse should work through the issue of
countertransference by caring for this client, rather than asking for a new
assignment.)
D. identify personal response to the client.
D. identify personal response to the client.
(Countertransference is an emotional response toward the client by the
nurse. This response might be related to the nurse's past unresolved
feelingsor relationships. These feelings can interfere with the nurse-client
therapeutic relationship. In order to correct the situation of
countertransference, the nurse must recognize personal reactions to the
client in an attempt to work through these feelings.)
A nurse is collecting data from a client who has bipolar and a history
ofmania. Which of the following findings should the nurse identify as
an indication that the client is relapsing?
A. Weight gain (Weight loss, rather than weight gain, can indicate
relapse ina client who has a history of mania.)
B. Pressured speech
C. Ritualistic behavior (Ritualistic behavior is an indication of
obsessive-compulsive disorder, not mania.)
, D. Anhedonia (Anhedonia is a negative symptom of schizophrenia.
Anhedonia is defined as a loss of interest in daily activities and the
inability or lack of capacity to experience pleasure in general. This is not
an indicationof relapse in a client who has a history of mania.)
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