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Mental Health Exam 2 NCLEX questions
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Mental Health Exam 2 NCLEX questions
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MentalHealth
Exam
2
NCLEX
questions
a
client
with
delirium
becomes
agitated
and
confused
at
night.
The
best
initial
intervention
by
the
nurse
is
to:
1.move
the
client
next
to
the
nurse's
station
2.use
a
night
light
and
turn
off
the
television
3.keep
up
the
television
and
a
soft
light
on
during
the
night.
4.play
soft
music
during
the
night
and
maintain
a
well-lit
room
-
ANSWER-2.use
a
night
light
and
turn
off
the
television
a
nurse
is
collecting
data
on
a
client
who
is
actively
hallucinating.
WHich
nursing
statement
would
be
therapeutic
at
this
time?
1."I
know
you
feel
they
are
out
to
get
you,
but
its
not
true"
2."I
can
hear
the
voice
and
she
wants
you
to
come
to
dinner"
3."sometimes
people
hear
things
or
voices
others
can't
hear"
4."I
talked
to
the
voices
you're
hearing
and
they
won't
hurt
you
now"
-
ANSWER-3."sometimes
people
hear
things
or
voices
others
can't
hear"
a
nurse
is
caring
for
a
client
with
a
diagnosis
of
depression.
the
nurse
monitors
for
signs
of
constipation
and
urinary
retention,
knowing
that
these
problems
are
likely
caused
by:
1.poor
dietary
choices
2.lack
of
exercise
and
poor
diet
3.inadequate
dietary
intake
and
dehydration
4.psychomotor
retardation
and
side
effects
of
medication
-
ANSWER-4.psychomotor
retardation
and
side
effects
of
medication
a
client
is
admitted
to
the
in-patient
unit
and
is
being
considered
for
electroconvulsive
therapy
(ECT).
The
client
appears
calm,
but
the
family
is
hypervigilant
and
anxious.
the
client's
mother
begins
to
cry
and
states,
"my child's
brain
will
be
destroyed.
How
can
the
doctor
do
this?"
the
nurse
makes
which
therapeutic
response?
1."it
sounds
as
though
you
need
to
speak
to
the
psychiatrist."
2."perhaps
you'd
like
to
see
the
ECT
room
and
speak
to
the
staff"
3.your
child
has
decided
to
have
this
treatment.
you
should
be
supportive
of
the
decision"
4.it
sounds
as
though
you
have
some
concerns
about
the
ECT
procedure.
Why
don't
we
sit
down
together
and
discuss
any
concerns
you
may
have?"
-
ANSWER-4.it
sounds
as
though
you
have
some
concerns
about
the
ECT
procedure.
Why
don't
we
sit
down
together
and
discuss
any
concerns
you
may
have?"
a
client
who
is
diagnosed
with
pedophilia
and
has
been
recently
paroled
as
a
sex
offender
says
"Im
in
treatment
and
I
have
served
my
time.
Now
this
group
has
posters
of
me
all
over
the
neighborhood
telling
about
me
with
my
picture
on
it"
which
of
the
following
is
an
appropriate
response
by
the
nurse?
1.
"when
children
are
hurt
as
you
hurt
them,
people
want
you
isolated"
2.
"you're
lucky
it
doesn't
escalate
into
something
pretty
scary
after
your
crime"
3."you
understand
that
people
fear
for
their
children,
but
you're
feeling
unfairly
treated?"
4."you
seem
angry,
but
you
have
committed
serious
crimes
against
several
children,
so
your
neighbors
are
frightened?"
-
ANSWER-3."you
understand
that
people
fear
for
their
children,
but
you're
feeling
unfairly
treated?"
a
nurse
is
preparing
for
the
hospital
discharge
of
a
client
with
a
history
of
command
hallucinations
to
harm
self
or
others.
The
nurse
instructs
the
client
about
about
interventions
for
hallucinations
and
anxiety
and
determines
that
the
client
understands
the
interventions
when
the
client
states:
1.
"my
medications
won't
make
me
anxious"
2.
"i'll
go
to
a
support
group
and
talk
so
that
I
won't
hurt
anyone."
3."I
won't
get
anxious
or
hear
things
if
I
get
enough
sleep
and
eat
well"
4."I
can
call
my
therapist
when
Im
hallucinating
so
that
I
can
talk
about
my
feelings
and
plans
and
not
hurt
anyone"
-
ANSWER-4."I
can
call
my
therapist
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