NUR 205 Saunders Mental Health Questions And Answers With 100% Correct Answers
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Course
NUR 205 Saunders Mental Health
Institution
NUR 205 Saunders Mental Health
A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should
the nurse implement initially? - Use an indirect light source and turn off the television.
A client experiencing delusions of being poisoned is admitted to the hospital after not eating or drinki...
NUR 205 Saunders Mental Health
A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should
the nurse implement initially? - Use an indirect light source and turn off the television.
A client experiencing delusions of being poisoned is admitted to the hospital after not eating or drinking
for several days. On data collection, the nurse notes no evidence of dehydration and malnutrition at this
time. The nurse should immediately plan to address which client need? - Safety and security
A client has been brought to the emergency department after attempting to commit suicide by hanging.
The nurse should take which nursing action first? - Examine the neck area and assess the airway.
A client is admitted to the mental health unit with a diagnosis of possible somatic symptom disorder.
Besides anxiety, the nursing assessment is especially important in identifying which client
signs/symptoms are contributing to the somatic symptom disorder? Select all that apply. - 1.
Depression
2. Substance abuse
4. Adverse childhood events
5. Posttraumatic stress disorder (PTSD)
A client is admitted to the psychiatric unit following a serious suicide attempt by a drug overdose. Which
action should the nurse implement? - Remain with the clients at all times.
A client is being prepared for electroconvulsive therapy (ECT). The nurse's plan of care for the night
before ECT treatment should include which intervention? - The client shampoos and dries the
hair, freeing it all of hair spray and creams.
A client states to the nurse, "I haven't slept at all the last couple of nights." The nurse should make which
therapeutic response to the client? - "Tell me about your difficulty sleeping."
A client tells the nurse that he is feeling out of control. The nurse observes that the client is pacing back
and forth. Which approach by the nurse is appropriate to maintain a safe environment? - Move
the client to a quiet room and talk about his feelings.
, A client who has developed paralysis of the lower extremities is admitted to the hospital. The client
shares information with the nurse regarding a severe emotional trauma that occurred 6 weeks ago. The
nurse develops a plan of care, knowing which action is the priority? - Looking for organic causes of
the paralysis.
A client who has terminal cancer has been experiencing a significant increase in pain. However, today the
client is no longer complaining of pain but is quiet and isolative. Which types of therapeutic
communication should the nurse employ? Select all that apply. - 1. Sit by the client's bed holding
his or her hand.
2. Reminisce with the client and share a humorous story that the clients enjoys.
3. The nurse asks: "What can I do, that make you feel more comfortable today?"
5. The nurse asks: "I noticed you grimacing earlier when I walked in your room. Are you in pain?"
6. The nurse states: "It must be very frustrating to be in pain and not be able to get complete relief from
your pain."
A client who is diagnosed with pedophilia and recently has been paroled as a sex offender says, "I'm in
treatment and I have served my time. Now this group has posters all over the neighborhood with my
photograph and details of my crime." Which is an appropriate response by the nurse? - "You
understand that people fear for their children, but you're feeling unfairly treated?"
A client with a diagnosis of major depression becomes more anxious, reports sleeping poorly, and seems
to display increased anger. The nurse should make which interpretation about the client's behavior? -
The client is at increased risk for suicide.
A client with delirium becomes agitated and confused at night. The best initial intervention by the nurse
is which action? - Use a night light and turn off the television.
A client with depression reports to the nurse that she has not been sleeping or eating adequately. The
nurse should plan to do which to assist the client in meeting nutritional needs? - Provide small,
frequent meals.
A female victim of a sexual assault is being seen in the crisis center. The client states that she still feels
"as though the rape just happened yesterday," even though it has been a few months since the incident.
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