Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence Based Practice 8th Edition Morgan Townsend
PSYCHIATRIC MENTAL HEALTH NURSING, 10TH EDITION, KARYN I. MORGAN, MARY C. TOWNSEND, ISBN-13: 9780803699670
PSYCHIATRIC MENTAL HEALTH NURSING, 10TH EDITION, KARYN I. MORGAN, MARY
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Test Bank For Essentials of Psychiatric Mental Health Nursing
8th Edition Concepts of Care in Evidence Based Practice 8th
Edition Morgan Townsend | 9780803676787 | Chapter 1-32 |
All Chapters with Answers and Rationals
A client in the mental health clinic has a phobia about closed spaces. Which desensitization method
should the nurse expect to be used successfully with this client? - ANSWER: Imagery
What treatment should a nurse anticipate will be prescribed for a client with severe, persistent,
intractable depression and suicidal ideation? - ANSWER: Electroconvulsive therapy
An older adult, accompanied by family members, is admitted to a long-term care facility with
symptoms of dementia. During the admission procedure the initial statement by the nurse most
helpful to this client is: - ANSWER: "Don't be afraid. I'm your nurse, and everyone here in the hospital
is here to help you."
An older depressed person at an independent living facility constantly complains about her health
problems to anyone who will listen. One day the client says, "I'm not going to any more activities. All
these old crabby people do is talk about their problems." What defense mechanism does the nurse
conclude that the client is using? - ANSWER: Projection
A client with alcohol dependence problem asks whether the nurse can see the bugs that are crawling
on the bed. What is the nurse's initial reply? - ANSWER: "No, I don't see any bugs."
A client is responding within an hour of receiving naloxone to combat respiratory depression from an
overdose of heroin. Why should a nurse continue to closely monitor this client's status? - ANSWER:
Symptoms of the heroin overdose may return after the naloxone is metabolized.
A client tells the nurse, "The voices say I'll be safe only if I stay in this room, wear these clothes, and
avoid stepping on the cracks between the floor tiles." What is the best initial response by the nurse? -
ANSWER: "I understand that these voices are real to you, but I want you to know that I don't hear
them."
A parent of a 17-year-old girl who has been hospitalized for extremely disturbed acting-out behavior
leaves a gift for the daughter but says, "I'm too busy to visit today." The daughter becomes upset and
tearful after being given the message and opening the package. What does the nurse conclude that
the parent's actions represent? - ANSWER: Double-bind message
A client with schizophrenia is admitted to a psychiatric unit. The client is talking while walking in the
hall, is unkempt, and obviously has not washed in several days. What should the nurse say when
trying to help this client shower? - ANSWER: "I'll help you take your shower now."
When a client is expressing severe anxiety by sobbing in the fetal position on her bed, the nurse's
priority is: - ANSWER: Ensuring a safe therapeutic milieu
A nurse is caring for several clients who are going through withdrawal from alcohol. The primary
reason for the ingestion of alcohol by clients with a history of alcohol abuse is that they: - ANSWER:
Are dependent on it
A nurse is caring for a client with the diagnosis of alcohol withdrawal delirium. Which action is most
appropriate for the nurse to implement? - ANSWER: Assuring the client that the symptoms are part of
the withdrawal syndrome
,A 30-year-old woman reports to the mental health clinic on the recommendation of her primary
health care provider. She has been unable to carry out everyday activities because of increased pain
in her lower back and legs. Numerous neurological and orthopedic workups indicate that her
symptoms seem excessive when compared with the physical problems shown on physical
examination and repeated MRIs and x-rays. She says that no one understands how difficult it has been
to care for her 32-year-old husband, who has an inoperable brain tumor and is undergoing
chemotherapy. In light of the history and symptoms, what disorder should the nurse suspect? -
ANSWER: Conversion
A client is admitted to the hospital because of incapacitating obsessive-compulsive behavior. The
statement that best describes how clients with obsessive-compulsive behavior view this disorder is: -
ANSWER: "I know there's no reason to do these things, but I can't help myself."
A client with schizophrenia is demonstrating waxy flexibility. Which intervention is the best way to
manage the possible outcome of this behavior? - ANSWER: Passive range-of-motion exercises three
times a day for effective joint health
A client has been on the psychiatric unit for several days. The client arouses anxiety and frustration in
the staff and manipulates them so well that staff members are afraid to approach the client. One
morning the client shouts at the nurse, "You've worked it so I can't go for a walk with the group today.
You're as cunning as a fox. I hate you! Get out, or I'll hit you!" What is the best response by the nurse?
- ANSWER: "I don't like hearing your threats, but tell me more about your feelings."
An adult client confides to a clinic nurse, "I fantasize about having sex with children, and I get the urge
to do it, too." What is the most appropriate response by the nurse? - ANSWER: Asking the client,
"Have you ever acted on these thoughts?"
In her eighth month of pregnancy, a 24-year-old client is brought to the hospital by the police, who
were called when she barricaded herself in a ladies' restroom of a restaurant. During admission the
client shouts, "Don't come near me! My stomach is filled with bombs, and I'll blow up this place if
anyone comes near me." The nurse concludes that the client is exhibiting: - ANSWER: Delusional
thinking
A client who is on the third day of detoxification therapy becomes agitated and restless. What are the
signs and symptoms that indicate impending alcohol withdrawal delirium? (Select all that apply.) -
ANSWER: Diaphoresis
Tachycardia
Hypertension
A client is lonely and extremely depressed, and the health care provider prescribes a tricyclic
antidepressant. The client asks the nurse what the medication will do. What is the best response by
the nurse? - ANSWER: "The medication will increase your appetite and make you feel better."
A client with a diagnosis of panic disorder who had a panic attack on the previous day says to the
nurse, "That was a terrible feeling I had yesterday. I'm so afraid to talk about it." What is the most
therapeutic response by the nurse? - ANSWER: "What were you doing yesterday when you first
noticed the feeling?"
A client believes that doorknobs are contaminated and refuses to touch them except with a paper
tissue. What nursing intervention will be most therapeutic for this client? - ANSWER: Supplying the
client with tissues to maintain function until the anxiety eases
A man is admitted to the psychiatric unit after attempting suicide. The client's history reveals that his
first child died of sudden infant death syndrome 2 years ago, that he has been unable to work since
the death of the child, and that he has attempted suicide before. When talking with the nurse he says,
"I hear my son telling me to come over to the other side." What should the nurse conclude that the
client is experiencing? - ANSWER: Command hallucination
, A nurse recalls that language development in the autistic child resembles: - ANSWER: Echolalia
What is a therapeutic nursing action in the care of a depressed client? - ANSWER: Sitting down next to
the client at frequent intervals
A nurse is caring for a client who uses ritualistic behavior. What common antiobsessional medication
does the nurse anticipate will be prescribed? - ANSWER: Fluvoxamine (Luvox)
A client is found to have a borderline personality disorder. What behavior does the nurse consider is
most typical of these clients? - ANSWER: Impulsive
An older adult with a diagnosis of delirium on the mental health unit begins acting out while in the
dayroom. What is the initial nursing intervention? - ANSWER: Giving the client one simple direction at
a time in a firm low-pitched voice
A hyperactive 9-year-old child with a history of attention deficit-hyperactivity disorder is admitted for
observation after a motor vehicle collision. On what should nursing actions be focused when the
nurse is teaching about personal safety? - ANSWER: Talking with the child about the importance of
using a seat belt
A female client who is severely incapacitated by obsessive-compulsive behavior has been admitted to
the mental health hospital. The client's compulsive ritual involves changing her clothing 8 to 12 times
a day. She continually asks the nurse for advice regarding her problems but then ignores it. This is an
example of the conflict of: - ANSWER: Dependence versus independence
A client with a long history of alcohol dependence spends 28 days in an alcohol-rehabilitation unit.
What type of referral does the nurse anticipate will be included in the discharge plan? - ANSWER:
Community-based self-help group
A nurse is evaluating a child with suspected autism. At what age does the nurse determine that the
signs of autism initially may be evident? - ANSWER: 2 years
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? - ANSWER: "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: - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: Early onset, before 36 months
of age
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