HESI RN MENTAL HEALTH HESI REVIEW - MULTIPLE CHOICE
A client is preparing to attend at Gamblers Anonymous meeting for the first time. The prototype used by this group is the 12-step program developed by Alcoholics Anonymous. Number in order of priority how the steps would be addressed. 1) Admitting to oneself and to another human being the exact nature of one's wrongs 2) Acknowledging that one is entirely ready to have his or her defects of character removed 3) Admitting that oneself is powerless over gambling and that one's life has become unmanageable 4) Making an effort to practice the 12-step principles in all affairs, and to carry out this message to other compulsive gamblers 5) Making direct amends wherever possible to all people that have been hurt, expect when to do so would further harm them or others
3, 1, 2, 5, 4
A nurse determines that the wife of an alcoholic client is benefitting from attending an Al-Anon group when the nurse hears the wife say: A) "I no longer feel that I deserve the beatings my husband inflicts on me." B) "My attendance at the meetings has helped me to see that I provoke my husbands violence." C) "I enjoy attending the meetings because they get me out of the house and away from my husband." D) "I can tolerate my husband's destructive behaviors now that I know they are common with alcoholics."
A) "I no longer feel that I deserve the beatings my husband inflicts on me."
A client is being successfully treated with clozapine (Clozaril). Which of the following statements by the client reflects a need for further teaching about managing the drug's adverse effects? A) "If I eat too many fruits, I'll get constipated." B) I need to take the medicine with food to avoid nausea." C) "I have to get up slowly so I don't get dizzy." D) "Sometimes I have to push myself because I'm sleepy."
A) "If I eat too many fruits, I'll get constipated."
A client diagnosed with paranoid schizophrenia is still withdrawn, unkept, and unmotivated to get out of bed. A mental health aide asks the nurse why the client is this way after being on fluphenazine (Prolix) 10 mg for 7 days. The nurse should tell the health aide: A) "Prolixin is the most effective with positive symptoms of schizophrenia." B) "The client will be less withdrawn and unmotivated when the Prolixin takes effect." C) "The client's Prolix dose probably needs to be increased again." D) "Lack of motivation is a common side effect of the Prolixin."
A) "Prolixin is the most effective with positive symptoms of schizophrenia."
A client with an eating disorder is planning to attend group meetings with Overeaters Anonymous. The nurse describes this group to the client, knowing that which finding(s) are characteristic of this form of self-help group? Select all that apply. A) A common goal is shared by all members B) Members are required to remain anonymous C) The leader is a professional mental health care provider D) Attendance must be prescribed by the health care provider E) The program is designed to provide support and bring about personal change F) The group is composed of individuals who are experiencing similar problems
A) A common goal is shared by all members E) The program is designed to provide support and bring about personal change F) The group is composed of individuals who are experiencing similar problems
A client with schizophrenia is experiencing distressful thoughts secondary to paranoia. Which intervention(s) should the nurse include in the plan of care? Select all that apply. A) Avoid laughing when near the client B) Whisper when communicating near the client C) Increase socialization of the client among his peers D) Have the client sign a written release of information form E) Provide food items that are in containers that need to be opened F) Begin to educate the client about social supports in the community
A) Avoid laughing when near the client E) Provide food items that are in containers that need to be opened
Select the nursing interventions for a hospitalized client with mania who is exhibiting manipulative behavior. Select all that apply. A) Communicate expected behaviors to the client B) Ensure that the client knows that he or she is not in charge of the nursing unit C) Assist the client in identifying ways of setting limits on personal behaviors D) Follow through about the consequences of behavior in a non punitive manner E) Enforce rules and inform the client that he or she will not be allowed to attend therapy groups F) Be clear with the client regarding the consequences of exceeding limits that have been set regarding behavior
A) Communicate expected behaviors to the client C) Assist the client in identifying ways of setting limits on personal behaviors D) Follow through about the consequences of behavior in a non punitive manner F) Be clear with the client regarding the consequences of exceeding limits that have been set regarding behavior
A client diagnosed with undifferentiated schizophrenia is being discharged on aripiprazole (Ability) 5 mg every night. When developing the teaching plan about the most common adverse effects, which of the following should the nurse include? Select all that apply. A) Headaches that will subside in a few weeks B) Transient mild anxiety C) Insomnia D) Torticollis E) Pill rolling movements
A) Headaches that will subside in a few weeks B) Transient mild anxiety C) Insomnia
An emergency department nurse is caring for an adult client who is a victim of family violence. Which priority instruction would be included in the discharge instructions? A) Information regarding shelters B) Instructions regarding calling the police C) Instructions regarding self-defense classes D) Explaining the importance of leaving the violent situation
A) Information regarding shelters
An outpatient clinic who has been receiving haloperidol (Haldol) for 2 days develops muscular rigidity, altered consciousness, a temperature of 103, and trouble breathing on day 3. The nurse interest these findings as indicating which of the following. A) Neuroleptic Malignant Syndrome B) Tardive dyskinesia C) Extrapyramidal adverse effects D) Drug-induced parksonism
A) Neuroleptic Malignant Syndrome
A client in the mental health unit believes that the food is being poisoned. What intervention(s) would be helpful when attempting to encourage the client to eat? Select all that apply. A) Use open-ended questions to encourage client dialogue B) Offer opinions about the necessity for adequate nutrition C) Focus on the client's self-disclosure about food preferences D) Identify the reasons the client has for not wanting to eat E) Offer the client food in closed containers, such as in cans that have to be opened
A) Use open-ended questions to encourage client dialogue E) Offer the client food in closed containers, such as in cans that have to be opened
The nurse is assessing a client who is taking an antipsychotic medication. Which of the following symptoms is uniquely indicative of neuroleptic malignant syndrome (NMS) and requires immediate attention? A) Very high temperature B) Muscular rigidity C) Tremors D) Altered consciousness
A) Very high temperature
The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbors ask the nurse, "How is Mary doing? She is my best friend and is seen at your clinic every week." Which is the most appropriate nursing response? A. "I can not discuss any patient situation with you." B. "If you want to know about Mary, you need to ask her yourself." C. "Only because you're worried about a friend, I'll tell you that she is improving." D. "Being her friend, you know she is having a difficult time and deserves her privacy."
A. "I can not discuss any patient situation with you."
A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations? A. "You appear to be talking to someone I do not see." B. "Please describe what you are seeing." C. "Why do you continually look in the corner of this room?" D. "If you hum a tune, the voices may not be so distracting."
A. "You appear to be talking to someone I do not see."
A patient admitted voluntarily for the treatment of an anxiety disorder demands to be released from the hospital. Which action should the nurse take initially? A. Contact the patient's health care provider (HCP). B. Call the patient's family to arrange for transportations. C. Attempt to persuade the patient to stay for only a few more days. D. Tell the patient that leaving would likely result in an involuntary commitment.
A. Contact the patient's health care provider (HCP).
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this behavior as indicating which defense mechanism? A. Denial B. Projection C. Rationalization D. Intellectualization
A. Denial
A patient admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting. "Let me out. There's nothing wrong with me. I don't belong here." What defense mechanism is the patient implementing? A. Denial B. Projection C. Regression D. Rationalization
A. Denial
The RN on the evening shift receives report that a client is scheduled for Electroconvulsive Therapy in the morning. Which intervention should the RN implement the evening before the scheduled ECT? A. Keep client NPO after midnight B. Hold all bedtime meds C. Implement elopement precautions D. Give the client an enema at bedtime
A. Keep client NPO after midnight
When reviewing the admission assessment, the nurse notes that a patient was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this patient? A. Monitor closely for harm to self or others. B. Assist in completing an application for admission C. Supply the patient with written information about their mental illness. D. Provide an opportunity for the family to discuss why they felt the admission was needed.
A. Monitor closely for harm to self or others.
A LPN/LVN observes that a client is pacing, agitated, and presenting aggressive gestures. The client's speech pattern is rapid and affect is belligerent. Based on these observations, the nurse's immediate priority of care is to: A. Provide safety for the client and other clients on the unit B. Provide the clients on the unit with a sense of comfort and safety C. Assist the staff in caring for the client in a controlled environment D. Offer the client a less stimulated area to calm down and gain control
A. Provide safety for the client and other clients on the unit
Which therapeutic communication technique is being used in this nurse-client interaction? Client: "My father spanked me often." Nurse: "Your father was a harsh disciplinarian." A. Restatement B. Offering general leads C. Focusing D. Accepting
A. Restatement
The nurse in the mental health unit recognizes which of the following as therapeutic communication techniques? (Select all that apply) A. Restating B. Listening C. Asking the patient "Why?" D. Maintaining neutral responses E. Providing acknowledgment and feedback F. Giving advice and approval or disapproval
A. Restating B. Listening D. Maintaining neutral responses E. Providing acknowledgment and feedback
After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, "I'm so proud of you for being assertive. You are so good!" Which communication technique has the leader employed? A. The nontherapeutic technique of giving approval B. The nontherapeutic technique of interpreting C. The therapeutic technique of presenting reality D. The therapeutic technique of making observations
A. The nontherapeutic technique of giving approval
A patient experiencing disturbed thought processes believes that his food is has been poisoned. Which communication technique should the nurse use to encourage the patient to eat? A. Using open-ended questions and silence B. Sharing personal preference regarding food choices C. Documenting reasons why the patient does not want to eat D. Offering opinions about the necessity of adequate nutrition
A. Using open-ended questions and silence
A client states that she hears God's voice telling her that she has sinned and needs to punish herself. Which response by the nurse is most important? A) "How do you think you will be punished?" B) "Please tell staff when you think you need to punish yourself." C) "What exactly do you think you have done to be punished?" D) "Let's talk about your strengths"
B) "Please tell staff when you think you need to punish yourself."
A client's medication sheet contains a prescription for sertraline (Zoloft). To ensure safe administration of the medication, a nurse would administer the dose: A) On an empty stomach B) At the same time each evening C) Evenly spaced around the clock D) As needed when the client complains of depression
B) At the same time each evening
The wife of a client diagnosed with paranoid schizophrenia visits 2 days after her husband's admission and states to the nurse, "Why isn't he eating? He's still talking about his food being poisoning." With of the following appraisals by the nurse is most accurate? A) The wife's inquiry is reasonable B) Education about her husband's medication is needed C) Her expectations of her husband are realistic D) An increase in the client's medication is needed
B) Education about her husband's medication is needed
A nurse is preforming a follow-up teaching session with a client discharged 1 month ago. The client is taking fluoxetine (Prozac). What information would be important for the nurse to obtain during this client visit regarding the side effects of the medication? A) Cardiovascular symptoms B) Gastrointestinal dysfunctions C) Problems with mouth dryness D) Problems with excessive sweating
B) Gastrointestinal dysfunctions
The nurse should include which information in the nursing plan of care for a client with obsessive-compulsive disorder (OCD)? Select all that apply. A) The medical diagnosis of the client B) Individualized goals and objectives C) Attendance at group therapy sessions D) Self-care measures to improve hygiene E) Interruption of all compulsive behaviors
B) Individualized goals and objectives C) Attendance at group therapy sessions D) Self-care measures to improve hygiene
A nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes that the admission nurse documented that the client is experiencing anxiety as a result of a situational crisis. The nurse determines that this type of crisis is caused by: A) Witnessing a murder B) The death of a loved one C) A fire that destroyed the client's home D) A recent rape episode experienced by the client
B) The death of a loved one
When caring for a client who has overdosed on PCP, the nurse should be especially cautious about which of the following client behaviors? A) Visual hallucinations B) Violent behavior C) Bizarre behavior D) Loud screaming
B) Violent behavior
A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening? A. "What occurred prior to the rape, and when did you go to the emergency department?" B. "What would you like to talk about?" C. "I notice you seem uncomfortable discussing this." D. "How can we help you feel safe during your stay here?"
B. "What would you like to talk about?"
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription? A. Pulse rate 68-78 bpm B. BP readings of 90/62 mmHg to 92/58 C. Temperature of 99.5-99.7 F D. Respiration rate of 24 bpm
B. BP readings of 90/62 mmHg to 92/58
The LPN/LVN calls security and has physical restraints applied when a client who was admitted voluntarily becomes both physically and verbally abusive while demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? (Select all that apply) A. Libel B. Battery C. Assault D. Slander E. False Imprisonment
B. Battery C. Assault E. False Imprisonment
The nurse is preparing a patient for the termination phase of the nurse-patient relationship. The nurse prepares to implement which nursing task that is most appropriate for this phase? A. Planning short-term goals B. Making appropriate referrals C. Developing realistic solutions D. Identifying expected outcomes
B. Making appropriate referrals
A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening? A. S B. O C. L D. E E. R
B. O rationale: The acronym SOLER includes: A: (S)itting squarely facing the client B: (O)pen posture when interacting with the client C: (L)eaning forward toward the client D: (E)stablishing eye contact E: (R)elaxing
Male who was found sitting in the middle of a busy street is brought to the emergency department. Confused and has difficulty answering questions. After ruling out a physiological etiology for the client's behavior. When admitting the client to the unit, which action is most important for the nurse to take? A. Ask the client about his recent substance use B. Perform a mental status exam C. Determine the number of previous hospitalizations D. Assess the client from head-to-toe
B. Perform a mental status exam
A client with depression is not attentive to personal hygiene, uses television watching as a means of escape from...inability to enjoy the things that once gave them pleasure. Which coping strategy should the nurse include in the plan of care? A. Relax and reduce the amount of effort to solve the problem B. Recall methods that were most successful in the past C. reach out to family and friends about feelings of abandonment D. turn to other activities to take one's mind off of the issues
B. Recall methods that were most successful in the past
A male client with delirium becomes disoriented and confused in his room at night. The best initial nursing intervention is to: A. Move the client next to the nurse's station B. Use an indirect light source and turn off the television C. Keep the television and a soft light on during the night D. Play soft music during the night and maintain a well-lit room
B. Use an indirect light source and turn off the television
A young male who was recently diagnosed with bipolar disorder takes lithium carbonate daily. He is graduating...he tells the school nurse that wants to live away from home for college. What information is most important for...family? A. Despite his illness, the client should be able to live away from home B. his serum lithium levels should be routinely evaluated C. he should plan to participate in group or individual therapy while at college D. he should be aware of the symptoms of his illness
B. his serum lithium levels should be routinely evaluated
A female victim of 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. The appropriate nursing response is which of the following? A) "You need to try and be realistic. The rape did not just occur." B) "It will take some time to get over these feelings about your rape." C) "Tell me more about the incident that causes you to feel like the rape just occurred." D) "What do you think that you can do to alleviate some of your fears about being raped again?"
C) "Tell me more about the incident that causes you to feel like the rape just occurred."
A nurse is conducting an initial assessment on a client in crisis. When assessing the client's perception of the precipitating event that lead to the crisis, the appropriate question to ask is: A) "With whom do you live?" B) "Who is available to help you?" C) "What leads you to seek help now?" D) "What do you usually do to feel better?"
C) "What leads you to seek help now?"
Which of the following liquids should the nurse administer to a client who is intoxicated on PCP to hasten excretion of the chemical? A) Water B) Milk C) Cranberry juice D) Grape juice
C) Cranberry juice
A nurse is preparing to care for a dying client, and several family members are at the client' bedside. Select the therapeutic techniques that the nurse would use when communicating with the family. Select all that apply. A) Discourage reminiscing B) Make decisions for the family C) Encourage expression of feelings, concerns, and fears D) Explain everything that is happening to all family members E) Touch and hold the client's or family member's hands if appropriate F) Be honest and let the client and family know that they will not be abandoned by the nurse
C) Encourage expression of feelings, concerns, and fears E) Touch and hold the client's or family member's hands if appropriate F) Be honest and let the client and family know that they will not be abandoned by the nurse
A moderatley depressed client who was hospitalized 2 days ago suddenly begins smiling and reporting that the crisis is over. The client says to a nurse "I'm finally cured." The nurse interprets this behavior as a cue to modify the treatment plan by: A) Suggesting a reduction of medication B) Allowing increased "in-room" activities C) Increasing the level of suicide precautions D) Allowing the client off-unit privileges as needed
C) Increasing the level of suicide precautions
A nurse is caring for a client with anorexia nervosa. The nurse is monitoring the behavior of the client and understands that a client with anorexia nervosa manages anxiety by: A) Engaging in immoral acts B) Always reinforcing self-approval C) Observing rigid rules and regulations D) Having the need always to make the right decision
C) Observing rigid rules and regulations
An elderly client was prescribed Ativan 1 mg three times a day to help calm her anxiety after her husband's death. The next day the client calls her daughter asking when she is picking her up to go to the graveside. The client says she has been walking up and down the driveway for the past hour waiting for her daughter. Noting the client's agitation, hyperactivity, and instance, the daughter calls the nurse to report her mother's behavior. Which of the following would the nurse suspect as the cause of the mother's behavior and what action should she suggest? A) The client is manic and may need a sleeping pill B) The client is experiencing a medication interaction and should go to the ED C) The client is experiencing a paradoxical reaction to the Ativan and should stop the new medication immediately D) The client is overcome by grief and probably needs an antidepressant
C) The client is experiencing a paradoxical reaction to the Ativan and should stop the new medication immediately
Which statement demonstrates the best understanding of the nurse's role regarding ensuring that each client's rights are respected? A. "Autonomy is the fundamental right of each and every client" B. "A client's rights are guaranteed by both state and federal laws" C. "Being respectful and concerned will ensure that I'm attentive to my client's rights" D. "Regardless of the client's condition, all nurses have the duty to respect client rights"
C. "Being respectful and concerned will ensure that I'm attentive to my client's rights"
An instructor is correcting a nursing student's clinical worksheet. Which instructor statement is the best example of effective feedback? A. "Why did you use the client's name on your clinical worksheet?" B. "You were very careless to refer to your client by name on your clinical worksheet." C. "Surely you didn't do this deliberately, but you breached confidentiality by using the client's name." D. "It is disappointing that after being told, you're still using client names on your worksheet."
C. "Surely you didn't do this deliberately, but you breached confidentiality by using the client's name."
Nurse Patrick is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a general lead? A. "Do you know why you are here?" B. "Are you feeling depressed or anxious?" C. "Yes, I see. Go on." D. "Can you chronologically order the events that led to your admission?"
C. "Yes, I see. Go on."
A patient diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic? A. "Have you shared your feelings with your family?" B. "I think we should talk more about your anger with your family." C. "You're feeling angry that your family continues to hope for you to be cured?" D. "You are probably very depressed, which is understandable with such a diagnosis."
C. "You're feeling angry that your family continues to hope for you to be cured?"
When the community health nurse visits a patient at home, the patient states, "I haven't slept the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this patient? A. "I see." B. "Really?" C. "You're having difficulty sleeping?" D. "Sometimes, I have trouble sleeping too."
C. "You're having difficulty sleeping?"
A LPN/LVN employed in a mental health unit of a hospital is the leader of a group psychotherapy session. The nurse's role in the termination stage of group development is to: A. Encourage problem solving B. Encourage accomplishment of the group's work C. Acknowledge the contributions of each group member D. Encourage members to become acquainted with one another
C. Acknowledge the contributions of each group member
A client is admitted to a medical nursing unit with a diagnosis of acute blindness, many tests are performed, and there seems to be no organic reason why this client cannot see. The client became blind after witnessing a hit-and-run car accident, when a family of three was killed. A LPN/LVN suspects that the client may be experiencing: A. Psychosis B. Repression C. Conversion Disorder D. Dissociative Disorder
C. Conversion Disorder
An adolescent male client is hospitalized after he threatened a teacher at school. He admits feeling angry because his mother tricked him and brought him to the hospital. The client states that when his mother visits, he plans to get his belongings from her, but he is not going to talk to her. Which activity is most important for the nurse to complete before the mother arrives? A. Assess the client's self-esteem needs. B. Determine the client's expectations fortreatment. C. Discuss methods for clearly communicating. D. Identify ways to develop support systems.
C. Discuss methods for clearly communicating.
A manic client announces to everyone in the day room that a stripper is coming to perform this evening. When a nurse firmly state that this is inappropriate and will not happen, the client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of the situation, the LPN/LVN determines that the appropriate action would be to: A. Orient the client to time, person, and place B. Tell the client that behavior is inappropriate. C. Escort the manic client to her room with assistance D. Tell the client that smoking privileges are revoked for 24 hours
C. Escort the manic client to her room with assistance
Which therapeutic communication technique is being used in this nurse-client interaction? Client: "When I am anxious, the only thing that calms me down is alcohol." Nurse: "Other than drinking, what alternatives have you explored to decrease anxiety?" A. Reflecting B. Making observations C. Formulating a plan of action D. Giving recognition
C. Formulating a plan of action
An older man with a hx of falls at home tells the clinic nurse that his son, who was incarcerated last year for assault and battery, has become abusive since his release from prison. Which intervention is most important for the nurse to implement? A. Tell the client to call Adult Protective Services if his son's abuse continues. B. Refer the client to a program for victims of domestic violence C. Verify the client's report by determining if there is physical evidence of abuse D. Assist the client in developing an emergency safety plan
C. Verify the client's report by determining if there is physical evidence of abuse
After meeting with a healthcare provider, a client who is diagnosed with bipolar disorder is screaming and stomping. Which action should the nurse take? A. instruct the client to reduce the volume of his voice B. administer a PRN sedative by injection C. accompany the client to a quiet area of the unit D. encourage the client to attend a support group
C. accompany the client to a quiet area of the unit
On admission assessment, the nurse is obtaining subjective data about a client's sexual and reproductive status. The client states, "I don't want to discuss this; it's private and personal." Which response by the nurse is the most therapeutic? A) "I'd hate being asked these sorts of questions too, but it's a necessary part of providing you with the best care." B) "This is difficult for you to speak about, but I need this information from you in order to perform a complete assessment." C) "I am a professional registered nurse, and, as such, I'll have you know that all your information is certainly kept confidential." D) "I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated to respect your confidentiality."
D) "I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated to respect your confidentiality."
A newly admitted client describes her mission in life as one of saving her son by eliminating the "provocative sluts" of the world. There are several attractive young women on the unit. What should the nurse do first? A) Ask the client for her definition of "provocative sluts" B) Ask the young female clients on the unit to dress less provocatively C) Ask the client to discuss her concerns in the next group session D) Ask the client to inform the staff if she has negative thoughts about other clients
D) Ask the client to inform the staff if she has negative thoughts about other clients
A client with a leg amputation is upset about his appearance. The nurse intends to address which most closely associated psychosocial problem? A) Inability to be mobile B) Isolating self from others C) Inability to tolerate activity D) Concern about body persona
D) Concern about body persona
A client in a long-term care facility who has multiple sclerosis is embarrassed about the need to use a wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in assisting the client to cope? A) Keep the client in her room as much as possible B) Assist the client with all activities of daily living C) Tell the client that many of the people in the facility have these same sorts of problems D) Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily
D) Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily
A nurse is caring for a suicidal client. The appropriate nursing intervention in dealing with this client is to: A) Demonstrate confidence in the client's ability to deal with stressors B) Provide hope and reassurance that the problems will resolve themselves C) Display an attitude of detachment, confrontation, and efficiency D) Provide authority, action, and participation
D) Provide authority, action, and participation
A patient with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died! I've always been a failure. Nothing ever goes right for me." Which response demonstrates therapeutic communication? A. "You have everything to live for." B. "Why do you see yourself as a failure?" C. "Feeling like this is all part of being depressed." D. "You've been feeling like a failure for a while?"
D. "You've been feeling like a failure for a while?"
On review of the patient's record, the nurse notes the admission was voluntary. Based on this information, the nurse anticipates which patient's behavior? A. Fearfulness regarding treatment measures. B. Anger and aggressiveness directed toward others. C. An understanding of the pathology and symptoms of the diagnosis. D. A willingness to participate in the planning of the care and treatment plan.
D. A willingness to participate in the planning of the care and treatment plan.
A nurse is working with a client who has sought counseling after trying to rescue a neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which action does the nurse engage in with the client during the working phase of the nurse-client relationship? A. Exploring the client's ability to function B. Exploring the client's potential for self-harm C. Inquiring about the client's perception of appraisal of the neighbor's death D. Inquiring about and examine the client's feelings that may block adaptive coping
D. Inquiring about and examine the client's feelings that may block adaptive coping
Which therapeutic communication technique is being used in this nurse-client interaction? Client: "When I get angry, I get into a fistfight with my wife, or I take it out of the kids." Nurse: "I notice that you are smiling as you talk about this physical violence." A. Encouraging comparison B. Exploring C. Formulating a plan of action D. Making observations
D. Making observations
Unresolved feelings related to loss most likely may be recognized during which phase of the therapeutic nurse-client relationship? A. Working B. Trusting C. Orientation D. Termination
D. Termination
A nurse states to a client, "Things will look better tomorrow after a good night's sleep." This is an example of which communication technique? A. The therapeutic technique of "giving advice" B. The therapeutic technique of "defending" C. The nontherapeutic technique of "presenting reality" D. The nontherapeutic technique of "giving false reassurance"
D. The nontherapeutic technique of "giving false reassurance"
What is the most important goal for a client with major depression who has been receiving an antidepressant medication for two weeks? A. ventilate feelings of sadness B. eats three meals a day C. participates in group meetings D. does not attempt to commit suicide
D. does not attempt to commit suicide
A female client with obsessive compulsive disorder complains that she is feels "driven" to check the locks on her front door at.. Which response is best for the nurse toprovide? A. have you had a bad experience related to unlocked doors? B. What are your thoughts when you are checking the locks? C. feelings of being drive to do something are related to anxiety D. repeating the same behavior helps you to diminish your anxiety
D. repeating the same behavior helps you to diminish your anxiety
A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response is best for the nurse to provide this client? a.) "I am not the best nurse. All the nurses are good." b.) "The other nurses and I are here to help you get better" c.) "You don't think the other nurses care about you?" d.) "I do care about you as a person but nothing more."
b.) "The other nurses and I are here to help you get better"
A young female client is admitted to the emergency room because she was raped that evening by her date. How should the nurse record the client's chief complaint in the medical record? a.) Client reported that she had sexual relations against her will. b.) Client claims that she was forced to participate in sexual intercourse. c.) Client has been sexually assaulted. d.) Client states, "my date raped me tonight."
d.) Client states, "my date raped me tonight."
