mental health 3 and 4

The nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome?

The client will resume the precrisis level of functioning.

The nurse has established a therapeutic relationship with a client. The client is beginning to share feelings openly with the nurse. The relationship has entered which phase according to Peplau's theory?

Identification

A client who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this client at this time?

Inpatient hospital treatment

The nurse is assessing a client who is talking about the client's son's recent death but who shows no emotion of any kind. The client describes the physiologic events that occurred as the son died. The nurse recognizes that the client is using which defense mechanism?

Intellectualization

Which is the priority for admission to inpatient care?

Safety of self or others

A client has just been told she has cervical cancer. When asked about how this is impacting her, she states, "It's just an infection; it will clear up." The statement indicates that this client:

is using denial to protect herself from an emotionally painful thought.

A nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed by the neighbors. The nurse can effectively educate the public on the realities of a group home by citing research that indicates:

most people with mental illness do not represent a significant danger to others.

A teenage client defies the nurse's repeated requests to turn off the video game and go to sleep. The client says angrily, "You sound just like my mother at home!" and continues to play the video game. What does the nurse understand that this statement likely indicates?

the presence of transference.