Mental Health

5. A client is preoccupied with persistent intrusive thoughts and ideas and uses ritualistic behavior to decrease anxiety associated with the unwelcome thoughts. The most therapeutic treatment options for this client would include: (Select all that apply) A. Identifying situations that precipitate compulsive behavior and encourage the client to verbalize his concerns and feelings. B. Allow the client to perform the ritualistic behavior, but set limits on behaviors that might interfere with the client's physical well-being. C. Recognize and reinforce positive, nonritualistic behaviors D. Administer tranquilizers such as diazepam to sedate the client when the client's actions jeopardize the safety of others.

A, B, and C

A client has been brought to the emergency department after attempting to commit suicide by hanging. The nurse should take which nursing action first? A. Examine the neck area and assess the airway B. Encourage the client to talk about the experience C. Administer an anxiolytic medication as prescribed at once. D. Obtain a detailed history of events leading to the attempt

A.

23. An anxious client reports to the nurse that she feels weak and dizzy. The nurse should respond by: A. Helping the client relax B. Giving the client something to drink C. Giving the client oxygen by nasal cannula D. Taking the client's vital signs

D. Taking the client's vital signs

A woman comes into the emergency department in a severe state of anxiety following a car accident. The most important nursing intervention is to: A. Put the client in a quiet room B. Remain with the client C. Teach the client deep breathing D. Encourage the client to talk about her feelings and concerns.

B. Remain with the client

A nurse enters the room of a middle-aged executive who is on the telephone arguing with his business partner. He abruptly hangs up the phone and becomes angry with the nurse. This client is using which coping mechanism? A. Diffusion B. Displacement C. Denial D. Decompensation

B. displacement

A nurse is having a conversation with a depressed client in an inpatient psychiatric unit. The client says to the nurse, "Things would be so much better for everyone if I just weren't around." Which response by the nurse would be appropriate at this time? A. "Those feelings will go away once your medication really takes effect." B. "I know what you mean; everyone gets that way when they are depressed." C. "Have you talked to anyone specifically about what is bothering you?" D. "You sound very unhappy. Are you thinking of harming yourself?"

D.

A nurse is caring for a client with a diagnosis of depression. The nurse monitors for sings of constipation and urinary retention, knowing that these problems are likely caused by: A. Poor dietary choices B. Lack of exercise and poor diet C. Inadequate dietary intake and dehydration D. Psychomotor retardation and side effects of medication

D. psychomotor retardation and side effects of medication

A client who attempted suicide by overdosing with a very large number of antidepressant pills has been admitted to the psychiatric unit. The nurse, being most concerned with the client's safety, would take which immediate action? A. Have the client put on a hospital gown and remove the client's clothing from the room. B. Request that a friend of the client remain with the client at all times. C. Suggest placing the client in a seclusion room where all potentially dangerous articles are removed. D. Stay with the client at all times.

D. stay with the client at all times