MENTAL HEALTH QUIZ # 1

An adult who has been in a gay relationship for 3 years arrives at ED in a panic state, my partner just left me , I am a wreck What should the nurse do to help the client cope with this loss? select all

Identify the client's support system Encourage the client to talk about the situation

A nurse leads and assertiveness training program for a group of clients .Which client statement demonstrates that the treatment has been effective?

It annoys me when people call me Dearie so i told him not to do it anymore

A parent of a 13 year old adolescent who was recently diagnosed with Hodgkiin disease tells a nurse I dont want child to know the diagnosis. How should the nurse respond?

Lets talk about your feelings regarding your child's diagnosis

During a group meeting a client tells everyone I am afraid of my impending discharge from the hospital What is the most appropriate response by the nurse facilitator?

Maybe others in the group have similar feelings that they would share

At a group therapy session a client tearfully tells the other members I lost my job this week , What is the nurse leader's most appropriate response?

Quitely observe how the group responds to the client's statement

A health care provider orders restraints prn for a client who has a history of violent behavior. What is the nurse's responsibility concerning this order?

Recognize that prn orders for restraints are unacceptable

A depressed client has been prescribed a tricyclic antidepressant how long should the nurse inform the client it will take before noticing a significant change in the depression?

2 to 4 weeks

Which approaches should a nurse use during crisis intervention? select all

Active and goal - directed

Chloradiazepoxide 100 mg is prescribed for a CIWA score of 25 , the client had 300 mg in 3 hours and is still displaying acute alcohol withdrawl symptoms what is the next nursing action?

Administer Chloradiazepoxide as indicated by the client's CIWA score

Client with paranoid schizo throws a chair across the room several clients become frightened , nurse removes the agitatied client from the room. What should the nurse remianing in the room do next?

Arrange a unit meeting to discuss what just happened

What is the most difficule intital task when developing a nurse - client relationship?

Developing an awareness of self and the professional role in the relationship

what med should the nurse expect to administer actively to reverse the overdose sedative effects of benzos

Flumazenil

client with diagnosis of schizo is discharged , client forgets to take med at home and is unable to function and be rehospitalized . what med may be prescribed the can be administered on an outpatient basis every 2 to 3 weeks?

Fluphenazine

A physician is admitted to the psych unit of a community hospital . The client who was loud, aggressive and resistive during the admission states I will take my own blood pressure. What is the nurse's most therapeutic response?

I am sorry but i cannot allow that because I must take your blood pressure.

extremely anxious client enters a crisis center and asks a nurse for help which response best reflects the nurse's role in crisis intervention

I will be here for you to help you figure things out

A family member brings a relative to the local community hospital because the relative has been acting strange Which statements meet involuntary hospitalization criteria?

I would like to end it all with sleeping pills , voices say it is okay for me to kill all prostitutes

A nurse encourages a client to join a self help group after being discharged from a mental health facility What is the purpose of having people work in a group?

Support

Which is the most important assessment data for a nurse to gather from the client in crisis?

The client's perception of the cicumstances surrounding the crisis

a nurse educator is leading a class on supporting middle aged adults who are experincing midlife crisis, What should the nurse include as the most significant factor in the development of the type of crisis?

the perception of their life situatuion

A nurse reminds a client that it is time for group therapy , The client responds by yelling at the nurse You are always telling me what to do Just like my father . What defense mechanism is the client using?

Transference

As depression begins to life , a client is asked to join a small discussion group the meets every evening on the unity, client is reluctant to join because they have nothing to talk about What is the best response by the nurse?

You feel you will not be accepted unless you have something to say?

A client on the psychiatric unit asks a nurse about PAD's . What info should from the basis of the nurse's response?

a client is allowed to consent or refuse potential pschy treatments if a future incapacitating mental health crisis occurs

A client with schizo who has type II is prescribed risperidone which outcomes indicated that the med has minimized these symptoms?

there is more interest shown in unit activities, client performs activities of daily living independently.

a nurse administers an antipsychotic to a client , for which common manageable side effect should the nurse assess the client?

unintentional tremors

a child in 1st grade is murdered and counseling is planned for other children at school .What should a nurse identify first before assessing a child's response to a crisis?

developmental level of the child

A client is scheduled for a 6- week ECT treatment program, what intervention is most important during the 6 week course?

elimination of benzodiazepines for nighttime sedaiton

client with diagnosis of borderline personality disorder , what is a realistic initial intervention for this client?

establish clear boundaries

what is the most important information a nurse should teach to prevent relapse in a client with a psych illness?

follow the prescribed medication regimen

Impiramine 75 mg three times per day is prescribed for a client What nursing action is appropriate when administering this medication?

have the client checked for intraocular pressure and teach about glaucome

Among members of the nursing team which functions are registered nurses legally permitted to perform in a mental health hospital?

health promotion, case management and treating human responses

Which statement best describes the practice of psychiatric nursing?

helps people with present or potential mental health problems

a client in the hyperactive phase of a mood disorder , bipolar type is receiving lithium , a nurse identifies that the client's lithium blood level is 1.8 , what is the most appropriate nursing action?

hold the drug and notify the health care provider immediately becuase the blood lithium level may be toxic.

A male nurse is caring for a client .The client states You know Iv'e never had a male nurse before, What is the nurse's best reply?

how do you feel about having a male nurse?

A latino client with schizophrenia is admitted to a MH unit aggravated and dishevled after failing to take prescribed meds for the last 5 days, in developing a care plan that incorportes the clients cultural background the nurse gives prioritiy to

inclusion of the family in the plan of care with the clients permission

When assisting clients to cope with a crisis the health care provider should follow the principles of intervention place the following intervention in order of their priority?

intervene immediately then stablize the client then facilitate understanding of the event then use the available resources then encourage self reliance

Client is reciving lithium what is an important nursing intervention while this med is being administered?

montitor the clients drug blood level regularly

married woman who comes to ED with injuries that appear to be related to domestic violence , a nurse expresses disgust that the women returns to the same situation what is the nurse managers best response?

most women attempt to leave about six times before they are able to do so.

A nurse is teaching clients about dietary restrictions when taking a monoamine oxidase inhibitor , what response does the nurse tell them to anticipate if the do not follow these restrictions

occiptial headaches

What is the most important tool a nurse brings to the therapeutic nurse cleint relationship?

onself and a desire to help

What is the priority goal when planning care for a client in crisis?

restoring the client's psychologic equillibrium

a nurse is caring for a client who abrupt withdrew from barbituate use , What should the nurse anticipate that the client may experience ?

seizures

44 year old client is unstable to function since her husband asked for a divorce 2 weeks ago. She was brought to crisis center by freind. What type of crisis reflects this situation?

situatuional

a health cadre provider prescribes haloperidol (Haldol) for a client. What should the nurse teach the client to avoid while taking this medication?

staying in the sun

What is an intital client objective in relation to anger manangement?

taking responsibility for the hostile behavior

client with a history of violence is becoming increasingly agitated . Which nursing intervention will most likely increase the risk of acting out behavior?

teaching relaxation

nurse is aware of a coworkers mother who died 16 months ago, the co worker cries everytime someone brings up mother , What does the nurse conclude about this behavior?

the co worker may need help with grieving