Mental Health NCLEX Qs

A client 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? 1.) " Have you shared your feelings with your family." 2.) "I think we should talk more about your anger with your family" 3.) "You're feeling angry that your family continues to hope for you to be cured?" 4.) "You are probably very depressed, which is understandable with such a diagnosis."

3.) "You're feeling angry that your family continues to hope for you to be cured?" Restating

A client 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? 1.) "You have everything to live for" 2.) "Why do you see yourself as a failure?" 3.) "Feeling like this is all part of being depressed" 4.) "You've been feeling like a failure for a while?"

4.) "youve been been feeling like a failure for a while?" Use of restating is an effective therapeutic communication technique for responding to the feelings of the patient.

A client admitted voluntarily for treatment of an anxiety disorder demands to be released from the hospital. Which action should the nurse take initially? 1.) Contact the client's HCP 2.) Call the client's family to arrange for transportation 3.) Attempt to persuade the client to stay "for only a few more days" 4.) Tell the client that leaving would likely result in an voluntary commitment

1.) Contact the client's HCP The FIRAT INITIAL action would be to call the HCP because they are the only one who can initiate/sign off on a discharge

When the community health nurse visits a client at home, the client states, "I haven't slept at all the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this client? 1.) "I see" 2.) "Really?" 3.) "You're having difficulty sleeping?" 4.) "Sometimes, I have trouble sleeping too"

3.) "You're having difficulty sleeping?" Restating

On review of the client's record, the nurse notes that the admission was voluntary. Based on this information, the nurse anticipates which client behavior? 1.) fearfulness regarding treatment measures 2.) anger and aggressiveness directed toward others 3.) an understanding of the pathology and symptoms of the diagnosis 4.) a willingness to participate in the planning of the care and treatment plan

4.) a willingness to participate in the planning of the care and treatment plan

A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat? 1.) using open-ended questions and silence 2.) sharing personal preference regarding food choices 3.) documenting reasons why the client does not want to eat 4.) offering opinions about the necessity of adequate nutrition

1.) using open-ended questions and silence

A client 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 client implementing? 1.) Denial 2.) Projection 3.) Regression 4.) Rationalization

1.) Denial