mental

The nurse is caring for a client who is anxious complaining of nausea, headache, and a hard time breathing. What would be the best response made by the nurse?

You are safe. I will stay with you".

. A nurse is caring for a client admitted to a mental health facility who asks, "Can I refuse the electroconvulsive therapy (ECT) treatment scheduled for tomorrow?" How should the nurse respond?

You have the right to refuse even though the consent form has been signed."

The nurse observes a client who is fidgeting, wringing the hands, and has body tenseness and wrinkled brow. What is the best response to the client by the nurse?

You look tense. Tell me, is something making you afraid or nervous?"

A nurse is caring for a client who has major depressive disorder and is scheduled for electroconvulsive therapy (ECT). The client's spouse asks the nurse about the possible side effects of the ECT. Which of the following responses should the nurse make?

"The main side effects are temporary, and may include mild confusion, a headache, and short-term memory loss."

. . Which therapeutic communication exchange is an example of "reflection

"I get sad because I know I'm going to fail in school." Nurse: "So, you start feeling depressed every time a new semester begins?"

Therapeutic communication is the foundation of client-centered interaction. Which of the following is not considered therapeutic?

. Advising

In 1960, deinstitutionalization was created to move mentally ill clients into what area?

Communities

. A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting, "Let me out! There is nothing wrong with me! I do not belong here!" The nurse identifies this behavior as which?

Denial

Which step of the nursing process is the nurse using when the statement "Risk for suicide" is written?

Diagnosis

The client is preparing to perform a mental health assessment on a newly admitted. Which of the following tools can the nurse use to assist in determining a client's mental health needs?

Mental status examination

.. Which response by the nurse indicates an understanding of the therapeutic communication technique, "giving a broad opening."

" What would you like to talk about?"

Anna was close to her pet Jojo since jojo death; no one can replace the relationship they had. According to Maslow hierarchy of needs, which level of need is not being met?

love and belonging

The primary task in relationship development is to build which of the following?

. Rapport

. A client has a phobia of horses and has been receiving behavioral therapy. During her sessions over the last few months, she has progressed from looking at a photo of the animal and through other small steps resulting in petting the real animal. This progression is an example of which behavioral therapy?

. Systematic desensitization

During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which goal is most appropriate?

. The client will reduce self-rating on depression scale by 10% by the second day of admission

. A female client asks about her male nurse's girlfriend and social activities. What is the best response by the nurse

. The nurse limits information and focuses on a client-centered conversation.

Which of the following behaviors suggest a breach of professional boundaries? (Select all that apply.)

. The nurse shares the details about her family problems *b. The nurse makes plans to have lunch with the client after discharge *c. The nurse agrees to keep a secret with the client

. The nurse is developing a plan of care for a client to a schedule to have electric convulsive therapy (ECT). Which factor is a priority for this client?

. The risk for aspiration

A nurse is working with a newly admitted client explaining the unit rules and daily schedule. The nurse understands providing a consistent routine, and a daily structure is an example of which of the following principles?

. Therapeutic milieu

.. Which statement is an example of the therapeutic communication technique of "clarification"? a. "Can we talk more about how you feel about your father?"

"I'm not sure what you mean when you use the word 'fragile

.. A client states, "I don't know what the pills are for or why I am taking them, so I don't want them." Which statement by the nurse best represents the therapeutic communication technique of "giving information"?

"Let me tell you about your medication."

A client in a psychiatric unit is telling the nurse about anger toward the airline after losing their only child in a plane crash. Which situation demonstrates active listening?

. Assuming a relaxed posture and leaning toward the client

Which defense mechanism occurs when a client covers up a real or perceived weakness by emphasizing a trait one considers more desirable?

. Compensation

. A client who had been in a substance abuse treatment program asks the nurse for a date after the client is discharged. The nurse talks to the client about the importance of a therapeutic relationship and its characteristics. The nurse is using which technique?

. Defining boundaries

On the second day of hospitalization, the nurse and the client are discussing concerns about unhealthy family relationships. During a nurse-client interaction, the client changes the subject to a job situation. The nurse responds, "Let's go back to what we were just talking about." What therapeutic communication technique did the nurse use?

. Focusing

A nurse ends a relationship with a client. Which action(s) by the nurse should be included in the termination phase? (Select all that apply.)

. Help the client express feelings about the relationship with the nurse.e. Focus dialogues with the client on problems that may develop in the future.

A nurse on a psychiatric unit is caring for a set of clients. The nurse recognizes which client would most likely benefit from electroconvulsive therapy (ECT)?

. Major depression

. Responding to a client's concerns with "Hang in there, it's for your own good." is an example of which type of non-therapeutic communication technique?

. Making stereotyped comments

. The nurse states, " I will stay with you until you go for your electroconvulsive therapy (ECT) treatment." What is this therapeutic communication technique?

. Offering self

What communication technique is the persistent questioning of a client?

. Probing

What is a significant thought disturbance in which reality testing is impaired, resulting in delusions, hallucinations, disorganized speech, or catatonic behavior?

. Psychosis

A client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. The nurse can best assist the client in this stage of the relationship with which response

I can sense you are angry this morning. Tell me how you feel about being discharged today

. During a group therapy session, a nurse notes several clients using multiple defense mechanisms. Which of the following client statements demonstrates the maladaptive use of regression?

I don't care about work anymore since I was not given a promotion."

the nurse notices the Hispanic client has not been eating. The client moves food around the plate. which nursing diagnosis would be appropriate for this client?

Imbalanced nutrition less than body requirements, related to refusal to eat unfamiliar foods provided in the health care setting, evidenced by loss of weight

. It is the nurse's responsibility to define the boundaries of the relationship during which phase of the nurse-client relationship

Orientation

Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?

Relationship parameters, the contract, confidentiality, and termination

Which is the priority goal of inpatient psychiatric treatment?

Stabilization and return to the community.

Which of the following are examples of therapeutic communication techniques? (Select all that apply.)

Tell me about your drunk driving record." *b. "How does this compare with the time you were sober?"What led up to your taking that first drink after 5 sober years

Which client action should a nurse expect during the working phase of the nurse-client relationship?

The client gains insight and incorporates alternative behaviors

The nurse uses the term labile in describing client mood and behavior. what does this term in dictate?

The client has mood swings and is unpredictable.

Besides electroconvulsive therapy, which other therapy involves electrical brain stimulation for treatment of mental illness?

Transcranial magnetic stimulation

The client states that you remind him of his very stern aunt. This statement is an example of what type of issue can happen in therapy?

Transference

What activity should be included in the first step awareness?

identifying one own value attitudes strengths and weakness