Saunders 7th NCLEX Mental Health Nursing

A client is participating in a therapy group and focuses on viewing all team members as equally important in helping the clients to meet their goals. The nurse is implementing which therapeutic approach? 1. Milieu therapy 2. Interpersonal therapy 3. Behavior modification 4. Support group therapy

Answer: 1 All treatment team members are viewed as significant and valuable to the client's successful treatment outcomes on milieu therapy.

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 health care provider (HCP) 2. Call the client's family to arrange for transportation. 3. Attempted to persuade the client to stay "for only a few more days." 4. Tell the client that leaving would likely result in an involuntary commitment.

Answer: 1 Initial nursing action is to contact the HCP, who has the authority to discuss discharge with the client.

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

Answer: 1 Rationale: Open-ended questions and silence are strategies used to encourage clients to discuss their problems. Sharing personal food preferences is not a client-centered intervention. The key is to encourage the client to express feelings.

The nurse should plan which goals of the termination stage of group development? Select all that apply. 1. The group evaluates the experience. 2. The real work of the group is accomplished. 3. Group interaction involves superficial conversation. 4. Group members become acquainted with one another. 5. Some structuring of group norms, roles, and responsibilities takes place. 6. The group explores members' feelings about the group and the impending separation.

Answer: 1, 6 Rationale: The stages of group development include the initial stage, the working stage, and the termination stage. During the initial stage, the group members become acquainted with one another, and some structuring of group norms, roles, and responsibilities takes place; involves superficial conversation. Working stage: real work of the group is accomplished. Termination stage: the group evaluates the experience and explores members' feelings about the group and the impending separation.

The nurse is working with a client who despite making a heroic effort was unable to rescue a neighbor trapped in a house fire. Which client focused action should the nurse engage in during the working phase of the nurse-client relationship? 1. Exploring the client's ability to function. 2. Exploring the client's potential for self-harm. 3. Inquiring about the client's perception or appraisal of why the rescue was unsuccessful. 4. Inquiring about and examining the client's feeling for any that may block adaptive coping.

Answer: 4 The client must first deal with feelings and negative responses before the client can work through the meaning of the crisis.