FA DAVIS PSYCH FINAL

Which classification of medications is used to treat narcolepsy and exogenous obesity? Antipsychotics Tricyclic Antidepressants Amphetamines Sedative-hypnotics

Amphetamines

Which function of a group will help impart a feeling of security in an individual who is undergoing group therapy? Support Socialization Camaraderie Informational

Support

Which statement made by the student nurse needs correction regarding the responsibilities of a psychiatric clinical nurse specialist? "A psychiatric clinical nurse specialist is concerned with the client's social needs." "A psychiatric clinical nurse specialist presents educational programs for the nursing staff." "A psychiatric clinical nurse specialist conducts individual, group, and family therapy." "A psychiatric clinical nurse specialist provides consultation services to nurses who require assistance."

"A psychiatric clinical nurse specialist is concerned with the client's social needs."

Which statement made by a student nurse needs correction regarding the role of the psychiatrist? "A psychiatrist prescribes medication to treat psychotic disorders." "A psychiatrist treats mental disorders." "A psychiatrist performs psychotherapy." "A psychiatrist performs the ongoing assessment of the client's condition."

"A psychiatrist performs the ongoing assessment of the client's condition."

Which statement made by the student nurse indicates effective learning regarding the cerebrum of the brain? "The corpus callosum consists of a band of 100 million neurons." "White matter axons of the cerebrum are the actual thinking structures of the brain." "Basal ganglion in the cerebrum are responsible for making gestures while speaking." "The deep grooves between the folds of the cerebral cortex are called gyri."

"Basal ganglion in the cerebrum are responsible for making gestures while speaking."

Which statement made by the student nurse needs correction regarding the growth stage of the Psychological Recovery Model? "Clients in the growth stage develop a sense of optimism and hope for a rewarding future." "Clients in the growth phase exhibit confidence in managing their illnesses." "Clients in the growth stage develop a strong and positive sense of self and identity." "Clients in the growth phase set new goals as part of their recovery."

"Clients in the growth phase set new goals as part of their recovery."

Which statement made by the student nurse about the growth stage of the Psychological Recovery Model needs correction? "Clients in the growth phase exhibit confidence while managing their illnesses." "Clients in the growth stage develop a sense of optimism and hope for a rewarding future." "Clients in the growth stage have developed a strong, positive sense of self and identity." "Clients in the growth phase will make decisions by seeking the advice of others."

"Clients in the growth phase will make decisions by seeking the advice of others."

The nursing instructor is teaching a group of students about circadian rhythms. Which statement made by the student nurse reflects an understanding of the teaching? "During the winter, clients will experience periods of sadness." "Clients may have anxiety if they have dreams of unpleasant events." "Clients who identify as a morning person may get a lot of work done before noon." "Women can experience mood swings during their menstrual cycle."

"Clients who identify as a morning person may get a lot of work done before noon."

Which statement made by the student nurse regarding a closed-ended group requires correction? "All group members will begin at the same time." "Members are made up of individuals with common issues." "The group terminates at a designated time frame." "Closed-ended groups are typically seen on short-term inpatient units."

"Closed-ended groups are typically seen on short-term inpatient units."

The registered nurse is teaching a group of student nurses about the various diagnostic procedures that are used to detect altered brain functioning. Which statements made by the student nurse indicate effective learning? Select all that apply. "Computerized electroencephalography (EEG) mapping is largely used in the research field." "Electroencephalography is useful in the detection of aneurysm." "No radiation or contrast medium is used in magnetic resonance imaging (MRI)." "The longer-acting radioactive substance is injected to the client during positron emission tomography (PET) scanning." "The nuclei of oxygen atoms play an important role in MRI."

"Computerized electroencephalography (EEG) mapping is largely used in the research field." "No radiation or contrast medium is used in magnetic resonance imaging (MRI)."

Which question is appropriate for the nurse to ask when assessing the ego defense mechanism in a client experiencing stress? "Do you feel stress free after meditating?" "Are you expecting any changes in your life?" "Do you cope with the problem by denying its existence?" "Can you recall a moment in your life when you felt excessive stress?"

"Do you cope with the problem by denying its existence?"

The nurse is assessing coping mechanisms in the client who is experiencing stress. Which question does the nurse ask the client during the assessment? Select all that apply. "Do you feel stress-free after talking?" "Do you feel stress-free after pacing?" "Do you feel stress-free after smoking?" "Do you feel stress-free after cooking?" "Do you feel stress-free after reading?"

"Do you feel stress-free after talking?" "Do you feel stress-free after pacing?" "Do you feel stress-free after smoking?"

A client who lost his or her spouse in an accident tells the nurse, "Leave me alone. I can't talk to you." How would the nurse respond to this client using therapeutic communication techniques? "Everything will be fine." "Tell me what you are thinking." "I think you should come in here and discuss your feelings." "Do you feel that no one understands your feelings?"

"Do you feel that no one understands your feelings?"

The nurse is conducting a process recording of a client with anger who has attempted suicide. Which statement or question made by the nurse may make the nurse uncomfortable? "How are you feeling about the situation now?" "Seems like a pretty drastic way to make your point." "You wanted to hurt yourself because you were cheated." "Do you still have thoughts of harming yourself?"

"Do you still have thoughts of harming yourself?"

Which questions can the nurse ask in order to assess the learning readiness of a client with a mental illness? Select all that apply. "Do you know about milieu therapy?" "Do you want to learn some new coping techniques?" "What is your level of anxiety?" "Are you motivated to get well?" "Did you understand the information being presented?"

"Do you want to learn some new coping techniques?" "What is your level of anxiety?" "Did you understand the information being presented?"

The registered nurse, while teaching a group of student nurses, is listing the advantages of electronic health record systems (EHRs) in the hospital. Which statement made by the registered nurse needs does not reflect an advantage of EHRs? "EHRs can be accessed by multiple providers from remote sites." "EHRs facilitate communication between disciplines." "EHRs facilitate billing and claims procedures." "EHRs require training and retraining for users."

"EHRs require training and retraining for users."

The nurse is teaching a group of nursing students about the feedback method of communication. Which statements made by the student nurse indicate effective teaching? Select all that apply. "Feedback should be generalized." "Feedback should impart information." "Feedback allows the client to take in information, if given using an objective description." "Feedback should focus on the behavior rather than on the client." "Feedback decreases the need for the client to react defensively, if given evaluating language."

"Feedback should impart information." "Feedback allows the client to take in information, if given using an objective description." "Feedback should focus on the behavior rather than on the client."

Which statement made by the client indicates spiritual distress? "I should have died in that accident, too." "I get involved in a lot of fights with my neighbors." "Swine flu has spread all around the world, and I am afraid that I am going to get it." "God is angry with humanity. I am sure that the world will soon end."

"God is angry with humanity. I am sure that the world will soon end."

The nurse is caring for a client with situational low self-esteem. Which statement made by the nurse helps the client recognize his or her life experiences? "Explain what happened when you felt that way." "I understand that you are telling me this happened." "How did you respond when this happened in the past?" "What might you do to handle this more appropriately?"

"How did you respond when this happened in the past?"

After undergoing an abortion, an adolescent client asks the nurse, "Can you provide me with some information regarding birth control pills?" Which response from the nurse indicates ethical egoism? "You can ask the primary health-care provider about birth control pills." "I will provide you the information if it is really helpful to avoid pregnancy." "It is my moral duty not to provide information about birth control pills to teenagers." "I am sorry. Providing information about birth control pills to teenagers will pose a risk for my job."

"I am sorry. Providing information about birth control pills to teenagers will pose a risk for my job."

The nurse is teaching a client with attention-deficit-hyperactivity disorder (ADHD) taking atomoxetine about lifestyle changes. Which statement indicates a need for further teaching? "I am going to take my medication in the morning so I am not awake all night." "I am switching from diet cola to tea since it is better for me." "I am taking oral contraceptives so I don't get pregnant while taking this medication." "I am checking my blood pressure and heart rate before and after working out to make sure it doesn't get too high."

"I am switching from diet cola to tea since it is better for me."

Which information documented by the client is categorized under Part 1 of the daily maintenance list? "I write in my journal for at least 30 minutes." "I feel bright and optimistic when experiencing wellness." "I spend at least 30 minutes daily enjoying a fun activity." "I send birthday wishes to my friend every year without fail."

"I feel bright and optimistic when experiencing wellness."

Which statements made by the client indicate effectiveness of sedative-hypnotic therapy? Select all that apply. "I am able to fall asleep within 2 hours of taking my medication and stay asleep for 5 hours." "I have not experienced any periods of confusion while taking the medication." "I feel more energized during the day since I've been taking this medication." "I fell asleep in class this morning, so I may need to cut back on my medication." "I was able to participate in my intramural football game this afternoon."

"I have not experienced any periods of confusion while taking the medication." "I feel more energized during the day since I've been taking this medication." "I was able to participate in my intramural football game this afternoon."

The nurse is assessing a client who is receiving dexmethylphenidate. Which statement made by the client would be of most concern to the nurse? "I can tell you what the movie I watched last night was about." "I take the medication in the morning so I can sleep better at night." "I haven't been hungry since I started taking this medication." "I am sucking on hard candy because sometimes I get a little nauseated."

"I haven't been hungry since I started taking this medication."

Which statement by the nurse indicates a prompt response while providing feedback to the client? "You are very rude and inconsiderate." "You obviously need to lose a great deal of weight." "I noticed that you did not want to hold your baby when the nurse brought her to you." "I saw you hit the wall with your fist just now when you hung up the phone."

"I saw you hit the wall with your fist just now when you hung up the phone."

The nurse is taking a process recording of a client who recently was separated from his or her spouse. Which statement made by the nurse conveys empathy for the client? "I feel sorry for you." "I share your anger toward your spouse." "I wish I could do something to relieve your pain." "It is waste of time that you still think about your spouse."

"I share your anger toward your spouse."

Which statement made by the student nurse indicates further teaching is needed regarding genetic testing? "My client had genetic testing to determine if their child may have Down syndrome." "I suggested my client have their child tested to see if they are a carrier for bipolar disorder." "My client's father had Huntington's disease, so they are undergoing genetic testing to determine if they are a carrier." "The son of my client has cystic fibrosis so they are having their daughter tested to see if she is a carrier."

"I suggested my client have their child tested to see if they are a carrier for bipolar disorder."

A client who lost her spouse in an accident says, "God does not have mercy on me. He always takes away the people I love." Which is the best response given by the nurse in this situation? "It is not as you think. God is never wrong." "I think you are correct. I also feel this way sometimes." "It is okay. There are many other people in your life who love you." "I understand how you are feeling. Being angry is natural in this situation."

"I understand how you are feeling. Being angry is natural in this situation."

The nurse is caring for a client with chronic low self-esteem. Which statement made by the nurse indicates an accepting attitude? "I want to listen to what you have to say." "Explain to me what you are feeling now." "We can sit in the dayroom and eat dinner together." "I understand what you're saying."

"I understand what you're saying."

Which statement by the client may indicate a sublimation type of defense mechanism to overcome anxiety? "I used my aggressive and competitive drive to become a star kickboxer." "I don't want to think about that situation now. I'll think about that tomorrow." "I yelled at my spouse because I had a bad day at the office. I should buy my spouse roses." "I curl up in a fetal position in the bed and sleep for long periods when I am depressed."

"I used my aggressive and competitive drive to become a star kickboxer."

Which statement made by the nurse while interacting with a client helps develop a trusting relationship? "I will put up signs and orientation boards to assist you." "I will help you take your medicines on time." "I will teach you about your medical condition." "I will listen to you if you want to discuss your feelings."

"I will listen to you if you want to discuss your feelings."

Which statement made by the client indicates that his or her coping strategy in a time of grief is maladaptive? "I will never be able to be happy again." "I manage my hostile feelings by listening to music." "I try to find the reasons of failure whenever I experience it." "I do breathing exercises to rejuvenate myself after heavy work."

"I will never be able to be happy again."

A client in a psychiatric unit tells the nurse, "I think I don't want to continue with the treatment. Maybe I should just self-medicate." What is the best response the nurse can give in this situation using a nontherapeutic communication technique? "I find it hard to believe that you could do that." "No one here would lie to you." "I will try to answer your questions and clarify issues regarding the treatment." "You have a very capable physician who only has your best interests in mind."

"I will try to answer your questions and clarify issues regarding the treatment."

Which statement made by the client taking sedative-hypnotics would be of most concern to the nurse? "I picked up my colleague and we attended a retirement party for my boss last night." "I prepared a new seafood recipe for my family for dinner last night." "I called my mom yesterday, and she is planning to come for a visit." "I woke up to find multiple bags of groceries on my table, but I have no memory of going to the store."

"I woke up to find multiple bags of groceries on my table, but I have no memory of going to the store."

The nurse is caring for a client who is in the isolation room. Which statement made by the nurse indicates that the nurse is trying to increase the client's feeling of self-worth? "I see you put away your clothes." "I'll sit in here with you for a while." "I notice you are pacing a lot." "Yes, I understand what you said."

"I'll sit in here with you for a while."

The nurse is developing a therapeutic relationship with the client. Which statement made by the nurse indicates an empathetic response? "I understand your feelings because I have gone through the same thing." "If you felt bad about those harsh comments, it is okay to be sad and cry." "I will surely incorporate your ideas and preferences when planning your care." "Be assured that whatever we discuss will not leave the boundaries of our health-care team."

"If you felt bad about those harsh comments, it is okay to be sad and cry."

The nursing instructor is teaching a group of student nurses about the Tidal Model of recovery. Which statement does the nurse include in the teaching plan? "It focuses on person-centered care that is empowering and relational." "It focuses on monitoring uncomfortable and distressing symptoms." "It provides the ability to work more collaboratively with health-care providers." "It focuses on a person's self-determination in the course of the recovery process."

"It focuses on person-centered care that is empowering and relational."

Which statement made by the student nurse indicates effective learning about fluid group work? "It is a multitude of complex interactions that occur only between staff members and visitors." "It is a multitude of complex interactions that occur only between clients and staff members." "It is a multitude of complex interactions that occur only between clients and visitors." "It is a multitude of complex interactions that occur between clients, staff members, and visitors."

"It is a multitude of complex interactions that occur between clients, staff members, and visitors."

The psychiatrist is explaining the conditions that promote therapeutic community to the team members. Which statement made by a team member indicates effective teaching? "Only the team members participate in the decision-making process." "Providing basic physiological needs of the client will facilitate interpersonal interaction." "Assigning greater responsibilities to the clients will enhance their self-esteem." "It is important to set forth the norms, rules, and behavioral limits of the treatment setting."

"It is important to set forth the norms, rules, and behavioral limits of the treatment setting."

Which statements made by the student nurse regarding self-help groups require correction regarding self-help groups? Select all that apply. "I can refer my obese client to Overeaters Anonymous." "It would be a good idea for me to arrange the chairs around the table." "Our group should encourage a large membership to facilitate better interaction." "Self-help groups are typically run by members." "Self-help groups must be overseen by a health-care provider."

"It would be a good idea for me to arrange the chairs around the table." "Our group should encourage a large membership to facilitate better interaction." "Self-help groups must be overseen by a health-care provider."

The nurse is teaching a group of student nurses about learning abilities in clients with different levels of anxiety. Which statement made by a student nurse indicates effective teaching? "Learning is enhanced in a client with mild anxiety levels." "Learning still occurs in a client with panic anxiety levels." "Effective learning cannot occur in a client with moderate anxiety levels." "Learning cannot occur in a client with mild anxiety levels."

"Learning is enhanced in a client with mild anxiety levels."

While filling out an information sheet, the client tells the nurse, "I don't agree with these new community rules." Which statement made by the nurse in response to the client indicates a better example of handling nontherapeutic communication? "That's right. I agree." "I don't believe in that." "That's wrong. I disagree." "Let's discuss what you feel is unfair."

"Let's discuss what you feel is unfair."

Which statement made by the student nurse needs correction regarding skills for active listening? "Always maintain an open posture while listening to someone." "Maintain constant eye contact while listening to others." "Always sit squarely facing the client while listening to him or her." "Lean forward toward the client while listening to him or her."

"Maintain constant eye contact while listening to others."

Which statement made by the student nurse indicates an appropriate understanding of diet restrictions in clients receiving monoamine oxidase inhibitors (MAOI)? "A glass of red wine each evening is good for my client." "My client should eat a lot of bananas since they take furosemide." "I have instructed my client to eat a lot of yogurt to reduce the risk of yeast infections." "My client is upset they can only drink coffee occasionally."

"My client is upset they can only drink coffee occasionally."

The nurse anticipates that a client is showing the displacement type of ego defense mechanism. Which statement made by the client's caregiver supports the nurse's assumption? "My friend breaks things when he's angry." "My friend imitates the dressing style of his favorite athlete." "My friend sleeps for a long period of time when experiencing stress." "My friend ignores me and refuses to speak when I ask about an unpleasant memory."

"My friend breaks things when he's angry."

Which statement made by the wife of a client indicates a class I crisis, according to Baldwin? "My husband is haunted by nightmares of the accident." "My husband frequently wanders down the road when he has intense anxiety." "My husband had a medication overdose due to stress at the office." "My husband has become physically ill due to his anxiety about growing older."

"My husband has become physically ill due to his anxiety about growing older."

After interacting with the partner of a client who has terminal cancer, the nurse anticipates that the client is experiencing denial. Which statement made by the caregiver supports the nurse's conclusion? "My partner is blaming God for his condition." "My partner wants to transfer to another hospital for a second opinion, even though it is obvious from his symptoms and diagnostic reports." "My partner is not showing any interest in his favorite games and movies." "My partner says he wants to spend as much time as possible with his family."

"My partner wants to transfer to another hospital for a second opinion, even though it is obvious from his symptoms and diagnostic reports."

Which response by the student indicates effective learning regarding the physiological response occurring during the initial stage of stress during "fight or flight syndrome?" "I can expect the patient's heart rate to decrease to be 53 during fight or flight syndrome." "During fight or flight syndrome, my patient may have a blood pressure of 92/54." "When my patient is under stress, they will experience an increase in glycogenesis during fight or flight syndrome." "My patient will have a decrease in gastric acid secretions during the stress experienced in fight or flight syndrome."

"My patient will have a decrease in gastric acid secretions during the stress experienced in fight or flight syndrome."

Which statement made by a client indicates that the client is in the denial stage of grief? "No, my parents did not die. This can't be true!" "Why do problems always come to me only?" "I won't ever drive fast. I am not ready to lose other family members in my life." "If God helps me through this, I promise that I will go to church every Sunday."

"No, my parents did not die. This can't be true!"

The nurse recommends that a client with severe depression be a part of a supportive group. Which statement from the client indicates that the nurse's recommendation is effective? "Now I am able to deal with emotional stress." "Now I can decide my treatment plan." "Now I can tell about the medications used to treat depression." "Now I can effectively take care of my children."

"Now I am able to deal with emotional stress."

The registered nurse is teaching the nursing process in psychiatric mental health nursing to a group of student nurses. Which statement made by the registered nurse needs correction? "Nursing diagnosis is prioritized based only on client and family requests." "The nurse's interpretation of subjective and objective data is recorded under the assessment category of the SOAPIE format." "Focus charting follows a data, action, and response (DAR) format." "Health information and data is one of the core capabilities of electronic documentation."

"Nursing diagnosis is prioritized based only on client and family requests."

The nursing instructor is teaching a group of nursing students about the program of the therapeutic community. Which statements made by the nursing students require correction? Select all that apply. "Only two or three members of the interdisciplinary treatment (IDT) should sign the treatment plan." "The clinical psychologist should perform the initial assessment to establish the priority of care." "All team members of the therapeutic community should meet regularly to update the plan as needed." "The nurse should assume the responsibility for the management of the therapeutic milieu." "The information from the initial nursing assessment should be used to create the IDT plan."

"Only two or three members of the interdisciplinary treatment (IDT) should sign the treatment plan." "The clinical psychologist should perform the initial assessment to establish the priority of care."

The registered nurse is teaching a group of student nurses the advantages of paper records in a hospital setting. Which statement made by the student nurse indicates further teaching is needed? "Paper records are easier to use for audits and quality assurance." "Paper records accept multiple data types, such as graphs and photographs." "Paper records are fast for current practice and are not breakable." "People know how to use paper records."

"Paper records are easier to use for audits and quality assurance."

Which statement made by a new nurse regarding the disadvantages of paper records requires correction? "Paper records are nonportable and are often illegible." "Paper records cannot be accessed by multiple providers from remote sites." "Paper records are disorganized and hard to store." "Paper records are often incomplete, and the information can be duplicated."

"Paper records are nonportable and are often illegible."

Which statement made by the student nurse indicates effective learning regarding phase I of group development? "Pecking order is observed during phase I of group development." "Trust is completely established among the members in phase I of group development." "Only the leader establishes goals during phase I of group development." "The members will disclose everything about themselves in phase I of group development."

"Pecking order is observed during phase I of group development."

Which statement made by the student nurse indicates the need for correction regarding Skinner's assumptions about how a therapeutic community is based? "Every client owns his or her environment." "Clients should be encouraged to improve their health." "Peer pressure hinders the client's development." "An opportunity for therapeutic intervention may be found in every interaction."

"Peer pressure hinders the client's development."

Arrange the steps of the Wellness Recovery Action Plan (WRAP) process in order. Triggers Develop a wellness toolbox Early warning signs Daily maintenance list Crisis planning Things break down or get worse

1: Develop a wellness toolbox 2: Daily maintenance list 3: Triggers 4: Early warning signs 5: Things break down or get worse 6: Crisis planning

Which statement made by the student nurse indicates effective learning about restraints? Select all that apply. "Restraints are straps that should be made only of leather." "Restraints will help promote the psychological well-being of the client." "Restraints can be used for the staff's convenience during a medical procedure." "Restraints should only be used if the client's behavior poses a risk to his or her physical safety." "Restraints can include a medication that causes sedation and controls the client's behavior."

"Restraints should only be used if the client's behavior poses a risk to his or her physical safety." "Restraints can include a medication that causes sedation and controls the client's behavior."

A client in the milieu unit tells the nurse, "I think it's stupid to close the front gate at 10 p.m. We should be allowed to be out until midnight." How should the nurse respond to this client? "You will be disturbing those who go to bed early when you come in late making noise." "You must discuss this in the community meeting." "You should know the rules of the community." "You are not the only person in the unit. Decisions are made as a group."

"You are not the only person in the unit. Decisions are made as a group."

Which statement made by the registered nurse needs correction regarding structures and functions of the brain? "Movements that permit judgment formation are regulated by the frontal lobes." "Sense of smell is regulated by the parietal lobes." "Hearing is regulated by the temporal lobes." "Visual interpretation is regulated by the occipital lobes."

"Sense of smell is regulated by the parietal lobes."

Which statement made by the student nurse requires correction regarding types of relaxation techniques? "Progressive relaxation is a type of relaxation technique." "Tensing up and then relaxing is a type of relaxation technique." "Shallow breathing is a type of relaxation technique." "Mental imagery is a type of relaxation technique."

"Shallow breathing is a type of relaxation technique."

Which statements made by the student nurses indicate effective learning regarding task groups in a psychiatric care unit? Select all that apply. "Task groups focus mainly on solving problems and decision making." "Task groups often have deadlines for the completion of an assigned task." "Task groups are formed with the primary function of providing information." "Task groups have a set number of meetings." "Task groups teach the members of the group how to deal with emotional stress."

"Task groups focus mainly on solving problems and decision making." "Task groups often have deadlines for the completion of an assigned task."

A client with posttraumatic stress disorder tells the nurse, "I am the one responsible for my friend's death. I convinced him to drive home that night." What is the best way for the nurse to respond using a nontherapeutic communication technique? "Why do you feel this way?" "Tell me how the accident happened." "What do you think you should do now?" "Tell me how you felt just before this happened."

"Tell me how you felt just before this happened."

A client's spouse presents a bouquet of flowers and chocolates to the nurse for taking care of the client. What is the most appropriate response of the nurse? "I do not accept gifts." "Thank you. I will share your gift with my colleagues." "It is against the rules of the hospital to accept gifts." "The flowers and chocolates are wonderful. Thank you for them."

"Thank you. I will share your gift with my colleagues."

Which statement by the student nurse indicates effective learning about the distorted maladaptive grief response? "The client experiencing distorted response is fixed in the anger stage of grieving." "The client experiencing distorted response is fixed in the denial stage of grieving." "The client experiencing distorted response is preoccupied with memories of the loss." "The client experiencing distorted response suffers from eating disorders."

"The client experiencing distorted response is fixed in the anger stage of grieving."

Which statement made by the client indicates a need for knowledge and demonstrates a readiness to learn? "Please take these medicines away. I do not need them." "I don't require any mental treatment. I just have migraines." "The doctor diagnosed me with schizophrenia. What does it mean?" "I have always taken these drugs. I will discontinue them when I am ready."

"The doctor diagnosed me with schizophrenia. What does it mean?"

Which statement made by a student nurse needs correction regarding the goals of a therapeutic community? "The goal is to teach interpersonal interactions to the client." "The goal is to teach adaptive coping techniques to the client." "The goal is to develop the relationship skills of the client." "The goal is to determine a comprehensive treatment plan for the client."

"The goal is to determine a comprehensive treatment plan for the client."

Which statements made by the student nurse indicates effective teaching regarding psychodrama? Select all that apply. "The nurse is the director of the psychodrama." "The group members act as the audience." "The plot of the drama is based on a real-life situation of a client." "The group leader asks the client to volunteer as the protagonist of the session." "The session may provide the same threatening atmosphere as a real-life situation."

"The group members act as the audience." "The plot of the drama is based on a real-life situation of a client." "The group leader asks the client to volunteer as the protagonist of the session."

Which statement made by the student nurse indicates effective teaching regarding the autocratic leadership style? "The productivity is low in this type of leadership." "The leaders convey all the information to the group members." "The leaders have personal goals for the group." "The members can make their own decisions."

"The leaders have personal goals for the group."

Which statement made by the student nurse indicates effective learning regarding actions to be performed in the first phase of crisis intervention? "Targets are set for the treatment." "The client's feelings are explored." "A review of what the client has learned is performed." "The level of precrisis functioning should be determined."

"The level of precrisis functioning should be determined."

Which statement made by the student nurse needs correction regarding the Tidal Model? "The nurse would assist the client in recording the story in his or her own words." "The nurse would show interest when the client is telling the story." "The nurse would assist the client in developing self-confidence in his or her abilities." "The nurse would ensure that the client is unaware of all interventions."

"The nurse would ensure that the client is unaware of all interventions."

The nursing instructor is teaching a group of student nurses about clients' rights that were established by the American Hospital Association (AHA). Which statement made by a student nurse demonstrates effective learning? "The guidelines about clients' rights are legal documents." "The health-care facility can make changes to the clients' rights if required." "The nurses and health-care facility are responsible for upholding the clients' rights." "The guidelines drafted by the AHA are different from those drafted by the National League for Nursing (NLN)."

"The nurses and health-care facility are responsible for upholding the clients' rights."

Which statement made by the student nurse needs correction regarding the autonomic nervous system? "The parasympathetic nervous system is dominant in nonstressful situations." "The neuronal cell bodies of the parasympathetic nervous system originate in the sacral region of the spinal cord." "The synapse in the parasympathetic division occurs very close to the visceral organ being innervated." "The parasympathetic nervous system, when stimulated, decreases digestive secretions."

"The parasympathetic nervous system, when stimulated, decreases digestive secretions."

The registered nurse is teaching student nurses the various stages of general adaptation syndrome. Which statement by the registered nurse can be categorized under the alarm reaction stage? "The physiological responses of the 'fight or flight' syndrome are initiated." "The individual attempts to adapt to the stressor." "The body adjusts to the stressor due to prolonged exposure." "Disease may occur due to adaptation to the stressor."

"The physiological responses of the 'fight or flight' syndrome are initiated."

Which statement made by the registered nurse needs correction regarding hormones of the endocrine system? "The target organs for the melanocyte-stimulating hormone are bones." "Antidiuretic hormone may play a role in learning and memory." "Oxytocin hormone stimulates adrenocorticotropic hormone." "The release of somatostatin is stimulated in response to periods of hyperglycemia."

"The target organs for the melanocyte-stimulating hormone are bones."

Which statement made by the student nurse indicates effective learning regarding therapeutic groups? "The therapeutic groups focus mainly on improving the ability of the group members to function on an interpersonal level." "The leaders of a therapeutic group generally have advanced degrees in psychology." "Therapeutic groups provide individual psychotherapy based on various theoretical frameworks." "The therapeutic group improves group relations and interactions between the members of the group."

"The therapeutic group improves group relations and interactions between the members of the group."

Which statement made by the student nurse indicates the need for further teaching regarding monoamine oxidase inhibitors (MAOI)? "MAOIs were the first medication used to treat depression." "There are few drug interactions with MAOIs, making them very safe." "MAOIs were first used to treat tuberculosis." "Clients should avoid eating aged cheese while taking MAOIs."

"There are few drug interactions with MAOIs, making them very safe."

Which statement made by the nursing student needs correction regarding the laissez-faire style of leadership? "This style allows the members to do as they please." "This style includes undefined goals." "The productivity and morale is low." "This style provides problem-solving by mutual understanding."

"This style provides problem-solving by mutual understanding."

Under the supervision of the registered nurse (RN), a group of student nurses is discussing the Patient Self-Determination Act. Which statements by the group demonstrate effective learning? Select all that apply. "We should include the client in periodic revision of his or her care plan." "We should allow inpatient clients access to phones and mail while caring for them." "We should get consent from the client's representative during a life-threatening condition." "We should send the client's blood specimen for analysis after getting consent." "We should use restraint techniques to medicate the client."

"We should include the client in periodic revision of his or her care plan." "We should allow inpatient clients access to phones and mail while caring for them." "We should send the client's blood specimen for analysis after getting consent."

The nurse is conducting a process recording for a client with an unhappy married life. Which question asked by the nurse indicates an effort to seek the client's perception about his or her marital situation? "Do you still have the thoughts of harming yourself?" "How are you preparing to deal with this inevitable outcome?" "How are you feeling about the situation now?" "What do you think are the chances of getting back together?"

"What do you think are the chances of getting back together?"

A client asks the nurse, "Do you think I should tell my mother about my brother's drinking habits?" What would be the best response by the nurse? "What do you think you should do with this information?" "I am not able to decide anything. It's up to you." "I do not think so. Talk with him personally." "I think you have to tell your mother. It's your responsibility."

"What do you think you should do with this information?"

The nurse is performing a brief mental status evaluation in a client with psychiatric illness. Which question would the nurse ask the client to assess abstract thinking? "What year is it? What month is it? What day is it?" "Repeat these words now: bell, book, and candle." "What does this phrase mean: 'No use crying over spilled milk'?" "Tear this piece of paper in half and put it in the trash can."

"What does this phrase mean: 'No use crying over spilled milk'?"

While conducting the brief mental status evaluation of the client, the nurse evaluates various areas of mental function such as orientation to time, ability to concentrate, and abstract thinking by questioning the client. Which questions posed by the nurse will enable the nurse to evaluate these areas of mental function? Select all that apply. "What year is it?" "Where are you now?" "What does this mean: 'No use crying over spilled milk'?" "Name the months of the year in reverse, starting with December." "Repeat these words now: bell, book, and candle."

"What year is it?" "Name the months of the year in reverse, starting with December."

The nurse is assessing a client who has been receiving a selective serotonin reuptake inhibitor (SSRI) for 2 months and is also receiving warfarin for deep-vein thrombosis. Which statement made by the client would be of most concern to the nurse? "I took my medication in the morning, so I am sleepy today." "I take the medication with food because it makes me a little nauseated." "I need to talk to someone about the sexual side effects of the antidepressant." "When I brush my teeth, I notice my gums bleed more than normally."

"When I brush my teeth, I notice my gums bleed more than normally."

The nurse is caring for a client who is complaining about her treatment in an aggressive tone of voice. Which statement made by the nurse would encourage the client to continue what she is saying? "Yes, I understand. Please continue." "I will sit in the room with you now." "Tell me what you are thinking." "Yes, I understand what you said."

"Yes, I understand. Please continue."

A client who separated from his or her spouse tells the nurse, "I don't know why I am living. There is nothing to live for." Which statement made by the nurse serves as the best nontherapeutic communication technique? "Tell me why you separated." "You appear to be upset. Can you tell me how you're feeling?" "Everybody gets down sometimes. I also feel this sometimes." "It must have been very difficult for you when you separated from your spouse."

"You appear to be upset. Can you tell me how you're feeling?"

A client with low self-esteem tells the nurse, "I am of no value to anybody." Which statement by the nurse in response to the client indicates a better example of therapeutic communication? "Of course you are something. Everyone is something." "You are feeling like nobody cares about you right now." "What makes you say this?" "You must be feeling very lonely right now."

"You are feeling like nobody cares about you right now."

Which statement by the nurse indicates generalized feedback to the client? "You are not paying attention." "You are a very insensitive person." "You obviously need to lose a great deal of weight." "Your baby daughter is mentally disabled because you took drugs during pregnancy."

"You are not paying attention."

A client with low self-esteem says, "I cannot take the responsibility of being in charge of my department." Which statement by the nurse indicates the therapeutic communication technique of restating? "What made you say this?" "That's wrong. I disagree." "I notice you are pacing a lot." "You are scared that you will fail."

"You are scared that you will fail."

A client with depression says, "I feel like I am alone out in the ocean." What would the nurse say in response to this statement using a therapeutic communication technique? "You must be feeling very lonely." "Are you feeling that no one understands you?" "You are feeling like nobody cares about you." "Please explain the situation more clearly."

"You must be feeling very lonely."

The nurse is teaching a group of student nurses about the Wellness Recovery Action Plan (WRAP) Model. Which statement indicates that the nurse is teaching Part 1 of crisis planning? "You would identify the client's preferences regarding treatment facilities." "You would plan treatments according to the client's wishes." "You would make a note of medications that the client prefers or refuses." "You would gather the client's information during wellness."

"You would gather the client's information during wellness."

The nurse is teaching a group of student nurses about the Wellness Recovery Action Plan (WRAP) Model. Which statement indicates that the nurse is teaching Part 4 of crisis planning? "You would identify the client's preferences in treatment facilities." "You would gather the client's information describing his or her health status during wellness." "You would make a note of medications that the client prefers or refuses." "You would plan treatments according to the client's wishes."

"You would make a note of medications that the client prefers or refuses."

The nurse is caring for a client with Addison's disease. Levels of which hormones can the nurse expect to increase? TSH ACTH Prolactin Melanocyte-stimulating hormone

ACTH

Arrange the steps of the nursing process in order according to the standards of practice for psychiatric mental health nursing set by the American Nurses Association (ANA). Outcomes Identification Planning Assessment Implementation Diagnosis Evaluation

1: Assessment 2: Diagnosis 3: Outcomes Identification 4: Planning 5: Implementation 6: Evaluation

The estimated length of a hospital stay for a client experiencing alcohol withdrawal symptoms is 7 days. What is the expected dose of chlordiazepoxide administered to the client on the first day of admission in the hospital? 200 mg in divided doses 160 mg in divided doses 120 mg in divided doses 80 mg in divided doses

200 mg in divided doses

The nurse is reviewing laboratory values for a client receiving clozapine. Which absolute neutrophil count (ANC) value would be of most concern to the nurse? 4000 µL 1500 µL 800 µL 300 µL

300 µL

What is the minimum distance that the nurse should maintain while interacting with a client? 18 inches 30 inches 48 inches 156 inches

48 inches

The nurse in the psychiatric unit is recording the client's scores while performing a brief mental status evaluation. The nurse suspects severe cognitive impairment in the client after assessment. Which score received by the client supports the nurse's suspicion? 9 15 21 30

9

A newly admitted client reports periods of feeling "blue" and lonely. Based on the client's description, the nurse would suspect an increase in which neurotransmitter levels? Select all that apply. Acetylcholine Norepinephrine Dopamine Serotonin Substance P

Acetylcholine Substance P

According to the Psychological Recovery Model, which client is undergoing Stage 4 of the recovery process? A client who feels out of control and powerless to change his or her life A client who develops an awareness of the need to take control of his or her life A client who has the ability to be independent and take care of his or her basic needs A client who begins to actively take control of his or her life

A client who begins to actively take control of his or her life

Which client may experience triggers, according to the Wellness Recovery Action Plan (WRAP) Model? A client who ends a relationship with his or her partner A client who spends time with children A client who drinks at least six 8-ounce glasses of water a day A client who is doing special activities for someone else

A client who ends a relationship with his or her partner

Which client requires the renewal of restraint orders every 2 hours unless state law is more restrictive? A client who is 8 years old A client who is 13 years old A client who is 20 years old A client who is 35 years old

A client who is 13 years old

Which client may exhibit decreased levels of gonadotropins? A client with Alzheimer's disease A client with obsessive-compulsive disorder A client with anorexia nervosa A client with panic disorder

A client with anorexia nervosa

The nurse is administering sedative-hypnotics to a group of clients. For which clients would the nurse question the administration of this class of medications? Select all that apply. A client with diabetes A client with asthma A client with anxiety A client with cirrhosis A client with congestive heart failure

A client with asthma A client with cirrhosis A client with congestive heart failure

Which client is at highest risk for Huntington's disease? A client with decreased levels of corticotropin-releasing hormone A client with increased levels of cortisol hormone A client with decreased levels of gamma-amino butyric acid (GABA) A client with decreased levels of glutamate and aspartate

A client with decreased levels of gamma-amino butyric acid (GABA)

Which client shows decreased levels of norepinephrine in the body? A client with depression A client with mania A client with anxiety A client with schizophrenia

A client with depression

Methylphenidate would be contraindicated for a client with which condition? A client with hypothyroidism A client with hypertension A client with diabetes A client with arthritis

A client with hypertension

Which method most effectively determines the efficacy of dexmethylphenidate and the need to continue its use? Review of symptoms Assessment from a teacher A drug holiday Observing the client for an hour

A drug holiday

A nurse is caring for a group of patients. Which patient would demonstrate a psychoneurotic response to severe anxiety? A patient with delusional disorder A patient with conversion disorder A patient with schizophrenic disorder A patient with schizoaffective disorder

A patient with conversion disorder

How do the group members behave during the orientation phase of the group development process? Establish trust among each other Exhibit denial grief response Accept criticism from each other Act overly polite with each other

Act overly polite with each other

The nurse is reviewing orders for a client receiving zolpidem for sleep. Which order is most important for the nurse to clarify with the health-care provider? Flumazenil Amiodarone Rifampin Ritonavir

Amiodarone

The nurse instructs the client to tear a piece of paper in half and put it in the trash can. Which area of mental function is the nurse trying to evaluate through this instruction? Abstract thinking Ability to concentrate Understanding spatial relationships Ability to follow simple verbal commands

Ability to follow simple verbal commands

The nurse is conducting a brief mental status evaluation of a client in a psychiatric ward. While evaluating, the nurse asks the client to write a sentence. Which area of mental function is the nurse evaluating? Ability to follow simple verbal commands Ability to follow simple written commands Ability to use language correctly Ability to concentrate

Ability to use language correctly

Which neurotransmitters play an important role in regulation of sleep and arousal? Select all that apply. Acetylcholine Norepinephrine Dopamine Serotonin Gamma-amino-butyric acid

Acetylcholine Norepinephrine Serotonin

Which action by the group members indicates normative function? Deriving a feeling of security Adhering to standards Providing assistance to endeavors Obtaining joy by interaction with others

Adhering to standards

Which is the responsibility of the clinical psychologist member of the interdisciplinary treatment team? Managing therapeutic milieu around the clock Ensuring the requirements for discharge are fulfilled Developing the client's independence in performing daily living activities Administering and evaluating the psychological tests that assist in diagnosis

Administering and evaluating the psychological tests that assist in diagnosis

Which services provided by consumers are integrated into the Recovery Model? Select all that apply. Advocacy Mentoring Crisis planning Peer support programs Consumer rights education

Advocacy Mentoring Peer support programs

Which are common responses that can be observed in a client with general adaptation syndrome? Select all that apply. Alarm Resistance Exhaustion Reflex pain response Inflammatory response

Alarm Resistance Exhaustion

Which curative factor creates positive self-image and promotes self-growth? Altruism Catharsis Universality Camaraderie

Altruism

A client voluntarily assists another client in the anger management group by sharing experiences about controlling anger. Which curative factor does the client exhibit? Altruism Development of socializing techniques Universality Imitative behavior

Altruism Rationale: Altruism occurs when help is provided to another member of a group through mutual sharing and concern for each other Universality is a type of curative factor in which clients realize that there are many other clients who experience the same medical conditions

The nurse is monitoring ANC levels in a client receiving clozapine. Which client would the nurse expect to have lower than normal ANC levels? A Caucasian male An Asian male An African American male A Hispanic male

An African American male

Which client is capable of making independent decisions about his or her own medical treatment? An elderly client in the end stage of life An 8-year-old client diagnosed with diabetes A teenaged client diagnosed with severe obsessive-compulsive disorder An elderly client suffering from severe Alzheimer's disease

An elderly client in the end stage of life

Performing which nursing intervention indicates that the nurse is effectively following Standard 2 of the standards of practice that psychiatric nurses are expected to follow? Collecting comprehensive health data of the client Analyzing the assessment data of the client Identifying the expected outcomes for a plan individualized to the client Developing a plan to attain expected outcomes

Analyzing the assessment data of the client

The client's parents confront the nurse saying, "If you had been here, you could have given him more help to prevent him from dying so quickly." Which symptom of grief are the parents displaying? Anger Denial Depression Acceptance

Anger

While obtaining data from a client, the nurse observes that the client's eyebrows are in the frowning position. Which type of associated feelings could the nurse interpret in the client? Select all that apply. Anger Surprise Enthusiasm Unhappiness Concentration

Anger Unhappiness Concentration

The nurse is reviewing orders for a client who is prescribed sertraline for depression and an atypical antipsychotic medication as adjunct therapy. Which medication can the nurse expect to administer? Lithium Alprazolam Aripiprazole Methylphenidate

Aripiprazole

Which atypical third-generation antipsychotic is prescribed because of minimal risk of extrapyramidal effects? Haloperidol Clozapine Pimozide Aripiprazole

Aripiprazole

The nurse is caring for an adult client who had a traumatic experience. Which psychological responses would the nurse most likely observe in this client? Select all that apply. Arousal Anxiety Numbing Somatic complaints Hyperactive behavior

Arousal Anxiety Numbing

The nurse is caring for a child who has a terminal illness. The nurse informs the child's parents about the impending death of the child. Which type of grief does the nurse initially find in the parents? Denial Bargaining Acceptance Anticipatory grief

Anticipatory grief

Which hormone of the neuroendocrine system is stored in the neurohypophysis? Antidiuretic hormone Growth hormone Thyroid-stimulating hormone Prolactin

Antidiuretic hormone

The nurse is caring for a client receiving methylphenidate. Which class of medications taken concurrently can cause additive sedation? Anticoagulants Antibiotics Antihistamines Antifungals

Antihistamines

In a psychiatric unit, the nurse observes a health-care professional helping a client analyze his or her own creative work in an effort to recognize the underlying conflict. Which health-care professional would be working in this role? Art therapist Music therapist Recreational therapist Occupational therapist

Art therapist

While conducting a process recording, the nurse asks the client, "Do you still have thoughts about harming yourself?" What is the therapeutic analysis of interaction performed in this process? Focusing on the client's feelings Asking a direct question about the suicidal intent of the client Delving further into the experience Attempting to translate words into feelings

Asking a direct question about the suicidal intent of the client

The nurse tells a client who is psychotic, "If you don't keep quiet, I am going to give you your medication with a needle." The nurse can be charged with which legal action? Assault Battery False imprisonment Breach of confidentiality

Assault

When working in the therapeutic milieu, which technique would the nurse teach the client to improve confidence and communication? Relaxation techniques Assertive techniques Thought-switching techniques Effective parenting techniques

Assertive techniques

A client with mental illness is admitted in the psychiatric unit. After admitting the client, the nurse interviews the client's family members, reviews the client's records, and performs a physical examination of the client. Which step of the nursing process do these nursing actions reflect? Assessment Diagnosis Planning Implementation

Assessment

The registered nurse is collecting comprehensive health data that are pertinent to the client's situation. Which of the standards of practice of psychiatric mental health nursing is the nurse practicing through this intervention? Planning Assessment Implementation Outcomes identification

Assessment

A client with schizophrenia is diagnosed with a self-care deficit. Which activity should the nurse include in the treatment plan for the client? Engage the client in physical activity Encourage verbalization of fears Provide adequate quantities of food and fluids Assist the client in performing personal hygiene and grooming

Assist the client in performing personal hygiene and grooming

Which is the responsibility of a mental health technician in a psychiatric unit? Performing psychotherapy Presenting educational programs for nursing staff Providing ongoing assessment of the client's condition Assisting the activity therapists in conducting groups

Assisting the activity therapists in conducting groups

Which role is most appropriate for the nurse regarding a client's coping mechanisms? Selecting the type of coping mechanism Educating the client about different types of coping mechanisms Assisting the client in choosing alternative coping mechanisms Helping the client implement a coping mechanism through unconditional acceptance

Assisting the client in choosing alternative coping mechanisms

Which are the roles and responsibilities of a staff psychiatric nurse? Select all that apply. Assisting the client in daily activities Developing a relationship with the client Administering medications to the client Conducting group therapy Diagnosing the medical condition of the client

Assisting the client in daily activities Developing a relationship with the client Administering medications to the client

The nurse is caring for a client with spiritual distress. Which nursing intervention will most likely lead to optimized outcomes in the client? Determining religious orientation Using the communication technique of reflecting Questioning the spiritual impact of the current situation Assisting the client in developing goals for dealing with life situations

Assisting the client in developing goals for dealing with life situations

A client receiving a selective serotonin reuptake inhibitor for depression reports sedation. When should the nurse instruct the client to take the medication to prevent this side effect? Before breakfast After lunch At bedtime After a late-morning snack

At bedtime

During the recovery process, a client complains of headache to the nurse. The client's caregiver tells the nurse that the client has binge-eating episodes. Which activities does the nurse expect in the client's care plan to prevent these worsening symptoms of wellness? Select all that apply. Decreased involvement in creative activities Attending two peer counseling sessions daily Performing everything mentioned in the daily maintenance checklist Limiting performance of physical and relaxation exercises Calling the primary health-care provider and following suggested directions by the primary health-care provider

Attending two peer counseling sessions daily Performing everything mentioned in the daily maintenance checklist Calling the primary health-care provider and following suggested directions by the primary health-care provider

A client with schizophrenia who is experiencing auditory hallucinations, paranoid delusions, social withdrawal, and developmental regression is admitted to the psychiatric unit. Which symptom of the client requires priority of treatment? Auditory hallucinations Paranoid delusions Social withdrawal Developmental regression

Auditory hallucinations

The nurse finds that a client with schizophrenia is aggressive and has attempted suicide. On inquiry, the nurse learns that the client also harmed the caregiver while the caregiver tried to rescue the client. Which ethical principle should the nurse break in this situation? Justice Autonomy Beneficence Nonmaleficence

Autonomy

Which ethical principle can be overridden by the nurse when clients have been deemed to be at risk of harming themselves or others? Justice Veracity Autonomy Beneficence

Autonomy

According to Aguilera, which factor affects the way a client perceives and responds to a precipitating stressor? Availability of coping strategies Loss of a valuable possession Exposure to harmful situations Challenges faced during the crisis

Availability of coping strategies

A client with a psychiatric illness makes a list of things he or she needs to do every day to maintain wellness. Which information does the client include under the daily maintenance list? Select all that apply. Listening to music Talking to a friend Attending a support group Avoiding caffeine and junk foods Taking medications and vitamin supplements

Avoiding caffeine and junk foods Taking medications and vitamin supplements

A client is trying to comprehend her illness. Which stage of the Psychological Recovery Model is the client undergoing? Moratorium Awareness Preparation Rebuilding

Awareness

While discussing the Psychological Recovery Model with a group of student nurses, the registered nurse states, "In this stage, the client with mental illness comes to a realization that a possibility for recovery exists." Which stage is the registered nurse discussing? Moratorium Awareness Preparation Rebuilding

Awareness

Which information does the nurse find under the section "mood/affect" in the mental history form? Euphoria Obsessions Projection Acceptance

Euphoria

Which important criteria must be met first in order for a client to achieve a higher level of functioning? Physical facilities Basic physiological needs Democratic self-government Assignment of responsibilities

Basic physiological needs

While assisting a client with a psychotic disorder during the recovery process, the nurse provides copies of all documents related to the client's plan of care. Which commitment of the Tidal Model does the nurse implement through this intervention? Be transparent Value the voice Respect the language Craft the step beyond

Be transparent

During the recovery process, the nurse develops a care plan based on the client's expressed needs and wishes. The nurse also teaches the client ways to identify and address specific problems. Which commitment is the nurse implementing through this intervention? Give the gift of time Craft the step beyond Become the apprentice Reveal personal wisdom

Become the apprentice

Which actions of the nurse convey an attitude of respect toward the client? Select all that apply. Being honest while interacting with the client Calling the client by name Spending time with the client Understanding the situation from the client's point of view Promoting an atmosphere of privacy during therapeutic interaction

Being honest while interacting with the client Calling the client by name Spending time with the client Promoting an atmosphere of privacy during therapeutic interaction

The parents of a 10-year-old child are informed that the child is in the terminal stage of acute lymphocytic leukemia. Which characteristics of the parents indicate that they are in the acceptance stage of grief? Being sad but determined to spend meaningful last days with their child, letting her know their love Insisting that no one is telling the truth Delaying consent for treatment and procedures Asking no questions about treatment or prognosis

Being sad but determined to spend meaningful last days with their child, letting her know their love

A nursing instructor is teaching a group of student nurses about the methods used to determine right or wrong behavior during nursing practice. Which concept is the nursing instructor trying to teach the students? Rights Values Bioethics Ethics

Bioethics

According to the Wellness Recovery Action Plan (WRAP) Model, which symptom in a client with mental illness indicates that the client's situation has worsened? Bizarre behaviors Inappropriate sexual behavior Feeling of worthlessness Work stress

Bizarre behaviors

Which physiological activity occurs at the initial stage of stress during the "fight or flight" syndrome? Bronchioles constrict Decreased glycogenolysis Decreased respiration rate Bladder muscle constriction

Bladder muscle constriction

While communicating with a group, the nurse finds that a member consistently resists group efforts and demonstrates irrational behaviors. Which type of individual role does this member represent in the group? Blocker Seducer Help seeker Recognition seeker

Blocker

The nurse is caring for a client who takes a monoamine oxidase inhibitor (MAOI). Which foods that appear in the client's 24-hour dietary recall indicate a need for further nutritional teaching? Select all that apply. Blue cheese Raisins Pepperoni Caviar Grilled chicken

Blue cheese Raisins Pepperoni Caviar

The nurse is reviewing orders for a client with depression who smokes and wants to quit. Which medication can the nurse expect to administer? Sertraline Amitriptyline Venlafaxine Bupropion

Bupropion

Which members of the interdisciplinary treatment team can conduct individual, group, and family therapy? Select all that apply. Clinical psychologist Recreational therapist Occupational therapist Psychiatric social worker Psychiatric clinical nurse specialist

Clinical psychologist Psychiatric social worker Psychiatric clinical nurse specialist

After undergoing group therapy, a client tells the nurse, "I am very happy about the therapy. The fellow members of the group have become like family." Which function of the group therapy is reflected in the client's statement? Support Socialization Camaraderie Informational

Camaraderie

Which function of a group provides joy and pleasure to an individual through interaction with significant others? Socialization Camaraderie Normative Informational

Camaraderie

The nurse is caring for a client who is at risk for post-trauma syndrome. On assessment, the nurse finds that the client demonstrates impulsive and violent behaviors. Which medication does the nurse expect the health-care provider to prescribe in this situation? Bupropion Fluoxetine Alprazolam Carbamazepine

Carbamazepine

What is the function of afferent neurons? Serving as integrators in the pathways in the brain Carrying impulses from receptors in the periphery to the central nervous system Carrying impulses from the central nervous system to muscles and glands Carrying only one of the sensory or motor impulses at a time

Carrying impulses from receptors in the periphery to the central nervous system

The nurse is reviewing a medication history for a client who takes alprazolam. Which herbal remedy listed by the client would be of most concern to the nurse? Green tea Ginseng Chamomile Milk thistle

Chamomile

A client is talking to a nurse about the need for spiritual support. Which health-care professional would the nurse suggest the client see for consultation? Chaplain Psychiatric nurse Mental health technician Psychiatric clinical nurse specialist

Chaplain

The nurse is caring for a client diagnosed with a disturbed sense of reality. Which medication would most likely be prescribed to the client? Diazepam Fluoxetine Bupropion Chlorpromazine

Chlorpromazine

A nursing instructor tells a group of nursing students, "You have to treat clients with the same respect and dignity with which you would expect to be treated." Which ethical theory is the nursing instructor teaching the students? Kantianism Ethical egoism Christian ethics Natural law theory

Christian ethics

A research nurse, while participating in clinical trials, finds that a 67-year-old client has Alzheimer's disease. Which chromosome does the nurse suspect is altered in the client based on this finding of late-onset Alzheimer's disease? Chromosome 1 Chromosome 14 Chromosome 19 Chromosome 21

Chromosome 19

Which is the role of a task coordinator in a group? Relieving conflict within the group Examining group plans and performance Explaining and expanding group plans and ideas Clarifying ideas and suggestions made within the group

Clarifying ideas and suggestions made within the group

According to Baldwin, which class do maturational/developmental crises belong to? Class I Class II Class III Class IV

Class IV

Which information would the nurse find under the section of general information in the mental history form? Select all that apply. Client's sex Client's name Client's height or weight Client's occupational history Client's educational background

Client's sex Client's name Client's height or weight

Which member of the psychiatric care unit is responsible for evaluating the psychological tests of the clients and assisting in diagnostic processes? Psychiatrist Clinical psychologist Mental health technician Psychiatric clinical nurse specialist

Clinical psychologist

Which behavior by the family members would the nurse assess for during the working phase of group development? Anger Grief Reminiscence Cohesiveness

Cohesiveness

Which would be the educational credentials of a team member of the psychiatric care unit who assists clients in their spiritual needs? Graduate degree in psychology Graduate degree with specialty in art therapy Graduate degree with specialty in music therapy College degree with advanced education in theology

College degree with advanced education in theology

While discussing "recovery in life" with a group of student nurses, the registered nurse states, "Relationships and social networks provide support, friendship, love, and hope." Which major dimension is the registered nurse discussing, according to perspective of the Substance Abuse and Mental Health Services Administration (SAMHSA)? Health Home Purpose Community

Community

A client with mild anxiety tells the nurse, "I am disabled and unable to participate in sports. However, I am a great scholar." Which ego defense mechanism does the nurse suspect in this client? Compensation Isolation Identification Intellectualization

Compensation

Which diagnostic procedure is used to detect the presence of lesions and abscesses in various regions of the brain? Electroencephalography (EEG) Computed tomography scan (CT) Single photon emission computed tomography (SPECT) Positron emission tomography (PET)

Computed tomography scan (CT)

Which diagnostic procedure used to detect altered brain functioning involves interpretation of brain functioning by color coding or gray shading? Computerized electroencephalography (EEG) mapping EEG Computed tomographic (CT) scan Magnetic resonance imaging (MRI)

Computerized electroencephalography (EEG) mapping

Which of these is defined as a diagrammatic teaching and learning strategy that visualizes interrelationships between medical diagnoses and nursing diagnoses? Concept mapping Case management Critical pathways of care (CPCs) Focus charting

Concept mapping

Which intervention by the psychiatric social worker is helpful in assessing the needs of the family while conducting family therapy? Using the client's creative abilities Focusing on vocational training Using therapeutic relationship skills Conducting an in-depth psychosocial history

Conducting an in-depth psychosocial history

Which intervention does standard 5C of psychiatric mental health clinical nursing practice include? Consultation Psychotherapy Milieu therapy Prescriptive authority and treatment

Consultation

An alcoholic client refuses to attend the alcoholics' support group meetings. The nurse says, "You are so selfish. Don't you have any sense of responsibility for your children?" Which characteristic is indicated in the nurse's response? Empathy Sympathy Transference Countertransference

Countertransference Rationale: The emotional response and behavior of the nurse toward the client indicates countertransference. Transference, the client develops strong feelings toward the nurse and the client gives the nurse a lot of value.

Which actions of the client indicate that the client is using the WRAP Model of recovery to prevent distress? Select all that apply. Suggesting new tools to try Creating a daily maintenance list Examining personal spirituality Identifying worsening of symptoms Deciding which must be done as a first step

Creating a daily maintenance list Identifying worsening of symptoms

Which characteristic does the healthy or self-actualized individual exhibit, according to Maslow? Creativeness Enculturation A degree of conformance Desire for companionship

Creativeness

Which law provides protection from conduct deemed injurious to the public welfare? Civil law Criminal law Common law Statutory law

Criminal law

Which statement does the nurse include in the teaching plan about assumptions made regarding crises? Crises are chronic situations that will be resolved in a brief period. Crises only happen to clients with psychopathologies. Crises are time-limited, usually lasting for about a year. Crises lead to either the deterioration or growth of psychological well-being.

Crises lead to either the deterioration or growth of psychological well-being.

While discussing the Wellness Recovery Action Plan (WRAP) Model with a group of student nurses, the registered nurse states, "When the client is in this step, he or she compulsorily requires caregivers to execute the care plan." Which step is the registered nurse discussing? Triggers Crisis planning Early warning signs Things are breaking down or getting worse

Crisis planning

A client's house was destroyed in a tornado. The client received minor injuries but experiences anxiety every time a storm approaches. Which type of crisis does the client have? Dispositional crisis Maturational/developmental crisis Crisis of anticipated life transitions Crisis resulting from traumatic stress

Crisis resulting from traumatic stress

According to Baldwin, which of these is a class III type of crisis? Dispositional crisis Maturational/developmental crisis Crisis of anticipated life transitions Crisis resulting from traumatic stress

Crisis resulting from traumatic stress Rationale: 1: Dispositional crisis 2: Crisis of anticipated life transitions 3. Crisis resulting from traumatic stress 4: Maturational/developmental crisis

Which symptoms may occur in a client suffering from alcohol withdrawal? Select all that apply. Nausea and vomiting Insomnia Seizures Bradycardia Hypotension

Nausea and vomiting Insomnia Seizures

The client writes a description of how he or she feels when experiencing wellness. Which step of the Wellness Recovery Action Plan (WRAP) process is the client following? Developing a wellness toolbox Early warning signs Daily maintenance list Crisis planning

Daily maintenance list

A client is receiving atomoxetine to treat attention-deficit-hyperactivity disorder. Which symptom should be reported to the health-care provider immediately? Constipation Dilated pupils Nausea Dark urine

Dark urine

Which categories are included under the focus charting documentation method? Select all that apply. Data (D) Action (A) Problem (P) Response (R) Intervention (I)

Data (D) Action (A) Response (R)

A client has been diagnosed with a life-threatening condition. The nurse discloses the client's health information to the client's family members. Which information does the nurse document in the client's record following disclosure? Select all that apply. Date of disclosure Reason for disclosure Specific information disclosed Contact number of professional who disclosed the information Address of person to whom information was disclosed

Date of disclosure Reason for disclosure Specific information disclosed

According to Roberts' seven-stage crisis intervention model, which is the primary intervention during stage IV? Identifying major problems Implementing an action plan Dealing with feelings and emotions Generating and exploring alternatives

Dealing with feelings and emotions

Which core capability of electronic documentation helps in identifying possible drug interactions and facilitates diagnosis and treatment? Patient support Decision support Results management Health information and data

Decision support

Which biological responses occur at the sustained response stage of stress during the "fight or flight" response? Select all that apply. Decreased fluid retention Decreased immune response Decreased retention of sodium Decreased inflammatory response Decreased basal metabolic rate (BMR)

Decreased immune response Decreased inflammatory response

Which are the possible implications that may cause depression in a client with psychiatric illness? Select all that apply. Decreased serotonin levels Decreased histamine levels Decreased substance P levels Decreased acetylcholine levels Decreased norepinephrine levels

Decreased serotonin levels Decreased histamine levels Decreased norepinephrine levels

Which symptoms are commonly observed in a client with psychosis? Select all that apply. Delusions Obsessions Hallucinations Hypochondriasis Disorganized speech

Delusions Hallucinations Disorganized speech

A client's partner complains to the nurse, "My husband continues to smoke even though he knows of the dangers to his health." Which ego defense mechanism does the nurse suspect in the client? Denial Displacement Rationalization Introjection

Denial

The nurse is caring for a client who received a diagnosis of terminal cancer. Place in order from 1-5 the stages of grief the nurse would typically expect the client to experience, according to Kübler-Ross. Denial Acceptance Bargaining Anger Depression

Denial Anger Bargaining Depression Acceptance

The nurse is caring for a client diagnosed with ineffective community coping. Which nursing intervention would be performed to identify what else is required to meet the client's crisis situation? Evaluating the community activities related to meeting collective needs Determining the community's strengths Determining the availability and use of resources Identifying the effects on community by related factors

Determining the availability and use of resources

Which would be the primary nursing intervention for a client with anxiety or panic? Determining the degree of anxiety or panic Developing a trusting relationship with the client Encouraging the use of stress management techniques Discussing with the client the perception of what is causing anxiety

Determining the degree of anxiety or panic

The nurse is caring for a client who is undergoing phase IV of crisis intervention. How would the nurse evaluate the effectiveness of the crisis intervention for this client? Using the reality-oriented approach Establishing the goals of the interventions Building a working relationship with the client Determining the presence of positive behavioral changes in the client

Determining the presence of positive behavioral changes in the client

Which is the major focus of nursing in a therapeutic milieu? Administering medications Evaluating psychological tests Developing a one-on-one relationship Assisting clients with their daily activities

Developing a one-on-one relationship

The nurse is assisting a client with a recovery from mental illness using the Tidal Model. Which nursing competency reflects the "reveal personal wisdom" commitment of the Tidal Model? Helping the client develop awareness of the fact that changes occur throughout life Developing self-confidence in the client related to his or her abilities Ensuring that the client is aware of the significance of all nursing interventions Actively listening to the client's story

Developing self-confidence in the client related to his or her abilities

The nurse is caring for a short-tempered client who is a member of an anger management group. The client learns to form a satisfactory interpersonal relationship with the other members of the group. Which curative factor did the client adopt to improve the friendly relations with others? Interpersonal learning Installation of hope Imparting of information Development of socializing techniques

Development of socializing techniques

The nurse is interpreting the subjective and objective data categories of a client who is newly admitted to a psychiatric unit. Which steps of the nursing process involve these data, according to the SOAPIE format? Select all that apply. Diagnosis Outcome identification Implementation Assessment Evaluation

Diagnosis Outcome identification Assessment

The primary health-care provider is assessing a client with anxiety. Which medication would the nurse expect the client to be prescribed? Diazepam Bupropion Fluoxetine Chlorpromazine

Diazepam

A psychiatric client is diagnosed with bulimia nervosa. Which team member's attention is required for the client? Dietitian Chaplain Art therapist Music therapist

Dietitian

The mother of a 10-year-old client tells the nurse, "My child frequently eats pieces of chalk." Which member of the interdisciplinary treatment team is recommended to this client? Dietitian Psychiatric nurse Psychiatric aide Psychiatric clinical nurse specialist

Dietitian

The student nurse is assigned to care for a client with severe mental illness who has a designated legal representative. Which action of the student nurse violates the Health Insurance Portability and Accountability Act (HIPAA)? Discussing the client's health information at the reception desk Maintaining confidentiality of the client's health information Providing notice of privacy policies to the client's representative Discussing the client's health information with the client's representative in a private area

Discussing the client's health information at the reception desk

While collecting the history of a client with anger, the nurse observes that the client is blinking his or her eyes continuously. Which associated feeling does the nurse expect from the client's facial expression? Surprise Dislike Low self-esteem Frustration

Dislike

Which ego defense mechanism includes the transfer of feelings from one target to another less threatening or neutral person or object? Isolation Projection Introjection Displacement

Displacement

A client's wife tells the nurse, "My husband has been verbally abusive to me and my children for 7 months, ever since some problem at his office began." Which type of crisis does the nurse suspect in this client? Maturational crisis Dispositional crisis Crisis reflecting psychopathology Crisis of anticipated life transitions

Dispositional crisis

A client with severe and persistent schizophrenia has acute episodes of illness and talks to himself. The nurse involves the client in interpersonal activities and explains the actual situations to the client. What is the nurse trying to do with this intervention? Orient the client toward reality Distract the client from hallucinations Encourage the client to take medication Facilitate trust and understanding with the client

Distract the client from hallucinations

A client suffering from a psychiatric disorder tells the nurse, "I am going to kill my girlfriend. She cheated on me." Which nursing interventions are valid in this situation? Select all that apply. Documenting the situation in a written format Conveying the information to the primary health-care provider Restraining the client's movement Protecting the client's privacy by not disclosing the information to others Discussing the client's situation with other members of the health-care team

Documenting the situation in a written format Conveying the information to the primary health-care provider Discussing the client's situation with other members of the health-care team

While caring for a therapeutic group of Alzheimer's clients, the nurse finds that one of the members in the group is manipulating others to gain control. Which therapeutic group member role does the client's behavior reflect? Blocker Aggressor Dominator Monopolizer

Dominator

Which conditions indicate psychiatric emergencies in a client? Select all that apply. Value conflicts Sexual identity Drug overdoses Acute psychoses Alcohol intoxication

Drug overdoses Acute psychoses Alcohol intoxication

Which step of the subjective, objective, assessment, plan, implementation, and evaluation (SOAPIE) format involves a reassessment of the situation to determine the results of actions implemented? P (Plan) E (Evaluation) A (Assessment) I (Intervention)

E (Evaluation)

The registered nurse is teaching about the ethical principle of advocacy that has to be followed while caring for a client on the psychiatric unit. Which actions taken by the student nurse indicate teaching has been effective? Select all that apply. Educating the client's family about legal rights Encouraging the client to fulfill his or her own needs without assistance Being honest with the client's family about the client's condition Avoiding harming the client Speaking about the client's condition on his or her behalf to secure necessary health care services

Educating the client's family about legal rights Encouraging the client to fulfill his or her own needs without assistance Avoiding harming the client Speaking about the client's condition on his or her behalf to secure necessary health care services

Which diagnostic procedure is useful in the identification of the "suppression of the brain rhythms"? Magnetic resonance imaging (MRI) Computed tomographic (CT) scan Electroencephalography (EEG) Positron emission tomography (PET)

Electroencephalography (EEG)

The nursing instructor is teaching the student nurses the basic concept of the Recovery Model. Which does the nurse include in the teaching plan? Empowering the client to make his or her own decisions Empowerment of the family system to provide supportive care Empowerment of the health-care team to provide expertise in decision making Empowerment of the primary health-care provider to provide effective treatment

Empowering the client to make his or her own decisions

During a group therapy session, a client tells the nurse, "I hope to improve my existing condition by helping change the existing conditions of the group." Which function of the group is reflected in the client's statement? Support Governance Empowerment Task completion

Empowerment

While caring for a client who has low self-esteem, the nurse observes an improvement in the client's present condition due to the functional activities of a group to which the client belongs. Which function of a group can bring change in the client? Camaraderie Normative Socialization Empowerment

Empowerment

Which action would the nurse most likely take to determine the internal needs of a community? Determine community strengths Evaluate community activities Note community reports of functioning Create a plan to manage interactions within the community

Evaluate community activities

While providing feedback to a client, the nurse says, "You were a lazy, irresponsible person today." Which type of feedback does this indicate? Specific Evaluative Descriptive Focus on the client

Evaluative

While caring for a client with mental illness, the nurse follows the Tidal Model for recovery. Which intervention of the nurse indicates that the nurse is following the Tidal Model? Correcting grammatical mistakes of the client when the client is telling the story Insisting that the client tell the story at a faster pace Taking sole responsibility for deciding what needs to be done immediately for recovery Ensuring that the client is receiving copies of all documents related to the plan of care

Ensuring that the client is receiving copies of all documents related to the plan of care

Which aspect is directly manipulated in the treatment when using milieu therapy? Behavior of the client Functioning of the client Environment around the client Psychological health of the client

Environment around the client

The nurse is preparing to administer bupropion to a client. Which disorder would cause the nurse to hold the medication and notify the health-care provider? Diabetes Anxiety Epilepsy Asthma

Epilepsy

Which ethical theory involves a mental conflict between moral values? Kantianism Ethical egoism Ethical dilemma Natural law theory

Ethical dilemma

The nurse is in the first phase of relationship development with a client who is an alcoholic. What should be the goal of the nurse during this phase? Establishing trust Promoting client change Exploring self-perceptions Ensuring therapeutic closure

Exploring self-perceptions

The nurse is leading a group activity in which there is a member with an aggressor role. Which qualities does this individual exhibit? Select all that apply. Expresses negativism and hostility toward others Uses sarcasm to degrade other members Does not participate verbally Uses the group to gain sympathy from others Demonstrates rigid and irrational behaviors

Expresses negativism and hostility toward others Uses sarcasm to degrade other members

Which is the role of an aggressor in a group? Resisting group efforts Maintaining control of the group by dominating Expressing negativism and opposition toward other members Talking about personal accomplishments in an effort to gain attention

Expressing negativism and opposition toward other members

The nurse is teaching a group of student nurses about disorders in which the characteristic symptoms are manifested as physical symptoms. Which disorders does the nurse include in the teaching plan? Select all that apply. Panic disorder Factitious disorder Conversion disorder Separation anxiety disorder Dissociative identity disorder

Factitious disorder Conversion disorder

Which are the triggers that interfere with the client's wellness? Select all that apply. Paranoia Insomnia Family friction Social isolation Substance abuse

Family friction Substance abuse

During the process recording, a client says, "I know I will have a hard time, but I also know that I have support." What are the nurse's thoughts and feelings concerning the interaction after the client's reply? Feeling sorry Feeling confident Feeling comfortable Feeling uncomfortable

Feeling confident

Which emotional symptoms help the nurse to identify that a client is experiencing severe anxiety? Select all that apply. Feeling of dread Feeling of horror Feeling of confusion Feeling of being poisoned Feeling of being plotted against

Feeling of dread Feeling of horror Feeling of confusion

Which features are expected in a client who has experienced a traumatic event? Select all that apply. Feeling of impending doom Exaggerated sense of responsibility Reduced participation in community functions Concerned expressions about belief systems Expressing having no control over anything in life verbally

Feeling of impending doom Exaggerated sense of responsibility Expressing having no control over anything in life verbally

The nurse is caring for a client currently taking zolpidem. Which medication listed on the client's history would concern the nurse? Levothyroxine Fluconazole Atenolol Fish oil

Fluconazole

The nurse would question which order for a 13-year-old client? Methylphenidate Sertraline Flurazepam Lithium

Flurazepam

Which member enhances group process by listening attentively to the group interaction? Follower Encourager Harmonizer Compromiser

Follower Rationale: Follower listens attentively to the group and acts as a passive participant Encourager offers recognition and acceptance to other's ideas and contributions Harmonizer minimizes tension within the group by prevailing when disagreements create conflicts

How is subjective data about a client obtained for use within the subjective, objective, assessment, plan, implementation, and evaluation (SOAPIE) format? From verbal reports of the client, family, or other sources From interpretation of the subjective and objective data by the nurse From direct observation or examination by the nurse From the nursing actions that were actually carried out

From verbal reports of the client, family, or other sources

Which structures of the brain play an important role in voluntary and involuntary body movements? Frontal lobe and temporal lobe Frontal lobe and cerebellum Hypothalamus and cerebellum Hypothalamus and temporal lobe

Frontal lobe and cerebellum

Which category of touch would the nurse exhibit while examining a client with anger? Social-polite Love-intimacy Friendship-warmth Functional-professional

Functional-professional

During a group interaction, a member of the group is encouraging all the members to participate in the interaction. Which role is the member playing? Elaborator Initiator Gatekeeper Coordinator

Gatekeeper

Which steps should the nurse follow while making an ethical decision? Arrange the steps in order of their priority. Evaluate the outcomes of the decision Explore the benefits and consequences of each alternative Identify the conflict between two or more alternative actions Gather objective and subjective information about the situation Implement the decision made and communicate the same to others

Gather objective and subjective information about the situation Identify the conflict between two or more alternative actions Explore the benefits and consequences of each alternative Implement the decision made and communicate the same to others Evaluate the outcomes of the decision

The nurse tells the client the truth. What is this characteristic of the nurse called? Respect Empathy Sympathy Genuineness

Genuineness

Which interventions indicate that the nurse is implementing the Tidal Model of recovery through nursing practice? Select all that apply. Giving the client the gift of time Providing feedback to the client when needed Assisting the client in monitoring illness symptoms Assisting the client in managing illness symptoms Encouraging the client to be as independent as possible

Giving the client the gift of time Providing feedback to the client when needed Encouraging the client to be as independent as possible

Which function of a group is performed by committees within a larger organization? Governance Socialization Informational Empowerment

Governance

After a group therapy session, a client tells the nurse, "I am playing a key role in the success of the group." Which curative factor is reflected in the client's statement? Universality Group cohesiveness Interpersonal learning Corrective recapitulation

Group cohesiveness

The nurse with a laissez-faire leadership style is leading a support group in the psychiatric unit. Which characteristics would be present within this group? Select all that apply. The focus of the group is on the members Group cohesiveness is low Productivity is high Member participation is inconsistent Members engage in group problem-solving

Group cohesiveness is low Member participation is inconsistent

The nurse finds that a client with a psychotic disorder is involved in decision making regarding psychotherapeutic treatments. The client's caregiver reports that the client has also developed a sense of optimism and hope for a rewarding future. Which stage of recovery does the nurse expect the client is in, according to the Psychological Recovery Model? Growth Awareness Preparation Moratorium

Growth

Which characteristic behaviors does the nurse notice in a client with panic anxiety? Select all that apply. Hallucinations Misperceptions Bizarre behavior Feelings of discontent Heightened alertness

Hallucinations Misperceptions Bizarre behavior

The nurse is assessing a client who develops tardive dyskinesia. Which medication does the nurse expect this client to be receiving? Alprazolam Haloperidol Zolpidem Dexmethylphenidate

Haloperidol

A disagreement between the nurse and a member of the group results in a conflict within a group. Which member of the group minimizes the tension by intervening? Encourager Follower Gatekeeper Harmonizer

Harmonizer

During a group intervention, there was a conflict within the members of the group due to disagreements between them. Which maintenance role would be beneficial in this situation? Harmonizer Coordinator Encourager Compromiser

Harmonizer

Which is the role of the leader in the working phase of group development? Reviewing the goals of the therapy Orienting members to specific group processes Helping resolve conflicts among the group members Encouraging the members to reminisce about what has occurred within the group

Helping resolve conflicts among the group members

Which structures of the brain play an important role in the regulation of respiration, blood pressure and temperature? Select all that apply. Temporal lobes Parietal lobes Hypothalamus Thalamus Pons

Hypothalamus Pons

Which intervention of the nurse indicates that the nurse is following the "craft the step beyond" commitment of the Tidal Model? Listening to the client's story actively Helping the client express his or her understanding of personal experiences in his or her own language Asking for clarification about certain aspects of the client's story Helping the client determine which kind of change represents a step toward recovery

Helping the client determine which kind of change represents a step toward recovery

The nurse is caring for a client whose father was an alcoholic and was abusive toward the client. Which would be the primary nursing intervention for this client? Monitoring the vitals of the client Conducting family therapy sessions Helping the client become aware of the reality of the surroundings Helping the client identify unresolved issues

Helping the client identify unresolved issues

The nurse uses the Tidal Model of recovery in a psychiatric nursing practice. Which interventions indicate that the nurse is implementing the "value the voice" commitment? Asking the client for clarification of certain points Helping the client record his or her own story in his or her own words Encouraging the client to speak in his or her own words Assisting the client to unfold his or her own story at his or her own pace

Helping the client record his or her own story in his or her own words

A client with a psychiatric illness complains to the nurse of insomnia and pain sensation in the legs. Which neurotransmitter function does the nurse expect to be associated with these symptoms? Histamine Dopamine Somatostatin Norepinephrine

Histamine

Which information would the nurse find under the section on cardiovascular status in the mental history record? Select all that apply. History of phlebitis History of denture use History of heartburn History of varicose veins History of tingling in extremities

History of phlebitis History of varicose veins History of tingling in extremities

The nurse is reviewing the laboratory results for a client who has been taking lithium for the past year. The nurse notes the lithium levels are 1.6 mEq/L. Which action should the nurse take? Administer half of the scheduled dose Document the result and administer the dose Hold the dose and notify the health-care provider Administer an additional dose of the lithium

Hold the dose and notify the health-care provider

Which are the components identified by Andresen and associates in the recovery process? Select all that apply. Hope Purpose Community Responsibility Self and identity

Hope Responsibility Self and identity

While assessing a client with psychotic disorder, the nurse finds that the client is irritable and has increased anxiety levels. On interaction with the client's partner, the nurse finds that the client has decreased libido. What could be the reason for such behavioral symptoms in the client? Hypersecretion of prolactin Undersecretion of gonadotropic hormones Hypersecretion of thyroid stimulating hormone Undersecretion of adrenocorticotropic hormone

Hypersecretion of prolactin

Which structure of the brain is responsible for the production of the hormone that stimulates the uterus during labor? Thalamus Hypothalamus The anterior lobe of the pituitary gland The posterior lobe of the pituitary gland

Hypothalamus

A client attempts to increase her self-worth by acquiring certain characteristics of an individual whom she admires. Which type of ego defense mechanism does the nurse suspect in this client? Identification Intellectualization Suppression Sublimation

Identification

A client tells the nurse, "If God was really present, He would have never taken my child from me." Which action would be most appropriate for the nurse to take to provide specific assistance in the recovery process of the client? Accept the client's spiritual concern Listen to the client's expressions of inability to find meaning in life Discuss the difference between grief and guilt Identify and refer to resources such as crisis counseling

Identify and refer to resources such as crisis counseling

The nurse is caring for a client who witnessed the tragic death of a spouse. Which nursing intervention would provide ongoing support to deal with recurrent feelings related to trauma? Identifying community resource groups Providing emotional and physical support Identifying and discussing the client's strengths Providing information about signs and symptoms of post-trauma response

Identifying community resource groups

Which nursing intervention provides information that can be used to build on in order to help a client cope with a traumatic experience? Identifying the client's strengths Listening for comments that indicate the client feels responsible for the traumatic event Recommending participation in debriefing sessions Evaluating current factors associated with trauma

Identifying the client's strengths

Which is the responsibility of a chaplain in a therapeutic community? Identifying the spiritual needs of the client Assisting the client in therapeutic activities Assisting the client in enhancing self-esteem Conducting in-depth psychosocial history

Identifying the spiritual needs of the client

When can the nurse disclose a client's information to others without obtaining consent from the client? If the client is mentally ill If the client is younger than 10 years old If the client is in a life-threatening situation If the client is in the end stage of life

If the client is in a life-threatening situation

While evaluating the mental status of a client with a psychotic disorder, the nurse asks the client to write a sentence. When should the nurse allot three points to the client on the brief mental status evaluation form? If the sentence has five to six words with a verb and an adjective If the sentence has five to six words with a verb and a subject If the sentence has a valid meaning with a verb and a subject If the sentence has a valid meaning with a verb and an adjective

If the sentence has a valid meaning with a verb and a subject

A client tells the nurse, "There is a man in my Overeaters Anonymous group who eats food that I like. I have started cooking my food in the same way, and I have been following his exercise schedule. Maybe this way I will lose weight." This describes which curative factor? Instillation of hope Imparting of information Altruism Imitative behavior

Imitative behavior

The nurse tells the client, "There are various methods of assistance for people who want to lose weight. You can decide which one is best for you." Which feedback method is the nurse applying in this situation? Prompt response Giving advice Delayed response Imparting information

Imparting information

The nurse is caring for a client who is a member of an Alcoholics Anonymous group. The client learned about the effects of alcohol on the body from the nurse. Which curative factor better describes the situation? Catharsis Existential factor Interpersonal learning Imparting of information

Imparting of information

During ethical decision making, the nurse effectively follows and communicates the decision made. Which step of a model for making ethical decisions does the nurse exemplify? Planning Assessment Evaluating Implementation

Implementation

The nurse uses prescriptive authority, referrals, and treatments in accordance with state and federal laws and regulations. Which standard is the nurse practicing through this intervention? Planning Evaluation Implementation Outcomes identification

Implementation

Which biological response occurs at the initial stage of stress during "fight or flight" syndrome? Lipogenesis Constriction of pupils Increase in intestinal motility Increase in lacrimal secretions

Increase in lacrimal secretions

Which are symptoms of central nervous system (CNS) stimulants? Select all that apply. Constricted pupils Mental sluggishness Increased energy Respiratory stimulation Increased motor activity

Increased energy Respiratory stimulation Increased motor activity

The nurse is caring for a critically ill client who is often complains about treatment and is uncooperative. During an unfavorable event, the nurse becomes very defensive in his or her approach to the client. Which outcome may be expected due to the nurse's approach to the client? Increased likelihood of a lawsuit from the client against the nurse Improved interpersonal communication between the nurse and the client Increased chances of avoiding nursing malpractice Improved chances of fulfilling the emotional needs of the client

Increased likelihood of a lawsuit from the client against the nurse

What does the nurse find in the laboratory reports of a client whose stress response is sustained over a long period? Select all that apply. Increased sodium levels Increased androgen levels Decreased thyroxin levels Decreased triglyceride levels Increased blood glucose levels

Increased sodium levels Increased blood glucose levels

What information is required to prepare an interdisciplinary treatment (IDT) plan for a client with a psychotic disorder in a therapeutic milieu? Information about the medical diagnosis Information about cultural and spiritual needs Information from the initial nursing assessment Information from community and family resources

Information from the initial nursing assessment

Which aspects would the nurse include in the teaching plan for a client with a personality disorder in a therapeutic milieu? Select all that apply. Information on medical diagnoses Stress management techniques Mechanism of action for prescribed medications Importance of taking medications as prescribed Importance of cultural and spiritual beliefs

Information on medical diagnoses Stress management techniques Importance of taking medications as prescribed

A client with alcohol withdrawal symptoms is undergoing group therapy. During the therapy, a group member tells the client, "I have also experienced these withdrawal symptoms, and I have found they can be controlled by proper medication." Which function of the group therapy is reflected in this scenario? Camaraderie Socialization Informational Empowerment

Informational

Which behavior may be observed in an individual of a group who is considered to be a seducer? Lacking concern for others Remaining silent for many reasons Inhibiting group progress with excessive premature self-disclosure Using sarcasm to degrade the status of others

Inhibiting group progress with excessive premature self-disclosure

What is the function of follicle-stimulating hormone? Initiates the maturation of ovarian follicle Secretes estrogen Responsible for ovulation Secretes progesterone

Initiates the maturation of ovarian follicle

The nurse is caring for a group of clients in an alcohol rehabilitation center. The new client in the group observes that an established client with alcoholism has adjusted well in the group. The new client thinks, "I can also adjust in the group dynamics." Which curative factor promotes this concept? Group cohesiveness Catharsis Installation of hope Imparting of information

Installation of hope

A client tells the nurse, "My family members hate me." On further communication with the client, the nurse finds that the client shows no emotion while conversing; instead the client tries to provide a rationale for her family members' feelings. Which ego defense mechanism does the nurse suspect in this client? Denial Rationalization Intellectualization Reaction formation

Intellectualization Rationale: The client is concealing the actual emotion involved behind the hatred of his or her family members. Instead, the client is searching for reasons for her family's feelings, which indicates that the client is exhibiting the intellectualization type of defense mechanism.

The nurse observes manipulative and argumentative behavior in the client with a psychiatric mental health disorder. Which section of the mental history form does the nurse use to document this information? Interaction patterns Communication patterns Reality orientation Thought processes

Interaction patterns

A client who sustained minor accidental injuries is admitted into the health-care setting. The nurse monitors the client's skin and cleanses and dresses the wounds. Which step of the subjective, objective, assessment, plan, implementation, and evaluation (SOAPIE) format is the nurse following in this situation? Planning Evaluation Assessment Intervention

Intervention

A psychiatric client claims to be the messenger of God, drapes himself in a blanket, "performs miracles" on other clients, and refuses to respond unless addressed as Jesus Christ. Which type of ego defense mechanism does the nurse suspect in this client? Introjection Projection Regression Repression

Introjection

A client who was assaulted explains the situation in detail to the nurse without any emotion. Which defense mechanism does the nurse suspect in this client? Isolation Compensation Displacement Denial

Isolation

While caring for a client with anxiety, the nurse says, "I wouldn't worry so much if I were you." What is the impact of this statement by the nurse? It devalues the client's feelings. It encourages a like response from the client. It prevents the client from exploring areas of difficulty. It increases the understanding for both the client and nurse.

It devalues the client's feelings.

While caring for a client diagnosed with ineffective community coping, the nurse notes community reports of weakness and conflict. Which purpose does this nursing intervention serve? It deals with deficits in support of identified goals. It identifies what else is required to meet the client's crisis. It provides an idea of how the community itself sees its deficits. It provides a baseline for determining the needs of the community.

It provides an idea of how the community itself sees its deficits.

Which statement describes an advantage of the use of electronic health records (EHRs) in the hospital? It increases charting time. It accepts multiple data types, such as graphs, photographs, and drawings. It reduces redundancy of information. It requires consistent use of standardized terminology.

It reduces redundancy of information.

Which conditions are required to be met when preparing a separate nursing care plan in addition to the interdisciplinary treatment (IDT) plan? Select all that apply. It would omit information from the initial nursing assessment. It would reflect the diagnoses that are specific to nursing. It would be done in all the treatment facilities. It would include interventions specifically assigned to nursing. It would omit the problems from the IDT plan.

It would reflect the diagnoses that are specific to nursing. It would include interventions specifically assigned to nursing.

The nurse is caring for a client with schizophrenia who is receiving risperidone. Which symptom, if developed by the client, would warrant immediate notification of the health-care provider? Jerking of the head Dry mouth Fatigue Nausea

Jerking of the head

The family members of a client diagnosed with a life-threatening disease tell the nurse, "Don't tell the client about his disease, because he gets depressed." The nurse responded, "I am going to tell the client about his condition because it is my moral duty." Which ethical principle did the nurse follow? Ethical egoism Kantianism Utilitarianism Natural law theory

Kantianism

The nurse is providing education to a client who will be discharged with a prescription for methylphenidate. Which information should the nurse include in the teaching? Select all that apply. Take the medication before meals Administer the last dose at least 1 hour before bedtime Keep stimuli low and environment quiet Do not stop taking medication abruptly Avoid consumption of large amounts of caffeine

Keep stimuli low and environment quiet Do not stop taking medication abruptly Avoid consumption of large amounts of caffeine

The nurse is caring for a psychiatric client who is experiencing concrete thinking. Which nursing intervention is most essential to develop a therapeutic relationship with the client? Establishing an acquaintance with the client Keeping promises made to the client Considering the client's ideas when planning care Being open and real while interacting with the client

Keeping promises made to the client

Which nonverbal behavior of the nurse indicates an open posture for attentive listening? Establishing eye contact Sitting squarely facing the client Leaning forward toward the client Keeping the arms and legs uncrossed

Keeping the arms and legs uncrossed

While documenting a client's response, the nurse writes false information in the client's record that results in defamation of the client's character. What charge could the nurse face in a lawsuit resulting from this situation? Libel Slander Assault Battery

Libel Rationale: Slander is through orally spreading rumors.

A client tells the nurse, "I feel lightheaded after exercising." The nurse finds that the client has an unsteady gait, pale skin, and bruises on the right arm. What is the subjective data in the given scenario? Bruises on the right arm Presence of pale skin Presence of unsteady gait Lightheadedness after exercising

Lightheadedness after exercising

Which structure of the brain is referred to as the "emotional brain"? Thalamus Hypothalamus Limbic system Cerebrum

Limbic system

Which precaution would the nurse follow while caring for an Navajo Indian client? Limit touch with this client Refrain from taking financial gifts from the client Refrain from collecting background data of the client Refrain from giving excuses about the client's inappropriate behavior to others

Limit touch with this client

Which intervention of the nurse indicates that the nurse is following the "value the voice" commitment of the Tidal Model? Listening to the client's story actively Assisting the client in expressing personal experiences in his or her own language Asking for clarification at certain points in the client's story Helping the client to determine which kind of change would represent a step toward recovery

Listening to the client's story actively

The client diagnosed with schizophrenia is refusing to interact with the staff members in the hospital. Which condition does the treatment team identify? Disturbed sensory perception Disturbed thought processes Low self-esteem Self-care deficit

Low self-esteem

Which diagnostic procedure is used to detect brain edema, infection, neoplasm, trauma, and demyelination? Electroencephalography (EEG) Computed tomography scan (CT) Magnetic resonance imaging (MRI) Positron emission tomography (PET)

Magnetic resonance imaging (MRI)

Which diagnostic procedure is useful in the measurement of the biochemical status of various segments of the brain? Magnetic resonance imaging (MRI) Computed tomographic (CT) scan Electroencephalography (EEG) Computerized EEG mapping

Magnetic resonance imaging (MRI)

The nurse is following the nursing process for a schizophrenic client who has attempted suicide. Which nursing action is part of the implementation step of the nursing process? Collecting the health data of the client, including previous attempts of suicide Maintaining a safe environment in the client's premises Determining if nursing interventions have been appropriate to achieve desired results Analyzing the health data of the client to produce desired results

Maintaining a safe environment in the client's premises

The nurse is caring for a client dealing with fear and anxiety. Which nursing intervention is beneficial to reduce the sense of confusion in the client? Maintaining a silent environment around the client Noting the degree of disorganization Determining the presence of physical symptoms Identifying if the incident has reactivated preexisting situations

Maintaining a silent environment around the client

Which intervention does the therapist adopt to facilitate interpersonal communication? Setting norms and rules for the client Assigning responsibilities to the client Maintaining a structured schedule of social activities Including the family and the community of the client in therapy

Maintaining a structured schedule of social activities

The nurse tells an angry client, "I see you have been walking back and forth frequently." Which therapeutic communication technique should the nurse follow while communicating with the client? Making observations Giving broad openings Offering general leads Placing the event in a timeline

Making observations

Which is the minimum educational credential required for a member of the psychiatric care unit to conduct an in-depth psychosocial history during psychotherapy? Master's degree in social work Master's degree in occupational therapy College degree with advanced education in theology High school education with additional vocational education

Master's degree in social work

The client tells the nurse that he feels unable to commit to a long-term relationship with his girlfriend because of the abandonment he felt after his parents divorced when he was a child. Which type of crisis is the client undergoing? Psychiatric emergency Crisis reflecting psychopathology Crisis for anticipated life transitions Maturational/developmental crisis

Maturational/developmental crisis

Which educational credentials are required to become the leader of a psychiatric care unit? Registered nurse with a hospital diploma Medical degree with residency in psychiatry and a license to practice medicine Graduate degree in psychology, social work, nursing, or medicine with additional training in group therapy Baccalaureate or master's degree in recreational therapy

Medical degree with residency in psychiatry and a license to practice medicine

Which structure of the brain contains reflex centers for swallowing, sneezing, coughing, and vomiting? Pons Medulla Cerebellum Mesencephalon

Medulla

During winter months, the nurse would expect to note an increase in which hormone levels? Melatonin Testosterone Growth hormone Oxytocin

Melatonin

The nurse is caring for a client admitted with hypothyroidism. Which clinical manifestations can the nurse expect to find upon assessment? Irritability Memory impairment Fatigue Depression Increased libido

Memory impairment Fatigue Depression

Which interdisciplinary treatment team member works under the supervision of the psychiatric nurse? Dietitian Chaplain Clinical psychologist Mental health technician

Mental health technician

Which member of the interdisciplinary care team requires a high school education plus on-the-job training? Art therapist Recreational therapist Mental health technician Psychiatric social worker

Mental health technician

While caring for a client in a psychiatric ward, the nurse observes that the client is not turning away from a dangerous object when it comes into view and not turning toward a sound that is heard. Which brain structure alterations may the nurse find in the electroencephalogram (EEG) findings of this client? Mesencephalon Hypothalamus Pituitary gland Thalamus

Mesencephalon

Which characteristic behavior does the nurse notice in a client with psychosis? Minimal distress Persistent contact with reality Awareness of psychological problems Awareness that his or her behavior is maladaptive

Minimal distress

The nurse is teaching a parent of a child about antidepressants. Which is most important to include in the teaching? Monitoring their child for statements or thoughts of suicidal ideation Sucking on hard candy to eliminate dry mouth and nausea Drinking plenty of water to reduce risk of constipation Taking medication at night to decrease risk of daytime sedation

Monitoring their child for statements or thoughts of suicidal ideation

While working with group members, the nurse observes a member controlling the group with his conversation. Which role does the nurse find in this member? Seducer Recognition seeker Dominator Monopolizer

Monopolizer

Which are the characteristics of democratic leadership? Select all that apply. Morale is high compared to autocratic and laissez-faire leadership. The leader is not involved. Group cohesiveness is high. Decisions are made solely by the leader. Team members are encouraged to help make decisions.

Morale is high compared to autocratic and laissez-faire leadership. Group cohesiveness is high. Team members are encouraged to help make decisions.

While caring for a client with mental illness, the nurse finds that the client has no hope for recovery. Which stage of the Psychological Recovery Model does the nurse anticipate in this client? Moratorium Awareness Preparation Rebuilding

Moratorium

Which information is recorded in the problem (P) category of the APIE (assessment, problem, intervention, evaluation) charting method? Subjective and objective data of the client Name of nursing diagnosis which is addressed from the written problem list Appraisal of the client responses to determine effectiveness of nursing interventions Nursing actions performed, which are directed at problem resolution

Name of nursing diagnosis which is addressed from the written problem list

Which area of mental function does the nurse evaluate during the brief mental status examination? Thought content Judgment Mood Naming objects

Naming objects

The nurse does not administer medication or provide food to a client at correct time intervals. Which behavior is depicted by the nurse in this case? Assault Seclusion Negligence Breach of confidentiality

Negligence

A 2-year-old child witnessed a tragic accident. Which psychological symptoms would the nurse expect to observe in this child? Select all that apply. Fear Arousal Nightmares Separation anxiety Regressive behaviors

Nightmares Separation anxiety Regressive behaviors

While treating a client who is critically ill, the primary health-care provider tells the client's family members, "The treatment is very painful and the chances of survival are limited. I would suggest you take the client home." Which ethical principle can be inferred from the primary health-care provider's statements? Justice Autonomy Beneficence Nonmaleficence

Nonmaleficence

Alterations of which neurotransmitter may occur in a client with acute mania? Acetylcholine Norepinephrine Gamma-amino-butyric acid Somatostatin

Norepinephrine

Which neurotransmitter is an example of a monoamine? Acetylcholine Norepinephrine Endorphins Glycine

Norepinephrine

The nurse would expect a client with schizophrenia to have an increase in which neurotransmitter levels? Select all that apply. Norepinephrine Dopamine Acetylcholine Glutamate Gamma-amino-butyric acid (GABA)

Norepinephrine Dopamine

The nurse is caring for a client who is taking risperidone and begins to develop oculogyric crisis. Which action should the nurse take? Document the finding as normal Administer the risperidone Notify the health-care provider Prepare to administer valbenazine

Notify the health-care provider

Which health-care professionals are parts of the interdisciplinary team that conducts the initial assessment of a client with a psychiatric disorder? Select all that apply. Artist Nurse Musician Dramatist Psychiatrist

Nurse Psychiatrist

The nurse is caring for a client with schizophrenia in a psychiatric unit. Which outcome in the client indicates effective treatment? Demonstrate trust in one staff member within 5 days Within 10 days, verbalize an understanding that the voices heard by him or her are not real Complete one simple craft project within 15 days Perform activities of daily living independently by the time of discharge

Perform activities of daily living independently by the time of discharge

Which is the appropriate nursing intervention when taking care of a mechanically restrained client? Arranging video equipment near the client Changing the leather straps frequently Monitoring the client's respiratory rate but not heart rate Performing in-person evaluation within 15 minutes of restraint

Performing in-person evaluation within 15 minutes of restraint

Which describes the role of the psychiatric nurse in a therapeutic community? Performing ongoing assessment of the client's condition Interpreting psychological tests Conducting in-depth psychosocial history Working with the client to assist in activities of daily living

Performing ongoing assessment of the client's condition

After assessing a client during the recovery process using the Psychological Recovery Model, the nurse finds that the client is examining core values and working toward value-congruent goals. Which stage of recovery does the nurse anticipate in the client? Growth Awareness Preparation Rebuilding

Rebuilding

Which information does the nurse find under the gastrointestinal section in the mental history form? Chest pain Recent change in weight Lifestyle factors Phlebitis

Recent change in weight

While caring for a client in a psychiatric ward, the nurse suspects the client may be suffering from hyperthyroidism. Which symptoms in the client support the nurse's suspicion? Select all that apply. Recent weight loss Depression Insomnia Social withdrawal Irritability

Recent weight loss Insomnia Irritability

The nurse is counseling a group of clients on a one-to-one basis to obtain information regarding their current health situation. Which type of distance should the nurse maintain while communicating with the clients? Public Social Personal Intimate

Personal

The nurse patted a client's back while providing care. The client felt offended by the nurse's gesture. Which boundary is in jeopardy in this situation? Social boundary Material boundary Personal boundary Professional boundary

Personal boundary

A client with a psychiatric illness showing distressing symptoms develops a wellness toolbox to obtain relief from his or her symptoms. Which information does the client include in the wellness toolbox? Select all that apply. Performing physical exercises Listening to music Attending a support group Avoiding caffeine and junk foods Taking medications and vitamin supplements

Performing physical exercises Listening to music Attending a support group

After performing dexamethasone suppression test (DST) in a client, the nurse observes the plasma value of dexamethasone as 6 mcg/dL. Based on this finding, which disorders does the nurse expect? Select all that apply. Obsessive-compulsive disorder Bipolar disorder Anorexia nervosa Schizophrenia Depression

Obsessive-compulsive disorder Anorexia nervosa Depression

Following an accident, the health-care provider schedules surgery for an 8-year-old child. Which intervention should the nurse implement prior to surgery? Obtain consent from a health-care colleague Obtain consent from the child's guardian Obtain consent from the client Obtain consent from the client's 16-year-old sibling

Obtain consent from the child's guardian

Which core capability of the electronic documentation system improves workflow by eliminating ambiguities caused by illegible handwriting? Results management Health information and data Order entry/order management Electronic communication and connectivity

Order entry/order management

While evaluating the mental status of a client with schizophrenia, the nurse asks the client, "Where are you now?" Which mental function is the nurse trying to assess in the client? Orientation to time Orientation to place Orientation to person Orientation to situation

Orientation to place

Which member completes the task of maintaining direction in the group? Initiator Orienter Elaborator Coordinator

Orienter

Which physical characteristics may be noticed in a client with severe anxiety? Select all that apply. Palpitations Headaches Diaphoresis Insomnia Inability to verbalize

Palpitations Headaches Insomnia

Which stage of anxiety is associated with incoherent speech and ineffective communication? Mild Panic Severe Moderate

Panic

While caring for a client with anxiety, the nurse finds that the client is unable to comprehend even simple directions. On further evaluation, the nurse finds hyperactive nature and bizarre behavior in the client. Which type of anxiety does the nurse suspect in this client? Mild anxiety Panic anxiety Severe anxiety Moderate anxiety

Panic Anxiety

Which psychotic disorders or conditions precipitate class V crises, according to Baldwin? Select all that apply. Panic anxiety Value conflicts Schizophrenia External stressor Borderline personality disorder

Panic anxiety Schizophrenia Borderline personality disorder

Which symptoms listed by the client indicate that the client's situation has worsened? Select all that apply. Paranoia Insomnia Family friction Social isolation Sexual harassment

Paranoia Insomnia Social isolation

The nurse observes that the client with schizophrenia has an inability to trust others. Which problem would the client's treatment team determine the client exhibits? Paranoid delusions Social withdrawal Auditory hallucinations Developmental regression

Paranoid delusions

While caring for a client with mental illness, the nurse identifies the treatment facilities to be avoided according to the client's preferences. The nurse also identifies the acceptable facilities if the client's preferences are not executed. Which part of crisis planning is the nurse executing, according to the Wellness Recovery Action Plan (WRAP) Model? Part 7 Part 2 Part 8 Part 9

Part 7

The nurse is assessing the respiratory rate, musculoskeletal status, and side effects of medications used by the client in a psychiatric unit. Which section of the mental history form includes these assessments? Reality orientation Pertinent physical assessments Drug history and assessment Psychosomatic manifestations

Pertinent physical assessments

The nurse is caring for a client who is experiencing a great deal of anxiety because previously used problem-solving techniques have failed. In which phase of crisis development is the client most likely to be? Phase I Phase II Phase III Phase IV

Phase II

The nurse, who is caring for a client undergoing a crisis, says, "Try to consider your problem from a different perspective." This advice would be most effective for a client undergoing which phase of crisis development? Phase I Phase II Phase III Phase IV

Phase III

The nurse is caring for a client whose cognitive functions are disordered. Which phase of crisis development would the nurse anticipate the client to be in? Phase I Phase II Phase III Phase IV

Phase IV

The nurse is reviewing orders for a client with hallucinations associated with Parkinson disease psychosis. Which medication can the nurse expect to administer? Clozapine Risperidone Haloperidol Pimavanserin

Pimavanserin

The primary health-care provider instructs the nurse to seclude a psychotic client showing aggressive behaviors. Which action should the nurse take in this situation? Take the client for shock therapy Administer tranquilizers to the client Restrain the client's extremities with leather straps Place the client alone in a closed, minimally furnished room

Place the client alone in a closed, minimally furnished room

Which steps of the nursing process reflect the category of action (A) of the DAR format of focus charting? Select all that apply. Assessment Diagnosis Plan Evaluation Implementation

Plan Implementation

While making an ethical decision, the nurse thinks, "It is my moral duty to convey the truth to the client even if it is not beneficial." Which phase of ethical decision making is indicated by the nurse's thought process? Planning Evaluation Assessment Problem identification

Planning

Which structures are parts of the hindbrain? Select all that apply. Pons Medulla Cerebellum Diencephalon Mesencephalon

Pons Medulla Cerebellum

While preparing the client with a psychiatric illness for a diagnostic procedure, the nurse administers an IV injection of a radioactive substance to the client. Which diagnostic procedure requires this intervention? Computerized electroencephalography (EEG) mapping Computed tomography (CT) scan Magnetic resonance imaging (MRI) Positron emission tomography (PET)

Positron emission tomography (PET)

The nurse is caring for a client who is being treated with a tricyclic antidepressant. For which symptom should the nurse monitor the client? Weight loss Bradycardia Postural hypotension Diarrhea

Postural hypotension

Based on a 2015 Food and Drug Administration (FDA) law, which is required to be placed on a label for psychotropic medications to protect women of childbearing age? Select all that apply. Pregnancy-associated risks Dietary interactions Risks of cancer Lactation considerations Reproductive potential

Pregnancy-associated risks Lactation considerations Reproductive potential

The nurse is assisting a client with psychiatric illness recovery using the Psychological Recovery Model. During which stage does the client manifest hope to foster self-care using external resources? Rebuilding Awareness Moratorium Preparation

Preparation

Which stage of recovery states that clients with severe mental illness require reordering of priorities as a part of their recovery, according to the Psychological Recovery Model? Growth Awareness Preparation Rebuilding

Preparation

While caring for a client with mental illness, the nurse finds that the client identifies his or her own strengths and weaknesses, gathers knowledge and information about the illness being faced, and seeks out available treatment facilities in the psychiatric unit. Which stage of the Psychological Recovery Model does the nurse anticipate in this client? Moratorium Awareness Preparation Rebuilding

Preparation

Which are the characteristics of autocratic leadership? Select all that apply. Productivity is high. Focus is on the leader. Individual motivation is low. Individual creativity is encouraged. Member participation is inconsistent.

Productivity is high. Focus is on the leader. Individual motivation is low.

The nurse and client have developed a romantic relationship with each other. Which type of boundary is being violated in this situation? Social boundary Material boundary Personal boundary Professional boundary

Professional boundary

To find relief from anxiety, a client tells the nurse, "Sorry, I did not take my medication today; my mother did not remind me to take it." Which defense mechanism does the nurse suspect from the client's statement? Denial Projection Introjection Rationalization

Projection

The nurse is reviewing orders for a client who has been prescribed a medication that is used to treat anxiety. The medication is also used to treat hypertension. Which medication has the client been prescribed? Topiramate Propranolol Hydroxyzine Disulfiram

Propranolol

What is the priority nursing intervention for a newly admitted client in a psychiatric unit? Scheduling follow-up visits for the client Notifying the psychiatrist before assessing the client. Providing notice of privacy policies to the client and the client's representative Explaining the entire treatment procedure to the client's representative

Providing notice of privacy policies to the client and the client's representative

Which is the type of crisis in which cognitive function impairs the functioning of other vital organs? Dispositional crisis Psychiatric emergency Maturational/developmental crisis Crisis resulting from traumatic stress

Psychiatric emergency

Which health-care professional is responsible in an interdisciplinary team to ascertain that the client's physiological needs are met? Psychiatrist Psychodramatist Psychiatric nurse Clinical psychologist

Psychiatric nurse

Which member of the psychiatric team is responsible for managing therapeutic milieu on a 24-hour basis? Chaplain Psychiatric nurse Occupational therapist Psychiatric clinical nurse specialist

Psychiatric nurse

Which member of the interdisciplinary treatment team is concerned with financial support for the members of the therapeutic community? Psychiatrist Mental health technician Psychiatric social worker Psychiatric clinical nurse specialist

Psychiatric social worker

Which member of an interdisciplinary treatment team will prescribe somatic therapies for psychologically depressed clients? Psychiatrist Clinical psychologist Recreational therapist Psychiatric clinical nurse specialist

Psychiatrist

Which information is included under the physiological section of the mental health form? Select all that apply. Ego defense mechanisms Thought processes Psychosomatic manifestations Drug history and assessment Economic security

Psychosomatic manifestations Drug history and assessment

The nurse is caring for a client with disturbed orientation. Which nursing intervention will assist the client in maintaining orientation? Putting up notes and signs Setting limits on the client's behavior Allowing the client to express feelings Assessing the learning readiness in the client

Putting up notes and signs

The nurse is caring for an older adult who is not responding to treatment with an antidepressant. Which medication can the nurse expect the health-care provider to prescribe? Quetiapine Bupropion Fluoxetine Imipramine

Quetiapine

What is the aim of crisis intervention? Personality change Reconstruction of the situation Detailed problem-solving methods Quick relief of crises using all the possible resources

Quick relief of crises using all the possible resources

The nurse is assessing a client's condition by asking some questions. Which facial expression indicates that the client is surprised? Flared nostrils Compressed lips Raised eyebrows Narrowed eyelids

Raised eyebrows

Which sedative-hypnotic would be a preferred option for individuals at risk for developing physical dependence? Zolpidem Ramelteon Triazolam Temazepam

Ramelteon

Which information would the nurse include about medications while teaching a client with behavioral disorder when working in the therapeutic milieu? Select all that apply. Reason for taking medications Improper use of higher doses of medications Harmless side effects of medications Side effects of medications that would be reported to the physician Drug label information

Reason for taking medications Harmless side effects of medications Side effects of medications that would be reported to the physician

During a group meeting, a member of the group talks about his or her personal achievements to gain the attention of other group members. Which type of individual role does the member assume in the group? Dominator Monopolizer Help seeker Recognition seeker

Recognition seeker

Which are the guiding principles that support recovery, according to the Substance Abuse and Mental Health Services Administration (SAMHSA)? Select all that apply. Recovery is atomistic. Recovery is client-driven. Recovery occurs via a single pathway. Recovery is culturally-based and influenced. Recovery is supported by addressing trauma.

Recovery is client-driven. Recovery is culturally-based and influenced. Recovery is supported by addressing trauma.

During an education session, the psychiatric nurse states that recovery encompasses an individual's whole life, including mind, body, spirit, and community. Which guiding principle of recovery does the nurse address through this statement? Recovery is holistic. Recovery is person-driven. Recovery is based on respect. Recovery occurs via many pathways.

Recovery is holistic.

While caring for a client with a mental illness, the nurse protects the client's rights and eliminates discrimination while working with the client toward recovery. Which guiding principle of recovery is the nurse following? Recovery model supported by addressing past trauma Recovery model supported through relationships and social networks Recovery model based on respect Recovery model that is culture-based and -influenced

Recovery model based on respect

Which commitment is included under the Tidal Model that focuses on the individual's personal story? Recovery occurs via many pathways. Recovery occurs by valuing the voice of the client. Recovery is supported by addressing trauma. Recovery is supported through relationships and social networks.

Recovery occurs by valuing the voice of the client.

The nurse is caring for a depressed client in a health-care setting. Which action should the nurse implement to avoid accidental false imprisonment of the client? Only touch the client when absolutely necessary Reduce actions that might frighten the client during treating Reduce use of restraints with the client Only administer medication as prescribed.

Reduce use of restraints with the client

Which happens in the corrective recapitulation of the primary family group during a family therapy? Imitate selective behavior Correct maladaptive social behavior Help members take direction of their own lives Reexperience early family conflicts that have remained unsolved

Reexperience early family conflicts that have remained unsolved

Which would be the minimal educational credentials required for an interdisciplinary treatment team member who administers medication to psychiatric clients? Registered nurse with a hospital diploma Graduate degree in psychology and social work College degree with advanced education in theology Master's degree in social work

Registered nurse with a hospital diploma Rationale: psychodramatist requires grad degree in psych and social work Chaplain requires a college degree with advanced education in theology Psychiatric social worker would have a min of a master's degree in social work.

What educational credentials are required to become a psychiatric clinical nurse specialist? Registered nurse with a hospital diploma Medical degree with residency in psychiatry Doctorate in clinical psychology with 2 to 3 years of internship Registered nurse with a minimum of a master's degree in psychiatric nursing

Registered nurse with a minimum of a master's degree in psychiatric nursing

A client is retreating to an earlier level of development in response to stress. Which ego defense mechanism does the nurse suspect in this client? Isolation Projection Regression Displacement

Regression

A client tells the nurse, "I can't concentrate on anything. My mind keeps wandering." How should the nurse respond to convey to the client that he or she has understood the client's statement? Referring questions back to the client Taking notice of a single idea of the client Researching further into the client's feelings Repeating the main idea of what the client has said

Repeating the main idea of what the client has said

While communicating with a client, the nurse finds that the client is unable to remember anything about her sexual assault when she was 15 years old. Which ego defense mechanism does the nurse suspect in this client? Isolation Repression Introjection Suppression

Repression

The health-care provider is caring for a psychotic client in need of a renal transplant. Unfortunately, the client has no family or friends who can serve as health-care proxy. Which action is appropriate for the health-care provider to take? Avoid scheduling the client's renal transplant Proceed with the renal transplant as planned Request the court to appoint a guardian for the client before surgery takes place Obtain informed consent from the hospital administrator for the client's renal transplant

Request the court to appoint a guardian for the client before surgery takes place

Which characteristics and skills does the nurse convey and use to rapidly establish rapport with the client? Select all that apply. Respect Genuineness Thorough assessment Unconditional acceptance Therapeutic communication

Respect Genuineness Unconditional acceptance

A representative of a client with bipolar disorder asks the nurse to show him or her the client's medical records. What should the nurse do in this situation? Report it to the primary health-care provider immediately Tell the client's representative that this is not allowed according to the health-care facility's policies. Ignore the representative's words and continue to work. Respect the representative's wish and allow him or her to access the medical records.

Respect the representative's wish and allow him or her to access the medical records.

Which interventions should the nurse implement to prevent malpractice while caring for a client with psychiatric illness? Select all that apply. Responding to the client Careful documentation of the client's response Educating the client about his or her condition Discussing the client's condition with other nurses Performing routine body searches in mentally ill clients

Responding to the client Careful documentation of the client's response Educating the client about his or her condition

Which statement made by one of the student nurses needs correction regarding the basic assumptions of a therapeutic community? Peer pressure is a powerful tool in a therapeutic community. Each client owns his or her behavior in a therapeutic community. The client owns his or her own environment in a therapeutic community. Restrictions and punishments for inappropriate behaviors would be a priority.

Restrictions and punishments for inappropriate behaviors would be a priority.

Which core capability of electronic documentation helps access various types of test reports of the client at the same time without any delay? Result management Health information and data Patient support Administrative processes

Result management

The nurse is helping a client undergoing mental illness recovery identify her personal strengths and weaknesses. Which Tidal commitment is the nurse following with this client? Using the available toolkit Revealing personal wisdom Giving the gift of time Crafting the step beyond

Revealing personal wisdom

Which psychotic response may the nurse observe in a client during the panic anxiety stage? Obsessions Compulsions Schizophrenia Hypochondriasis

Schizophrenia

In which the psychiatric disorders are familial tendencies are indicated? Select all that apply. Schizophrenia Cystic fibrosis Phenylketonuria Down syndrome Anorexia nervosa

Schizophrenia Anorexia nervosa

The nurse is preparing a care plan for a client who is experiencing the second Kübler-Ross stage of grief. Which intervention in the care plan will help to reduce these symptoms in the client? Secluding the client for some time Enhancing the self-esteem of the client Providing health education to the client Teaching the client proper decision-making

Secluding the client for some time

A client with severe and persistent bipolar disorder is scheduled for emergency neurosurgery. Which action would the nurse take in this situation? Explain the entire treatment procedure to the client. Secure informed consent from the client's family member. Give ample time for the client to decide about the treatment. Instruct the client to sign the consent form

Secure informed consent from the client's family member.

The nurse is assessing eye contact, general appearance, and participation in group activities in a client with a psychiatric mental health disorder. Which of these is the nurse assessing in the client through this intervention? Self-esteem Anxiety levels Grief responses Ego defense mechanisms

Self-esteem

Which type of therapeutic group allows the clients to talk about their fears while receiving comfort and advice from others undergoing similar experiences? Task group Teaching group Supportive group Self-help group

Self-help group

Which type of therapeutic group involves the rotation of leadership from one person to another? Task group Teaching group Self-help group Supportive group

Self-help group

The nurse is caring for a client who has been receiving treatment for anxiety for 6 months. Which medication can the nurse expect to administer to the client? Clonazepam Buspirone Alprazolam Sertraline

Sertraline

Which medication is prescribed as the first line of treatment for depression? Bupropion Phenelzine Amitriptyline Sertraline

Sertraline

Which action indicates that the nurse is following phase III of Aguilera's technique of crisis intervention? Selecting appropriate nursing actions Reviewing what the client has learned Establishing goals for crisis intervention Setting firm limits on aggressive behavior

Setting firm limits on aggressive behavior

The nurse is providing emergency care to a client who is a victim of a fire accident. While assessing vital signs, the nurse finds the respiratory rate of 32 breaths/min and a heart rate of 120 beats per minute. Which stage of anxiety does the nurse suspect in the client? Mild Panic Severe Moderate

Severe Rationale: Tachycardia and hyperventilation are symptoms of severe anxiety

What information should the nurse specifically provide to the client's parents as a part of the therapeutic milieu? Problem-solving skills Stress management techniques The essentials of good nutrition Signs and symptoms of substance abuse

Signs and symptoms of substance abuse

What are the coping mechanisms adopted by a client to relieve mild anxiety? Select all that apply. Sleeping Isolation Laughing Projection Suppression

Sleeping Laughing Rationale: Isolation, Projection, and Suppression are ego defense mechanisms adopted by a client to relieve moderate anxiety.

Which community factors affect the treatment in the therapeutic community setting? Select all that apply. Alcoholism Drug abuse Social interactions Schedule of activities Physical structure of the treatment setting

Social interactions Schedule of activities Physical structure of the treatment setting

Which does milieu therapy emphasize? Social skills Living conditions Physiological needs Medication adherence

Social skills

The nurse suspects low self-esteem in the client diagnosed with schizophrenia. Which symptom in the client supports the nurse's suspicion? Suspiciousness Verbalizing about hearing voices Social withdrawal Unkempt appearance

Social withdrawal

Which category of touch does the nurse exhibit while greeting a client with a handshake? Social-polite Love-intimacy Friendship-warmth Functional-professional

Social-polite

Which group activities are performed during the working phase of a group development process? Establish the goals of the group Introduce the members to each other Solve problems and make decisions within the group Mention termination from the outset of the group formation

Solve problems and make decisions within the group

The nurse is caring for a client receiving clozapine. Which symptoms, if reported by the client, would be of concern to the nurse? Select all that apply. Sore throat Dry mouth Weight gain Fever Malaise

Sore throat Fever Malaise

A client with a psychotic disorder shows symptoms of agitation and psychotic behavior. What is the priority nursing intervention to reduce agitation in the client? Administer tranquilizers to the client Speak with the client in a simplified fashion Restrict the client's freedom of movement by using mechanical restraints Restrain the client by confining him or her to a room from which he or she is unable to leave

Speak with the client in a simplified fashion

While evaluating a female client with moderate anxiety, the nurse finds a reaction formation type of ego defense mechanism in the client. Which behavior in the client supports the nurse's findings? Kicking her dog when teased by college friends Remembering nothing about her accident Speaking to her relatives very politely even though she does not like them Displaying apathetic expression while describing her rape

Speaking to her relatives very politely even though she does not like them

A client with schizophrenia is found to have low self-esteem. Which interventions would the nurse implement while caring for the client? Select all that apply. Spending time with the client Observing signs of hallucinations Assigning the same staff as much as possible Attending the group activities along with the client at initial stages Teaching effective communication techniques to the client

Spending time with the client Attending the group activities along with the client at initial stages Teaching effective communication techniques to the client

The central nervous system has connections in which organ related to the immune system? Liver Kidneys Thyroid Spleen

Spleen

Which action may place a nurse at risk of being charged with slander? Discussing the client's condition with another nurse Spreading false information about a client by word of mouth Providing information to others about the client's condition without his or her consent Writing malicious and false information about the client during assessment

Spreading false information about a client by word of mouth

In which stage of recovery does the client rediscover lost aspects of self, identify new aspects, and incorporate both into a new self-identity, according to the Psychological Recovery Model? Stage 1 Stage 2 Stage 3 Stage 4

Stage 3

According to Roberts' seven-stage crisis intervention model, during which stage will the nurse identify the situations that led to a crisis in a client? Stage I Stage II Stage III Stage IV

Stage III Rationale: 1: assess client 2: builds rapport with client 3: finds out the major precipitating factors that are causing the crisis 4: client is encouraged to express feelings

The nurse tells the client diagnosed with spiritual distress, "Thank you for telling me about your feelings. I can understand how you would feel that way. Please continue." Which stage of Roberts' seven-stage crisis intervention model is best reflected in this nursing intervention? Stage II Stage III Stage IV Stage VI

Stage IV

While caring for a client with spiritual distress, the nurse begins to challenge maladaptive behaviors of the client. Which stage of Roberts' seven-stage crisis intervention model is reflected in this action taken by the nurse? Stage III Stage IV Stage V Stage VI

Stage IV

Which standard of psychiatric mental health clinical nursing practice provides the basis for selection of nursing interventions to achieve effective outcomes? Standard 1: Assessment Standard 2: Diagnosis Standard 3: Outcomes Identification Standard 4: Planning

Standard 2: Diagnosis

The registered nurse is implementing the care plan for a newly admitted client in a psychiatric unit. Which standard of psychiatric mental health clinical nursing practice is the nurse implementing? Standard 1: Assessment Standard 5: Implementation Standard 3: Outcomes Identification Standard 4: Planning

Standard 5: Implementation

Which standard of psychiatric mental health clinical nursing practice includes milieu therapy? Standard 2: Diagnosis Standard 3: Outcomes Identification Standard 4: Planning Standard 5: Implementation

Standard 5: Implementation

Which step of the Wellness Recovery Action Plan (WRAP) Model is divided into three parts? Step 1 Step 2 Step 3 Step 4

Step 2

During data collection, the nurse finds that the client has financial problems and work-related stress. The client develops a plan for preventing these issues from worsening. Which step of the Wellness Recovery Action Plan (WRAP) Model is the client following in this situation? Step 3 Step 4 Step 5 Step 6

Step 3

A client with mental illness identifies the symptoms that indicate that the condition has worsened. Which step of the Wellness Recovery Action Plan (WRAP) Model is the client ensuring in this situation? Step 4 Step 5 Step 6 Step 3

Step 5

Which step of the Wellness Recovery Action Plan (WRAP) is characterized by increased assurance through notary use and signature of the crisis plan in the presence of two witnesses? Step 3 Step 4 Step 5 Step 6

Step 6

The client says, "All men are messy and untidy." What type of belief does the client have? Faith Stereotype Rational belief Irrational belief

Stereotype

During a follow-up visit, the legal representative of a client with mental illness has withdrawn consent for treatment after it was given. What should the nurse expect the primary health-care provider to do in this situation? Launch a court case against the client's representative Discuss this with the client's insurance agents Continue the treatment upon rejecting the representative's wish Stop the treatment and inform the client's representative of risks associated with the interrupted treatment

Stop the treatment and inform the client's representative of risks associated with the interrupted treatment

A client says, "My parents want me to go to college, but I refuse to go. I'll have to leave home and all my friends." The nurse notices the client displays a flushed face and clenched fists. Which nursing intervention would be most appropriate for this client? Suggest the client stay at home with his or her parents Suggest the client discuss unresolved issues Suggest the client take an antianxiety medication Suggest the client go to a college where his or her friends are going

Suggest the client discuss unresolved issues

A client who is depressed about a pending divorce proceeding tells the nurse, "I just don't want to talk about the divorce. There's nothing I can do about it anyway." Which ego defense mechanism does the nurse suspect in this client? Undoing Repression Sublimation Suppression

Suppression

After losing a friend in a motorcycle accident, the client tells the nurse, "I should have died in the accident instead of my friend. I was driving the bike too fast." What does the client's statement indicate? Survivor's guilt Spiritual distress Suicidal ideation Withdrawn behavior

Survivor's guilt

Which signs and symptoms indicate that the client has disturbed thought processes? Select all that apply. Suspiciousness Social withdrawal Delusional thinking Unkempt appearance Expression of fear of failure

Suspiciousness Delusional thinking

Which actions in nursing practice can result in the nurse being accused of false imprisonment? Select all that apply. Keeping an aggressive client alone in a room Taking the clothes of a depressed client against his or her wishes Restraining the extremities of a voluntary competent client demanding release Locking the client in a room for the nurse's convenience Administering tranquilizers to the client who attempts to harm others

Taking the clothes of a depressed client against his or her wishes Restraining the extremities of a voluntary competent client demanding release Locking the client in a room for the nurse's convenience

The nurse is caring for a client who has a history of violence. The nurse, along with other staff members, is trying to restrain the client in the seclusion room. Which group function do the staff members exhibit along with the nurse? Socialization Camaraderie Empowerment Task completion

Task completion Rationale: Camaraderie is one of the functions of the group that provides joy and pleasure to the individuals through interaction.

Nurses most often participate in which kinds of groups? Select all that apply. Diagnosis groups Self-help groups Task groups Teaching groups Supportive-therapeutic groups

Task groups Teaching groups Supportive-therapeutic groups

While caring for a client with a psychiatric illness, the nurse is following a Wellness Recovery Action Plan (WRAP). During assessment, the nurse finds that the client is irritable and has increased levels of anxiety. Which interventions implemented by the nurse will be effective in this situation? Select all that apply. Secluding the client Avoiding interaction with the client Teaching the client relaxation exercises Referring the client to a supporter or a counselor Engaging the client in peer counseling sessions

Teaching the client relaxation exercises Referring the client to a supporter or a counselor Engaging the client in peer counseling sessions

A client receiving alprazolam calls the clinic and reports a temperature of 102.6F, sore throat, and bruising. Which action should the nurse take? Instruct the client to take the medication as ordered Tell the client to hold the medication and come to the clinic Instruct the client to drink plenty of fluids and rest Call an antibiotic in for the client

Tell the client to hold the medication and come to the clinic

Which part of the forebrain is associated with the expression of emotions through connection with the limbic system? Parietal lobe Frontal lobe Occipital lobe Temporal lobe

Temporal lobe

Which actions would the nurse see in a severely anxious client after diazepam is administered? Select all that apply. Subdued anger Elevated mood Suppressed intrusive thoughts Temporary relief of anxious symptoms Enhanced ability to cope with stressful situations

Temporary relief of anxious symptoms Enhanced ability to cope with stressful situations

The nurse is caring for a child with depression. The child's mother tells the nurse, "My child does not notice me entering his room when he is studying for a test." Which structure of the brain is responsible for this behavior by the child? Pituitary gland Thalamus Hypothalamus Pons

Thalamus

Which structures of the brain play an important role in perception, interpretation, and integration of most of the sensory information except smell? Select all that apply. Pons Thalamus Hypothalamus Parietal lobes Temporal lobes

Thalamus Parietal lobes

Which documentation process involves the use of flow sheets that are individualized by each institution? Focus charting The PIE method Electronic health records (EHRs) Problem-oriented recording (POR)

The PIE method

Who would be the best person to select the type of coping mechanisms for dealing with a crisis? The client The nurse The caretaker of the client The primary health-care provider

The client

After assessing a client with a psychiatric illness, the nurse suspects that the client is in the moratorium stage of recovery. Which findings support the nurse's suspicion? Select all that apply. The client appears confused. The client feels out of control. The client exhibits confidence in managing the illness. The client tries new activities to reestablish a sense of self. The client strives for personal comprehension of the illness.

The client appears confused. The client feels out of control.

Which outcome indicates an effective treatment in clients diagnosed with risk of post-trauma syndrome? The client's anxiety level will be reduced. The client will express beliefs and values about spiritual issues. The client participates in and improves community functioning. The client deals with emotional reactions in an individually appropriate manner.

The client deals with emotional reactions in an individually appropriate manner.

Which action of the client indicates that recovery is person-driven? The client defines his or her own life goals. The client overcomes internal and external challenges. The client plans to join mutual support and mutual aid groups. The client makes steps toward self-sufficiency and develops a positive attitude.

The client defines his or her own life goals.

The nurse is caring for a client facing a dispositional crisis. Which outcome indicates that the client has overcome this crisis? The client finds support systems to help him or her return to normal activities. The client identifies problematic areas and approaches to change. The client feels empowered to clarify his or her needs. The client is supported through therapy and hospitalization, if necessary, to maintain client safety.

The client feels empowered to clarify his or her needs.

While caring for a client with spiritual distress, the nurse uses the therapeutic communication skills of reflection and active listening. Which outcome in the client indicates effectiveness of the nursing intervention? The client finds his or her own solutions to concerns. The client's past and present pain has healed. The client begins to look at the basis for spiritual confusion. The client has a decreased sense of confusion and overstimulation.

The client finds his or her own solutions to concerns.

After reassessment of a client with a psychiatric illness during the recovery process using the Psychological Recovery Model, the nurse suspects that the client is in the rebuilding stage. Which outcome in the client supports the nurse's conclusion? The client realizes that there exists an intact self capable of taking action. The client gains the ability to be independent and take care of basic needs. The client is empowered by personal input and decision-making regarding therapy. The client handles social pressures and builds social competence.

The client handles social pressures and builds social competence.

The nurse is caring for a client who is receiving occupational therapy. Which outcome in the client is most likely to indicate effective therapy? The client shows a decrease in anger issues. The client has a decreased level of anxiety. The client has fewer self-esteem problems. The client has demonstrates reduced passive-aggression.

The client has fewer self-esteem problems.

While reviewing the mental history of a client with psychiatric illness, the nurse finds that the client expresses incoherent neologisms and has slurred speech. Which would the nurse infer from these findings? The client has impaired orientation. The client has impaired thought processes. The client has impaired interaction patterns. The client has impaired communication patterns.

The client has impaired communication patterns.

The nurse encourages the client to verbalize his or her fears. Which could be the client's condition? The client has low self-esteem. The client has a self-care deficit. The client has disturbed thought processes. The client has a disturbed sensory perception.

The client has low self-esteem.

The nurse is caring for a client who is experiencing a crisis situation. Which outcomes in the client indicate that the minimum therapeutic goal of crisis intervention has been achieved? Select all that apply. The client has reduced levels of anxiety. The client has restored complete emotional stability. The client has gained psychological resolution of the immediate crisis. The client's level of functioning has been restored to its precrisis state. The client has improved functioning above the precrisis level.

The client has reduced levels of anxiety. The client has gained psychological resolution of the immediate crisis. The client's level of functioning has been restored to its precrisis state.

The parent of a client who is HIV positive tells the nurse, "My son is not interested in seeing his friends or going out. Honestly, I am still not convinced that he is HIV positive." Which diagnosis made by the nurse will help to create an effective care plan for the parent and client? The client is depressed and the parent is in denial. The client is showing acceptance and the parent is in denial. The client is showing acceptance and the parent is bargaining. The client is depressed and the parent is showing acceptance.

The client is depressed and the parent is in denial.

A client tells the nurse, "I recognize that my illness has not paralyzed me." What does the nurse interpret from the client's statement? The client is in the rebuilding stage of recovery. The client is in the preparation stage of recovery. The client is in the awareness stage of recovery. The client is in the moratorium stage of recovery.

The client is in the awareness stage of recovery.

A client tells the nurse, "I drink because it's the only way I can deal with my bad marriage and my worse job." What does the nurse understand from the client's statement? The client is showing a sublimation type of ego defense mechanism. The client is showing a repression type of ego defense mechanism. The client is showing the undoing type of ego defense mechanism. The client is showing the rationalization type of ego defense mechanism.

The client is showing the rationalization type of ego defense mechanism.

According to the Psychological Recovery Model, which client is undergoing stage 2 of the recovery process? The client who begins to actively take control of his or her life The client who develops an awareness of the need to take control of his or her life The client who has the ability to be independent and take care of basic needs The client who feels out of control and powerless to change his or her life

The client who develops an awareness of the need to take control of his or her life

While caring for a client with posttraumatic stress disorder, the art therapist uses the creative abilities of the client to encourage the expression of feelings and emotions through artwork. Which action of the client indicates the effectiveness of the treatment? The client will develop new coping strategies. The client will demonstrate interpersonal interaction with the therapist. The client will demonstrate reality orientation with the environment. The client will analyze his or her own work to recognize and resolve underlying conflict.

The client will analyze his or her own work to recognize and resolve underlying conflict.

The nurse is caring for a client who unconsciously transfers his or her feelings for a person in the client's past toward the nurse because the nurse's appearance reminds the client of that person. Which outcome in the client would indicate the effectiveness of the nursing care? The client will formulate a plan with the nurse. The client will develop problem-solving skills. The client will assume responsibility for his or her own behavior. The client will discuss and compare the exhibited behaviors with the nurse.

The client will assume responsibility for his or her own behavior.

While communicating with a client with spiritual distress, the nurse asks, "Do you think that your spiritual life has been affected by this situation?" Which outcome in the client is most likely the goal of this interaction? The client will be able to resolve feelings about the disaster. The client will find his or her own solutions to concerns. The client will begin to look at the basis for spiritual confusion. The client will show a reduction in impediments to the grief process.

The client will begin to look at the basis for spiritual confusion.

While caring for a client with acute stress disorder, the therapist uses recreational activities as a part of the therapy. Which outcome in the client will indicate effectiveness of the therapy? The client will show interpersonal interactions. The client will resolve underlying conflicts. The client will learn skills that can be used in leisure time. The client will show independence in performing activities of daily life.

The client will learn skills that can be used in leisure time.

Which action of the client with severe depression will demonstrate the effectiveness of rehabilitation therapy? The client will redirect his or her thinking. The client will rechannel destructive energy in an appropriate manner. The client will show enhanced self-esteem. The client can analyze his or her own work to recognize and resolve underlying conflicts.

The client will show enhanced self-esteem.

The primary health-care provider recommends that a cognitively impaired client join a task group. Which outcome will be expected in the client after successful therapy? The client will try to solve problems by making his or her own decisions. The client will be able to talk about medication administration for cognitive impairment. The client will be able to deal with emotional stress. The client will be able to perform the activities of daily living

The client will try to solve problems by making his or her own decisions.

The nurse is caring for a client with panic anxiety who is receiving psychotherapeutic treatment. The nurse gives the client positive feedback when the client demonstrates improved ways of managing anxiety. Which outcome does the nurse expect in the client through this intervention? The client's mood will be lifted. The client will be able to find his or her own solutions to concerns. The client's ability to deal with fearful situations will be enhanced. The likelihood of eruptions that lead to abusive behavior will be reduced.

The client's ability to deal with fearful situations will be enhanced.

The nurse is caring for a client who is experiencing a crisis situation. Which outcome indicates that the client does not have a distorted perception of the crisis event? The client does not feel lonely. The client feels overwhelmed by the crisis. The client's attempts toward problem-solving are effective. The client's behavioral strategies are successful in diverting the problem.

The client's attempts toward problem-solving are effective.

A client who reports feelings of anxiety says, "I have too much to learn. I will never pass my board exams." According to Aguilera's paradigm of response to a stressful situation, which factor is most responsible for the client's condition? The client's intellectual ability The client's perception of the event The availability of situational supports The availability of adequate coping mechanisms

The client's perception of the event

A family is undergoing family therapy. Which behavior of the family members indicates catharsis? The family members realize that they are not alone. The family members correct maladaptive social behaviors. The family members express both positive and negative feelings that were never expressed previously. The family members provide assistance and support to each other.

The family members express both positive and negative feelings that were never expressed previously.

Which outcomes in the group indicate the effectiveness of the termination phase? Select all that apply. The group will solve the problems. The group members will not feel abandoned or excessively grieve over the loss of the group. The group will not deviate from the intended task. The group members will develop skills needed to cope with future losses of their lives. The group will reminisce about what has occurred in the group.

The group members will not feel abandoned or excessively grieve over the loss of the group. The group members will develop skills needed to cope with future losses of their lives. The group will reminisce about what has occurred in the group.

The nurse is assisting a client with mental illness using the Tidal Model. Which component is part of this model? The individual's personal story Awareness Crisis planning The daily maintenance list

The individual's personal story

Which are the characteristic features of democratic leadership? Select all that apply. The leader focuses on the members of the group. The leaders withhold information from the group members. The leader encourages the members to participate in problem-solving. The leader is dependent on the other members of the group. The leader provides guidance and expertise as needed.

The leader focuses on the members of the group. The leader encourages the members to participate in problem-solving. The leader provides guidance and expertise as needed.

Which occurs during the initial, or orientation, phase of group development? Select all that apply. The leader orients members to group processes. Goals of the group are established. Trust has been established among the members. The leader fosters cohesiveness among the group. Leader and members establish rules to govern the group.

The leader orients members to group processes. Goals of the group are established. Leader and members establish rules to govern the group.

Which information, according to the Wellness Recovery Action Plan (WRAP) Model, is included in the ninth part of the crisis planning step? The list of indicators that communicate to supporters when their services are no longer required The names of health-care providers and their phone numbers The client's preferred treatments and those that he or she wishes to avoid The client's preferences in treatment facilities

The list of indicators that communicate to supporters when their services are no longer required

According to the Wellness Recovery Action Plan (WRAP) Model, which information is included in the third part of the crisis planning step? The names of the supporters who speak on the client's behalf The name of health-care providers and their phone numbers The client's preferred treatments The client's preferences in treatment facilities

The names of the supporters who speak on the client's behalf

Who is responsible for evaluating the effectiveness of psychotropic medications? The client The nurse The social worker The therapist

The nurse

While caring for an elderly client with a mental disorder, the nurse finds that the family feels the client is a burden for them and does not provide proper home care. What is the best nursing intervention in this situation? The nurse does not get involved in the issue. The nurse advocates on behalf of the client. The nurse suggests the client contact a long-term care facility. The nurse arranges for the client to be transferred to a permanent room in the hospital.

The nurse advocates on behalf of the client.

The nurse is caring for a client who is receiving venlafaxine and begins to develop restlessness, confusion, rapid heart rate, and muscle rigidity. Which additional medication can the nurse expect to find in the client's medication history? Methylphenidate Trazodone Lithium Zolpidem

Trazodone

Which ethical principle indicates that a nurse should always be truthful in his or her profession? Justice Veracity Autonomy Beneficence

Veracity

In which situation may the nurse be charged with assault and battery? The nurse touched the client without his or her consent. The nurse disrespected the decision of a mentally ill client. The nurse disclosed the client's information during an emergency situation. The nurse performed a life-sustaining treatment that the client refused.

The nurse performed a life-sustaining treatment that the client refused.

Which phase of the nurse-client relationship development deals with creating an environment for the establishment of trust and rapport with the client? The working phase The orientation phase The termination phase The preinteraction phase

The orientation phase

Which structure of the brain is called the "creative" brain? The left hemisphere of the cerebrum The right hemisphere of the cerebrum The limbic system of the diencephalon The thalamus of the diencephalon

The right hemisphere of the cerebrum

The primary health-care provider suggests that the nurse provide verbal therapy rather than restraining therapy to a client with cognitive impairment. Which right of the client is protected in this situation? The right to privacy The right to freedom The right to confidentiality The right to the least-restrictive treatment

The right to the least-restrictive treatment

Which statement made by one of the student nurses needs correction regarding the working phase of group development? Conflicts are resolved in the working phase of group development. Decision making occurs in the working phase of group development. The role of a leader is enhanced during the working phase of group development. Cohesiveness is established in the working phase of group development.

The role of a leader is enhanced during the working phase of group development.

What provisions are included in a state's nursing practice act? Select all that apply. The ethical issues pertaining to nursing practice The scope of practice for various levels of nursing The general powers and authority of the state board of nursing The rights of the clients pertaining to medical treatment The educational and training requirements for nursing licensure

The scope of practice for various levels of nursing The general powers and authority of the state board of nursing The educational and training requirements for nursing licensure

Which phase of development of the therapeutic relationship involves the evaluation of goals attained by the client after the therapy? The working phase The orientation phase The termination phase The preinteraction phase

The termination phase Rationale: Working phase accomplishes the therapeutic work of the relationship. Orientation phase is introductory phase where the nurse and client become acquainted. Termination phase nurse is evaluating the goals attained by the client after the therapy. Pre-interaction phase nurse prepares herself for the first encounter.

Which phase of the therapeutic relationship will help the nurse overcome resistance behaviors of the client whose level of anxiety has risen? The working phase The orientation phase The termination phase The preinteraction phase

The working phase

The spouse of a client says, "My wife has been depressed for the last 2 months due to emotional stress at work." Which type of group does the nurse expect will be beneficial for this client? Task groups Self-help groups Teaching groups Therapeutic groups

Therapeutic groups

Which characteristics would the nurse expect to find in a patient with neurosis? Select all that apply. They feel helpless to change their situation. They experience loss of contact with reality. They are aware that they are experiencing distress. They are aware that their behaviors are maladaptive. They are aware of any possible psychological causes of the distress.

They feel helpless to change their situation. They are aware that they are experiencing distress. They are aware that their behaviors are maladaptive.

Which hormone plays an important role in maintaining the basic metabolic rate? Vasopressin Growth hormone Thyrotropic hormone Adrenocorticotropic hormone

Thyrotropic hormone

Which assessments are included in the section of pertinent physical assessments in the mental history form? Select all that apply. Tinnitus in ears Altered laboratory values Incoherent speech Activities of daily living Excessive hyperactivity

Tinnitus in ears Altered laboratory values Activities of daily living

While reviewing the case sheet of a client with risk for post-trauma syndrome, the nurse notices an intervention to evaluate factors associated with the trauma. Which would be the rationale behind this intervention? To identify signs of survivor's guilt To identify the client's need for further assistance To note the client's positive and negative coping skills To assess the client's reaction to the event and plan care based on it

To assess the client's reaction to the event and plan care based on it

While caring for a client diagnosed with ineffective community coping, the nurse develops a plan jointly with members of the community. Which would be the reason for such an intervention? To deal with deficits To meet collective needs To promote understanding To promote a sense of working together

To deal with deficits

The nurse is helping the client correct distortions the client is experiencing. Which would be the rationale behind this nursing intervention? To help the client regain a sense of self-control To enhance the client's ability to manage and deal with stress To increase the client's ability to connect symptoms with anxiety To decrease fearfulness in the client through reality-based perceptions

To decrease fearfulness in the client through reality-based perceptions

Which is the rationale behind generalizing the goals of milieu therapy? To set limits on the client's behavior To fulfill basic physiological needs To develop a sense of responsibility in the client To develop conditions similar to real-life situations

To develop conditions similar to real-life situations

The primary health-care provider prescribes an electroencephalography (EEG) to a client with a psychiatric illness. What is the purpose of prescribing an EEG? To diagnose epilepsy To detect the presence of lesions and abscesses To determine image activity of cerebrospinal fluid circulation To measure neurotransmitter-receptor interaction

To diagnose epilepsy

While caring for a client with anger, the nurse asks, "What would you like to discuss today?" What could be the rationale behind this statement of the nurse? To increase the client's feelings of self-worth To convey an attitude of reception and reward To offer the client encouragement to continue To emphasize the importance of the client's role in the interaction

To emphasize the importance of the client's role in the interaction

While caring for an angry client, the nurse makes empty conversation. What could be the rationale behind this nursing intervention? To explore the client's areas of difficulty To tell the client about the meaning of the experience To take over the direction of the discussion from the client To encourage a like response from the client

To encourage a like response from the client

Why would the therapist assign responsibilities to the client during a therapeutic community setting? To enhance self-esteem in the client To facilitate interpersonal communication by the client To reinforce the democratic posture of the group To facilitate discharge of the client from treatment

To enhance self-esteem in the client

The nurse tells a client with a history of violence, "Let's discuss your behavior and see if we can clarify the situation." Which would be the rationale behind this statement? To help recognize life experiences that tend to recur To define the perception of the situation for the client To delve further into the subject with the client, beyond a superficial level of communication To facilitate and increase the rapport for both client and nurse

To facilitate and increase the rapport for both client and nurse

The nurse recommends that a client with post-trauma syndrome participate in debriefing sessions. What is the purpose of this intervention? To promote self-control in the client To strengthen the client's ability to cope To facilitate recovery of the client from the traumatic event To specify the need for more intensive therapy

To facilitate recovery of the client from the traumatic event

While caring for a client with complicated grieving, the music therapist plays music. Which would be the reason behind this action of the therapist? To assess the spiritual needs of the client To help the client get in touch with his or her feelings and emotions that are not expressed otherwise To help the client learn skills that can be utilized in leisure time To help the client analyze his or her own work to recognize and resolve conflicts

To help the client get in touch with his or her feelings and emotions that are not expressed otherwise

The nurse creates a plan to manage interactions within the community. Which of these is the rationale behind this nursing intervention? To help the community identify and meet their collective needs To give an idea of how the community sees its deficits To provide a measure of determining the community's needs To provide accurate information to help the clients deal with a situation

To help the community identify and meet their collective needs

Which is a goal of including aspects of the community that affect the client in the treatment program? To develop social skills in the client To incorporate skills the client needs in life To develop new coping strategies in the client To facilitate interpersonal interaction with the client

To incorporate skills the client needs in life

Which are the functions of the major roles that individuals play in a group? Select all that apply. To maintain group processes To deal with emotional stress To complete the tasks of the group To fulfill personal or individual needs To help the members talk about their fears

To maintain group processes To complete the tasks of the group To fulfill personal or individual needs

While caring for a client with deficit knowledge, the nurse says, "I will clarify all your questions about the therapy." What is the rationale behind this statement by the nurse? To protect himself or herself from any verbal attack of the client To present reality to the client To prevent unmanageable anxiety of the client To facilitate understanding between the client and the nurse

To protect himself or herself from any verbal attack of the client

Which is the responsibility of an occupational therapist in the therapeutic community? To provide spiritual support to the client and family To promote clients to rechannel their destructive energy in an appropriate manner To work with the client to ensure that the requirements for discharge are fulfilled To work with the client and relearn independence in performing daily life activities

To work with the client and relearn independence in performing daily life activities

What are the issues pertaining to general concerns of the professional boundaries of the nurse-client relationship? Select all that apply. Trust Touch Gift-giving Genuineness Self-disclosure

Touch Gift-giving Self-disclosure

The nurse is teaching a newly recruited nurse about unlawful acts. Which action described by the nurse would be categorized as intentional tort? Failing to fulfill an obligation to others Stealing hospital supplies and drugs Showing negligence during a medical treatment Touching a client without his or her consent

Touching a client without his or her consent

The nurse would expect to find which condition in a patient with decreased levels of dopamine? Tourette syndrome Mania Schizophrenia Addiction

Tourette syndrome

During evaluation, the registered nurse concludes that a new trainee nurse is implementing the ethical principle of justice effectively. Which action of the trainee nurse supports the registered nurse's conclusion? Avoiding harm to the client intentionally or unintentionally Avoiding secrecy about the client's condition Ensuring that the client fulfills his or her needs without any help Treating both married and unmarried clients equally

Treating both married and unmarried clients equally

The nurse is assessing a client with a lithium level of 2.1 mEq/L. The nurse would expect the client to exhibit which symptoms? Select all that apply. Tremors Delirium Sedation Confusion Constipation

Tremors Sedation Confusion

Which factors determine the duration of stressors? Select all that apply. Age of the client Type of stressor Religious beliefs of the client Client's perception of stressor Response to stressor by the client

Type of stressor Client's perception of stressor Response to stressor by the client

A member of a therapeutic group asks the nurse, "Why does this always happen only to me?" Which curative factor is beneficial for this client? Universality Altruism Catharsis Development of social skills

Universality

While explaining curative factors to the group members, the nurse informs them that group situations are beneficial because its members experience similar medical conditions. Which curative factor better explains this condition? Altruism Universality Imitative behavior Group cohesiveness

Universality

Which therapy would best help in redirecting the client's destructive energy? Use of art therapy Use of music therapy Use of recreational therapy Use of occupational therapy

Use of recreational therapy

A client with schizophrenia is diagnosed with disturbed sensory perception. Which nursing action will be effective for this client? Using distraction to bring the client back to reality Avoiding whispering to others in the client's presence Offering positive reinforcement for independent accomplishments Serving food family style to the client

Using distraction to bring the client back to reality

Which theory of ethical decision making states that ethical decisions that are "right" are determined by the decision's tendency to bring happiness to the client? Kantianism Utilitarianism Ethical egoism Christian ethics

Utilitarianism

Which term is used to refer to the personal beliefs of the nurse about what is important and desirable in a given situation? Rights Moral behavior Ethics Values

Values

Which therapeutic communication technique is often used with clients experiencing delusional thinking? Voicing doubt Exploring Verbalizing the implied Belittling feelings expressed

Voicing doubt

The student nurse wants to visit some self-help groups for the student's community health clinical. The student nurse asks the registered nurse for a list of some agencies that host self-help groups. Which agencies would the nurse identify for the student? Select all that apply. Weight Watchers Therapeutic support group for teens with autism Alcoholics Anonymous National Association of Anorexia Nervosa and Associated Disorders One-on-one counseling for children with depression

Weight Watchers Alcoholics Anonymous National Association of Anorexia Nervosa and Associated Disorders

The nurse is receiving informed consent from a client who has been scheduled for a knee-replacement surgery. What should the nurse check before receiving the consent? Select all that apply. Whether the client has received adequate information about the procedure Whether the client is properly able to make decisions Whether the client is giving consent voluntarily Whether the client has a caregiver at home Whether the client has received proper nutritional counseling

Whether the client has received adequate information about the procedure Whether the client is properly able to make decisions Whether the client is giving consent voluntarily

A police officer brought a client who is dangerous to himself and others to a community hospital. The health-care professionals made an emergency commitment for the client. When is the client scheduled for a court hearing? Within 3 days Within 7 days Within 1 hour Within 24 hours

Within 3 days

When should an individual maintain a distance of 4 to 12 feet while communicating with others? Select all that apply. While communicating with friends While communicating with strangers While communicating with colleagues While communicating at a cocktail party While communicating with others in a public building

While communicating with strangers While communicating at a cocktail party While communicating with others in a public building

While taking process recordings of a client with depression, the nurse asks, "How are you feeling now about the situation?" Which type of nurse's thoughts and feelings are involved in this statement? Feeling uncomfortable Trying hard to remain objective Feeling confident about the session Wishing for a way to relieve the pain of the client

Wishing for a way to relieve the pain of the client

Which facial expressions of a client may indicate disgust? Select all that apply. Raised brows Sticking out the tongue Wrinkling up the nose Eyelids squeezed shut Canine-type snarl

Wrinkling up the nose Canine-type snarl

While conducting a brief mental status evaluation of a client, the nurse instructs the client to draw a clock, put in all the numbers, and set the hands at 5 o'clock. What is the maximum possible score that the nurse allots to the client for this evaluation activity? one point three points four points five points

five points