Mental Health EAQ

Which question is the mot therapeutic to ask the parents of a 3-year old child who just died?

"Can I be of any help with traditional practices that are important to you?"

Which comment is consistent with the disorder anorexia nervosa?

"I old really like to improve my figure."

Which clinical manifestation would best indicate to the nurse that the mental status of a client with schizophrenia and paranoid delusions is improving?

Ability to function effectively in activities of daily living

Which behavior describe a mentally healthy person? Select all that apply.

Accepts aging, Engages available strengths, Sustains positive relationships

Which process is least affected by age?

Capacity to handle life's stresses

A client who is admitted for a suicide attempt after the death of their child says, "I hear my son telling me to come over to the other side." Which psychotic symptom is client experiencing?

Command hallucination

Which clinical manifestation would be monitored in a client with the diagnosis of bulimia, purging type?

Dehydration

Which benefit is provided by milieu therapy?

Environment provides structure, routine, and security

Which action would the nurse take to provide a therapeutic environment for a client who is withdrawn and reclusive?

Foster a trusting relationship

An assistant at. Local university claims to be president of the university.Which type of delusion is the client displaying?

Grandiose

Which intervention is most important to assist a couple to cope with their feelings about the husband's terminal illness?

Helping the couple express to each other their feelings about his terminal illness

Which Action by the staff of a mental health unit can lead to client violence?

Inconsistent limit setting, Controlling staff members, Randomly taking away privileges

The nurse is discussing suicide risk with the parents of a group of adolescents. Which types of suicide would the nurse discuss hen talking about soft methods? Select all that apply.

Ingesting pills, Cutting one's wrists

Which rationale explains why the client who is displaying hyperactive and manic behaviors with flights of ideas in not eating?

Is too busy to take time to eat

Which initial action would the nurse take for a client admitted to an alcohol rehabilitation center who on the fourth day after admission has a strong Oder of alcohol on breath.

Locate the alcoholic substance

Which culturally based behavior would the nurse expect to observe in an Asian client who has symptoms of anxiety and panic?

Minimal eye contact

At which point would the nurse start to discuss terminating the nurse-client relationship with a client?

Orientation phase, hen a contract is established

Which characteristic is associated with anorexia nervosa?

Perfectionistic

Which intervention is the most important for a young female client who was raped 3 days ago and continually talks about the trauma of being sexually assaulted?

Providing a safe environment that permits the ventilation of feelings

Which is the priority intervention for a 13-year-old girl who reports that she has been sexually abused by her grandfather for almost 2 years?

Providing a safe, nonjudgmental environment

A client in the mental health unit is walking swiftly around the room and rubbing their hands together. Which term describes the behavior?

Psychomotor agitation

Which goal would be priority for the child it's autism spectrum disorder who has frequent episodes of self-biting and head-banging and needs help with feeling and toileting?

Remaining safe from self-inflicted injury

Which action would the nurse take for an adolescent with a long history of drug abuse, stealing, and refusal to comply with rules?

Serve as a role model for mature behavior while providing a structured setting

Which action would the nurse take when caring for a severely depressed client?

Sit down next to the client at frequent intervals

Which type of crisis is a 44-year-old single person experiencing when they lose their job and exhaust their savings and now feel despondent and hopeless?

Situational

A client has been diagnosed with generalized anxiety disorder (GAD). Which behavior would the nurse expect to observe?

Spending hours each day worrying about something "bad happening"

Which initial inference would the nurse make about a psychiatric client curled up in the fetal position in the corner of the dayroom?

The client is feeling more anxious today

Which purpose is served by ritualistic behavior for a client diagnosed with an obsessive-compulsive personality disorder?

The ritual temporarily relieve anxiety

Which benefit accompanies mild apprehension?

There is an increased alertness

After attending group therapy, the client says, "It helps to know that I'm not the only one with this type of problem." Which concept does this statement reflect?

Universality

Which phase, according to peplau's model of the nurse-client relationship, ill most of the client's problem solving occur?

Working

A student is anxious about an upcoming examination but is able to study intently and does not become distracted by a roommate's talking and loud music. What level of anxiety is demonstrated by the student's ability to shut out the distractions?

mild

Which behavior is expected of members of Alcoholics Anonymous (AA)?

Acknowledging an inability to control the drinking

Which nursing action old be appropriate when the client with alcohol withdrawal delirium begins experiencing hallucinations?

Administering the prescribed medication to the client to subdue the agitated behavior.

Which term oils the nurse use to describe a client with schizophrenia ho is vacillating between being happy and sad about going home?

Ambivalence

high signs and symptoms are the "four A's"of Alzheimer's disease?

Amnesia, apraxia, agnosia, aphasia

Which reaction is most likely to occur when the performance of a ritual is interrupted for a client it's obsessive-compulsive disorder?

Anxiety

The nurse is or king with a group of clients in a mental health facility. Which condition would lead the nurse to asses the risk for suicide i clients?

Anxiety, Alcohol abuse, schizophrenia, Bipolar disorder

Which side effect would the nurse monitor for when administering a selective serotonin reuptake inhibitor (SSRI)?

Anxiety, Nausea, Sedation, Restlessness, Suicidal Ideations, Increased energy level

Which purpose is served by establishing a therapeutic nurse-client relationship?

Assisting the client in acquiring more effective behavior

Which action would the nurse take for a client with a diagnosis of conversion disorder manifesting as paralysis of the legs?

Avoid focusing on the client's physical symptoms

Which statement is accurate for adolescent suicide behavior?

Boys are more likely to use lethal methods than are girls

Which leadership style is best to achieve the group members' goal to participate more fully in life by gaining insight and changing behavior?

Democratic and guiding

A 70-year old man with a history of depression has few interests since retirement. He says, "I feel useless and unneeded." Which outcome is occurring based on Erikson's psychosocial stages of development?

Despair

Which prescribed treatment would a nurse anticipate for a client with severe, persistent, intractable depression and suicidal ideation?

Electroconvulsive therapy

Which intervention is most helpful for parents ho just learned that their newborn baby has a heart defect?

Encourage the expression of their feelings

Which additional clinical manifestation would the nurse monitor for in a client with generalized anxiety disorder who presents its restlessness and fatigue?

Excessive worry

Which term would be used to document the client's affect, which was observed during the mental status assessment?

Flat

Which strategy old the nurse include in a plan of care for a client with Alzheimer's disease?

Structure the environment for safety

A client has been instructed to stop smoking. Which action would the nurse take upon discovering a pack of cigarettes in the client's bathrobe?

Tell the client about finding the cigarettes