Crisis 1 - ATI Questions

Which nursing assessment question is focused on securing information about what Freud called the client's conscious mind? A. "What are your beliefs about interracial marriage?" B. "Do you feel loved and valued by your family?" C. "Can you identify something that you feel you do well?" D. "Are you satisfied with the life you lead?"

A. "What are your beliefs about interracial marriage?"

Which question will the nurse ask in order to assess a client's ability to think critically? A. "How do you plan to afford getting your own apartment?" B. "Do you feel guilty about your recent divorce?" C. "What do you think is your most valuable personal characteristic?" D. "Are you employed full time?"

A. "How do you plan to afford getting your own apartment?"

Which client statement supports the nurse's assessment that the client has demonstrated resiliency? A. "I've learned from experiencing other losses that I'll be okay." B. "Losing my mother is the hardest thing I've ever experienced." C. "Losing a parent is a natural part of life." D. "I know I'm not the first person to lose a loved one."

A. "I've learned from experiencing other losses that I'll be okay."

A nursing assistant says to the nurse, "The schizophrenic in room 226 has been rambling all day." When considering the nurse's responsibility to manage the ancillary staff, which response should the nurse provide? A. "It is more respectful to refer to the patient by name than by diagnosis." B. "Thank you for informing me about that. I will document the behavior." C. "It is not unusual for schizophrenics to do that. It's just part of their illness." D. "You have a difficult job. I'm glad you are so accepting of our patient's behavior."

A. "It is more respectful to refer to the patient by name than by diagnosis."

A patient has been out of work for 3 weeks with a major illness and anticipates another month of recovery. The patient tells the nurse, "I'm trying to keep up with my work email from home. They hired a new person in my department, but that person has no experience." Select the nurse's therapeutic response. A. "It sounds like you're saying you are worried about your job security." B. "No one expects you to keep pace with your job while you're recovering." C. "Your employer is required to hold your job for you while you're on sick leave." D. "Don't worry about your job right now. It's more important for you to recovery."

A. "It sounds like you're saying you are worried about your job security."

Which statement by the nurse best demonstrates a dilemma associated with the utilization of evidence-based practice (EBP) in the mental health clinical setting? A. "It's hard to review the literature about this new treatment when we are so short staffed." B. "I really hated that the in-service on that new therapy modality was filled up." C. "The client doesn't see the benefit of changing to this new form of therapy." D. "The client can't afford the cost of the medication he's being prescribed."

A. "It's hard to review the literature about this new treatment when we are so short staffed."

Which statement by the nurse demonstrates a blurring of boundaries with a client diagnosed with depression? A. "The client is just too depressed to shower and dress today." B. "Today we discussed the impact of depression on family members." C. "I'm concerned that the client's depression has been the cause of marital problems." D. "The client talked about an uncle who was depressed and committed suicide."

A. "The client is just too depressed to shower and dress today."

A client clearly states, "I'm not taking that pill and you can't make me." Which statement best addresses the nursing obligation to a client who is demonstrating nonadherent behaviors? A. "The medication will help you relax; if it doesn't, we'll talk about other options." B. "You're right: I can't make you take the medication." C. "You won't get better if you insist upon being noncompliant with your plan of care." D. "Something is wrong; you seem very tense and agitated today."

A. "The medication will help you relax; if it doesn't, we'll talk about other options."

A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (select all that apply) A. "To assess cognitive ability, I should ask the client to count backwards by sevens." B. "to assess effect, I should observe the client's facial expressions." C. "to assess language ability, I should instruct the client to write a sentence." D. "To assess remote remote memory, I should have the client repeat a list of objects." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents."

A. "To assess cognitive ability, I should ask the client to count backwards by sevens." B. "to assess effect, I should observe the client's facial expressions." C. "to assess language ability, I should instruct the client to write a sentence."

When a client expresses an irrational belief, which response by the nurse demonstrates reframing? A. "Your teacher's suggestions about improving your grades, don't mean you're stupid." B. "Everyone has a bad day. It wasn't your fault." C. "What makes you think your spouse is thinking about leaving you?" D. "She wouldn't ask to reschedule the appointment if she didn't want to meet with you."

A. "Your teacher's suggestions about improving your grades, don't mean you're stupid."

In order to demonstrate the integration of evidence-based practice (EBP) into the care of a client who has been hospitalized for severe depression and prescribed a selective serotonin reuptake inhibitor (SSRI), the novice nurse will include which action into the plan of care? A. Assess the client for the presence of suicidal ideations with a plausible plan. B. Ask the health provider to prescribe the medication to be administered orally. C. Acquire the advice of a proficient nurse about implementing suicide precautions. D. Apply restraints when the client repeatedly attempts to cut his or her wrists with a plastic knife.

A. Assess the client for the presence of suicidal ideations with a plausible plan.

The nurse is determining discharge living arrangements for a mental health client. Which behavior demonstrated by the client would qualify him or her for financial reimbursement for placement into a psychiatric home care environment? A. Experiences panic attacks when among strangers. B. Expresses paranoia regarding police persons. C. Experiences both auditory and visual hallucinations. D. Engages in numerous compulsive rituals.

A. Experiences panic attacks when among strangers.

When discussing the current trend to treat mental health clients in community care environments, the nurse identifies which treatment-related event as the trigger for the shift away from traditional hospitalization? A. Increase in availability of psychopharmacological agents B. Increased availability of community resources for treating the mentally ill C. Decrease in the number of clients being diagnosed as being chronically mentally ill D. Decreased voluntary commitments being made to traditional hospital settings

A. Increase in availability of psychopharmacological agents

Which intervention should the nurse implement to reinforce value education for an adolescent client with a history of being both physically and emotionally abused? A. Modeling to demonstrate the difference between assertive and aggressive behavior B. Helping the client identify those who have or are still being abusive C. Reinforcing for the client the steps to take when one is being abused in any form D. Presenting the client with information regarding the various forms of abusive behavior

A. Modeling to demonstrate the difference between assertive and aggressive behavior

The nurse recognizes the influence of a dysfunctional hypothalamus when including which intervention for a specific client? A. Sleep hygiene measures for a 40 year old diagnosed with acute depression B. Frequent re-orientation to time and place for a 79 year old diagnosed with dementia C. Staff to accompany a 30 year old diagnosed with anorexia nervosa to the bathroom D. Limit setting for a 14 year old diagnosed with oppositional defiance disorder (ODD)

A. Sleep hygiene measures for a 40 year old diagnosed with acute depression

What is the primary factor considered when determining the need for an involuntary mental health commitment? A. The danger posed by the behaviors B. The criminal nature of the behaviors C. The cognitive status of the client D. The behaviors being demonstrated

A. The danger posed by the behaviors

Which scenario best demonstrates empathetic caring? A. a nurse provides comfort to a colleague after an error of medication administration B. a nurse works a fourth extra shift in 1 week to maintain adequate unit staffing C. a nurse identifies a violation of confidentiality and makes a report to an agency's privacy officer D. a nurse conscientiously reads current literature to stay aware of new evidence-based practice.

A. a nurse provides comfort to a colleague after an error of medication administration

A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that the medication can cause nausea and vomiting when alcohol is consumed. Which of the following types of treatment is this method an example? A. aversion therapy B. flooding C. biofeedback D. dialectical behavior therapy

A. aversion therapy

A nurse is planning care the the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? A. discussing ways to use new behaviors B. practicing new problem-solving skills C. developing goals D. establishing boundaries

A. discussing ways to use new behaviors

A nurse is working in a community mental health facility. Which of the following services does this type of program provide? (select all that apply) A. educational groups B. medication dispensing programs C. individual counseling programs D. detoxification programs E. family therapy

A. educational groups B. medication dispensing programs C. individual counseling programs E. family therapy

A nurse prepares a patient in a rural community for an initial tele-health visit with the health care provider. Select the nurse's priority action. A. ensure that the patient's rights to privacy are respected B. ask the patient, "How much do you know about the Internet?" C. inform the patient, "This experience will be like appearing on television." D. Advise the patient, "You will be able to hear, but not see, your health care provider."

A. ensure that the patient's rights to privacy are respected

A day-shift nurse contacts a nurse scheduled for the night shift at home and says, "Our unit is full, and there are eight patients in the emergency department waiting for a bed." The night-shift nurse replies, "Thanks for telling me. I am calling in sick." Which type of problem is evident by the night-shift nurse's reply? A. ethical problem fidelity B. legal problems of negligence C. legal problems of an intentional tort D. violation of the patients' right to treatment

A. ethical problem fidelity

As election day nears, a psychiatric nurse studies the position statements of various candidates for federal offices. Which candidate's commentary would the nurse interpret as supportive of services for persons diagnosed with mental illness? A. full-parity insurance coverage for mental illness B. coverage for biological based mental illness C. reimbursement for initial treatment of addictions D. managed care oversight for mental illness services

A. full-parity insurance coverage for mental illness

A nurse is communicating with a client who was admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? A. offering advice B. reflecting C. listening attentively D. giving information

A. offering advice

A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? (select all that apply) A. priority restructuring B. monitoring thoughts C. diaphragmatic breathing D. journal keeping E. meditation

A. priority restructuring B. monitoring thoughts D. journal keeping

A patient diagnosed with major depressive disorder tells the community mental health nurse, "I usually spend all day watching television. If there's nothing good to watch, I just sleep or think about my problems." Which is the nurse's best action? A. refer the patient for counseling with a recreational therapist B. ask the patient, "What kinds of programs do you like to watch?" C. suggest to the patient, "Are there some friends you could call instead?" D. advise the patient, "Watching television and thinking about problems make depression worse."

A. refer the patient for counseling with a recreational therapist

A patient is diagnosed with an abscess in the cerebellum. Which nursing diagnosis has priority for the plan of care? A. risk for falls related to loss of balance and equilibrium B. unilateral neglect related to impairment in perception C. impaired physical mobility related to spasticity and changes in muscle tone D. risk for impaired cerebral tissue perfusion related to obstruction secondary to infection

A. risk for falls related to loss of balance and equilibrium

Which statement by the nurse best confirms the relationship being maintained with the client is a therapeutic one? A. "I'm sure you will get significant benefit from attending the group I suggested." B. "Can you give me some examples of how your coping skills have improved?" C. "Do you agree with me that we need to focus on your anger issues?" D. "I'll plan to meet with you again tomorrow at our regular time."

B. "Can you give me some examples of how your coping skills have improved?"

A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (select all that apply) A. "Client ate most of their breakfast." B. "Client was offered 8 oz of water every hr." C. "Client shouted obscenities at assistive personnel." D. "Client received chlorpromazine 15 mg by mouth at 1000." E. "Client acted our after lunch."

B. "Client was offered 8 oz of water every hr." C. "Client shouted obscenities at assistive personnel." D. "Client received chlorpromazine 15 mg by mouth at 1000."

A patient has been disruptive to the therapeutic milieu for 2 days. A certified nursing assistant says to the nurse, "We need to schedule this patient because this behavior is upsetting everyone on the unit." Considering patients' rights, how should the nurse respond? A. "Seclusion is not part of this patient's plan of care." B. " Let's think of some new ways to help this patient be less disruptive." C. "Thank you for that suggestion. I will discuss it with the health care provider." D. "Disruptive behavior is expected with mental illness. We must respond therapeutically."

B. " Let's think of some new ways to help this patient be less disruptive."

A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? A. notify the nurse manager B. tell the nurse to stop discussing the behavior C. provide an in-service program about confidentiality D. complete an incident report

B. tell the nurse to stop discussing the behavior

Considering Maslow's pyramid, which comment indicates that an individual is motivated by one of the higher levels of need? A. "Even though I"m 40 years old, I have returned to college so that I can get a better job." B. "I help my community by volunteering at a thrift shop that raises money for the poor." C. "I recently applied for public assistance in order to feed my family, but I hope it's not forever." D. "My children tell me I'm a good parent. I feel happy being part of a family that appreciates me."

B. "I help my community by volunteering at a thrift shop that raises money for the poor."

Which statement demonstrates the nurse's implementation of a therapeutic projective question? A. "If you were granted two wishes, what would they be?" B. "If you could wish this problem away, what would your life be like?" C. "Do you believe that miracles are possible?" D. "Has your life ever been touched by a miracle?"

B. "If you could wish this problem away, what would your life be like?"

A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy? A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks." B. "The therapist will focus on my past relationships during our sessions." C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors." D. "This therapy will address my conscious feelings about stressful experiences."

B. "The therapist will focus on my past relationships during our sessions."

A hospitalized client has a history of resorting to aggressive verbal abuse when angry. Which nursing action demonstrates a behavioral modification technique? A. Client is scheduled to attend a daily group session on anger management. B. A nutritious snack is earned each time an abusive outburst is avoided. C. 10 minutes of recreation therapy is lost for each verbal outburst. D. Client is educated on the benefits of deep breathing to control anger.

B. A nutritious snack is earned each time an abusive outburst is avoided.

A nurse who is comfortable and confident with the interviewing process will effectively use which communication technique? A. Personally fills each void in the conversation B. Allowing for moments of uninterrupted silence C. Relying on verbal rather than nonverbal communication D. Avoiding topics that could possibly be embarrassing

B. Allowing for moments of uninterrupted silence

A novice nurse has been assigned to the mental health inpatient unit. In order to best facilitate growth in both experience and skills, which assignment should be delegated to the nurse? A. Reviewing care plans for possible revisions B. Co-leader of a self-care group C. Discharge education for clients requiring social services D. Medication nurse on night shift

B. Co-leader of a self-care group

The nurse, striving to minimize the bias of a Western view on what is considered acceptable behavior, will consult which mental health-associated resource? A. The client's past and present mental health assessment B. Cultural Formulation Interview (CFI) C. Glossary of Cultural Concepts of Distress D. The Diagnostic and Statistical Manual of Mental Disorders

B. Cultural Formulation Interview (CFI)

When considering the civil rights of a mentally ill client, which circumstance may affect the autonomy of the client regarding decisions associated with his or her care? A. Being treated for a chronic mental illness B. Judged to be legally incompetent C. Being accused of a felony D. Recent immigrant to the United States

B. Judged to be legally incompetent

A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Which of the following information is appropriate to include in the discussion? (select all that apply) A. The DSM-5 includes client education handouts for mental health disorders B. The DSM-5 establishes diagnostic criteria for individual mental health disorders C. The DSM-5 indicates recommended mental health disorders D. The DSM-5 assists nurses in planning care for the client's who have mental health disorders E. The DSM-5 indicates expected assessment findings of mental health disorders

B. The DSM-5 establishes diagnostic criteria for individual mental health disorders D. The DSM-5 assists nurses in planning care for the client's who have mental health disorders E. The DSM-5 indicates expected assessment findings of mental health disorders

A nurse is caring for a group of clients. Which of the following clients should a nurse consider for referral to an assertive community treatment (ACT) group? A. a client in an acute care mental health facility who has fallen several times while running down the hallway B. a client who lives at home and keeps "forgetting" to come in for scheduled monthly antipsychotic injection for schizophrenia C. a client in a daily treatment program who reports increasing anxiety during group therapy D. a client in a weekly grief support group who reports still missing a deceased partner who has been dead for 3 months

B. a client who lives at home and keeps "forgetting" to come in for scheduled monthly antipsychotic injection for schizophrenia

In which scenario is it most urgent for the nurse to act as a patient advocate? A. an adult cries and experiences anxiety after a near-miss automobile accident on the way to work B. a homeless adult diagnosed with schizophrenia lives in a community expecting a category 5 hurricane C. a 14-year-old girl's grades decline because she consistently focuses on her appearance and social networking D. the parents allow the prescription to lapse for 1 day for their 8-year-old child's medication for ADHD

B. a homeless adult diagnosed with schizophrenia lives in a community expecting a category 5 hurricane

A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? (select all that apply) A. encourage the group to work toward goals B. define the purpose of the group C. discuss termination of the group D. identify informal roles of members within the group E. establish an expectation of confidentiality within the group

B. define the purpose of the group C. discuss termination of the group D. identify informal roles of members within the group

A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? A, reaction formation B. denial C. displacement D. sublimation

B. denial

A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (select all that apply) A. reassure the client that everything will be okay B. discuss prior use of coping mechanisms with the client C. ignore the client's anxiety so that she will not be embarrassed. D. demonstrate a calm manner while using simple and clear instructions E. gather information from the client using closed-ended questions.

B. discuss prior use of coping mechanisms with the client D. demonstrate a calm manner while using simple and clear instructions

On an outpatient unit. one patient assaults another patient, resulting in a small laceration. Considering the patients' right to confidentiality, how will the nurse effectively document this event? A. ensure unit safety by documenting the hostile and combative characteristics of the assaulting patient B. document in each patient's medical record the events and action taken, using the initials of the other patient involved C. document in both patients' medical records that an occurrence (incident) report was prepared according to agency policy D. verbally report the events to other team members and minimize written documentation in order to reduce potential legal consequences

B. document in each patient's medical record the events and action taken, using the initials of the other patient involved

A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? A. invasion of privacy B. false imprisonment C. assault D. battery

B. false imprisonment

A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A. coordinate holistic care with social services B. identify the client's perception of their mental health status C. include the client's family in the interview D. teach the client about their current mental health disorder

B. identify the client's perception of their mental health status

A nurse is conducting a family therapy session. The younger child tells the nurse about plans to make the older sibling look bad, believing this will earn more freedom and privileges. The nurse should identify this dysfunctional behavior as which of the following? A. placation B. manipulation C. blaming D. distraction

B. manipulation

A nurse is providing preoperative teaching for a client who was informed of the need for emergency surgery. The client has a respiratory rate 30/min, and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? A. mild B. moderate C. severe D. panic

B. moderate

Systematic measurement of body weight, body mass index (BMI), waist circumference, and glucose levels would be most important for a patient beginning a new prescription for which medication? A. aripiprazole (Abilify) B. olanzapine (Zyprexa) C. ziprasidone (Geodon) D. quetiapine (Seroquel)

B. olanzapine (Zyprexa)

A patient asks the psychiatric mental health registered nurse, "I'm having so much anxiety. I think hypnosis would help me. Will you do that for me?" When determining a response, which factor should the nurse consider? A. the patient's current medication regime B. state regulation regarding scope of practice C. the patient's level of participation within the therapeutic millieu D. the plan of care the multidisciplinary team has developed for the patient

B. state regulation regarding scope of practice

A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? A. the client asks the nurse if they will go out to dinner tonight B. the client accuses the nurse of being controlling just like an ex-partner C. the client reminds the nurse of a friend who died from substance toxicity D. the client becomes angry and threatens to engage in self harm

B. the client accuses the nurse of being controlling just like an ex-partner

A nurse is orienting a new client to a mental health unit. When explaining the unit's community meetings, which of the following statements should the nurse make? A. "You and a group of other clients will meet to discuss your treatment plans." B. "Community meetings have a specific agenda that is established by staff." C. "You and the other clients will meet with staff to discuss common problems." D. "Community meetings are an excellent opportunity to explore your personal mental health issues."

C. "You and the other clients will meet with staff to discuss common problems."

Which statement made by the nurse concerning a client experiencing musculoskeletal pain demonstrates attention to the evaluation portion of the nursing process? A. "The client's daughter confirmed that he had knee replacement surgery 3 years ago." B. "The client's inability to ambulate effectively without assistance is a priority problem." C. "After 2 weeks of physical therapy, the client can safely walk the length of the hallway." D. "The client has expressed a strong fear of falling when asked to walk without assistance."

C. "After 2 weeks of physical therapy, the client can safely walk the length of the hallway."

A mentally ill gunman opens fire in a crowded movie theater, killing six people and injuring others. Which comment about this event by a member of the community most clearly shows the stigma of mental illness? A. "Gun control laws are inadequate in our country" B. "It's frightening to feel that it is not safe to go to a movie theater" C. "All these people with mental illness are violent and should be locked up" D. "These events happen because American families no longer go to church together"

C. "All these people with mental illness are violent and should be locked up"

A nurse is talking with a client who is at risk for suicide following their partner's death. Which of the following statements should the nurse make? A. "I feel very sorry for the loneliness you must be experiencing." B. "Suicide is not the appropriate way to cope with loss." C. "Losing someone close to you must be very upsetting." D. "I know how difficult it is to lose a loved one."

C. "Losing someone close to you must be very upsetting."

A few nurses are privately discussing patients under their care. Which nurse's comment indicates the need for clinical supervision regarding countertransference? A. "My patient is always asking my permission to do something, just like a child" B. "When our unit is understaffed, it seems like we have more incidents of disruptive behavior." C. "My patient tried to tell me what to do all the time. I got a divorce because my spouse used to do that." D. "Our patients have had so many traumatic life experiences. I find myself feeling sympathetic sometimes."

C. "My patient tried to tell me what to do all the time. I got a divorce because my spouse used to do that."

The nurse presents a class about mental health and mental illness to a group of fourth graders. One student asks, "Why do people get mentally ill?" Select the nurse's best response. A. "There are many reasons why mental illness occurs." B. "The cause of mental illness is complicated and very hard to understand." C. "Sometimes a person's brain does not work correctly because something bad happens or he or she inherits a brain problem." D. "Most mental illnesses result from genetical transmitted abnormalities in cerebral structure; however, some are a consequence of traumatic life experiences."

C. "Sometimes a person's brain does not work correctly because something bad happens or he or she inherits a brain problem."

A client has been diagnosed with a social phobia. Which statement made by the nurse best supports the milieu of the outpatient day clinic regarding this client's treatment? A. "Everyone here really understands your fears." B. "The milieu seldom changes and so presents a stable environment." C. "This is a safe place to learn to interact with people comfortably." D. "The rules of the milieu are designed to control behaviors."

C. "This is a safe place to learn to interact with people comfortably."

The nurse interacts with a veteran of WWII. The veteran says, "Veterans of modern war whine and complain all the time. Back when I was in service, you kept your feeling to yourself." Select the nurse's best response. A. "American society in the 1940s expected WWII soldiers to be strong." B. "WWII was fought in a traditional way, but the enemy is more difficult to identify in today's wars." C. "We now have a better understanding of how trauma affects people and the importance of research-based, compassionate care." D. "Intermittent explosive devices (IEDs), which were not in use during WWII, produce traumatic brain injury that must be treated."

C. "We now have a better understanding of how trauma affects people and the importance of research-based, compassionate care."

A new patient whose chief concern is, "I'm tired of crying every day." Which comment from the patient would prompt the nurse to suspect that a medical reason is causing the problem rather than depression? A. "I usually drink two or three cups of coffee in the morning." B. "I often have headaches, especially when the pollen count in high." C. "Years ago I had thyroid problems, but they cleared up and I stopped the medicine." D. "I recently had three moles removed because my doctor thought they were suspicious."

C. "Years ago I had thyroid problems, but they cleared up and I stopped the medicine."

A nurse counsels a widow whose husband died 5 years ago. The widow says, "If I'd done more, he would still be alive." Select the nurse's therapeutic response. A. "I understand how you feel after such a terrible loss." B. "That was a long time ago. Now it's time to move on with your life." C. "You did a very good job of caring for him, especially because he was sick for so long." D. "Your husband was 82 years old with severe chronic obstructive pulmonary disease."

C. "You did a very good job of caring for him, especially because he was sick for so long."

A client diagnosed with major depression is reluctant to agree to the medication therapy stating, "I don't see how medication that affects my brain is going to make me less depressed." Which statement by the nurse best addresses the client's concern? A. "The staff has your best interests in mind and knows that this medication is very effective in treating depression." B. "While the brain is a very complex organ, it does respond very well to this medication." C. "Your brain controls your emotions; this medication will help the brain do that more effectively." D. "Are you afraid of taking the medication because of what your friends and family may think?"

C. "Your brain controls your emotions; this medication will help the brain do that more effectively."

When considering prevalence, the nurse will focus on which disorder(s) when identifying the focus of a community mental health screening? A. Any substance abuse B. Affective disorders C. Anxiety disorders D. Alcohol dependence

C. Anxiety disorders

When the nurse recognizes a patient's relationship as being symmetrical what intervention would be appropriate? A. Sharing the treatment goals with the parents of an adolescent client B. Discussing concerns about a possibly impaired coworker with the unit's nursing manager C. Asking if discharge instructions should be postponed until the client's life partner arrives D. Calling the primary health provider to discuss the client's pain control management needs

C. Asking if discharge instructions should be postponed until the client's life partner arrives

Considering the administration of medications, the nurse applying evidence-based practice (EBP) will engage in which nursing activity? A. Assessing the client for allergies prior to the administration of a newly prescribed mood stabilizing medication B. Educating the client regarding the side effects of a newly prescribed antidepressant C. Determining the client's preference about when a medication prescribed once daily is administered D. Confirming the client's identity prior to administering a prescribed PRN medication

C. Determining the client's preference about when a medication prescribed once daily is administered

Which intervention implemented by a community mental health nurse demonstrates the unique skills required of that position? A. Prescribing medications B. Advocating for a community clinic C. Making a referral to a neighborhood food bank D. Providing spiritual counseling for client and their family

C. Making a referral to a neighborhood food bank

The treatment goal is for the hospitalized mental health client to be discharged to a residential treatment environment. The nurse includes which experience into the client's plan of care as a priority intervention? A. Physical therapy to address any existing musculoskeletal disabilities B. Recreational therapy to improve the client's social well-being C. Occupational therapy to assist in assuming skills needed to regain independence D. Art therapy to reduce the effects of the client's illness

C. Occupational therapy to assist in assuming skills needed to regain independence

A nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's us of interpersonal communication? A. the nurse discusses the client's weight loss during a health care team meeting B. the nurse examines their own personal feelings about clients who have anorexia nervosa C. The nurse asks the client about personal body image perception D. the nurse presents an education session about anorexia nervosa to a large group of adolescents

C. The nurse asks the client about personal body image perception

The nurse recognizes that the greatest barrier to successful mental health treatment and recovery is demonstrated by which client? A. The elderly Syrian immigrant who speaks only minimal English B. The middle-aged adult who cannot afford prescription medication. C. The teenager who fears being rejected by his peers. D. The young homeless adult who cannot keep clinic appointments.

C. The teenager who fears being rejected by his peers.

Which anticonvulsant mood stabilizer often prescribed for bipolar disorder carries a Black Box warning that includes pancreatitis? A. Carbamazepine B. Lamotrigine C. Valproic acid D. Ramelteon

C. Valproic acid

Which scenario meets the criteria for "normal" behavior? A. an 8-year-old child's only verbalization is "No, no, no." B. a 16-year-old girl usually sleeps for 3 to 4 hours per night C. a 43-year-old man cries privately for 1 month after the death of his wife D. a 64-year-old woman has difficulty remembering the names of her grandchildren

C. a 43-year-old man cries privately for 1 month after the death of his wife

A nurse is an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients require a temporary emergency admission? A. a client who has schizophrenia with delusions of grandeur B. a client who has manifestations of depression and attempted suicide a year ago C. a client who has borderline personality disorder and assaulted a homeless man with a mental rod D. a client who has bipolar disorder and paces quickly around the room while talking to themselves

C. a client who has borderline personality disorder and assaulted a homeless man with a mental rod

A nurse is planning care for several clients who are attending community-based mental health programs. Which of the following clients should the nurse visit first? A. a client who received a burn on the arm while using a hot iron at home B. a client who requests a change of antipsychotic medication due to some new adverse effects C. a client who reports hearing a voice saying that life is not worth living anymore D. a client who tells the nurse about experiencing manifestations of severe anxiety before and during a job interview

C. a client who reports hearing a voice saying that life is not worth living anymore

A nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role? A. a member who praises input from other members B. a member who follows the direction of other members C. a member who brags about accomplishments D. a member who evaluates the group's performance toward a standard

C. a member who brags about accomplishments

Which patient is likely to achieve maximum benefits from cognitive-behavioral therapy (CBT)? A. older adults diagnosed with stage 3 Alzheimer's disease B. adult diagnosed with schizophrenia and experiencing delusions C. adult experiencing feelings of failure after losing the fourth job in 2 years D. school-age children diagnosed with ADHD

C. adult experiencing feelings of failure after losing the fourth job in 2 years

A nurse participating in a community health fair interviews on more than 10 years. The adult said, "I like to keep to myself. Crowds make me nervous." Which action should the nurse employ? A. refer the adult for a full health assessment B. explore the adult's family and social relationships C. ask the adult, "How do you feel about the quality of your life?" D. explain to the adult, "We can help you feel better about yourself."

C. ask the adult, "How do you feel about the quality of your life?"

A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when demonstrating which of the following actions? A. observes group techniques without interfering with the group process B. discusses a technique and then directs members to practice this technique C. asks for group suggestions and techniques and then supports discussion D. suggests techniques and asks group members to reflect on their use

C. asks for group suggestions and techniques and then supports discussion

A patient begins a new prescription for risperidone (Risperdal). Which intervention should the nurse include in the plan of care? A. monitor intake and output daily B. educate patient about foods that contain tyramines C. assess sitting, standing, and lying blood pressure daily D. administer with food to reduce gastrointestinal irritation

C. assess sitting, standing, and lying blood pressure daily

A nurse is an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision. The client's partner works all day but is home by late afternoon. Which of the following strategies should the nurse suggest for follow-up care? A. receiving daily care form a home health aide B. having a weekly visit from a nurse case worker C. attending a partial hospitalization program D. visiting a community mental health center on a daily basis

C. attending a partial hospitalization program

An experienced nurse in a major medical center requests a transfer from a general medical unit to an acute care psychiatric unit. Which organizational feature would best support the nurse's successful transition? A. assignment to medication administration for the first 6 months B. working with a seasoned mental health technician for the first month C. co-assignment with a knowledgeable psychiatric nurse for an extended orientation D. staff development activities focused on developing therapeutic communication skills

C. co-assignment with a knowledgeable psychiatric nurse for an extended orientation

A community mental health nurse is planning care to address the issue of depression among older adults in the community. Which of the following interventions should the nurse implement as a method of tertiary prevention? A. educating clients on health promotion techniques to reduce the risk of depression. B. performing screenings for depression at community health programs C. establishing rehabilitations programs to decrease the effects of depression D. providing support groups for clients at risk for depression

C. establishing rehabilitations programs to decrease the effects of depression

A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form of therapy? A. demonstrating riding an elevator, and them ask the client to imitate the behavior B. advise the client to say "stop" out loud every time they begin to feel an anxiety response related to an elevator C. gradually expose the client to an elevator while practicing relaxation techniques D. stay with the client in an elevator until the anxiety response diminishes

C. gradually expose the client to an elevator while practicing relaxation techniques

The nurse plans care for a newly hospitalized patient experiencing panic-level anxiety after an automobile accident. The patient has no physical injuries. When selecting goals and outcomes, the nurse will: A. select outcomes related to patient learning B. focus first on the long-term goals for the patient C. individualize outcomes based on the patient's needs D. confer with the patient about which outcomes the patient wants to achieve

C. individualize outcomes based on the patient's needs

A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (select all that apply) A. The needs of both participants are met B. an emotional commitment exists between the participants C. it is goal-directed D. behavioral change is encouraged E. a termination fate is established

C. it is goal-directed D. behavioral change is encouraged E. a termination fate is established

The nurse admits a patient experiencing hallucinations and delusional thinking to an inpatient mental health unit. The plan of care will require that which service occur first? A. social history B. psychiatric history C. medical assessment D. psychological evaluation

C. medical assessment

A nurse on an acute mental health unit forms a group to focus on self-management of medications. At each of the meeting, two of the members conspire together to exclude the rest of the group. This is an example of which of the following concepts? A. triangulation B. group process C. subgroup D. hidden agenda

C. subgroup

A client tells a nurse, "Don't tell anyone but I hid a sharp knife under mattress in order to protect myself from my roommate, who is always threatening me." Which of the following action should the nurse take? A. keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince them to admit to hiding the knife B. keep the client's communication confidential, but watch the client and their roommate closely C. tell the client that this must be reported to the health care team because is concerns thee health and safety of the client and others. D. report the incident to the health care team, but do not inform the client of the intentions to do so.

C. tell the client that this must be reported to the health care team because is concerns thee health and safety of the client and others.

Which assessment data would the nurse expect to document after the administration of a mental status examination on a client with no history of mental illness? A. Sleeps 7 hours a night and 1 hour each afternoon. B. Denies any difficulties of a financial nature. C. Generally eats three meals a day with snacks. D. Speaks and presents information in an organized fashion.

D. Speaks and presents information in an organized fashion.

An adult experienced a spinal cord injury resulting in quadriplegia 3 years ago and now lives permanently in a skilled care facility. Which comment by this person best demonstrates resiliency? A. "I often pray for a miracle that will heal my paralysis so I will be whole again" B. "I don't know what I did to deserve this fate or whether I am tough enough to endure it" C. "My accident was a twist of fate. I suppose there are worse things than being paralyzed" D. "Being paralyzed has taken things from me but it hasn't kept me from being mentally involved in life"

D. "Being paralyzed has taken things from me but it hasn't kept me from being mentally involved in life"

A timid client is frequently insulted by another aggressive client. In group session today, the client spoke out to the bully about his or her behavior. Which statement by the nurse demonstrates a therapeutic attempt to show approval for the client's actions? A. "I hope that you will be able to defend yourself again when you are bullied." B. "You did a good job of defending yourself today in group." C. "Did it feel good to defend yourself against that rude behavior?" D. "How did it feel to be assertive and stand up for yourself?"

D. "How did it feel to be assertive and stand up for yourself?"

A nurse is discussing free association as a therapeutic tool with a client who has major depression disorder. Which of the following client statements indicates understanding of this technique? A. "I will write down my dreams as soon as I wake up." B. "I might begin to associate my therapist with important people in my life." C. "I can learn to express myself in a nonaggressive manner." D. "I should say the first thing that comes to my mind."

D. "I should say the first thing that comes to my mind."

A nurse is talking with a caregiver of a child who has demonstrated recent changes in behavior and mood. When the caregiver of the child asks the nurse for reassurance about their child's condition, which of the following responses should the nurse make? A. "I think your child is getting better. What have you noticed?" B. "I'm sure everything will be okay. It just takes time to heal." C. "I'm not sure what's wrong. Have you asked the doctor about your concerns?" D. "I understand you're concerned. Let's discuss what concerns you specifically."

D. "I understand you're concerned. Let's discuss what concerns you specifically."

Which statement made by the nurse best demonstrates a core concept of patient- and family-centered care? A. "Today I'll plan to spend time with you discussing your treatment plan." B. "Would you prefer I call you by your first name?" C. "Would you like to go with the group today to see a movie?" D. "Let me see if I understood your concerns about your medications."

D. "Let me see if I understood your concerns about your medications."

Which statement by the nurse addresses the fundamental issue associated with an ethical dilemma? A. "Have you ever resolved an ethical dilemma before?" B. "What are your beliefs regarding treatment for chronic illnesses?" C. "The problem poses an ethical question that complicates the decision process." D. "Let's discuss the pros and cons of the three available treatment plans."

D. "Let's discuss the pros and cons of the three available treatment plans."

The nurse is conducting an admission interview with a client newly admitted voluntarily to the mental health unit for acute depression. Which statement made by the nurse best addresses the initial goal of a therapeutic nurse-patient relationship? A. "I am very pleased that you decided to seek treatment for your depression." B. "Please feel free to discuss your problems with me or any of the other nursing staff." C. "The staff is very experienced in treating clients with depression like yours." D. "My aim is to provide you with a safe, consistent environment to deal with your issues."

D. "My aim is to provide you with a safe, consistent environment to deal with your issues."

Which question will the nurse ask the client during a psychosocial assessment to judge existing social patterns? A. "Do you have a religious affiliation?" B. "How do you spend your free time?" C. "Who do you talk to when you have a problem?" D. "Please describe your typical day."

D. "Please describe your typical day."

A client has demonstrated behaviors suggestive of schizophrenia. As a part of the diagnostic process, the nurse is preparing the client for a magnetic resonance imaging study (MRI). Which statement by the nurse best addresses the client's concern about why the test is being done? A. "It's a series of cross-sectional pictures of the structure of your brain." B. "It's a painless way to see inside the brain and view its structures." C. "This method reduces the brain's exposure to x-rays and radioactive isotopes." D. "The study will show how well the blood is flowing to the ventricles of your brain."

D. "The study will show how well the blood is flowing to the ventricles of your brain."

A client prescribed a second-generation antipsychotic (SGA) asks why the medication is referred to with that term. What is the nurse's best response? A. "It's used to identify the newer form of antipsychotic medications." B. "SGAs produce fewer side effects than the first-generation formulation does." C. "SGAs are capable of treating a larger variety of mental illnesses." D. "They contain a higher ratio of serotonin to dopamine than first-generation forms do."

D. "They contain a higher ratio of serotonin to dopamine than first-generation forms do."

Which comment by the nurse would be appropriate to begin a new nurse-patient relationship? A. "Which of your problems is most serious?" B. "I want you to tell me about your problems." C. "I'm an experienced nurse. You can trust me." D. "What would you like to tell me about yourself."

D. "What would you like to tell me about yourself."

The decision to intervene as a patient advocate is clearly identified by the American Nurses Association's (ANA) code of ethics in which situation? A. A client's need for assistance while ambulating post-surgery B. Providing emotional support to a client experiencing a loss of a parent C. Working with a client to identify triggers for aggressive behavior D. A suspicion that a staff member is unfit to provide client care

D. A suspicion that a staff member is unfit to provide client care

Which intervention is appropriate for only an advanced practice mental health nurse? A. Presenting information on the special needs of the depressed to a family support group B. Assisting a client's family in identifying appropriate housing for their parent C. Setting milieu management policies for an adolescent unit D. Conducing a couples psychotherapy group focusing on effective parenting

D. Conducing a couples psychotherapy group focusing on effective parenting

What is the fundamental rule when considering the need for securing informed consent from a client for a treatment? A. Involuntary commitment negates the need for informed consent. B. The primary provider determines the need for informed consent. C. If the client is incompetent, informed consent is provided by an appointed surrogate. D. If the procedure intrudes into the body or poses a health risk consent is needed.

D. If the procedure intrudes into the body or poses a health risk consent is needed.

Which institution-specific clinical practice resource will the nurse use to integrate evidence-based practice (EBP) into the care of a client hospitalized for the purpose of the evaluation of his or her current therapy plan? A. Researching current medication options using Internet resources B. Reviewing decision points for therapy planning provided by clinical practice guidelines C. Using a clinical algorithm in the form of a decision tree to review treatment approaches D. Implementing a clinical pathway to provide expected outcomes using a measurable format

D. Implementing a clinical pathway to provide expected outcomes using a measurable format

Which nursing actions demonstrate the ability to engage in active listening during a nurse-client conversation? A. Introducing new topics when the conversation reverts to silence B. Nodding to demonstrate agreement with the client's statement C. Sharing similar personal experiences and feelings with the client D. Noting that the client is wringing his or her hands nervously

D. Noting that the client is wringing his or her hands nervously

The nurse who holds very strong beliefs about the right to life issue is asked by a client to provide information about the procedures associated with an abortion. When considering the principle of veracity, what action should the nurse take when responding to the client's educational needs? A. Refer the request to the primary health care provider. B. Delay the discuss until another nurse is available to provide the information. C. Explain to the client that the nurse's view on abortion is biased. D. Present the information in a matter-of-fact, nonemotional manner.

D. Present the information in a matter-of-fact, nonemotional manner.

A community mental health nurse is preparing to address a national parent-teachers' organization. Which statement concerning the availability of residential treatment centers for emotionally disturbed children in the United States should the nurse include? A. Availability of such treatment beds has remained stagnant over the last decade. B. Availability of these centers has declined steadily over the last decade. C. Such centers have increased, but only marginally since 2004. D. The number of centers grew substantially between 2010 and 2014.

D. The number of centers grew substantially between 2010 and 2014.

Which patient would the nurse expect to have the most difficulty with problem solving and decision making? A. an 18-year-old diagnosed with bulimia nervosa at age 14; has taken oral doses of fluoxetine (Prozac) daily for 3 years B. a 46-year-old diagnosed with schizophrenia at age 24; has taken oral doses of clozapine (Clozaril) daily for 18 years C. a 62-year-old diagnosed with bipolar disorder at age 28; has taken oral divalproex (Depakote) daily for 16 years D. a 52-year-old diagnosed with schizophrenia at age 21; has taken monthly injections of haloperidol (Haldol decanoate) for 12 years

D. a 52-year-old diagnosed with schizophrenia at age 21; has taken monthly injections of haloperidol (Haldol decanoate) for 12 years

In a staff meeting at an inpatient mental health facility for individuals, the administrator announces that psychiatric technicians will now be supervised by the mellieu director rather than by nurses. What is the nurse's best action? A. confer with colleagues about their opinions regarding the proposed change B. volunteer to participate on a committee charged with defining the job responsibilities of unlicensed assistive personnel C. ask the administrator to delay implementation of this change until the decision can be reviewed by an interdisciplinary team D. advise the administrator of regulations in the state nurse practice act regarding supervision of unlicensed assistive personnel

D. advise the administrator of regulations in the state nurse practice act regarding supervision of unlicensed assistive personnel

A colleague tells the nurse, "I have not been able to sleep for the past 3 days. I feel like a robot." What is the nurse's best action? A. direct the colleague to leave the facility immediately B. observe to administer medications to patients assigned to the colleague C. offer to administer medications to patients assigned to the colleague D. confer with the supervisor about the nurse's ability to safely deliver care

D. confer with the supervisor about the nurse's ability to safely deliver care

A charge nurse is conducting a class on therapeutic communication with a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? A. personal space B. posture C. eye contact D. intonation

D. intonation

A nurse working in an acute care unit for adolescents diagnosed with mental illness says, "Our patients have so much energy. We need some physical activities for them." In recognition of needs for safety and exercise, which activity could the treatment team approve? A. badminton tournament B. competitive soccer matches C. intramural basketball games D. line dancing to popular music

D. line dancing to popular music

A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological interventions? A. assist the client with systematic desensitization therapy B. teach the client appropriate coping mechanisms C. assess the client for comorbid health conditions D. monitor the client for adverse effects of medications

D. monitor the client for adverse effects of medications

A patient reports sleeplessness, fatigue, and sadness to the primary care provider. In our current health care climate, what is the most likely treatment approach that will be offered to the patient? A. group therapy B. individual psychotherapy C. complementary therapy D. psychopharmacological treatment

D. psychopharmacological treatment

A nurse in an acute mental health facility is communicating with a client. The client states, "I can't sleep. I stay up all night." The nursing responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques nurse demonstrates? A. offering general leads B. summarizing C. focusing D. restating

D. restating

A 55-year-old lives 100 miles from her parents and mother-in-law. In the past year, her father has back surgery, her mother broke her hip, and her mother-in-law has a cardiac event. Which nursing diagnosis is most applicable to the 55-year-old? A. Risk for dysfunctional grief relating impending deaths of parents B. risk for injury related to frequent long drives to care for aging parents C. risk for situational low self-esteem related to overwhelming responsibilities D. risk for caregiver stress related to responsibilities for care of aging parents

D. risk for caregiver stress related to responsibilities for care of aging parents

A nurse's sibling happily says, "I want to introduce you to my fiance. We're getting married in 6 months." The nurse has encountered the fiance in a clinical setting and is aware of the fiance's diagnosis of schizophrenia. What is the nurse's best response? A. in private, tell the sibling about the fiance's diagnosis B. encourage the sibling to postpone the wedding for at least a year C. ask the fiance, "Have you told my sibling about your mental illness?" D. say to the sibling and fiance, "I hope you will be very happy together."

D. say to the sibling and fiance, "I hope you will be very happy together."

The nurse prepares outcomes to the plan of care for an adult diagnosed with mental illness. Which strategy recognizes the current focus of treatment services for this population? A. the patient's diagnoses are confirmed using advanced neuroimaging techniques B. the nurse confers with the treatment team to verify the patient's most significant disability C. The nurse prioritizes the patient's problems in accordance with Maslow's hierarchy of needs D. the patient and family participate actively in establishing priorities and selecting interventions

D. the patient and family participate actively in establishing priorities and selecting interventions

A patient has been oppositional, demanding and resistant to working on goals. A mental health nurse tells the nursing supervisor, "We finally has a serious talk, I let that patient know it's time to get right with God and stop this behavior." Recognizing the nurse's actions were not acceptable, select the supervisor's responding action. A. review the facility policies regarding patient's rights with the nurse. B. ask the nurse about documentation related to this patient interaction C. schedule the nurse for a staff development activity on cultural sensitivity D. work with the nurse to prepare and analyze a process recording of the interaction

D. work with the nurse to prepare and analyze a process recording of the interaction

A distraught 8-year-old girl tells the nurse, "I had a horrible nightmare and was so scared. I tried to get in bed with my parents but they said, 'No.' I think I could have gone back to sleep if I had been with them." Which family dynamic is likely the basis of this child's comment? a. Boundaries in the family are rigid. b. The family has poor differentiation of roles. c. The girl is enmeshed in part of a family triangle. d. Generational boundaries in the family are diffuse.

a. Boundaries in the family are rigid.

An adult experiencing a recent exacerbation of ulcerative colitis tells the nurse, "I had an accident while I was at the grocery store. It was so embarrassing." Select the nurse's therapeutic response. a. "Most grocery stores have public restrooms available." b. "Tell me more about how you felt when that happened." c. "People usually have compassion about those types of events." d. "Your disease is now in remission so that is not likely to happen again."

b. "Tell me more about how you felt when that happened."

A neighbor telephones the nurse daily, giving lengthy details about multiple somatic complaints and relationship problems. Which limit-setting strategy should the nurse employ? a. Suggest the neighbor call other people in the community. b. Say to the neighbor, "I can talk to you for 15 minutes twice a week." c. Use the telephone's caller identification to screen calls from the neighbor. d. Tell the neighbor, "You should discuss these concerns with your personal physician rather than me."

b. Say to the neighbor, "I can talk to you for 15 minutes twice a week."

A nurse plans a group meeting for adult patients in a therapeutic milieu. Which topic should the nurse include? a. Coping with grief and loss b. The importance of hand washing c. Strategies for money management d. Staffing shortages expected over the next 3 days

b. The importance of hand washing

An adult plans to attend an upcoming tenth high school reunion. This person says to the nurse, "I am embarrassed to go. I will not look as good as my classmates. I haven't been successful in my career." Which comment by the nurse addresses this cognitive distortion? a. "You look fine to me. Do think you will have fun at your reunion?" b. "Everyone ages. Other classmates have had more problems than you." c. "Do you think you are the only person who has aged and faced difficulties in life?" d. "I think you are doing well in the face of the numerous problems you have endured."

c. "Do you think you are the only person who has aged and faced difficulties in life?"

A patient tells the community mental health nurse, "I told my health care provider I was having trouble sleeping and he prescribed trazodone 50 mg every night. I read on the internet that drug is an antidepressant, but I'm not depressed. What should I do?" Which response by the nurse is correct? a. "I will help you contact your health care provider for clarification regarding this new prescription." b. "Insomnia and depression usually go hand-in-hand. If your depression is relieved, your sleep will improve." c. "In low doses, trazodone helps relieve insomnia. Higher doses are needed for antidepressant effects to occur." d. "Information on the internet is often misleading and incorrect. It's more important to trust the judgment of your health care provider."

c. "In low doses, trazodone helps relieve insomnia. Higher doses are needed for antidepressant effects to occur."

In which nurse-patient interaction would it be appropriate for the nurse to consider using touch? a. Comforting a tearful patient of Japanese heritage b. Counseling a child who was physically abused by a parent c. Welcoming a person of Hispanic heritage to a new group session d. Interacting with a Native American who has a hearing impairment

c. Welcoming a person of Hispanic heritage to a new group session