Psych: Module 1 practice quiz

A nurse is having a conversation with a newly admitted client when the client suddenly stops talking. Which of the following responses should the nurse provide?

"I've noticed you have become quiet. Share with me what you are thinking when you are ready."

A nurse is discussing exercise activities with an acute care client who has schizophrenia and is overweight due to psychotropic medications. The client refuses to participate in an aerobic exercise class and instead requests to walk in the facility's gym. Which of the following responses should the nurse make?

"It sounds like you have come up with an alternative exercise that works for you."

A nurse is interacting with a client in the dayroom of an acute mental health facility. The client accuses the nurse of being "too bossy" and states the nurse does not have the right to pressure anyone. Which of the following responses should the nurse offer?

** tell me what I said to make you uncomfortable

A nurse is assessing a client who was recently admitted following a suicide attempt. Which of the following behaviors is the priority for the nurse to report to the adolescent's treatment team?

**giving away possessions

A nurse is assessing a client who has major depressive disorder. The client states, "I might as well be dead. I have always been a failure." Which of the following responses should the nurse make?

**lets discuss these feelings further

A nurse is teaching a parent who has admitted to verbally abusing his children about stress management techniques. Which of the following strategies is the nurse providing?

**primary prevention

A nurse is caring for a client whose adolescent child just died in a motor vehicle crash. The client is crying inconsolably. Which of the following actions should the nurse take?

**stay with the client and allow the client to cry

A nurse is caring for a client who just received a diagnosis of cancer. The client states, "I just don't know what I'm going to do now." Which of the following responses should the nurse make?

Can you explain the concerns you're having right now?

A nurse in a mental health clinic is beginning a counseling session with a client who is having difficulties in a personal relationship. The client states that she does not want to talk at all today. Which of the following responses should the nurse make?

How about I just spend some time with you instead? We don't have to talk.

A nurse enters a client's room and observes that the client is agitated and pacing rapidly. The client looks at the nurse and says, "Back off. Leave me alone." Which of the following statements should the nurse make?

I will give you space if you calm down. Tell me what is causing you to feel so tense

A nurse is caring for a client who was admitted to the mental health unit for substance use disorder. The client states, "I am a nurse on the medical-surgical floor, and I don't want my coworkers to know I have been diverting drugs." Which of the following actions should the nurse take?

Inform the client that the information will be shared with the treatment team.

A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and down the hall rapidly and muttering in an angry manner. Which of the following actions should the nurse perform first?

approach the client in a non threatening manner

A nurse is admitting a client who states he is hearing voices telling him what to do. Which of the following actions should the nurse take?

ask the client to repeat what the voices are saying

A nurse is performing a brief mental status examination for a client. To assess a client's ability to concentrate, the nurse should do which of the following?

ask the clients to name the months of the year in reverse

A nurse is caring for a client who spent the past several minutes mumbling about being "doomed to die" and is now pacing in an increasingly agitated and angry manner. Which of the following actions should the nurse take first?

attempt to reduce environmental stimuli

A nurse in an acute care mental health facility observes a client who has bipolar disorder begin to shout and use offensive language toward a visitor. Which of the following actions should the nurse take?

give the client 2 options for ending the situation

A client recently diagnosed with terminal cancer states to the nurse, "I wish I were dead. I have no reason to live." Which of the following responses should the nurse make?

have you been thinking of hurting yourself?

A nurse is caring for a client who attends family counseling with his partner and their children. The client tells the nurse that he will not attend any more sessions and states, "I don't have time for all that talking." Which of the following responses should the nurse provide?

it must be difficult for you to talk about family problems

A nurse is providing support for a client who is grieving the loss of her mother who died from Alzheimer's disease. Which of the following statements should the nurse make?

it must be very difficult to deal with your mothers death

A nurse is interviewing an older adult client about possible abuse by her caregiver. Which of the following techniques should the nurse use?

maintain a non-judgmental tone

A client states, "I haven't seen my child for 2 weeks." The nurse responds, "Your child has not visited you for 2 weeks?" Which of the following communication techniques is the nurse using?

restating

A nurse is caring for a client who has severe anxiety disorder and is in a state of panic in the dayroom. Which of the following actions should the nurse take?

speak to the client in a calm voice

A nurse is speaking with a client whose partner was killed unexpectedly. The client states, "I just don't know what to do now." Which of the following actions should the nurse take?

talk to the client about available community resources

A nurse is caring for a client who has Alzheimer's disease and becomes agitated while refusing morning hygiene care. Which of the following actions should the nurse take?

talk to the client with 2 arms length away

A nurse is caring for a client who has depression. The nurse observes that the client has not come to breakfast and is still in bed. The client states, "I'm not worth your time. Leave me alone and go help someone else." Which of the following responses should the nurse make?

you seem to be saying that you feel unworthy of help