ATI Mental Health (11th Ed)
A nruse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90lbs. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? A. Life isn't' worth living if I gain weight B. Don't pretend like you don't know how fat I am C. If I could be skinny, I know I'd be popular D. When I look in the mirror I see myself as obese
A
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 this 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
A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is expected from a client who has this type of personality disorder? A. I'm scared that you're going to leave me B. I'll go to group therapy if you'll let me smoke C. I need to feel that everyone admires me D. I sometimes feel better if I cut myself
A
A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nruse include in the assessment? (SATA) A. What is your relationship like with your family B. Why do you want to lose weight C. Would you describe your current eating habits? D. At what weight do you believe you will look better? E. Can you discuss your feelings about your appearance?
A, C, E
A home health nurse is making a visit to a client who has Alzheimers disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client's risk for injury A. Install extra locks at the top of exit doors B. Place rugs over electrical cords C. Put cleaning supplies on the top of a shelf D. Place the client's mattress on the floor E. Install light fixtures above the stairs
A, D, E
A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect (SATA) A. Excessive worry for 6 months B. Impulsive decision making C. Delayed reflexes D. REstlessnes E. Sleep disturbance
A, D, E
A nurse is planning care for a client following surgical implantation of a VNS device. the nurse should plan to monitor for which of the following adverse effects? (SATA) A. voice changes B. Seizure activity C. Disorientation D. Cough E. Neck pain
A, D, E
A nure is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include when of the following statements when teaching the client about the medication? A. You should avoid taking over the counter acetaminophen while on donepezil. b. You should take this medication before going to bed at the end of the day C You will be screened fo underlying kidney disease prior to starting donepezil D. You should stop taking donepezil if you experience nausea or diarrhea.
B
A nurse decides to put a client who has a psychotic disorder in seclusion overniht because the unit is very short-staffed, and the client frequently fights with other clients. The nurses's actions are an example of which of the following torts? A. Invasion of privacy B. False imprisonment c. Assault D. Battery
B
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the oflllowing actions should the nurse take first.? A. Notify the nurse manager B. Tell the nurse to stop discussing the behavior C. Provide an in0service program about confidentiality D. Complete and incident report
B
A nurse is an outpatient mental health clinic is preparing to conduct an initial client interview. When conduction 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 clients family in the interview D. Teach the client about their current mental health disorder
B
A nurse is caring for a client on an acute mental health unit. The client reports hearing voices that are stating, Kill your doctor. Which of the following actions should the nurse take first? A. Encourage the client to participate in group therapy on the unit B. Initiate one to one observation of the client C. Focus the client on reality D. Notify the provider of the client's statement
B
A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? (SATA) A. Hypotension B. Paralytic ileus C. Memory loss D. Polyuria E. Confusion
C and E
A nurse is assisting with a court ordered evaluation of a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (SATA) A. Demonstrates extreme anxiety when placed in a social situation B. Often engages in magical thinking C. Attempts to convince other clients to relinquish their belongings D. Becomes agitated if personal area is not neat and orderly E. Blames others for personal past and current problems.
C and E
A nurse is caring for a client who has generalized anxiety disorder and is experiencing severe anxiety Which of the following statements actions should the nurse make? A. Tell me about how you are feeling right now B. You should focus on the positive things in your life to decrease your anxiety C. Why do you believe you are experiencing this anxiety? D. Let's discus the medications your provider is prescribing to decrease your anxiety
A
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
A nurse is planning care for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first? A. Assess the client's risk for self harm B. Instill hope for positive outcomes C. Encourage the client to participate in group therapy sessions D. Assist the client to participate in treatment decisions
A
A nurse is planning care for 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
A nurse is preparing an educational seminar on stress for other nursing staff. Which of the following information should the nurse include in the discussion? A. Excessive stressors cause the client to experience distress B. The body's initial adaptive response to stress is denial C. Absence of stressors results in homeostasis D. Negative, rather than positive, stressors produce a biological response
A
A nurse is reviewing the medical record of a client who has conversion disorder. Which of the following findings should the nurse identify as placing the client at risk for conversion disorder? A. Death of a child 2 months ago B. Recent weight loss of 30lbs C. Retirement 1 year ago D. History of migraine headaches
A
A nurse is teaching a client about stress reduction techniques. Which of the following client statements indicates understanding of the teaching. A. Cognitive reframing will help me change my irrational thoughts to something positive. B. Progressive muscle relaxation uses a mechanical device to help me gain control over my pulse rate C. Biofeedback causes my body to release endorphins so that I feel less stress and anxiety D. Mindfulness allows me to prioritze the stressors that I have in my life so that I have less anxiety
A
A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurses's priority? A. Placing the client on one-to-one observation B. Assisting the client to perform ADLs C. Encouraging the client to participate in counseling D. Teaching the client about medication adverse effects
A
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 (SATA) A. To assess cognitive ability, I should ask the client to count backward by sevens B. To assess affect, I should observe the clients' facial expression C. To assess language ability I should instruct the client to write a sentence D. To assess 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, B, C
A nurse is assessing a client who has illness anxiety disorder. Which of the following are expected for this disorder (SATA) A. Obsessive thought about disease B. History of childhood abuse C. Avoidance of health care providers D. Depressive disorder E. Narcissistic personality
A, B, C, D
A nurse is working in a community mental health facility. Which of the following services does this type of program provide? (SATA) A. Educational groups B. Medication dispensing programs C. Individual counseling programs D. Detoxification programs E. Family therapy
A, B, C, E
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? (SATA) A. Priority restructuring B. Monitoring thoughts C. Diaphragmatic breathing D. Journal keeping E. Meditation
A, B, D
A nurse is caring for a client who has substance induced psychotic disorder and is experiencing auditory hallucinations. The client states, the voices won't leave me alone. Which of the following statements should the nurse make? (SATA) A. When did you start hearing these things B. The voices are not real, or else we would both hear them C. It must be scary to hear voices D. Are the voices you hear telling you to hurt yourself? E. Why are the voices talking to only you
A, C, D
A nurse is working on an acute mental health unit is caring for a cinet who has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect (SATA). A. Difficulty concentrating on tasks B. Obsessive need to talk about the traumatic event C. Negative self image D. Recurring nightmares E. Diminished reflexes
A, C, D
A nurse is completing an admission assessment for a client who has schizophrenia. which of the following findings should the nurse comment as positive symptoms (SATA). A. Auditory hallucination B Lack of motivation C. Use of clang associations D. Delusion of persecution E. Constantly waving arms F. Flat affect
A, C, D, E
A charge nurse is preparing a staff education session on personality disorders. which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? (SATA) A. Difficulty in getting along with other members of a group B. Belief in the ability to become invisible during times of stress C. Display of defense mechanisms when routines are changed D. Claiming to be more important than other persons E. Difficulty understanding why it is inappropriate to have a personal relationship with staff
A, C, E
A nurse is caring for a client who has bipolar disorder. The client states, I am very rick, and I feel I must give my money to you. Which of the following responses should the nurse make? A. why do you think you feel the need to give money away B. I am here to provide care and cannot accept this from you C. I can request that your case manager discuss appropriate charity options with you D. You should know that giving away your money is inappropriate
B
A nurse is caring for a client who has borderline personality disorder. The client says, The nurse on the evening shift is always nice! You are the meanest nurse ever! The nurse should recognize the client's statement as an example of which of the following defense mechanisms? A. Regression B. Splitting C Undoing D. Identification
B
A nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates the client is experiencing depersonalization? A. I am a superhero and am immortal B. I am no one, and everyone is me c. I feel monsters pinching me all over D. I know that you are stealing my thoughts
B
A nurse is caring for a client who smoke and has long 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
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 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 a scheduled monthly antipsychotic injection for schizophrenia C. A client in a day 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 nurse is conducting a family therapy ession. The younger child tells the nure 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 follwoing? A. Placation B. Manipulation C. Blaming d. Distraction
B
A nurse is in the working phase of a therapeuitc 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 together 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
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
A nurse is speaking with a client who has schizophrenia when the client suddenly seems to stop focusing on the nurse's questions and begins looking at the ceiling and talking to themselves. Which of the following actions should the nurse take. A. Stop the interview at this point, and resume later when the client is better able to concentrate B. Ask the client, Are you seeing something on the ceiling. C. Tell the client, You seem to be looking at something on the ceiling, I see something there too. D. Continue the interview without comment on the client's behavior
B
A nurse is talking with a client who reports experiencing increased stress because a new partner is pressure me and my kids to go live with him. I love him, but I'm not ready to do that. Which of the following recommendations should the nurse make to promote a change in the client's situation? A. Learn to practice mindfulness B. Use assertiveness techniques C. Exercise regularly D. Rely on the support of a close friend
B
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 addres my conscious feelings about stressful experiences
B
A nurse working in a ED is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? A. Administer flumazenil B. Identify the client's level of orientation C. Infuse IV fluids D. Prepare the client for gastric lavage
B
A nurse is discussing the factors for somatic symptom disorder with a newly licensed nurse. Which of the following risk factors should the nurse include? (SATA) A. Age older than 65 years B. Anxiety disorder C, Childhood trauma D. CAD E. Obesity
B and C
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? (SATA) A. Reassure the client that everything will be ok B. Discuss prior use of coping mechanisms with the client C. Demonstrate a calm manner while using simple and clear directions D. Gather information from the client using closed-ended questions
B and D
a nurse is caring for a client who is in mechanical restraints. Which of the following statments should the nruse include in the documentation? (SATA) A. Client ate most of their breakfast B. Client was offered 8oz of water every hour C. Client shouted obscenities at assistive personnel D. Client received chlorpromazine 15mg by mouth at 1000 E. Client acted out after lunch
B, C, D
A nurse is caring for a client who has major depressive disorder. Which of the following should the nurse identify as a risk factor for depression? (SATA) A. Male sex B. History of chronic bronchitis cC. Recent death in client's family D, Family history of depression E. Personal history of panic disorder
B, C, D, E
A NURSE IS PLANNING CARE FOR A CLIENT WHO HAS BIPOLAR DISORDER AND IS EXPERIENCING A MANIC EPISODE. WHICH OF THE FOLLOWING INTERVENTIONS SHOULD THE NURSE INCLUDE IN THE PLAN OF CARE (SATA) A. Provide flexible client behavior expectations B. Offer concise explanations C. Establish consistent limits D. Disregard client concerns E. Use a firm approach with communication
B, C, E
A nurse is discussing acute v prolonged stress with a client. Which of the following effects should the nurse identify as an acute stress response (SATA) A. Chronic pain B Depressed immune system C. Increased blood pressure D. Panic attacks E. Unhappiness
B, C, E
A nurse is involved in a serious and prolonged mass casualty incident in the ED. Which of the following strategies should the nurse use to help prevent developing a trauma related disorder (SATA) A. Avoid thinking about the incident when it is over B. Take breaks during the indicent for food and water C. Debrief with others following the incident D. Avoid displays of emotion in the days following the incident E. Take advantage of offered counseling
B, C, E
A nurse is performing ad admission assessment for a client who has delirium related to an acute urinary tract infection. Which of the following findings should the nurse expect? (SATA) A. History of gradual memory loss B. Family report of personality changes C. Hallucinations D. Unaltered level of consciousness E. Restlessness
B, C, E
A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase (SATA). 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, C, E
A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? A. Amenorrhea B. Hypokalemia C Yellowing of the skin D. Slightly elevated body weight E. Presence of lanugo on the face
B, D
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawawl. Which of the following findings should the nurse expect? (SATA) A. Bradycardia B. Fine tremors of both hands c. Hypotension D. Vomiting E. Restlessness
B, D, E
A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching? (SATA) A. Use caffeine in moderation to prevent relapse B. Difficulty sleeping can indicate a relapse C. Begin taking your medications as soon as a relapse begin D. Participating in psychotherapy can help prevent a relapse E. Anhedonia is a clinical manifestation of a depressive relapse
B, D, E
A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicates an understanding of the teaching (SATA) A. We need to understand that our sibling is responsible for their disorder B. Eliminating codependent behavior will promote recovery C. Our sibling should participate in Al-Anon group to assist with recovery D. The primary goal of treatment is abstinence from substance abuse E. Our sibling needs to discuss personal feelings about substance use to help with recovery
B, D, E
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? (SATA) 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 pharmacological treatment for mental health disorders D. The DSM-5 assists nurses in planning care for client's who have mental health disorders E. The DSM-5 indicates expected assessment findings of mental health disorders
B, D, EA n
A charge nurse is discussing the care of a client who has major depressive disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching. A. Care during the continuation phase focuses on treating continued manifestations of MDD B. The treatment of MDD during the maintenance phase lasts for 6-12 weeks C. The client is at greatest risk for suicie during the first weeks of an MDD episode D. Medication and psychotherapy are most effective during the acute phase of MDD
C
A client tells a nurse, Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always threatening me. Which of the following actions 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 it concerns the 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 intention to do so.
C
A nurse at an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires 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 metal rod D. A client who has bipolar disorder and paces quickly around the room while talking to themselves
C
A nurse caring for a client who has anorexia nervosa. Which of the following example demonstrates the nurse's use of interpersonal communication? A. The nurse discusses the client's weight loss during a health care team meeting B. The nurse examine 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 educational session about anorexia nervosa to a large group of adolescents.
C
A nurse is an acute mental health facility is assisting with discharge planning for a client who ha 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 from 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
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
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. Demonstrate riding in an elevator, and then 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
A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? A. Chlordiazepoxide B. Bupropion C. Disulfiram D. Carbamazepine
C
A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse about fears of gaining weight. Which of the following responses should the nurse make? A. Many clients are concerned about their weight. However, the dietitian will ensure that you don't get too many calories in your diet B. Instead of worrying about your weight, try to focus on other problems at this time C. I understand you have concerns about your weight, but first, let's talk about your recent accomplishments D. You are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. We know that is important to you
C
A nurse is caring for a client who has derealization disorder. Which of the following findings should the nruse identify as an indication of derealization? A. The client describes a feeling of floating above the ground. B. The client has suspicions of being targeted in order to be killed and robbed C. The client states that the furniture in the room seems to be small and far away D. The client cannot recall anything that happened during the past 2 weeks.
C
A nurse is caring for a client who is to begin taking fluoxetine for treatment of panic disorder. Which of the following statements indicates the client understands the use of this medication A. I will take the medication at bedtime B. I will follow a low-sodium diet while taking this medication C. I will need to discontinue this medication slowly D. I will be at risk for weight loss with long term use of this medication
C
A nurse is counseling several clients. Which of the following client statements should the nurse identify as expected for factitious disorder imposed on another? A. I had to pretend I was injured in order to get disability benefits B. I know that my abdominal pain is caused by a malignant tumor C. I needed to make my child sick so that someone else would take care of them for awhile D. I became deaf when I heard that my partner was having an affair with my best friend
C
A nurse is interviewing a client who has a new diagnosis of persistent depressive disorder. Which of the following findings should the nurse expect? A. Wide fluctuations in mood B. Report of a minimum of five clinical findings of depression C. Presence of manifestations for a least 2 years D. Inflated sense of self-esteem
C
A nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion? A. Borderline personality disorder B. Acute withdrawal related to a substance use disorder C. Bipolar disorder with rapid cycling D. Dysphoric disorder
C
A nurse is making a home visit to a client who is in the late stage of Alzheimer's disease. The client's partner, who is the primary caregiver wishes to discuss concerns about the client's nutrition and the stress of providing care. Which of the following actions should the nurse take? A. Verify that a current power of attorney document is on file. B. Instruct the client's partner to offer finger foods to increase oral intake C. Provide information on resource for respite care D. Schedule the client for placement of an enteral feeding tube
C
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
A nurse is planning a staff education program on substance use in older adults. Which of the following information should the nurse include in the pesentation? A. Older adults require higher doses of a substance to achieve a desired effect B. Older adults commonly use rationalization to cope with a substance use disorder C. Older adults are an an increased risk for substance use following retirement D. Older adults develop substance use to mask manifestations of dementia
C
A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority? A. Orient the client frequently to time, place, and person B. Offer fluids and nourishing diet as tolerated C. Implement seizure precautions D. Encourage participation in group therapy sessions
C
A nurse is planning care for several client show are attending a 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 atytpsychotic medication due to some new adverse effect 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 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
A nurse is teaching a client who has a new diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following statements by the client indicates understanding of the teaching. A. I can expect my problems with PMDD to be worse when I'm menstruating B. I should avoid exercising when I am feeling depressed C. I am aware that my PMDD cause me to have rapid mood swings D. I should increase my calorie intake with a nutritional supplement when my PMDD is active
C
A nurse is teaching a newly licensed nurse about the use of ECT for the treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding? A. ECT is the recommended initial treatment for bipolar disorder B. EC T is contraindicated for clients who have suicidal ideation C. ECT is effective for clients who are experiencing severe mania D. ECT is prescribed to prevent relapse of bipolar disorder
C
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 nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. I can promote my client's sense of control by establishing a schedule B. I should encourage clients who have a schizoid personality disorder to increase socialization C. I should practice limit setting to help prevent client manipulation D. I should implement assertiveness training with clients who have antisocial personality disorder
C
A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? A. Narcissistic behavior B. Fear of rejection from staff C. Attempt to reduce anxiety D. Adverse effect of antidepressant medication
C
A nurse on an acute mental health unit forms a group to focus on self-management of medications. At each of the meetings, 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
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 the technique C. Asks for group suggestions of techniques an then supports discussion D. Suggests techniques and asks group members to reflect on their use
C
a community mental health nurse is planning care to address the issue of depression among older adult clients 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 rehabilitation programs to decrease the effects of depression D. Providing support groups for clients at risk for depression
C
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 (SATA) A. The needs of both participants are met B. An emotional commitment exists between the participants C. Behavioral change is encouraged D. A termination date is established E. It is goal directed
C, D, E
A charge nurse is discussing TS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching. A. TMS is indicated for clients who have schizophrenia spectrum disorders B. I will provide postanesthesia care following TMS C. TMS treatments usually last 5-10 minutes D. I will schedule the client for TMS treatments 3-5 times a week for the first several weeks
D
A nurse in a long term care facility is caring for a client who has a major neurocognitive disorder and attempts to wanter out of the building. The client states, I have to get home. Which of the following statements should the nurse make? A. You have forgotten that this is your home B. You cannot go outside without a staff member C. Why would you want to leave? Aren't you happy with your care? D. I am your nurse. Let's walk together to your room.
D
A nurse in an acute mental health facility is planning care for a client who has dissociative fugue. Which of the following interventions should the nurse add to the plan of care? A. Teach the client to recognize how stress brings on a personality change in the client B. Repeatedly present the client with information about past events. C. Make decisions for the client regarding routine daily activities D. Work with the client on grounding techniques
D
A nurse is an acute mental health facility is communicating with a client. The client states, I can't sleep. I stay up all night. The nurse responds, You are having difficulty sleeping? Which of the following therapeutic communication techniques is the nurse demonstrating? A. Offering general leads B. Summarizing C. Focusing D.. Restating
D
A nurse is caring for a cient who states, I'm so stressed at work because of my coworker. I am expected to finish others' work because of their laziness. When discussing effective communication, which of the following statements by the client to the coworker indicates client understanding? A. You really should complete your own work. I don't think it's right to expect me to complete your responsibilities. B. Why do you expect me to finish your work? You must realize that I have my won responsibilities. C. It is not fair to expect me to complete your work. If you continue, then I will report your behavior to our supervisor. D. When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities.
D
A nurse is caring for a client who has bipolar disorder. Which of the following is the priority nursing action? A. Set consistent limits for expected client behavior B. Administer prescribed medications as scheduled C. Provide client with step by step instructions during hygiene activities D. Monitor the client for escalating behavior
D
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? A. Discuss new relaxation techniques B. Show the client how to change the behavior C. Distract the client with a television show. D. Stay with the client and remain quiet
D
A nurse is collecting an admission history for a client who has acute stress disorder. Which of the following client behaviors should the nurse expect? A. The client remembers many details about the traumatic incident. B. The client expresses heightened elation about what is happening C. The client remembers first noticing manifestations of the disorder 6 weeks after the traumatic incident occurred D. The client expresses a sense of unreality about the traumatic incident
D
A nurse is developing a plan of care for a client who has conversion disorder. Which of the following actions should the nurse include? A. Encourage the client to spend time alone in their room B. Monitor the client for self harm once per day C. Allow the client unlimited time to discuss physical manifestations D. Discuss alternative coping strategies with the client
D
A nurse is discussing free association as a therapeutic tool with a client who has major depressive 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
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 intervention 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
A nurse is planning care for a client who has anorexia nervosa with binge eating and purging behavior. Which of the following actions should the nurse include in the client's plan of care? A. Allow the client to select preferred meal times B. Establish consequences for purging behavior C. Provide the client with a high fat diet at the start of treatment D. Implement one to one observation during meal times
D
A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of JDD> Which of the following client statements indicates understanding of the teaching? A. It is common to treat depression with ECT before trying medication B . I can have my depression cured if I receive a series of ECT treatments C. I should receive ECT once a week for 6 weeks D. I will receive a muscle relaxant to protect me from injury during ECT
D
A nurse is talking with the 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
A nurse is teaching a client who has a new prescription for alprazolam for generalized anxiety disorder. Which of the following information should the nurse provide? A. Three to six weeks of treatment is required to achieve therapeutic benefit B. Combining alcohol with alprazolam will produce a paradoxical response C. Alprazolam has a lower risk for dependence than other antianxiety medications D. Report confusion as a potential indication of toxicity
D
