Content Area: Psych / Mental Health
An individual with a history of verbal and physical abuse of others is beginning to demonstrate aggressive behavior toward a visitor. Place the following nursing interventions in the appropriate order to best ensure milieu safety.
1st. Calmly addressing the individual by name to redirect the client's attention 2nd. Suggesting to the client " Walk with me to your room." 3rd. Firmly state the aggressive behavior is not tolerated 4th. Explaining that the client will be placed in seclusion if the aggressive behavior 5th. Reassuring the client that the stuff will help control the agressiveness.
A client with schizophrenia who has auditory hallucinations is withdrawn and apathetic. What should the nurse say to involve this client in an activity? 1. "You'll get a reward if you go to the gym." 2. "Would you like to participate in the group walk today?" 3. "Those voices you hear would like it if you did a little exercise." 4. "There's a positive relationship between exercise and good mental health."
2. Would you like to participate in the group walk today.
The nurse suggests counseling for a 13-year-old whose close friend has just committed suicide. The nurse's intervention is based on the understanding that an adolescent is at risk for copycat suicide mainly because members of this age group exhibit which characteristic? 1. Generally have poor impulse control 2.Have had few experiences with mortality 3. Often forge very close peer relationships 4. Typically mimic the behavior of their peers
1. Generally have poor impulse control
What should the nurse do when interacting with an adolescent client with the diagnosis of anorexia nervosa? 1.Set limits. 2. Maintain control. 3. Demonstrate sympathy. 4. Focus on a healthy diet
1.Set limits.
A single mother of two children who recently lost her job because her company is downsizing comes to the emergency department. The woman does not know what to do and is in crisis. The most critical factor for the nurse to determine during crisis intervention is the client's what? 1. Developmental history 2. Available situational supports 3. Underlying unconscious conflict 4. Willingness to restructure the personality
2. Available situational supports
When determining whether a client has anorexia nervosa or bulimia nervosa, the nurse should identify those characteristics that relate only to anorexia nervosa. Select all that apply. Cachexia Binge eating Constipation Intolerance of heat Delayed psychosexual development
Delayed psychosexual development Cachexia
An adolescent with the diagnosis of antisocial personality disorder is admitted to the hospital after ingesting 20 tablets of an anxiolytic. When obtaining the client's history, the nurse learns that there was an arrest for drug use and that the client is out on bail. During visiting hours the nurse discovers the client and visitors smoking marijuana in the hall. When confronted, the client responds, "I'm celebrating. Didn't you hear? I went to trial today and just got put on probation." What is the best response by the nurse? 1. "You were lucky you just got probation, so don't get right back into trouble." 2. "I understand your relief about the trial, but smoking pot is against the rules." 3. "It's important that you and your friends join the other visitors in the dayroom." 4. "If you can't follow the rules against drug use on the unit, your visiting privileges will be canceled."
4. "If you can't follow the rules against drug use on the unit, your visiting privileges will be canceled."
