holistic unit 1 fall 2022 mental psychiatric quiz pt 2
A 19-year-old calls the clinic and tells the practical nurse (PN) that since bringing her newborn infant home, she has felt apathetic, fatigued, and helpless. She states, "I don't know what's expected of me." What action is most important for the PN to take? a-Tell the charge nurse to come to the phone and talk with the client. b-Direct the client to come to the clinic for mother-baby care instructions. c-Ask the client if she has been experiencing any hallucinations. d-Determine if the client is feeling sad and having suicidal thoughts.
a
A client diagnosed with Stage 3 Alzheimer's disease is experiencing difficulty toileting appropriately. What instruction is best for the practical nurse (PN) to provide the family? a-Label the client's bathroom door. b-Place the client in disposable diapers. c-Make sure the client does not eat nonfood items. d-Question the client often about the urge to void or defecate.
a
A female client arrives in the clinic carrying a duffle bag and is wearing torn and dirty clothes. She tells the practical nurse (PN) she has no place to go. The PN takes her vital signs and observes leg ulcers on both lower extremities. What additional information should the practical nurse obtain to determine if she is homeless? a-Ask the client directly about her living arrangements. b-Question whether the client brought someone with her. c-Elicit her home address during the mental status exam. d-Avoid discussing her living arrangements during care.
a
Which part of the client's plan of care is the practical nurse (PN) implementing when plans are used to increase a male client's participation in his own care and social environment? a-Client autonomy. b-The therapeutic community. c-The nurse-client relationship. d-The multidisciplinary mental health team.
b
A client with delusions of persecution has been refusing all hospital meals for the last 3 days and tells the practical nurse that the food contains poison. What action should the PN implement? a-Taste a small portion of the food in front of the client. b-Obtain a prescription for nasogastric nutrition. c-Provide foods in the original closed containers. d-Allow the client to place a food order for delivery.
c
An older client who is hospitalized with pneumonia becomes disoriented and confused 2 days after admission. Which factor should the practical nurse (PN) identify to differentiate that the client is experiencing delirium, not dementia? a-Impaired memory. b-Clear awareness of surrounding. c-Unrelated to a specific cause. d-Acute onset of symptoms.
d
The practical nurse (PN) is caring for a female client with chronic psychosis who repeatedly tells the PN that her arm is missing and she cannot participate in the group activities. Which response should the PN offer when providing reality validation with the client? a-I see your arm is right there. b-Let's not focus on that right now. c-If your arm is missing, how can you feed yourself? d-Do you mean, it feels like your arm is missing?
d
A male client is admitted with major depression and tells the practical nurse (PN) that he feels like a freak since he is being admitted to a psychiatric unit in the hospital. He feels like he is the only one with this problem. Which information should the PN provide the client? a-Mental illness runs in families and effects many family members. b-Comparing yourself with others doesn't help you and only makes things worse. c-About 50% of the population between the age of 15 and 55 have had a psychiatric disorder. d-Remember you are not to blame for your psychiatric illness and hospitalization.
c
Which finding should the practical nurse (PN) identify in a 10-year-old client who is diagnosed with attention deficit hyperactivity disorder (ADHD)? a-Crying when separated from parents and siblings. b-Refusing to pick up toys as instructed by parents. c-Fascination with spinning and moving toys and objects. d-Inability to concentrate long enough to complete school work.
d
A client who is admitted for surgery seems to focus only on his immediate concerns and asks the practical nurse (PN) to repeat everything that is said over again. The client seems to follow directions but asks for assistance when filling out admission forms and checklists. He apologizes to the PN often and says he did not hear all of the instructions. This client is experiencing which level of anxiety? a-Mild. b-Panic. c-Severe. d-Moderate.
c
The nurse who is leading a group therapy session is called to manage a unit emergency and assigns the practical nurse (PN) as the leader of the group. During the therapeutic session, a client challenges the PN as the leader. Which response should the practical nurse (PN) communicate? a-You are saying that I should not be the leader? b-Let's vote and see who should be the leader. c-So, you do not like me or my leadership style? d-You will not be the group leader ever.
a
The practical nurse (PN) is caring for a male client with schizophrenia who is exhibiting forgetfulness, disinterest in activities, and difficulty completing tasks. Which intervention should the PN implement? a-Provide a structured schedule of activities on the unit. b-Direct the client to pay his own household bills. c-Encourage the client to go to the day room to work a puzzle. d-Enroll the client in three therapeutic group sessions each day.
a
Which finding should the practical nurse (PN) report immediately when talking with a new mother who is diagnosed with postpartum depression with psychotic features? a-Thoughts of harming her infant. b-Personal hygiene neglect. c-Outbursts of anger. d-Disinterest in her husband.
a
A female client tells the practical nurse (PN) that she wants to lead a healthier, more balanced life style. She asks the PN how she should begin the process of self-exploration. Which message should the PN convey? a-If someone is a victim of circumstances, unhealthy coping is often beyond one's control. b-Each adult is responsible for one's own behaviors, including unhealthy behaviors. c-Significant life-style changes are easier followed if professional guidance is sought. d-The first step is to focus on changing attitudes and behaviors of significant others.
b
A male client is admitted to the hospital with distorted sensory perceptions, disordered thoughts, and an increase in non-goal directed motor activity. The client does not respond to the practical nurse's (PN) calming efforts. What is the next intervention the PN should initiate? a-Decrease environmental stimuli. b-Ensure the environment is safe. c-Respect the client's personal space. d-Encourage the client to express feelings.
b
The practical nurse (PN) is caring for a male client who is admitted for schizophrenia and observes that his thoughts do not flow logically and he uses invented words. How should the PN document this behavior? a-Interacts with others using child-like expressions. b-Uses neologisms and tangential expressions. c-Demonstrates rapid speech while anxious. d-Responds with defensive language to cope with others.
b
The practical nurse (PN) is inquiring about coping strategies with a male client who is admitted for alcohol abuse. The client tells the PN that his job skills and communication skills are his best assets and support. Which additional information should the PN obtain about maladaptive mechanisms? a-Family support. b-Self indulgence. c-Financial security. d-Daily stressors.
b
What approach is best for the practical nurse (PN) to use when establishing a relationship with a severely socially withdrawn male client diagnosed with schizophrenia? a-Read to the client from the daily newspaper to promote orientation. b-Sit with the client in silence several times a day. c-Ask the client questions about the thoughts that he is having. d-Use therapeutic touch by placing a hand on the client's arm occasionally.
b
The practical nurse (PN) is answering questions that the mother and her teenage daughter who is admitted with anorexia nervosa are asking about hospitalization. Which statement by the client's mother indicates to the PN that she understands this disease? a-My daughter just doesn't have much of an appetite right now. b-She is trying to punish me for my recent divorce from her father. c-She sees herself as being very fat even though she is severely underweight. d-There really isn't anything to worry about since most girls want to be very thin.
c
When the mother of a young child is diagnosed with HIV, she asks the practical nurse (PN), "Who will take care of my children if I die soon?" What response is best for the PN to provide? a-"Surely you have a friend or family member who can help you in this time of need." b-"Where is the father of your children? Surely he will want to help with the care of his children." c-"This is an important consideration, but you may live until they are grown up or even longer." d- "I can see that you are very concerned. Would you like me to call the chaplain to talk to you?"
c
A 20-year-old male client who is admitted to the mental health unit for an adjustment disorder is telling the practical nurse (PN) that he wants to find an apartment, but he is afraid he does not make enough money to move out of his parent's home. Using Erikson's theory of psychosocial development, which developmental stage should the PN explore with this client? a-Physical and social losses. b-Feelings of guilt or frustration. c-Mastery of physical motor skills. d-Sense of freedom in the community.
d
An older male client who has vision and hearing problems is admitted after a combative incident with his caregivers. Which intervention should the practical nurse (PN) implement when providing basic care? a-Ask the healthcare provider for a prescription to use restraints. b-Perform tasks quickly to reduce risks to caregivers. c-Explain to the client that this is unacceptable behavior. d-Obtain the client's attention and consent before starting care.
d
During a prenatal visit, a client who is in the second trimester of pregnancy tells the practical nurse (PN) that she is using cocaine. What information about cocaine is most important for the PN to provide the client? a-CNS stimulants increase fetal heart rate and intrauterine movement. b-Eat foods high in iron and protein if a decrease in appetite occurs. c-Counseling should be sought to learn alternative coping behaviors. d-Cocaine can cause miscarriage or premature onset of labor. Submit
d
During a routine prenatal clinic visit, the practical nurse (PN) is assessing a pregnant female client who expresses fears of spousal abuse. Which information should the PN provide to facilitate client disclosure? a-Provide her with a reflection of her apparent unhappiness and uncertainty about pregnancy. b-Tell her that spousal abuse can be supported by evidence of old fractures seen on x-rays. c-Encourage her to share incidents of past abuse so her personal safety can be addressed. d-Share with client that her situation is not unique and abuse often increases with pregnancy.
d
Which nursing intervention is best to help a female client with progressive memory deficit? a-Promote the client's sense of humor by telling jokes and discussing cartoons. b-Avoid frustrating the client by performing routine activities of daily living for her. c-Stimulate the client intellectually by bringing new topics to her attention. d-Assist the client to perform simple tasks by giving step-by-step directions.
d
