nur 201

1. Restating2. Listening4. Maintaining neutral responses5. Providing acknowledgment and feedback

The nurse in the mental health unit plans to use which therapeutic communication techniques when communicating with a client? Select all that apply. 1. Restating 2. Listening 3.Asking the client "Why?" 4. Maintaining neutral responses 5. Providing acknowledgment and feedback 6.Giving advice and approval or disapproval

1. Contact the client's health care provider (HCP).

A client admitted voluntarily for treatment of an anxiety disorder demands to be released from the hospital. Which action should the nurse take initially? 1. Contact the client's health care provider (HCP). 2. Call the client's family to arrange for transportation. 3. Attempt to persuade the client to stay "for only a few more days." 4. Tell the client that leaving would likely result in an involuntary commitment

3. "You're feeling angry that your family continues to hope for you to be cured?"

A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic? 1. "Have you shared your feelings with your family?" 2. "I think we should talk more about your anger with your family." 3. "You're feeling angry that your family continues to hope for you to be cured?" 4. "You are probably very depressed, which is understandable with such a diagnosis."

1. Using open-ended questions and silence

A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat? 1. Using open-ended questions and silence 2. Sharing personal preference regarding food choices 3. Documenting reasons why the client does not want to eat 4. Offering opinions about the necessity of adequate nutrition

D

A client has made serveral inappropriate comments about the RN's physical appearance and has been flirtatious the RN takes what action?A) Ignore the client's commentsB) Only interact with the client when necessaryC) Request the Charge RN to assign client's care to another RND) Tell the their actions are inappropriate and makes the RN feel uncomfortable.

4. "You've been feeling like a failure for a while?"

A client with a diagnosis of depression who has attempted suicide says to the nurse, "I should have died. I've always been a failure. Nothing ever goes right for me." Which response by the nurse demonstrates therapeutic communication? 1. "You have everything to live for." 2. "Why do you see yourself as a failure?" 3. "Feeling like this is all part of being depressed." 4. "You've been feeling like a failure for a while?"

4. White blood cell count

A client with schizophrenia has been started on medication therapy with clozapine. The nurse should assess the results of which laboratory study to monitor for adverse effects from this medication? 1. Platelet count 2. Blood glucose level 3. Liver function studies 4. White blood cell count

At the same time each evening

A client's medication sheet contains a prescription for sertraline. To ensure safe administration of the medication, how should the nurse administer the dose?1. On an empty stomach 2. At the same time each evening 3. Evenly spaced around the clock 4. As needed when the client complains of depression

2. Seizure activity

A hospitalized client has begun taking bupropion as an antidepressant agent. The nurse determines that which is an adverse effect, indicating that the client is taking an excessive amount of medication? 1. Constipation 2. Seizure activity 3. Increased weight 4. Dizziness when getting upright

A,B,C

A nurse on the unit is caring for two different patients, one has epilepsy and one has bipolar disorder. Which of the following medications could the 2 patients both be taking? Select All That Apply: A) Valproic Acid B) Kepra C) Carbamazepine D) Lithium E) Divalproex Sodium

C (may interact with herbal meds may cause serotonin toxicity if taken together)

A patient comes in with active orders for St. John's Wart, physician was in and gave the RN orders for an antidepressant. Which of the following anti-depressants would you question be taken with St. John's Wart? A) Wellbutrim B) Effexor C) Zoloft D) Doxepin

4. A willingness to participate in the planning of the care and treatment plan

On review of the client's record, the nurse notes that the admission was voluntary. Based on this information, the nurse plans care anticipating which client behavior? 1. Fearfulness regarding treatment measures 2. Anger and aggressiveness directed toward others 3. An understanding of the pathology and symptoms of the diagnosis 4. A willingness to participate in the planning of the care and treatment plan

"Being respectful and concerned will ensure that I'm attentive to my clients' rights."

The nurse provides an educational session on client rights. Which statement by a member of the session demonstrates the best understanding of the nurse's role regarding ensuring that each client's rights are respected? 1. "Autonomy is the fundamental right of each and every client." 2. "A client's rights are guaranteed by both state and federal laws." 3. "Being respectful and concerned will ensure that I'm attentive to my clients' rights." 4. "Regardless of the client's condition, all nurses have the duty to value client rights."

A,C (Rationale: Having a family member with depression or traumatic experiences as a child increase your likely hood of developing mood disorders)

What are the risk factors for development of mood disorders? Select All That Apply: A) Childhood Abuse B) Caucasian Ethnicity C) Family History D) Female A,C

4. Thank the client for the input, but inform the client that others now need a chance to contribute.

What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session? 1. Ask the client to leave the group for this session only. 2. Refer the client to another group that includes other manic clients. 3. Tell the client to stop monopolizing in a firm but compassionate manner. 4. Thank the client for the input, but inform the client that others now need a chance to contribute.

1. Monitor closely for harm to self or others

When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this client? 1. Monitor closely for harm to self or others. 2. Assist in completing an application for admission. 3. Supply the client with written information about his or her mental illness. 4. Provide an opportunity for the family to discuss why they felt the admission was needed.

D) Fluoxetine (prozac)

Which medication for depression blocks the re-uptake of serotonin, making more available to the CNS? A) Bupropian B) Duloxetine C) Phenelzine D) Fluoxetine

A, B, C, D

Which of the following are non-pharmacological treatments for depression? Select All That Apply: A) ECT B) Vagus Nerve Stimulation C) Light Therapy D) Exercise E) Carbamazepine