NUR190 Mental Health practice for test 1
the nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. the neighbor says to the nurse," how is carol doing? She is my best friend and is seen at your clinic every week." Which is the most appropriate nursing response?
"I cannot discuss any client situation with you."
a client reports having thoughts of being followed by foreign agents who are after his secret papers. Which response by the nurse is most appropriate when responding to the clients disturbed thought process?
"Id like you to come to group with me right now."
a patient is presenting with behaviors that indicate anger. When approached, the patient states harshly, "Im fine! everythings great." which response should the nurse provide to the patient?
"It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?"
A young client diagnosed with paranoid schizophrenia is talking with the nurse. "You know, when I thought everyone was out to get me, I was staying in my apartment all the time. Now, I'd like to get out and do things again." What is the best initial response by the nurse?
"What activities did you enjoy in the past?"
splitting
"acting fake" Talking about someone behind their back and then being nice to their face.
regression
back to childlike state
the nurse calls security and has physical restraints applied to a client who was admitted voluntarily when the client becomes verbally abusive, demanding to be discharged from the hospital. which represents the possible legal ramifications for the nurse associated with these interventions?
battery assault false imprisonment
dissociation
blocks out to do other things "Mom blocks out kids screaming to concentrate on driving."
a client admitted voluntarily for treatment of an anxiety disorder demands to be released from the hospital. Which action should the nurse take initially?
contact the clients health care provider (HCP)
Nonmaleficence
do no harm
suppression
doesnt want to talk about it
maleficence
doing evil or harm
rationalization
excuses
veracity
honesty
fidelity
loyalty and faithfulness
undoing
making up for ones actions "Man argued with wife, so gets her flowers."
conversion
making yourself sick from stress
a patient is sitting with arms crossed over his or her chest, his or her left leg is rapidly moving up and down, and here is an angry expression on his or her face. when approached by the nurse, the patient states harshly, "Im fine! Everythings great." Which statement related to communication should the nurse focus on when working with this patient?
nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message
reaction formation
opposite
intelluctualization
over analyzing situation
projection
projecting your thoughts and feelings onto someone else
denial
refusing to believe its true
the nurse in the mental health unit plans to use which therapeutic communication techniques when communicating with a client?
restating listening maintaining neutral responses providing acknowledgement and feedback
autonomy
right to make decisions
displacement
shifts feelings onto a person or object. "Person gets mad so they kick a bucket."
identification
sick girl nurses her dolls back to health
The nurse should plan which goals of the termination stage of group development?
the group evaluates the experience the group explores members feelings about the group and the impeding separation
altruism
uses anxiety to help others "Nurse gets off of work and goes to sit with a dying patient to hold their hand."
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?
using open ended questions and silence
a client diagnosed with terminal cancer says to the nurse, "Im 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, im the one who is dying." Which response by the nurse is therapeutic?
"Youre feeling angry that your family continues to hope for you to be cured?"
A client with a diagnosis of depression attempted suicide says to the nurse, " I should have died. Ive always been a failure. Nothing ever goes right for me." Which response by the nurse demonstrates therapeutic communication?
"Youve been feeling like a failure for a while?"
The parents of a 20 yr old female client diagnosed with paranoid schizophrenia admitted 4 days ago are attending a family psychoeducation group in the hospital. which of the following statements by the mother indicated that he understands her daughters illness and management?
"tasks as simple as getting out of bed and showering in the morning may be difficult for her."
Beneficence
doing good
compensation
emphasize strengths to cover weakness "Man gets hurt playing football, so he becomes a coach."
justice
fair and equal treatment
repression
forgets about what happened
submission
goes to the gym to get out their stress
a client is participating in a therapy group and focuses on viewing all team members as equally important in helping clients to meet their goals. The nurse is implementing which therapeutic apporach?
milieu therapy
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?
monitor closely for harm to self or others
