Psych 5
A nurse is caring for a young adult client who says he is experiencing increasing anxiety and the inability to concentrate. Which of the following is an appropriate response by the nurse?
"It sounds like you are having a difficult time."
A nurse is caring for a client who is prescribed paroxetine (Paxil). Which of the following statements by the client indicates a need for further teaching?
"I may need to eat more to prevent weight loss."
A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?
"I watch television when I get anxious."
The mother of an adolescent boy calls the psychiatric health clinic with concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
"He gave his guitar to a neighbor, and he loved that guitar."
A nurse is counseling a group of clients at an outpatient mental health clinic. Which of the following client statements indicates a problem with role transition?
"I just can't seem to find any energy to take care of my children since my husband divorced me."
A nurse is leading a family therapy session. Which of the following statements should the nurse recognize as an example of effective communication among family members?
"Can you tell me the reason you get upset each time I go to the mall?"
A nurse is caring for a client who is exhibiting aggressive behavior. Which of the following is an appropriate distance for the nurse to maintain with this client?
3 feet
A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?
A client who is taking clozapine (Clozaril), and has flu symptoms, fever, and aching joints.
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Adopt a neutral attitude when providing care
A nurse is interviewing a female client who is Hispanic. The client's partner answers the questions and states, "She speak only a little English." Which of the following actions should the nurse take?
Arrange to complete the assessment with only the client and a translator present.
A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? (Select all that apply.)
Death of a parent at a young age Recent or impending move Low parental expectations Sudden decline in school performance
A nurse is caring for a client who is prescribed bupropion (Wellbutrin). Which of the following findings in the client indicate effective pharmacotherapy?
Decrease in restlessness
A nurse is interviewing a client who has a personality disorder. The client resists discussion of feelings until 5 minutes prior to the end of the session. Which of the following is an appropriate intervention?
End just as agreed, but tell the client he can continue at the next scheduled session.
A nurse is caring for a client who has schizophrenia and is receiving treatment with haloperidol (Haldol). The nurse identifies movement disorders as an adverse effect of the medication and should document the findings as which of the following?
Extrapyramidal symptoms
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following behaviors that may cause lithium toxicity?
Fasting
A nurse is caring for a school-age child who has a history of disruptive behavior. Which of the following actions should the nurse implement? (Select all that apply.)
Introduce some humor during interactions with the child Explain the need to pick up crayons when thrown on the floor Shortening a reading activity when the child appears to become frustrated Make an audible tapping sound when the child's disruptive behavior begins
A nurse is caring for a client who is hospitalized with bipolar disorder. The client's provider prescribes valproate (Depakote). Which of the following instructions should the nurse give the client about the use of this medication?
Liver function and complete blood cell counts must be monitored.
A nurse is completing an admission database. Which of the following nonverbal client cues should the nurse recognize as a response to stress?
The client does not maintain eye contact
A nurse is caring for a 48-year-old client who is grieving. The client reports that her husband died seven months ago, that she has lost 30 lbs, and that she has difficulty sleeping. Which of the following items of data indicate that the client is experiencing maladaptive grieving?
The client's husband died seven months ago
A nurse attending a group therapy session is listening to clients discuss coping strategies. Which of the following statements by clients indicate adaptive coping? (Select all that apply.)
"I call a friend who makes me smile and laugh." "I think about being on my favorite beach vacation." "I tense and release my muscles, starting with my feet." "I see the glass as half-full when it starts looking empty."
During a group therapy session, a nurse notes a client using multiple defense mechanisms. Which of the following client statements demonstrates maladaptation?
"I don't care about work anymore since I was not given a promotion."
The parents of a 4-year-old child who has a serious chronic illness tell the nurse that they have taken their son's name off the list for little league baseball next season. Which of the following is an appropriate nursing response to the parents?
"It must be frustrating for you to have to cancel an activity your son enjoyed."
A 9-year-old boy with a new diagnosis of diabetes mellitus tells the nurse he is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following is an appropriate response to the mother?
"Tell me more about how you are feeling about your son's activities."
A client states, "I just don't know what to do about my husband's drinking. Every time I see him drinking a beer, I start to feel extremely anxious." What would be the most therapeutic response by the nurse?
"The next time your husband starts drinking, what is something you might do to decrease your anxiety?"
A nurse is leading a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements by the nurse is therapeutic?
"What do you mean when you say you cannot ever return to work?"
