Psych quiz 1

A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client states:

"When I get out of here, I'm going to kill my neighbor."

A client is being transferred from a group home to an evolving consumer household. The goal of this transition is for the client to eventually do what?

Fulfill daily responsibilities without supervision.

During a session with a client, the client asks the nurse what the client should do about the client's "cheating" spouse. The nurse replies, "You should divorce. You deserve better than that." The nurse used which nontherapeutic communication technique?

Giving advice

Which type of service is provided to medically stable clients who do not require inpatient, residential, or home care environments?

Outpatient care

The client is a 32-year-old diagnosed with bipolar disorder. The client attends group therapy for 6 hours a day and then returns home to the client's residence. In which setting would the client receive this type of care?

Partial hospitalization program

Which is the most important skill the nurse must bring to the therapeutic nurse-client relationship?

Empathy

The client tells the nurse, "I'm frightened about my surgery tomorrow." What response by the nurse is best?

"Can you tell me what frightens you?"

A client who is hospitalized with depression tells a nurse, "I don't want to take the medication because I'm afraid I'll become suicidal." Which response by the nurse would be most appropriate?

"Have you ever thought about hurting yourself?"

If a client states, "I carry this lucky rabbit's foot for luck, my dad did too, and it really works," which statement by the nurse reflects respect for the client's belief?

"I can accept that you feel it is lucky, so let's get to our activities for the day."

A nurse is interacting with a client who is expressing feelings about the client's child's insensitive behavior. Which statement made by the nurse indicates the nurse is empathizing with the client? Choose the best answer.

"It sounds like this is very difficult for you, I can see why it causes you stress."

A nurse is meeting with a client prior to discharge from the hospital. The client tells the nurse he is "really worried about returning home." Which response indicates the nurse is employing therapeutic communication?

"Please share with me what is worrying you right now."

The nurse is planning care for a client who has been newly diagnosed with a mental illness. Which should be the nurse's first step in managing this client's nursing care?

Assessment

The client stated, "I was so upset about my sister ignoring me when I was talking about being ashamed." Which nontherapeutic communication technique would the nurse be using if the nurse stated, "How are your stress reduction classes going?"

Changing the subject

initially, the nurse should focus on successfully achieving which goal in order to effectively provide care for a client diagnosed with a mental illness?

Establishing trust and rapport with the client

The client feels that the client's rights have been violated. Placing a client in restraints before using other methods of intervention violates which of the client's rights?

Receive treatment in the least restrictive environment

Which is the priority for admission to inpatient care?

Safety of self or others

A client with mental illness expresses interest in having a date with the nurse. Which would be the nurse's best response in this situation?

Set boundaries of a professional relationship

The nurse has used wrist and ankle restraints for a client who was extremely aggressive. What assessments should the nurse perform on a regular basis after restraining the client? Select all that apply.

Side effects of medication Emotional well-being Peripheral circulation Skin condition

The ultimate goal of the treatment plan in inpatient care settings is what?

Stabilize the client

it is brought to the nurse administrator's attention that a nurse has developed an intimate relationship with a client. Which behavior indicates the nurse has engaged in an intimate relationship with a client?

The nurse is having dinner with a client outside the hospital premises.

What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that the client plans to kill a family member?

The student nurse must tell the client that the student nurse cannot keep that secret and then report it to the instructor and/or staff members

Which is one of the most common reasons clients are often concerned about confidentiality of treatment for mental health problems?

They are worried about the opinions of people who know them outside the hospital, due to shame produced by societal views of mental illness.

A nurse tells a client that the nurse will come back in 10 minutes to reassess the client's pain. When the nurse returns in 10 minutes, which aspect of the therapeutic relationship is the nurse developing?

Trust

A 22-year-old client has been manipulative of staff and disruptive in the milieu. Although the client is not dangerous to the client or others, the client has created problems on the unit and clearly is not making progress. The nurses offer prescribed medication, but the client consistently refuses "any drugs." The staff realizes that legally this client can ...

continue to refuse treatment.

What activity should be included in the first step of self-awareness?

identifying one's own values, attitudes, strengths and weakness