Mental Health NCLEX Questions
A client with dysthymia disorder reports to a nurse that his life is hopeless and will never improve in the future. How can the nurse best respond using a cognitive approach? A. Agree with the clients painful feelings B. Challenge the accuracy of the clients beliefs C. Deny that the situation is hopeless D. Present a cheerful attitude
B.
Nurse Cristina is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as: A. Delusions B. Hallucinations C. Loose associations D. Neologisms
B.
A client with a diagnosis of major depression who has attempted suicide says to a nurse, "i should have died. Ive always been a failure. Nothing ever goes right for me." The therapeutic response to the client is: A. "I dont see you as a failure." B. "You have everything to live for." C. "Feeling like this is all a part of being ill." D. "You've been feeling like a failure for a while?"
D. -responding to the feelings expressed by a client is an effective therapeutic communication technique.
A ruse in the mental health unit reviews therapeutic and non therapeutic communication techies with a nursing student. Which of the following are therapeutic communication techniques? (Select all that apply) A. Restating B. Listening C. Asking the client "why?" D. Maintaining neutral responses E. Giving advice or approval or disapproval F. Proving acknowledgement and feedback
A,B,D&F
A client has been admitted to the mental health unit. On admission assessment, a nurse notes that the client was admitted by involuntary status. Based on this type of admission, the nurse would most likely expect that the client: A. Present a harm to self B. Requested the admission C. Consented to the admission D. Provided written application to the facility for admission
A.
All treatment team members are seen as equally important in helping clients meet their treatment goals. This type of therapy approach is? A. Milieu therapy B. Interpersonal therapy C. Behavior modification D. Rational emotive therapy
A.
Before helping a male client who has been sexually assaulted, nurse Maureen should recognize that the rapist is motivated by feelings of: A. Hostility B. Inadequacy C. Incompetence D. Passion
A.
David with paranoid schizophrenia repeatedly uses profanity during an activity session. Which response by the nurse would be most appropriate A. Your behavior wont be tolerated, go to your room immediately B. You're just doing this to get back at me for making you come to therapy C. Your cursing is interrupting the activity. Take time out in your room for 10 minutes D. I'm disappointed in you. You cant control yourself even for a few minutes
A.
Nurse Daisy is aware the the following pharmacological agents are sedative-hypnotic medication is used to induce sleep for client expereining a sleep disorder is: A. Triazolam (Halcoin) B. Paroxetine (Paxil) C. Fluoxetine (Prozac) D. Risperidone (Risperdal)
A.
Nurse Krina recognizes that the suicidal risk for depressed client is greatest: A. As their depression begins to improve B. When the rid depression is most severe C. Before any type of treatment is started D. As they lose interest in the environment
A.
Nursing preparation for a client undergoing ECT resemble those used for: A. General anesthesia B. Cardiac stress testing C. Neurologic examination D. Physical therapy
A.
Tony with agoraphobia has been symptom free for 4 months. Classic signs and symptoms of phobia include: A. Severe anxiety and fear B. Withdrawal and failure to distinguish reality from fantasy C. Depression and weight loss D. Insomnia and inability to concentrate
A.
What is nurse John likely to note in a male client being admitted for alcohol withdrawal? A. Perceptual disorders B. Impending coma C. Recent alcohol intake D. Depression with mutism
A.
When establishing an initial nurse-client relationship, Nurse Hazel should explore with the client the: A. Clients perception of the presenting problems B. Occurrence of fantasies the client may experience C. Details of any ritualistic acts carried out by the client D. Clients feelings when external; controls are instituted
A.
Which medication have been found to help reduce or eliminate panic attacks? A. Antidepressants B. Anticholinergics C. Antipsychotics D. Mood stabilizers
A.
Joy who has just experienced her second spontaneous abolition expresses anger towards her physician, the hospital and the "rotten nursing care". When assessing the situation, the nurse recognizes that the client may be using the coping mechanism of: A. Projection B. Displacement C. Denial D. Reaction formaiton
B.
Nicolas is experiencing hallucinations tells the nurse, "The voices are telling me I'm no good." The client asks if the nurse hears the voices. The most appropriate response by the nurse wold be: A. "It is the voice of your conscience, which only you can control." B. "No, i don not hear your voices but I believe you can hear them." C. "The voices are coming form within you and only you can hear them." D. :Oh, the voices are a symptom of you illness; dont pay any attention to them."
B.
Nurse John is aware that most Chris is situations should resolve in about A. 1-2 weeks B. 4-6 weeks C. 4-6 months D. 6-12 months
B.
A client asks a nurse about milieu therapy. The nurse responds, knowing that the primary focus of milieu therapy can best be described as which of the following? A. A form of behavior modification therapy B. A cognitive approach to changing behavior C. A living, learning or working environment D. A behavioral approach to changing behavior
C
A nurse is conducting an initial assessment on a client in crisis. When assessing the clients perception of the precipitating even that led to the crisis, the appropriate question to ask is: A. "With whom do you live?" B. "Who is available to help you?" C. "What leads you to seek help now?" D. "What do you usually do to feel better?"
C.
A nurse who explains that a clients psychotic behavior is unconsciously motivated understands that the clients disordered behavior arises form which of the following? A. Abnormal thinking B. Altered neurotransmitters C. Internal needs D. Response to stimuli
C.
Important teaching for women in their childbearing years who are receiving antipsychotic medications includes which of the following? A. Increased incidences of dysmenorrhea while taking the drug B. Occurrence of incomplete libido due to medication adverse effects C. Confining previous use of contraception during periods of amenorrhea D. Instruction that amenorrhea is irreverible
C.
Which of the following drugs has been known to be effective in treating OCD? A. Divalproex (Depakote) and lithium (lithobid) B. Chlordizepoxide (Librium) and diazepam (Valium) C. Fluvoxamine (Luvox) and clomipramine (anafranil) D. Benztropine (Cogentin) and diphenhydramine (Benadryl)
C.
A client refuses to remain on psychotropic medications after discharge from an inpatient psychiatric unit. Which information should the community health nurse assess first during the initial follow-up with this client? A. Income level and living arrangements B. Involvement of family and support systems C. Reason for inpatient admission D. Reason for refusal to take medication
D.
A client was admitted involuntarily to the mental health unit because of episodes of extremely violent behavior. The client is demanding to be discharged from the hospital, and a nurse does not allow the client to leave. Which of the following represents the legal ramifications associated with the nurses behavior? A. The nurse will be charged with assault B. The nurse will be charged with slander C. The nurse will be charged with imprisonment D. No charge will be made against the nurse because the nurses actions are reasonable.
D.
A nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa, and a nursing student will be observing the nurse. The nurse asks the student about the expected assessment findings and determines that the student needs to research the disorder further if the student states that which of the following is a characteristic finding? A. Dental decay B. Loss of tooth enamel C. Electrolyte imbalances D. Body weight well below ideal range
D.
A tentative diagnosis of opiate addiction, Nurse Candy should assess a recently hospitalized client for signs of opiate withdrawal. These signs would include: A. Rhinorrhea, convulsions, subnormal temperatures. B. Nausea, dilated pupils, consitpation C. Lacrimation, vomiting drowsiness D. Muscle aches, papillary constriction, yawning
D.
After seeking help at an outpatient mental health clinic, Ruby who was raped while walking her dog is diagnosed with PTSD. Three months later, Ruby returns to the clinic, complaint of fear, loss of control and helpless feelings. Which nursing intervention is most appropriate for Ruby? A. Recommending a high-protein, low-fat diet B. Giving sleep medication, as prescribed, to restore a normal sleep-wake cycle. C. Allowing the client time to heal D. Exploring the meaning of the traumatic event with the client
D.
Andy is admitted to the psychiatric unit with a diagnosis of borderline personality disorder. Nurse Hilary should expects the assessment to reveal: A. Coldness, detachment and lack of tender feelings B. Somatic symptoms C. Inability to function as responsible parent D. Unpredictable behavior and intense interpersonal relationships
D.
Erlinda, age 85, with major depression undergoes a sixth ECT treatment. When assessing the client immediately after ECT, the nurse expects to find: A. Permanent short-term memory loss and HTN B. Permanent long-term memory loss and hypomania C. Transitory short-term memory loss and permanent long-term memory loss D. Transitory short and long-term memory loss and confusion
D.
In the diagnosis of a possible pervasive developmental autistic disorder. The nurse would find it most unusual for a 3 year old child to demonstrate: A. An interest in music B. An attachment to odd objects C. Ritualistic behaviors D. Responsiveness to the parents
D.
Nurse Fred is assessing a client who has just been admitted to the ER department. Which signs would suggest an overdose of an Antianxiety agent? A. Suspiciousness, dilated pupils and incomplete BP B. Agitation hyperactivity and grandiose ideation C. Combativeness, sweating, and confusion D. Emotional lability, euphoria, and impaired memory
D.
Nurse Gina is aware the the dietary implications for clients in the manic phase of bipolar disorder is: A. Serve the client a bowl of soup, buttered French bread, & apple sauce B. Increase calories, decrease fat and protein C. Give the client pieces of cut-up steak, carrots and an apple D. Increase calories, carbs & protein
D.
Nurse Jessie is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is: A. Urticaria B. Vertigo C. Sedation D. Diarrhea
D.
The nurse describes a client as anxious. Which of the following statements s about anxiety is true? A. Anxiety is usually pathological B. Anxiety is directly observable C. Anxiety is usually harmful D. Anxiety is a response to a threat
D.
The nurse is caring for a client diagnosed with antisocial personality disorder. The client has a history of fighting, cruelty to animals, and stealing. Which of the following traits would the nurse be most likely to uncover during assessment? A. History of gainful employment B. Frequent expression of guilt regarding antisocial behavior C. Demonstrated ability to maintain close, stable relationships D. A low tolerance for frustration
D.
Tristan is on Lithium has suffered from diarrhea and vomiting. What should the nurse in-charge do first: A. Recognize this as a drug interaction B. Give the client Cogentin C. Reassure the client that theses are common side effects of lithium therapy D. Hold the next dose & obtain an order to a stat serum lithium level
D.
Which nursing action is most appropriate when trying to diffuse a clients impending violent behavior? A. Place the client in seclusion B. Leaving the client alone until he can talk about his feelings C. Involving the client in a quiet activity to divert attention D. Helping the client identify and express feelings of anxiety and anger
D.
Dennis has a lithium level of 2.4 mEq/L. The nurse immediately would assess the client for which of the following signs/symptoms? A. Weakness B. Diarrhea C. Blurred vision
C.
When performing a physical examination on a female anxious client, nurse Nelli would expect to find which of the following effects produced by the parasympathetic system? A. Muscle tension B. Hyperactive bowel sounds C. Decreased urine output D. Constipation
B.
Which client outcome would best indicate successful treatment for a client with antisocial personality disorder? A. The client exhibits charming behavior when around authority figures B. The client has decreased episodes of impulsive behaviors C. The client makes statements of self satisfaction D. The clients statements indicate no remorse for behaviors
B.
Nurse Ronald could evaluate that the staffs approach to setting limits for a demanding, angry client was effective if the client: A. Apologizes for disrupting the units routine when something is needed B. Understands the reason why frequent calls to the staff were made. C. Discuss concerns regarding the emotional condition that required hospitalization D. No longer calls the nursing staff for assistance.
C.
A client who has just been sexually assaulted is calm and quiet. A nurse analyzes this behavior as indications which defense mechanism? A. Denial B. Projection C. Rationalization D. Intellectualization
A. Denial
Mr. Marquez reports of losing his job, not being able to sleep at night, and feeling upset with his wife. Nurse John responds to the client, "You may want to talk about your employment situation in group today." The nurse is using which therapeutic technique? A. Observation B. Restating C. Exploring D. Focusing
D.
The outcome that is unrelated to a crisis state is: A. Learning more constructive coping skills B. Deco pen station to a lower level of functioning C. Adaptation and a return to a prior level of functioning D. A higher level of anxiety continuing for more than 3 months.
D.
Tony refuses his evening dose of Haloperidol (Haldol), then becomes extremely agitated in the day room while other clients are watching television. He begins cursing and throwing furniture. Nurse Oliver first action is to: A. Check the clients medical record for an order for an as-needed I.M. Dose of medication for agitation B. Place the client in full leather restraints C. Call the attending physician and report the behavior D. Remove all other clients from the day room
D.
When planning the discharge of a client with chronic anxiety, a nurse directs the goals at promoting a safe environment at home. The appropriate maintenance goal should focus on which of the following? A. Ignoring feelings of anxiety B. Identifying anxiety-producing situations C. Continued contact with a crisis counselor D. Elimination all anxiety from daily living
B
A nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes that the admission nurse documented that the client is experiencing anxiety as a result of a situational crisis. The nurse determines that this type of crisis could be caused by: A. Witnessing a murder B. The death of a loved one C. A fire that destroyed the clients home D. A recent rape episode experienced by the client.
B.
The psychiatrist order lithium carbonate 600mg PO tid for a female client. Nurse Katrina would be are that the teaching about the side effects of this drug were understood when the client states, "I will call my doctor immediately if i notice any": A. Sensitivity to bright light or sun B. Fine had tremor or slurred speech C. Sexual dysfunction or bereft enlargement D. Inability to urinate or difficultly urinating
B.
David, an adolescent has a history of truancy from school, running away from home and "borrowing" other peoples things without their permission. The adolescent denies stealing, rationalizing instead that as long as no one was using the item, it was all right to borrow them. It is important for the nurse to understand the psychodynamically, this behavior may be largely attributed to a developmental defect related to the: A. I'd B. Ego C. Superego D. Oedipal complex
C
Nurse Krina knows that the following drugs have been known to be effective in treating OCD: A. Benztropine (Cogentin) and diphenhydramine (Benadryl) B. Chlordiazepoxide (Librium) and diazepam (Valium) C. Fluvoxamine (Luvox) and clomipramine (Anafranil) D. divalproex (Depakote) and lithium (Lithobid)
C.
Nurse Mickey is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to: A. Avoid shopping for large amounts of food. B. Control eating impulses C. Identify anxiety-causing situations D. Eat only three meals per day
C.
A client is admitted to the mental health unit with a diagnosis of depression. A nurse develops a plan of care for the client and includes which appropriate activity in the plan? A. Reading and writing most of the day B. Several activities for which the client can choose C. Nothing, until the client asks to participate in milieu D. A structured program of actives in which the client can participate
D.
A nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for withdrawal delirium? A. Hypotension, ataxia hunger B. Stupor, agitation, muscular rigidity C. Hypotension, coarse hand tremors, agitiaton D. Hypertension, changes in level of consciousness, hallucinations.
D.
The nurse is aware that the side effect of ECT that a client may experience is: A. Loss of appetite B. Postural hypotension C. Confusion for a time after treatment D. Complete loss of memory for a time
C.
The spouse of a client admitted to the mental health unit for alcohol withdrawal says to a nurse, "I should get out of this bad situation." The most helpful response by the nurse would be: A. "Why dont you tell your husband about this?" B. "What do you find difficult about this situation?" C. "This is not the best time to make that decision." D. "I agree with you. You should get out of this situation."
B.
Nurse Jen is caring for a male client with manic depression. The plan of care for a client in a manic state would include: A. Offering a high-calorie meals and strongly encouraging the client to finish all food B. Insisting that the client remain active through the day so that hell sleep at night C. Allowing the client to exhibit hyperactive, demanding, manipulative behavior without setting limits. D. Listening attentively with a neutral attitude and avoiding power struggles.
D.
The therapeutic approach in the care of Armand an autistic child include the following except: A. Engage in diversionary activities when acting out B. Provide an atmosphere of acceptance C. Provide safety measures D. Rearrange the environment to activists the child
D.
Which nursing diagnosis is most appropriate for a client with anorexia nervosa who expresses feelings of guilt about not meeting family expectations? A. Anxiety B. Disturbed body image C. Defensive coping D. Powerlessness
D.
Select the appropriate interventions for caring for a client in alcohol withdrawal. Select all that apply. A. Monitor vital signs B. Maintain NPO status C. Provide a safe environment D. Address hallucination therapeutically E. Provide stimulation in the environment F. Provide reality orientation as appropriate
A, C, D, F
A client with a phobic disorder is treated by systematic desensitization. The nurse understands that this approach will do which of the following? A. Help the client execute actions that are feared B. Help the client develop insight into irrational fears C. Help the client substitutes one fear for another D. Help the client decrease anxiety
A.
A client with major depression has not verbalized problem areas to staff or peers since admission to a psychiatric unit. Which activity should the nurse recommend to help this client express himself? A. Art therapy in a small group B. Basketball game with peers on the unit D. Reading a se;f-help book on depression D. Watching movie with the peer group
A.
A nurse is evaluating therapy with the family of a client with anorexia. Which of the following would indicate that the therapy was successful? A. The parents reinforced increased decision making by the client B. The parents clearly verbalize their expectations for the client C. The client verbalizes that family meals are now enjoyable D. The client tells her parents about feelings of low-self esteem
A.
Barbara with bipolar disorder is being treated with lithium for the first time. Nurse Clint should observe the client for which common adverse effect of lithium? A. Polyuria B. Seizures C. Constipation D. Sexual dysfunciton
A.
Initial interventions for Marco with acute anxiety include all except which of the following? A. Touching the client in an attempt to comfort him B. Approaching the client in calm, confident manner C. Encouraging the client to verbalize feelings and concerns D. Providing the client with a safe, quiet and private place
A.
Mr. Garcia, an attorney who throws books and furniture around the office after losing a case is referred to the psychiatric nurse in the law firm's employee assistance program. Nurse Beatriz knows that the clients behavior most likely represents the use of which defense mechanism? A. Regression B. Projection C. Reaction-formation D. Intellectualization
A.
Nurse Anne is caring for a client who has been treated long term with antipsychotic medication. During the assessment, nurse Anne checks the client for tardive dyskinesia. If TD is present, Anne would most likely observe? A. Abnormal, involuntary movements of the mouth, tongue and face B. Severe headache, flushing, tremors and ataxia C. Severe hypertension, migraine headace
A.
Nurse Irish is aware that Ritalin is the drug of choice for a child with ADHD. The side effects of the following may be noted by the nurse: A. Increased attention span and concentration B. Increased in appetite C. Sleepiness and lethargy D. Bradycardia and diarrhea
A.
Nurse John is aware that a serious effect of inhaling cocaine is? A. Deterioration of nasal septum B. Acute fluid and electrolyte imbalance C. Extrapyramidal tract symptom D. Esophageal varices
A.
Propranolol (Inderal) is un\sed in the mental health setting to manage which of the following conditions? A. Antipsychotic-induced akathisia and anxiety B. OCD to reduce ritualistic behavior C. Delusions for clients suffering from schizophrenia D. The manic phase of bipolar illness as a mood stabilizers
A.
Rudolf is admitted for an overdose of amphetamines. When assessing the client, the ruse should expect to see: A. Tension and irritability B. Slow pulse C. Hypotension D. Constipation
A.
When nurse hazel considers a clients placement on the continuum of anxiety, a key in determine the degree of anxiety being experienced is the clients: A. Perceptual field B. Delusional system C. Memory state D. Creativity level
A.
A 48 year old male client is brought to the psychiatric emergency room after attempting to jump off a bridge. The clients wife states that he lost his job several months ago and has been unable to find another job. The primary nursing intervention at this time would be to assess for: A. Past history of depression B. Current plans to commit suicide C. The presence of marital difficulties D.feelings of excessive failure
B.
Jeremy is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with irritated nasal septum. A. Heroin B. Cocaine C. LSD D. Marijuana
B.
A client with depressive symptoms is given prescribed medications and talks with his therapist about his belief that he is worthless and unable to cope with life. Psychiatric care in this treatment plan is based on which framework? A. Behavioral B. Cognitive C. Interpersonal D. Psychodynamic
B.
An 83 year old male client is in extended care facility is anxious most of the time and frequently complains of a number of vague symptoms that interfere with his ability to eat. These symptoms indicate which of the following disorders? A. Conversion disorder B. Hypochondriasis C. Severe anxiety D. Sublimation
B.
Anthony is very hostile toward one of the staff for no apparent reason. He is manifesting A. Splitting B. Transference C. Countertransference D. Resistance
B.
Cell with manic episodes is taking lithium. Which electrolyte level should the nurse check before administering this medication? A. Calcium B. Sodium C. Chloride D. Potassium
B.
Discharge instructions for a male client receiving TCAs antidepressant include which of the following information? A. Restrict fluids and sodium intake B. Don't consume alcohol C. Discontinue if dry mouth and blurred vision occur
B.
Edward, a 66-year-old client with slight memory impairment and poor concentration, is diagnosed with primary degenerative dementia of the Alzheimer's type. Early signs of this dementia include subtle personality changes and withdrawal form social interactions. To assess for progression to the middle stage of Alzheimer's disease, the nurse should observe the client for: A. Occasional irritable outbursts B. Impaired communication C. Lack of spontaneity D. Inability to perform self-care activities
B.
Kris periodically has acute panic attacks. These attacks are unpredictable and have no apparent association with a specific object or situation. During an acute panic attack, Kris may experience: A. Heightened concentration B. Decreased perceptual field C. Decreased cardiac rate D. Decreased respiratory rate
B.
Malou with schizophrenia tells nurse Melinda, "my intestines are rotted from worms chewing on them." This statement indicates a: A. Jealous delusion B. Somatic delusion C. Delusion of grandeur D. Delusion of persecution
B.
Marielle, 17 year old was sexually attacked while on her way home form school. She is brought to the hospital by her mother. Rape is an example of which type of crisis: A. Situational B. Adventitious C. Developmental D. Internal
B.
Miranda a psychiatric client is to be discharged with order for haloperidol (Haldol) therapy. When developing a teaching plan for discharge, the nurse should include cautioning the client against: A. Driving a t night B. Staying in the sun C. Ingesting wines and cheeses D. Taking medication containing aspirin
B.
Nurse Pauline is aware that dementia unlike delirium is charactered by: A. Slurred speech B. Insidious onset C. Clouding of consciousness D. Sensory perceptual change
B.
Richard is admitted with a diagnosis of Schizotypal personality disorder. Which signs would this client exhibit during social situations? A. Aggressive behavior B. Paranoid thoughts C. Emotional affects D. Independence needs
B.
Richard with agoraphobia has been symptom-free for 4 months. Classic signs and symptoms of phobias include: A. Insomnia and an inability to concentrate B. Severe anxiety and fear C. Depression and weight loss D. Withdrawal and failure to distinguish reality form fantasy
B.
A client is admitted to a medical nursing unit with a diagnosis of acute blindness. Many test are performed and there seems to be no organic reason why this client cannot see. The client became blind after witnessing a hit-and-run car accident, when a family of three was killed. A nurse suspects that the client may be experience a: A. Psychosis B. Repression C. Conversion disorder D. Dissociative disorder
C.
A client with depression has been hospitalized for treatment after taking a leave of absence form work. The clients employers expects the client to return to work following inpatient treatment. The client tells the nurse, "I'm no good. I'm a failure." According to cognitive theory, these statements reflect: A. Learned behavior B. Punitive superego and decreased self-esteem C. Faulty thought processes that govern behavior D. Evidence of difficult relationships in the work environment
C.
Charisma, a college student who frequently visited the health center during the past year with multiple vague complaints of GI symptoms before course examinations. Although physical causes have been eliminated, the student continues to express her belief that she has a serious illness. The symptoms are typically of which of the following disorders: A. Conversion disorder B. Depersonalization C. Hypochondriasis D. Somatization disorder
C.
Jose I who is receiving MAOI antidepressant should avoid tyramine, a compound found in which of the following foods? A. Figs and cream cheese B. Fruits and yellow vegetables C. Aged cheese and Chianti wine D. Green leafy vegetables
C.
Kathleen is admitted to the psychiatric clinic for treatment of anorexia. To promote the clients physical health, the nurse should plan to: A. Severely restrict the clients physical activities B. weigh the client daily, after the evening meal C. Monitor vital signs, serum electrolyte levels, and acid-base balance D. Instruct the client to keep an accurate record of food and fluid intake
C.
Nurse Jannah is monitoring a male client who has been placed in restraints because of violent behavior. Nurse determines that it will be safe to remove the restraints when: A. The client verbalizes the reasons for the violent behavior B. The client apologizes and tells the nurse that it will never happen again. C. No acts of aggression have been observed within 1 hour after the release of two of the extreme its restraints D. The administered medication has taken effect
C.
Nurse John is aware that the therapy that has the highest success rate for people with phobias would be: A. Psychotherapy aimed at rearranging maladaptive thought process B. Psychoanalytical exploration of repressed conflicts of an earlier development phase. C. Systematic desensitization using relaxation technique D. Insight therapy to determine the origin of the anxiety and fear
C.
Nurse Sarah ensures a therapeutic environment for al the clients. Which of the following best describes a therapeutic milieu? A. A therapy that rewards adaptive behavior B. A cognitive approach to change behavior C. A living, learning or working environment D. A permissive a congenial environment
C.
The home health psychiatric nurse visits a client with chronic schizophrenia who was recently discharged after a prolong stay in a state hospital. The client lives in a boarding home, reports no family involvement, and has little social interaction. The nurse plan to refer the client to a day treatment program in order to help him with: A. Managing his hallucination B. Medication teaching C. Social skills training D. Vocational training
C.
What herbal medication for depression, widely used in Europe, is now being prescribed in the United States? A. Ginkgo biloba B. Echinacea C. St. John's wort D. Ephedra
C.
When working with children's who have been sexually abused by a family member it is important for the nurse to understand that these victim s usually are overwhelmed with feelings of: A. Humiliation B. Confusion C. Self blame D. Hatred
C.
A dying male client gradually moves toward resolution of feelings regarding impending death. Basing care on the theory of Kubler-Ross, nurse Trish plans to use non verbal interventions when assessment reveals that the client is in the: A. Anger stage B. Denial stage C. Bargaining stage D. Acceptance stage
D.
Celia with a history of poly substance abuse is admitted to the facility. She complains of nausea and vomiting 24 hours after admission. The nurse assess the client and notes piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going through which of the following withdrawals? A. Alcohol withdrawal B. Cannabis withdrawal C. Cocaine withdrawal D. Opioid withdrawal
D.
Isabel with a diagnosis of depression is started on imipramine (Tofranil), 75 mg by mouth at bedtime. The nurse should tell the client that: A. This medication may be habit-forming and will be discontinued s soon as the client feels better. B. This medication has no serious adverse effects C. The client should avoid eating foods as aged cheeses, yogurt, and chicken livers while taking this medication D. This medication may initially cause tiredness, which should become less bothersome over time.
D.
Nurse Josefina is caring for a client who has been diagnosed with delirium. Which statement about delirium is true? A. It's characterized by Ana cute onset and last about 1 month B. It's characterized by slowly evolving onset and last about 1 week. C. It's characterized by a slowly evolving onset and lasts about a month D. It's characterized by an acute onset and lasts hours to a number of days
D.
Nurse Trish suggests a crisis intervention group to a client experiencing a developmental crisis. These groups are successful because the: A. Crisis intervention worker is a psychologist and understands behavior patterns B. Crisis group supplies a workable solution to the clients problems C. Client is encouraged to talk about personal problems D. Client is assisted to investigate alternative approaches to solving the identified problem
D.
The nurse is caring for a client with an autoimmune disorder at a medical clinic, where alternative medicine is used as an adjunct to traditional therapies. Which information should the nurse teach the client to help foster a sense of control over his symptoms? A. Pathophysiology of Disease process B. Principles of good nutrition C. Side effects of medications D. Stress management tecniques
D.
Select the characteristics of the termination stage of group development. Select all that apply. A. The group evaluates the experience B. The real work of the group is accomplished C. Group interactions involves superficial conversation D. Group members become acquainted with each other E. Some strutting of group norms, roles and responsibilities takes place F. The group explores members feelings about the group and impending separation
A&F
Select the nursing interventions for a hospitalized client with mania who is exhibiting manipulative behavior. Select all that apply. A. Communicate expected behaviors to the client. B. Ensure that the client knows that he/she is not in charge of the nursing unit C. Assist the client in identifying ways of setting limits on personal behaviors D. Follow through about the consequences of behavior in a non punitive manner E. Enforce rules and inform the client that he/she will not be allowed to attend therapy group F. Be clear with the client regarding the consequences of exceeding limits that have been set regarding behavior.
A,C,D&F
A client is preparing to attend a Gamblers Anonymous meeting for the first time. The prototype used by this group is a 12-step program developed by AA. A nurse tells the client that the first step in the 12-step program is which of the following? A. Admitting to having a problem B. Substituting other activities for gambling C. Stating that the gambling will be stopped D. Discontinuing relationships with friends who are gamblers
A.
A client is unwilling to go out of the house for fear of "doing something crazy in public" because of this fear, the client remains home bound except when accompanied outside by the spouse. Based on these data, a nurse determines that the client is experiencing? A. Agoraphobia B. Social phobia C. Claustrophobia D. Hypochondriasis
A.
A client with an eating disorder is planning to attend group meeting with OverEaters Anonymous, and a nurse describes this group to the client. The nurse determines that the client needs additional information if the client states which of the following about the self-help group? A. "The leader is a nurse or psychiatrist." B. "The members provide support to each other." C. "People who have a similar problem are able to help others." D. "It is designed to serve people who have a common problem."
A.
A hospitalized client with a history of alcohol abuse tells a nurse, "I am leaving now, i have to go. I dont want any more treatment. I have things that i have to do right away." The client has not been discharged. The client is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the clients concerns with the client, the client dresses and begins to walk out of the hospital room. The appropriate nursing action is to: A. Call the nursing supervisor B. Call security to block all exit areas C. Restrain the client until the physician can be reached D. Tell the client that the client cannot return to this hospital again if the client leaves now.
A.
A nurse employed in a mental health clinic is greeted by a neighbor at a local grocer store. The neighbor says to the nurse, " How is Carol doing? She is my est friend and is seen at your clinic every week." The appropriate nursing response is which of the following? A. "I cannot discuss any client situation with you." B. "If you want to know about Carol, you need to ask her yourself." C. "M not supposed to discuss this, but because you are my neighbor, i can tell you that she is doing great!" D. "I'm not supposed to discuss this, but because you are my neighbor, i can tell you that she really has some problems."
A.
Tim is admitted with a diagnosis of delusions of grandeur. The nurse is aware that this diagnosis reflects a belief that one is: A. Highly important or famous B. Being persecuted C. Connected to events unrelated to oneself D. Responsible for the evil in the world
A.
Jen a nursing student is anxious about the upcoming board examination but is able to study intently and odes not become distracted by a roommates talking and loud music. The students ability to ignore distractions and to focus on studying demonstrates: A. Mild level anxiety B. Severe level anxiety C. Moderate level anxiety
C.
A nurse is developing a plan of care for a client in a crisis state. When developing the plan, the nurse considers which of the following? A. A crisis state indicates that the client has mental issues B. A crisis state indicates that the client has an emotional illness C. Presenting symptoms in a crisis situation are similar for all clients experiencing a crisis. D. A clients response to a crisis is individualized and what constitutes a crisis for one client may not constitute crisis for another client.
D.
A nurse is working with a client who has sought counseling after trying to rescue a neighbor I loved in a house fire. Despite the clients efforts, the neighbor died. Which action does the nurse engage in with the client during the working phase of the nurse-client relationship? A. Exploring the clients ability to function B. Exploring the clients potential for self-harm C. Inquiring about he clients perception or appraisal of the neighbors death D. Inquiring about and examining he clients feelings tat may block adaptive coping
D.
An 18-year-old woman is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa. A cognitive behavioral approach is used as part of her treatment plan. A nurse understands that the purpose of this approach is to? A. Provide a supportive environment B. Examine intrapsychic conflicts and past issues C. Emphasize social interaction with clients who withdraw D. Help the client identity and examine dysfunctional thoughts and beliefs
D.
Aura has taken amitriptyline HCL (Evavil) for 3 days, but now complains that it "doesn't help" and refuses to take it. What should the nurse say or do? A. Withhold the drug B. Record the clients response C. Encourage the client to tell the doctor D. Suggest that it take awhile before seeing the results.
D.
Nurse Mylene recognizes that the most important factor necessary for the establishment of trust in a critical care area is: A. Privacy B. Respect C. Empathy D. Presence
D.
A nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client? A. Chess B. Writing C. Ping pong D. Basketball.
B.
A nurse is providing care to a lie to admitted to the hospital with a diagnosis of acute anxiety disorder. The client says to the nurse, "I have a secret that i want to tell you. You wont tell anyone about it, will you?" The appropriate nursing response would be which of the following? A. "No, i wont tell anyone." B. "I cannot promise to keep a secret." C. "If you tell me the secret, i will tell it to your doctor." D. "If you tell me the secret, i will need to document it in your record."
B.
A nurse determines that the wife of an alcoholic client is benefiting rom attending an Al-Anon group when the nurse hears the wife say: A. "I no longer feel that i deserve the beatings my husband inflicts on me." B. "My attendance at the meetings has helped me to see that i provoke my husbands violence." C. "I enjoy attending the meetings because they get me out of the house away from my husband." D. "I can tolerate my husband's destructive behaviors now that i know they are common with alcoholics."
A.
Tina who is manic, but not yet on medication, comes to the drug treatment center. The nurse would not let this client join the group session because: A. The client is disruptive B. The client is harmful to self. C. The client is harmful to other D. The client needs to be on medications first.
A.
A 65 year-old client is in the first stage of Alzheimer's disease. Nurse Patricia should plan to focus this clients care on: A. Offering nourishing finger foods to help maintain a the clients nutritional status B. Providing emotional support and individual counseling C. Monitoring the client to prevent minor illnesses form Turing into major problems D. Suggesting new activities for the client and family to do together.
B.
A client is admitted to the mental health unit with a diagnosis of schizophrenia. A nursing diagnosis formulated for the client is disturbed thought process R/T paranoia. In formulating nursing interventions with the members of the health care team, a nurse provides instructions to: A. Increase socialization of the client with peers B. Avoid laughing or whispering in front of the client C. Being to educative the client about social support in the community D. Have the client signs. Release f information to appropriate parties so that adequate data can be obtained for assessment purpose
B.
Which information is most important for the nurse Tirinity to include in a teaching plan for a male schizophrenic client taking clozapine (Clozaril)? A. Monthly blood test will be necessary B. Report sore throats or fever to the physician immediately C. Blood pressure must be monitored for hypotension D. Stop the medication when symptoms subside
B.
A client with major depression is considering cognitive therapy. The client asks a nurse, "How does the treatment work?" The nurse tells the client that: A. " This type of treatment will help you relax and develop new coping skills." B. "This type of treatment helps you confront your fears by gradually exposing you to them." C. "This type of treatment helps you examine how your past life has contributed to your problems." D. "This type of treatment elks you examine how your thoughts and feelings contribute to your difficulties."
D.
A nurse employed in a mental health unit is assigned to care for a client admitted to the unit 2 days ago. On review of the clients record, the nurse no test that the admission was a voluntary admission.. Based on this type of admission, the nurse anticipates which of the following? A. The client will resist treatment measures B. The client will be angry and will refuse care C. The clients family will resist treatment measures D. The client will participate in the planning of the care and treatment plan
D.
A nurse is caring for a client with a phobia who is being treated for the condition. The client is introduced to short periods of exposure to the phobic object while in a relaxed state. The nurse understands that this form of behavior modification can best be described as: A. Milieu therapy B. Aversion therapy C. Self-control therapy D. Systematic desensitization
D.
Unresolved feeling related to loss most likely may be recognized during which phase of the therapeutic nurse-client relationship? A. Working B. Trusting C. Orientation D. Termination
D. Termination
Nurse Lynette notices that a female client with OCD washes her hands for long periods each day. How should the nurse respond to this compulsive behavior? A. By designating times during which the client can focus on the behavior B. By urging the client to reduce the frequency of the behavior as rapidly as possible C. By calling attention to or attempting to prevent the behavior D. Bu discouraging the client from verbalizing anxieties.
A.
A client is admitted to a mental health unit for treatment of psychotic behavior. The client is at the locked exit door and is shouting, "Let me out. there's nothing wrong with me. I dont belong here." A nurse analyzes this behavior as: A. Denial B. Projection C. Regression D. Rationalization
A. -Refusal to admit a painful reality
David, an adolescent boy was admitted for substance abuse and hallucinations. The client's mother asks nurse Armando to talk with his husband when he arrives at the hospital. The mother says that she is afraid of what the father might say to the boy. The most appropriate nursing intervention would be to: A. Inform the mother that she and the father can work through this problem themselves. B. Refer the mother to the hospital social worker. C. Agree to talk with the mother and the father together. D. Suggest that the father and son work things out.
C.
What parental behavior toward a child during an admission procedure should cause nurse Ron to suspect child abuse? A. Flat affect B. Expressing guilt C. Acting over solicitous toward the child D. Ignoring the child
C.
When assessing a per morbid personality characteristics of a client with a major depression, it would be unusual for the nurse to find that this client demonstrated A. Rigidity B. Stubbornness C. Diverse interest D. Over meticulousness
C.
A nurse observes that a client is pacing, agitated, and presenting aggressive gestures. The clients speech pattern is rapid, and affect is belligerent. Based on these observations, the nurse immediate priority of care is to: A. Provide safety for the client and other clients on the unit. B. Provide the clients on the unit with a sense of comfort and safety C. Assist the staff in caring for the client in a controlled environment D. Offer the client a less stimulated are to calm down and gain control.
A.
A client admitted to the mental health unit is experiencing disturbed thought processes and believes that the food is being poisoned. Which communication technique would a nurse plan to use to encourage the client to eat? A. Use open-ended questions and silence B. Focusing on self-discourse regarding food preferences C. List possible reasons in the care that the client may no want to eat D. Offering onion about the necessity of adequate nutrition.
A. -open ended questions and silence are strategies used to encourage clients to discuss their problems
A community health nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which response by the nurse illustrates a therapeutic communication technique for this client: A. "Go on." B. "Sleeping?" C. "You're having difficulty sleeping?" D. "Sometimes, i have trouble sleeping too."
C. -restatement. That has a prompting component to it, it repeats the clients major theme, which assists the nurse to obtain a more specific perception of the problems
A client stays to a nurse, "I'm going to die, and i wish my family would stop hoping for a use! I get so angry when they carry on like this. After all, I'm the one who's dying." The therapeutic response by the nurse is: A. "Have you shared your feelings with your family?" B. "I think we should talk more about your anger with your family." C. "You're feeling a great that your family continues to hope for you to be cured?" D. "Well, it sounds like you're being pretty pessimistic. After all, years ago, people died of pneumonia."
C. -restating, nurse repeats client to show understanding and to review what was said.
A client ho is delusional says to a nurse, "The federal guards were sent to kill me." The nurses best response is: A. "I don't believe this to be true." B. "The guards are not out to kill you." C. "What makes you think the guards were sent to hurt you?" D. "I don't know anything about the guards. Do you feel afraid that people are tying to hurt you?"
D.
A nurse is conducting a group therapy session and a client with a manic disorder is monopolizing the group. The appropriate nursing action is which of the following? A. Ask the client to leave B. Refer the client to another group C. Tell the client to stop monopolizing D. Thank the client for contributing and tell them or her to allow others a change to contribute
D.
Nurse Judy knows that statistics show that in adolescent suicidal behavior: A. Females urges more dramatic methods than males B. Males account for more attempts than do females C. Families talk more about suicide before attempting it D. Males are more likely to use lethal methods than are females
D.
A nurse employed in a mental health unit of a hospital is the leader of a group psychotherapy session. The nurses role in the termination stage of group development is to: A. Encourage problem solving B. Encourage accomplishment of the groups work C. Acknowledge the contributions of each group member D. Encourage members to become acquainted with one another.
C.
A nurse enters a clients room, and the client is demanding release form the hospital. The nurse reviews the clients records and notes that the client was admitted 2 days ago for treatment of an anxiety disorder and that the admission was a voluntary admission. Which of the following actions would the nurse take? A. Contact the physician B. Call the clients family C. Persuade the client to stay a few more days D. Tell the client that discharge is not possible at this time
A.
Alfred was newly diagnosed with anxiety disorder. The physician prescribed buspirone (BuSpar). The nurse is aware that the teaching instructions for newly prescribed buspirone should include which of the following? A. A warning about the drugs delayed therapeutic effect, which is from 14-30 days. B. A warning about the incidence of NMS C. A reminder of the need to schedule blood work in 1 weeks to check blood levels of the drug D. A warning that immediate sedation can occur with a resultant drop in pulse
A.
The most critical factor for nurse Linda to determine during crisis intervention would be the clients: A. Available situational supports B. Willingness to restructure the personality C. Developmental theory D. Underlying unconscious conflict.
A.
The nurse understand that the therapeutic effects of typical antipsychotic medications are associated with thick neurotransmitter change? A. Decreased dopamine leveL B. Increased acetylcholine level C. Stabilization of serotonin D. Stimulation of GABA
A.
Which activity would be most appropriate for a severely withdrawn client? A. Art activity with a staff member B. Board game with a small group of clients C. Team sport in the gym D. Watching TV in the dayroom
A.
A client with a diagnosis of anorexia nervosa, who is in a state of starvation, is in a two-bed room. A newly admitted client will be assigned to this clients room. Which of the following clients would be an appropriate choice as this clients roommate? A. A client with pneumonia B. A client receiving diagnostic tests C. A client who thrive on managing others D. A client who could benefit from the clients assistance at mealtime.
B.
A female client with anorexia nervosa is a member of a pre-discharge support groups. The client verbalized that she would like to buy some new clothes, but her Diana cues are limited. Group members have brought some used clothes to the client to replace the clients old clothes. The client believes the the new clothes were much too tight and has reduced her calorie intake to 800 calories daily. The nurse evaluates this behavior as: A. Normal behavior B. Evidence of the clients disturbed body image. C. Regression as the client is moving toward the community. D. Indicative of the clients ambivalence about hospital discharge
B.
A male client with delirium becomes disoriented and confused in his room at night. The best initial nursing intervention is to: A. Move the client next to the nurses station B. Use an indirect light source and turn off the television C. Keep the television and a soft light on during the night D. Pay soft music during the night and maintain a well light room.
B.
A nurse in the emergency department is caring for a young female victim of sexual assault. The clients physical assessment is complete, and physical evidence has been collected. The nurse notes that the client is withdrawn. These behaviors are interpreted by the nurse as: A. Signs of depression B. Normal reactions to a devastating event. C. Evidence that the client is a high suicide risk D. Indicative of the need for hospital admission
B.
Frantic who is addicted to cocaine withdraws from the drug. Nurse Ron should expect to observe: A. Hyperactivity B. Depression C. Suspicion D. Delirium
B.
Rosa a is in the second stage of Alzheimer's disease who appears to be in pain. Which question by Nurse Jenny would best elicit information about the pain? A. "Where is your pain located?" B. "Do you hurt? (Pause) do you hurt?" C. "Can you describe your pain?" D. "Where do you hurt?"
B.
Which medication can control the extra pyramidal effects associated with antipsychotic agents? A. Clonazepam even (Tranxene) B. Amantadine (Symmetrel) C. Doxepin (Sinequan) D. Perphenazine (Trilafon)
B.
Which nursing intervention would be most appropriate if a male client develop orthostatic hypotension while taking amitriptyline (Evail)? A. Consulting with the physician about substituting a different type of antidepressant B. Advising the client to sit up for 1 minute before getting out of bed C. Instructing the client to double the dosage until the problem resolves D. Informing the client that this adverse reaction should disappear within 1 week.
B.
Which of the following best explains why tricyclics antidepressants are used with caution in elderly patients? A. CNS effects B. CV effects C. GI effects D. Serotonin syndrome effects
B.
A manic client announces to everyone in the day room that a stripper is coming to perform this evening. When a nurse firmly states that this is inappropriate and will not happen, the client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, the nurse determines that the appropriate action would be to: A. Orient the client to time, person and place B. Tell the client that the behavior is inappropriate C. Escort the manic client to her room with assistance D. Tell the client that smoking privileges are revoked for 24 hours
C.
A nurse is caring for a male client diagnosed with catatonic stupor. The client is lying on the bed with his body pulled into a fetal position. The appropriate nursing intervention is which of the following? A. Ask direct questions to encourage talking B. leave the client alone and intermittently check on him C. Sit beside the client in silence with occasional open-ended questions D. Take the client into the day room with other clients so that they can help watch him.
C.
Meryl, age 19, is highly dependent on her parents and fears leaving home to go away to college. Shortly before the semester starts, she complains that her legs are paralyzed and is rushed to the emergency department. When physical examination rules out a physical cause for her paralysis, the physician admits her to the psychiatric unit where she is diagnosed with conversion disorder. Meryl asks the nurse, "Why has this happened to me?" What is the nurses best response? A. "You've developed this paralysis so you can stay with your parents. You must deal with this conflict if you want to walk again." B. "It must be awful not to be able to move your legs. You may feel better if you realize the problem is psychological, no physical ." C. "Your problem is real but there is no physical basis for it. Well work on what is going on in your life to find out why its happened." D. "It isn't uncommon for someone with your personality to develop a conversion disorder during times of stress."
C.
Nurse Amy is providing care for a male client undergoing opiate withdrawal. Opiate withdrawal causes severe physical discomfort and can be life-threatening. To minimize these effects, opiate users are commonly detoxified with? A. Barbiturates B. Amphetamines C. Methadone D. Benzodiazepines
C.
Ricky with chronic schizophrenia takes neuroleptic medication is admitted to the psychiatric unit. Nursing assessment reveals, rigidity, fever, hypertension and diaphoresis. These finding suggest which life threatening reaction: A. TD B. Dystonia C. NMS D. Akathisia
C.
The nurse is assessing a client who has just been admitted to the emergency department. Which signs would suggest an overdose of Antianxiety agent? A. Combativeness, sweating and confusion B. Agitation, hyperactivity and grandiose ideation C. Emotional lability, euphoria and impaired memory D. Suspiciousness, dilated pupils and increased BP
C.
Ramon is admitted for detoxification after a cocaine overdose.. The client tells the nurse that he frequently uses cocaine but that he can control his use if he chooses. Which coping mechanism is he using? A. Withdrawal B. Logical thinking C. Repression D. Denial
D.
Which of the following is the most distinguishing feature of a client with an antisocial personality disorder? A. Attention to detail and order B. Bizarre mannerisms and thoughts C. Submissive and dependent behavior D. Disregard for social and legal norms
D.
Which of the following statements should be included when teaching clients about MAOI antidepressants? A. Dont take aspirin or NSAIDs B. Have blood levels screened weekly for leukopenia C. Avoid strenuous activity because of the cardiac effects of the drug D. Dont take prescribed or OTC medications without consulting the physician
D.
A nurse is caring for a female client who was admitted to the mental health unit recently for anorexia nervosa. The nurse enters the clients room and notes that the client is engaged in rigorous push-ups. Which nursing action is appropriate? A. Interrupt the client and weight her immediately B. Interrupt the client and offer to take her for a walk C. Allow the client to complete her exercise program D. Tell the client that she is not allowed to exercise rigorously
B.
A nurse is preparing a client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task appropriate for this phase? A. Planning short-term goals B. Making appropriate referrals C. Developing realistic solutions D. Identifying expected outcomes
B.
At home health nurse visits a client at home and determines that the client is dependent on drugs. Which of the following assessment questions would assist the nurse to provide appropriate nursing care? A. "Why did you get started on these drugs?" B. "How much do you use and what effects does it have on you?" C. "How long did you think you could take these drugs without someone finding out?" D. The nurse does not ask any questions for fear that the client is in denial and will throw the nurse out of the home.
B.
Tranylcypromine sulfate (Parnate) is prescribed for a depressed client who has not responded to the TCAs. After teaching the client about the medication, Nurse Marian evaluates the learning has occurred when the client states, "I will avoid: A. Citrus fruit, tuna, and yellow vegetables B. Chocolate milk, aged cheese and yogurt C. Green leafy vegetables, chicken and milk D. Whole grains, red meats, and carbonated soda
B.
Nurse Marco is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan? A. Restricts visits with the family and friends until the client begins to eat B. Provide privacy during meals C. Set up a strict eating pan for the client D. Encourage the client to exercise, which will reduce her anxiety
C.
Josefina is to be discharged on a regimen of lithium carbonate. In the teaching plan for discharge the nurse should include: A. Advising the client to watch the diet carefully B. Suggesting that the client take the pills with milk C. Reminding the client that the CBC must be done once a month D. Encouraging the client to have blood levels check as ordered.
D.
A nurse is conducting a group therapy session. During the session, a client with mania consistently talks and dominates the group session, and this behavior is disrupting group interactions. The nurse would initially: A. Ask the client to leave the group session B. Ask another nurse to escort the client out of the group session C. Tell the client that she will not be able to attend any further group sessions D. Tell the client that she needs to allow other clients in the group time to talk
D.
A nurse is discharging a client with a history of command hallucinations to harm self or others. The nurse provides instruction to the client about interventions for hallucinations and anxiety and determines that the client understands the instruction if the client states: A. "My medication wont make me anxious." B. "ill go to support group and talk so that i don't hurt anyone." C. "I wont get anxious or hear things if i get enough sleep and eat will." D. "I can call my therapist when I'm hallucinating so that i can talk about my feelings and plans and not hurt anyone."
D.
