Mental health quiz #5

A client is diagnosed with borderline personality disorder. What is a realistic initial intervention for this client? 1. Establish clear boundaries 2. Explore job possibilities with the nurse 3. Initiate discussion of feelings of being victimized 4. Spend one hour twice a day discussing problems with the nurse

1

A nurse educator is leading a class on supporting middle aged adults who are experiencing midlife crisis. What should the nurse include as the most significant factor in the development of this type of crisis? 1. The perception of their life situation 2. Many role changes that alter their experiences at this time 3. The anticipation of negative changes associated with old age 4. Lack of support from family members who are busy with their own lives

1

An adult who has been in a gay relationship for 3 years arrives at the emergency department in a near panic state. The client states, "My partner just left me. I am a wreck." What should the nurse do to help the client cope with this loss? (select all that apply) 1. Identify the client's support systems 2. Explore the client's psychotic thoughts 3. Reinforce the client's current self-image 4. Encourage the client to talk about the situation 5. Suggest that the client explore personal sexual attitudes

1, 4

Which approaches should a nurse use during crisis intervention? (Select all that apply) 1. Active 2. Passive 3. Reflective 4. Interpretative 5. Goal-directed

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A 44-year old client is unable to function since her husband asked for a divorce 2 weeks ago. She is brought to the crisis intervention center by a friend. What type of crisis reflects this situation. 1. Social 2. Situational 3. Maturational 4. Developmental

2

A client with a diagnosis of paranoid schizophrenia throws a chair across the room and starts screaming at the other clients. Several of these clients have frightened expressions, one starts to cry, and another begins to pace. A nurse removes the agitated client from the room. What should the nurse remaining in the room do next? 1. Continue the unit's activities as if nothing happened. 2. Arrange a unit meeting to discuss what just happened. 3. Refocus clients' negative comments to more positive topics. 4. Have a private talk with the clients who cried or started to pace.

2

An extremely anxious client enters a crisis center and asks a nurse for help. Which response best reflects the nurse's role in crisis intervention? 1. "Tell me what you have done to help yourself" 2. "I will be here for you to help you figure things out" 3. "I understand that in the past you have had problems" 4. "Tell me about the things that are bothering you the most"

2

At a group therapy session a client tearfully tells the other members, "I just lost my job this week." What is the nurse leader's most appropriate response? 1. Ask the client to consider the reasons this may have occurred. 2. Quietly observe how the group responds to the client's statement. 3. Gently suggest that the client check the help-wanted advertisements in the local paper. 4. Request that the group help the client reflect on how the dismissal may have been prevented.

2

What is the priority goal when planning care for a client in crisis? 1. Referring the client for occupational therapy 2. Restoring the client's psychological equilibrium 3. Scheduling the client for follow-up counseling 4. Having the client gain insight into the problem

2

A nurse is aware that a co-worker's mother died 16 months ago. The co-worker cries every time someone says the word "mother" or if the mother's name is mentioned. What does the nurse conclude about this behavior? 1. It is an expected response 2. Most people cry when their mother dies 3. The co-worker may need help with grieving 4. The co-worker was extremely attached to the mother

3

During a group meeting a client tells everyone, "I am afraid of my impending discharge from the hospital." What is the most appropriate response by the nurse facilitator? 1. "You ought to be happy that you're leaving." 2. "Maybe you're not ready to be discharged yet." 3. "Maybe others in the group have similar feelings that they would share." 4. "How many in the group feel that this member is ready to be discharged?"

3

A client with a history of violence is becoming increasingly agitated. Which nursing intervention will most likely increase the risk of acting out behavior? 1. Being assertive 2. Responding early 3. Providing choices 4. Teaching relaxation

4

As depression begins to lift, a client is asked to join a small discussion group that meets every evening on the unit. The client is reluctant to join because "I have nothing to talk about." What is the best response by the nurse? 1. "Maybe tomorrow you will feel more like talking." 2. "Could you start off by talking about your family?" 3. "A person like you has a great deal to offer the group." 4. "You feel you will not be accepted unless you have something to say?"

4

Which is the most important assessment data for a nurse to gather from the client in crisis? 1. The client's work habits 2. Any significant physical health data 3. A history of emotional problems in the family 4. The client's perception of the circumstances surrounding the crisis

4