Nursing

A charge nurse is conducting a class on therapeutic communication with a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? Intonation

A. B. C. D.

A nurse is caring for a client who smokes and has lung cancer. The client reports "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? Denial

A. B. C. D.

A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? o Discussing ways to use new behaviors

A. B. C. D.

A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always threatening me. "Which of the following actions should the nurse take? A. Keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince them to admit to hiding the knife B. Keep the client's communication confidential, but watch the client and their roommate closely C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others D. Report the incident to the health care team, but do not inform the client of the intention to do so

A. B. C. Correct D.

A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should have the client to write a sentence." D. "To assess remote memory, I should have the client repeat a list of objects." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents."

A. Correct B. Correct C. Correct D. E.

A community metal health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse implement as a method of tertiary prevention? Establishing rehabilitation programs to decrease the effects of depression

A. B. C. D.

A nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's use of interpersonal communication? The nurse asks the client about personal body image perception

A. B. C. D.

A nurse in an acute mental health facility is assisting with discharge planning for a client who has severe mental illness and requires supervision. The client's partner works all day but is home by late afternoon. Which of the following strategies should the nurse suggest for follow-up care? Attending a partial hospitalization program

A. B. C. D.

A nurse in an acute mental health facility is communicating with a client. The client states "I can't sleep. I stay up all night." The nurse responds, "you are having difficulty sleeping?" which of the following therapeutic communication techniques is the nurse demonstrating? Restating

A. B. C. D.

A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting when alcohol is consumed. Which of the following types of treatment is this method an example? Aversion therapy

A. B. C. D.

A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client?Discuss prior use of coping mechanisms with the client Demonstrate a calm manner while using simple and clear directions

A. B. C. D.

A nurse is caring for a group of clients. Which of the following clients should a nurse consider for referral to an assertive community treatment (ACT) group? A client who lives at home and keeps "forgetting" to come in for a scheduled monthly antipsychotic injection for schizophrenia

A. B. C. D.

A nurse is communicating with a client who was admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? Offering advice

A. B. C. D.

A nurse is conducting a family therapy session. The younger child tells the nurse about plans to make the older sibling look bad, believing this will earn more freedom and privileges. The nurse should identify this dysfunctional behavior as which of the following? Manipulation

A. B. C. D.

A nurse is discussing free association as a therapeutic tool with client who has major depressive disorder. Which of the following client statements indicates understanding of this technique? "I should say the first thing that comes to my mind."

A. B. C. D.

A nurse is planning care for several clients who are attending community-based mental health programs. Which of the following clients should the nurse visit first? A client who reports hearing a voice saying that life is not worth living anymore

A. B. C. D.

A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? Define the purpose of the group Discuss termination of the group Establish an expectation of confidentiality within the group

A. B. C. D.

A nurse is providing preoperative teaching for a client who was informed of the need for emergency surgery. The client has a respiratory rate 30/min and says "this is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? Moderate

A. B. C. D.

A nurse is talking with a caregiver of a child who has demonstrated recent changes in behavior and mood. When the caregiver of the child asks the nurse for reassurance about their child's condition, which of the following responses should the nurse make? "I understand you're concerned. Let us discuss what concerns you specifically."

A. B. C. D.

A nurse is talking with a client who is at risk for suicide following their partner's death. Which of the following statements should the nurse make? "Losing someone close to you must be very upsetting"

A. B. C. D.

A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy? "The therapist will focus on my past relationships during our sessions."

A. B. C. D.

A nurse on an acute mental health unit forms a group to focus on self-management of medications. At each of the meeting, 2 of the members conspire together to exclude the rest of the group. This is an example of which of the following concepts? Subgroup

A. B. C. D.

A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when demonstrating which of the following actions? Asks for group suggestions of techniques and then supports discussion

A. B. C. D.

The nurse is orientating a new client to a mental health unit. When explaining the unit's community meetings, which of the following statements should the nurse make? "You and the other clients will meet with staff to discuss common problems"

A. B. C. D.

A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form of therapy? Gradually expose the client to an elevator while practicing relaxation techniques

A. B. C. D. E.

A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? Priory restructuring Monitoring thoughts Journal keeping

A. B. C. D. E.

A nurse is working in a community mental health facility. Which of the following services does this type of program provide? Educational groups Medication dispensing programs Individual counseling programs Family therapy

A. B. C. D. E.

A nurse is planning care for a client who has mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy B. Teach the client appropriate coping mechanisms C. Assess the client for comorbid health conditions D. Monitor the client for adverse effects of medications

A. B. C. D. Correct

A nurse in emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? A. A client who as schizophrenia with delusions of grandeur B. A client who has manifestations of depression and attempted suicide a year ago C. A client who has borderline personality disorder and assaulted a homeless guy with a metal rod D. A client who has bipolar disorder and paces quickly around the room while talking to themselves

A. B. C. Correct D.

A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? The client accuses the nurse of being controlling just like an ex-partner

A. B. C. D.

A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? A. Invasion of privacy B. False imprisonment C. Assault D. Battery

A. B. Correct C. D.

A nurse hears a newly licensed nurse discussing a client's hallucination in the hallway with another nurse. Which of the following actions should the nurse take first? A. Notify the nurse manger B. Tell the nurse to stop discussing the behavior C. Provide an in-service program about confidentiality D. Complete an incident report

A. B. Correct C. D.

A nurse is an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A. Coordinate holistic care with social services B. Identify the client's perception of their mental health status C. include the client's family in the interview D. Teach the client about their current mental health disorder

A. B. Correct C. D.

A nurse is planning a peer group discussion about the "Diagnostic and Statistical Manual of Mental Disorders," 5th Edition (DSM-5). Which of the following information is appropriate to include in the discussion? (Select all that apply) A. The DSM-5 includes client education handouts for mental health disorders B. The DSM-5 establishes diagnostic criteria for individual mental health disorders C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders D. The DSM-5 assists nurses in planning care for client's who have mental health disorders E. The DSM-5 indicates expected assessment findings of mental health disorders

A. B. Correct C. D. Correct E. Correct

A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in documentation? A. "Client ate most of their breakfast" B. "Client was offered 8oz of water every hour" C."Client shouted obscenities at assistive personnel" D. "Client received chlorpromazine 15mg by mouth at 1000" E. Client acted out after lunch

A. B. Correct C. Correct D.Correct E.