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A charge nurse is discussing mental A, B, C
status exams 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
instruct 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 nurse is planning care for a client D
who has a 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 the medications.
A nurse in an outpatient mental health B
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
her mental health status.
C) Include the client's family in the
interview.
D) Teach the client about her current
mental health disorder
,A nurse is told during change of shift A
report that a client is stuporous. When
assessing the client, which of the
following findings should the nurse
expect?
A) The client arouses briefly in
response to a sternal rub.
B) The client has a glasgow coma
scale score less than 7.
C) The client exhibits decorticate
rigidity.
D) The client is alert but disoriented to
time and place.
A nurse is planning a peer group B, D, E
about the 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 nurse in an emergency mental C
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 has 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 man with a metal rod.
D) A client who has bipolar disorder
and paces quickly around the room
while talking to himself.
A nurse decides to put a client who B
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