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• The 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 demonstrates
therapeutic communication?
1. "I see."
2. "Really?"
3. "You're having difficulty sleeping?"
4. "Sometimes I have trouble sleeping too." -✓✓3
• A client experiencing disturbed thought processes believes that his
food is being poisoned. Which communication technique should the
nurse use to encourage the client to eat?
1. Using open-ended questions and silence
2. Sharing personal preference regarding food choices
3. Documenting reasons why the client does not want to eat
4. Offering opinions about the necessity of adequate nutrition -✓✓1
• A client admitted voluntarily for treatment of an anxiety disorder
demands to be released from the hospital. Which action should the nurse
take initially?
,1. Contact the client's health care provider (HCP).
2. Call the client's family to arrange for transportation.
3. Attempt to persuade the client to stay "for only a few more days."
4. Tell the client that leaving would likely result in an involuntary
commitment. -✓✓1
• When reviewing the admission assessment, the nurse notes that a client
was admitted to the mental health unit involuntarily. Based on this type
of admission, the nurse should provide which intervention for this
client?
1. Monitor closely for harm to self or others.
2. Assist in completing an application for admission.
3. Supply the client with written information about his or her mental
illness.
4. Provide an opportunity for the family to discuss why they felt the
admission was needed. -✓✓1
• When a client is admitted to an inpatient mental health unit with the
diagnosis of anorexia nervosa, a cognitive behavioral approach is used
as part of the treatment plan. The nurse plans care based on which
purpose of this approach?
1. Providing a supportive environment
2. Examining intrapsychic conflicts and past issues
3. Emphasizing social interaction with clients who withdraw
, 4. Helping the client to examine dysfunctional thoughts and beliefs -
✓✓4
• A client is preparing to attend a Gamblers Anonymous meeting for the
first time. The nurse should tell the client that which is the first step in
this 12-step program?
1. Admitting to having a problem
2. Substituting other activities for gambling
3. Stating that the gambling will be stopped
4. Discontinuing relationships with people who gamble -✓✓1
• The nurse employed in a mental health clinic is greeted by a neighbor
in a local grocery store. The neighbor says to the nurse, "How is Carol
doing? She is my best friend and is seen at your clinic every week."
Which is the most appropriate nursing response?
1. "I cannot discuss any client situation with you."
2. "If you want to know about Carol, you need to ask her yourself."
3. "Only because you're worried about a friend, I'll tell you that she is
improving."
4. "Being her friend, you know she is having a difficult time and
deserves her privacy." -✓✓1
• The nurse calls security and has physical restraints applied to a client
who was admitted voluntarily when the client becomes verbally abusive,
demanding to be discharged from the hospital. Which represents the