mental health exam 1
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1. A client with a diagnosis of depression who has attempted suicide says
to the nurse, "I should have died. I've always been a failure. Nothing ever
goes right for me." Which response by the nurse demonstrates therapeutic
communication?
1. "You have everything to live for."
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?": 4
2. 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
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
, mental health exam 1
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4. 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
5. 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
6. When a client is admitted to an inpatient mental health unit with the diag-
nosis 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
, mental health exam 1
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4. Helping the client to examine dysfunctional thoughts and beliefs: 4
7. 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
8. 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 improv-
ing."
4. "Being her friend, you know she is having a difficult time and deserves her
privacy.": 1
9. The nurse calls security and has physical restraints applied to a client who
was admitted voluntarily when the client becomes verbally abusive, demand-
ing to be discharged from the hospital. Which represents the possible legal
ramifications for the nurse associated with these interventions? Select all that
apply.
Study online at https://quizlet.com/_71a53a
1. A client with a diagnosis of depression who has attempted suicide says
to the nurse, "I should have died. I've always been a failure. Nothing ever
goes right for me." Which response by the nurse demonstrates therapeutic
communication?
1. "You have everything to live for."
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?": 4
2. 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
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
, mental health exam 1
Study online at https://quizlet.com/_71a53a
4. 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
5. 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
6. When a client is admitted to an inpatient mental health unit with the diag-
nosis 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
, mental health exam 1
Study online at https://quizlet.com/_71a53a
4. Helping the client to examine dysfunctional thoughts and beliefs: 4
7. 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
8. 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 improv-
ing."
4. "Being her friend, you know she is having a difficult time and deserves her
privacy.": 1
9. The nurse calls security and has physical restraints applied to a client who
was admitted voluntarily when the client becomes verbally abusive, demand-
ing to be discharged from the hospital. Which represents the possible legal
ramifications for the nurse associated with these interventions? Select all that
apply.
