Graded A+
1. What is the primary nursing intervention when a client is placed in seclusion
due to being a danger to others?
Teach the client relaxation techniques & effectiveness coping
strategies to deal w/ anger.
Provide the client w/ privacy to maintain confidentiality.
Have little contact w/ the client to decrease stimulation.
Maintain contact & assure the client that seclusion will maintain the
client's safety.
2. On which client would a nurse on an in-patient psychiatric unit appropriately
use physical or chemical restraints?
A client who is hostile and threatening the staff and other clients.
A client was noncompliant with medications and treatment.
A client who is intrusive and demanding and requires added attention.
A client who splits staff and manipulates other clients.
3. Describe the ethical obligation of a healthcare worker when a client makes
threats against an identifiable individual.
The healthcare worker must report all client behavior to family
members.
The healthcare worker should ignore threats if the client is
experiencing hallucinations.
The healthcare worker has an ethical obligation to warn the
potential victim if a client makes specific threats toward someone
who is identifiable.
, The healthcare worker can only intervene if the client shows signs of
self-harm.
4. Describe how the DSM-5 contributes to the care planning process for clients
with mental health disorders.
The DSM-5 provides a list of medications for mental health disorders.
The DSM-5 focuses solely on historical perspectives of mental health.
The DSM-5 is primarily used for client education and does not
influence care planning.
The DSM-5 assists nurses in planning care by providing diagnostic
criteria and expected assessment findings.
5. The nurse is interviewing a client who reports insomnia and 'feelings of
hopelessness.' During the interview, the client states, 'I just don't want to do
this anymore.' Which question by the nurse is the priority to communicate to
the client?
'Do you have employment and health insurance?'
'Do you have a plan to kill yourself?'
'Tell me about your family support.'
'Do you use any recreational drugs or alcohol?'
6. A nurse manager on the psychiatric unit discusses the Diagnostic and
Statistical Manual of Mental Disorders (DSM-5) with a group of staff
members. Which statement by the nurse manager reflects the primary
purpose of the manual?
It provides clinicians with a classification of mental disorders and
guidelines to aid diagnosis.