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1. A client with a diagnosis of depression who has at- 4
tempted 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?"
2. The nurse visits a client at home. The client states, "I 3
haven't slept at all the last couple of nights." Which
response by the nurse demonstrates therapeutic com-
munication?
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 be- 1
lieves that his food is being poisoned. Which commu-
nication technique should the nurse use to encourage
the client to eat?
1. Using open-ended questions and silence
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2. Sharing personal preference regarding food choic-
es
3. Documenting reasons why the client does not want
to eat
4. Offering opinions about the necessity of adequate
nutrition
4. A client admitted voluntarily for treatment of an anxi- 1
ety 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.
5. When reviewing the admission assessment, the nurse 1
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
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or her mental illness.
4. Provide an opportunity for the family to discuss why
they felt the admission was needed.
6. When a client is admitted to an inpatient mental health 4
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 with-
draw
4. Helping the client to examine dysfunctional
thoughts and beliefs
7. A client is preparing to attend a Gamblers Anonymous 1
meeting for the first time. The nurse should tell the
client that which is the first step in this 12-step pro-
gram?
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 gam-
ble