NURSING 240 Hesi, fundandamental and mother chailed
NURSING 240 Hesi, fundandamental and mother chailed
A nurse on the psychiatric unit of the hospital has been assigned four
clients for the shift. The assignment includes an 84-year-old client who
is severely depressed, a 73-year-old client who is being discharged, a
53-year-old client who was admitted for lithium toxicity, and a 48-year-
old client who has panic attacks. Which client should the nurse
evaluate first after receiving report?
1
84-year-old client
2
73-year-old client
Correct3
53-year-old client
4
48-year-old client
The 53-year-old client should be evaluated first because of the severity of
adaptations associated with lithium toxicity. A severely depressed client has
a low energy level and is not at the greatest risk at this time. A client who is
stable enough to be discharged does not need immediate attention. Clients
with panic attacks usually seek immediate attention when it is needed.
A young female client admitted to the trauma center after being
sexually assaulted continues to talk about the rape. Toward what goal
should the primary nursing intervention be directed?
1
Getting her involved with a rape therapy group
2
Remaining available and supportive to limit destructive anger
3
The client needs to be able to express her current feelings. Providing an
environment
Correct4 in which she feels safe will encourage this expression of
Exploring her
feelings. It is feelings
too soonabout
after men to promote
the assault future this
to discuss relationships
topic in a group.
Although
Providing the nurse
a safe should be that
environment available andthe
permits supportive,
ventilationfeelings of anger are
of feelings
,NURSING 240 Hesi, fundandamental and mother chailed
,NURSING 240 Hesi, fundandamental and mother chailed
usually not the initial response. It is too soon after the assault to discuss her
feelings about men and future relationships.
A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell
him how much I love him, but I don't want to upset him." Which is the
best response by the nurse?
1
"You must keep up a strong appearance for him."
2
"I think he'd have difficulty dealing with that now."
3
"Don't you think he knows that without your telling him?"
Correct4
"Why don't you share your feelings with him while you can?"
It is difficult to work through a loss; however, encouraging the sharing of
feelings helps both parties to feel better about having to let go. The response
"You must keep up a strong appearance for him" impedes the work of
acceptance of one's finality and the use of the remaining time to the best
advantage. There is no evidence to suggest that the client cannot cope with
these emotions; the response "I think he'd have difficulty dealing with that
now" denies that this is a time for closeness and honesty. The response
"Don't you think he knows that without your telling him?" is demeaning,
closes off communication, and does not foster the expression of feelings.
A nonviolent client on the psychiatric unit suddenly refuses to take the
prescribed antipsychotic medication. What should the nurse do?
Correct1
Honor the client's decision and document the behavior and all interventions
2
Use an authoritarian approach to induce the client to take the prescribed
medication
3
Call the health care provider and request that the client be discharged
against medical advice
4
, NURSING 240 Hesi, fundandamental and mother chailed
Start proceedings to have the client declared incompetent and seek a court
order permitting medication
A client has the right to refuse treatment and should not be forcibly
medicated unless the client is deemed dangerous to him- or herself or
others. An authoritarian approach is not therapeutic and may compromise
the nurse-client relationship. Calling the health care provider is premature;
first the nurse should attempt therapeutic interventions to meet the client's
needs. Starting proceedings to have the client declared incompetent is
appropriate for a client who is considered to be dangerous to him- or herself
or others, or incompetent to evaluate necessary treatment.
STUDY TIP: When forming a study group, carefully select members for your
group. Choose students who have abilities and motivation similar to your
own. Look for students who have a different learning style than you.
Exchange names, email addresses, and phone numbers. Plan a schedule for
when and how often you will meet. Plan an agenda for each meeting. You
may exchange lecture notes and discuss content for clarity or quiz one
another on the material. You could also create your own practice tests or
make flash cards that review key vocabulary terms.
Which psychotherapeutic theory uses hypnosis, dream interpretation,
and free association as methods to release repressed feelings?
1
Behaviorist model
Correct2
Psychoanalytical model
3
Psychobiological model
4
Social-interpersonal model
The psychoanalytical model studies the unconscious and uses the strategies
of hypnosis, dream interpretation, and free association to encourage the
release of repressed feelings. The behaviorist model holds that the self and
mental symptoms are learned behaviors that persist because they are
consciously rewarding to the individual; this model deals with behaviors on a
conscious level of awareness. The psychobiological model views emotional
and behavioral disturbances as stemming from a physical disease; abnormal
behavior is directly attributed to a disease process. This model deals with
behaviors on a conscious level of awareness. The social-interpersonal model
affirms that crucial social processes are involved in the development and
NURSING 240 Hesi, fundandamental and mother chailed
A nurse on the psychiatric unit of the hospital has been assigned four
clients for the shift. The assignment includes an 84-year-old client who
is severely depressed, a 73-year-old client who is being discharged, a
53-year-old client who was admitted for lithium toxicity, and a 48-year-
old client who has panic attacks. Which client should the nurse
evaluate first after receiving report?
1
84-year-old client
2
73-year-old client
Correct3
53-year-old client
4
48-year-old client
The 53-year-old client should be evaluated first because of the severity of
adaptations associated with lithium toxicity. A severely depressed client has
a low energy level and is not at the greatest risk at this time. A client who is
stable enough to be discharged does not need immediate attention. Clients
with panic attacks usually seek immediate attention when it is needed.
A young female client admitted to the trauma center after being
sexually assaulted continues to talk about the rape. Toward what goal
should the primary nursing intervention be directed?
1
Getting her involved with a rape therapy group
2
Remaining available and supportive to limit destructive anger
3
The client needs to be able to express her current feelings. Providing an
environment
Correct4 in which she feels safe will encourage this expression of
Exploring her
feelings. It is feelings
too soonabout
after men to promote
the assault future this
to discuss relationships
topic in a group.
Although
Providing the nurse
a safe should be that
environment available andthe
permits supportive,
ventilationfeelings of anger are
of feelings
,NURSING 240 Hesi, fundandamental and mother chailed
,NURSING 240 Hesi, fundandamental and mother chailed
usually not the initial response. It is too soon after the assault to discuss her
feelings about men and future relationships.
A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell
him how much I love him, but I don't want to upset him." Which is the
best response by the nurse?
1
"You must keep up a strong appearance for him."
2
"I think he'd have difficulty dealing with that now."
3
"Don't you think he knows that without your telling him?"
Correct4
"Why don't you share your feelings with him while you can?"
It is difficult to work through a loss; however, encouraging the sharing of
feelings helps both parties to feel better about having to let go. The response
"You must keep up a strong appearance for him" impedes the work of
acceptance of one's finality and the use of the remaining time to the best
advantage. There is no evidence to suggest that the client cannot cope with
these emotions; the response "I think he'd have difficulty dealing with that
now" denies that this is a time for closeness and honesty. The response
"Don't you think he knows that without your telling him?" is demeaning,
closes off communication, and does not foster the expression of feelings.
A nonviolent client on the psychiatric unit suddenly refuses to take the
prescribed antipsychotic medication. What should the nurse do?
Correct1
Honor the client's decision and document the behavior and all interventions
2
Use an authoritarian approach to induce the client to take the prescribed
medication
3
Call the health care provider and request that the client be discharged
against medical advice
4
, NURSING 240 Hesi, fundandamental and mother chailed
Start proceedings to have the client declared incompetent and seek a court
order permitting medication
A client has the right to refuse treatment and should not be forcibly
medicated unless the client is deemed dangerous to him- or herself or
others. An authoritarian approach is not therapeutic and may compromise
the nurse-client relationship. Calling the health care provider is premature;
first the nurse should attempt therapeutic interventions to meet the client's
needs. Starting proceedings to have the client declared incompetent is
appropriate for a client who is considered to be dangerous to him- or herself
or others, or incompetent to evaluate necessary treatment.
STUDY TIP: When forming a study group, carefully select members for your
group. Choose students who have abilities and motivation similar to your
own. Look for students who have a different learning style than you.
Exchange names, email addresses, and phone numbers. Plan a schedule for
when and how often you will meet. Plan an agenda for each meeting. You
may exchange lecture notes and discuss content for clarity or quiz one
another on the material. You could also create your own practice tests or
make flash cards that review key vocabulary terms.
Which psychotherapeutic theory uses hypnosis, dream interpretation,
and free association as methods to release repressed feelings?
1
Behaviorist model
Correct2
Psychoanalytical model
3
Psychobiological model
4
Social-interpersonal model
The psychoanalytical model studies the unconscious and uses the strategies
of hypnosis, dream interpretation, and free association to encourage the
release of repressed feelings. The behaviorist model holds that the self and
mental symptoms are learned behaviors that persist because they are
consciously rewarding to the individual; this model deals with behaviors on a
conscious level of awareness. The psychobiological model views emotional
and behavioral disturbances as stemming from a physical disease; abnormal
behavior is directly attributed to a disease process. This model deals with
behaviors on a conscious level of awareness. The social-interpersonal model
affirms that crucial social processes are involved in the development and
