Saunders mental health part 2|Complete Questions with
100% Correct Answers
A client diagnosed with schizophrenia is experiencing an acute dystonic reaction. Which interventions
should the licensed practical nurse (LPN) initiate? Select all that apply.
1.
Monitor airway.
2.
Notify the registered nurse (RN).
3.
Place the client in seclusion for safety.
4.
Remain with the client to provide support.
5.
Administer a prescribed antipsychotic medication.
6.
Administer a prescribed intramuscular (IM) antiparkinsonian medication.
1,2,4,6
The nurse in the mental health clinic hears a client yelling and threatening to hurt his sister. The nurse
reports this episode to the mental health therapist. Which should the nurse anticipate the therapist to
do? Select all that apply.
1.
Identify the specific person being threatened.
2.
Tell the client that this behavior is not appropriate.
3.
Take appropriate action to protect the identified victim.
4.
Threaten the client that the police are going to be called.
5.
Have the client sign a document promising not to harm his sister.
,6.
Assess and predict the client's danger of violence toward another.
1,3,6
The nurse is reviewing the record of a client admitted to the mental health unit and notes that the client
was admitted by voluntary status. The nurse makes which determination?
1.
The admission was mandated by a court order.
2.
The admission was made without the client's consent.
3.
The client has the right to demand and obtain release from the hospital.
4.
The client was committed by a group of designated mental health professionals.
3
A client with a phobia will be treated for the condition using a behavior modification technique known
as systematic desensitization. The nurse describes the components of this form of therapy to the client
and reinforces which client instruction?
1.
The client will take medication daily to control the condition.
2.
The client will talk to self to control actions more effectively.
3.
The client will meet with others with the same problem in a support group.
4.
The client will be introduced to short periods of exposure to the phobic object while in a relaxed state.
4
The nurse is assisting in conducting a group therapy session. A client who has shared with the group at a
previous session that she isolates herself when she feels depressed, suddenly gets up to leave. Which
nursing action is appropriate?
1.
Tell the client that it is not safe to leave.
, 2.
Encourage the client to stay and ask the client what she is feeling.
3.
Tell the client that if she leaves, she cannot return to this therapy group.
4.
Lock the door so that the client cannot leave at this potentially vulnerable time.
2
A client with a potential for violence is exhibiting agitated behavior. The client is using aggressive
gestures and making belligerent comments to the other clients and is pacing continually in the hallway.
The nurse is considering seclusion and restraints for this client even though staffing is lacking for close
supervision and direct observation. Which are some contraindications to seclusion and restraints
without close supervision and observation? Select all that apply.
1.
Severe suicidal tendencies
2.
Immediate family's request
3.
Extremely unstable medical and psychiatric conditions
4.
Desire for punishment of client or convenience of staff
5.
Delirium or dementia leading to inability to tolerate decreased stimulation
6.
Severe drug reactions or overdoses or need for close monitoring of drug dosages
1,3,4,5,6
The nurse is reviewing the record of a client who is hospitalized for treatment of a panic disorder. The
nurse notes that the client was admitted by voluntary hospitalization. During the day, the client runs
down the hallway and demands release from the hospital. The nurse notes that the client is exhibiting
signs/symptoms of anxiety and attempts to assist the client back to the client's hospital room. Which is
the next appropriate nursing action at this time?
1.
Notify the registered nurse (RN).
100% Correct Answers
A client diagnosed with schizophrenia is experiencing an acute dystonic reaction. Which interventions
should the licensed practical nurse (LPN) initiate? Select all that apply.
1.
Monitor airway.
2.
Notify the registered nurse (RN).
3.
Place the client in seclusion for safety.
4.
Remain with the client to provide support.
5.
Administer a prescribed antipsychotic medication.
6.
Administer a prescribed intramuscular (IM) antiparkinsonian medication.
1,2,4,6
The nurse in the mental health clinic hears a client yelling and threatening to hurt his sister. The nurse
reports this episode to the mental health therapist. Which should the nurse anticipate the therapist to
do? Select all that apply.
1.
Identify the specific person being threatened.
2.
Tell the client that this behavior is not appropriate.
3.
Take appropriate action to protect the identified victim.
4.
Threaten the client that the police are going to be called.
5.
Have the client sign a document promising not to harm his sister.
,6.
Assess and predict the client's danger of violence toward another.
1,3,6
The nurse is reviewing the record of a client admitted to the mental health unit and notes that the client
was admitted by voluntary status. The nurse makes which determination?
1.
The admission was mandated by a court order.
2.
The admission was made without the client's consent.
3.
The client has the right to demand and obtain release from the hospital.
4.
The client was committed by a group of designated mental health professionals.
3
A client with a phobia will be treated for the condition using a behavior modification technique known
as systematic desensitization. The nurse describes the components of this form of therapy to the client
and reinforces which client instruction?
1.
The client will take medication daily to control the condition.
2.
The client will talk to self to control actions more effectively.
3.
The client will meet with others with the same problem in a support group.
4.
The client will be introduced to short periods of exposure to the phobic object while in a relaxed state.
4
The nurse is assisting in conducting a group therapy session. A client who has shared with the group at a
previous session that she isolates herself when she feels depressed, suddenly gets up to leave. Which
nursing action is appropriate?
1.
Tell the client that it is not safe to leave.
, 2.
Encourage the client to stay and ask the client what she is feeling.
3.
Tell the client that if she leaves, she cannot return to this therapy group.
4.
Lock the door so that the client cannot leave at this potentially vulnerable time.
2
A client with a potential for violence is exhibiting agitated behavior. The client is using aggressive
gestures and making belligerent comments to the other clients and is pacing continually in the hallway.
The nurse is considering seclusion and restraints for this client even though staffing is lacking for close
supervision and direct observation. Which are some contraindications to seclusion and restraints
without close supervision and observation? Select all that apply.
1.
Severe suicidal tendencies
2.
Immediate family's request
3.
Extremely unstable medical and psychiatric conditions
4.
Desire for punishment of client or convenience of staff
5.
Delirium or dementia leading to inability to tolerate decreased stimulation
6.
Severe drug reactions or overdoses or need for close monitoring of drug dosages
1,3,4,5,6
The nurse is reviewing the record of a client who is hospitalized for treatment of a panic disorder. The
nurse notes that the client was admitted by voluntary hospitalization. During the day, the client runs
down the hallway and demands release from the hospital. The nurse notes that the client is exhibiting
signs/symptoms of anxiety and attempts to assist the client back to the client's hospital room. Which is
the next appropriate nursing action at this time?
1.
Notify the registered nurse (RN).
