Test Bank For Varcarolis' Foundations of Psychiatric-
Mental Health Nursing 9th Edition By Margaret Halter
The nurse is selecting a relaxation technique for a client with post-traumatic stress
disorder. Which techniques would the nurse consider most helpful for this client?
Select all that apply.
guided imagery
deep breathing exercises
massage
hypnosis
distraction - ANSWER: distraction
guided imagery
deep breathing exercises
What suggestions should a nurse make when providing a client with
nonpharmacologic interventions for dysfunction sleep patterns? Select all that apply.
Establishing a consistent bedtime routine
Going to bed only when tired
Using the bedroom only for sleeping or intimacy
Taking a short nap late in the afternoon
Avoiding a heavy bedtime snack - ANSWER: Avoiding a heavy bedtime snack
Establishing a consistent bedtime routine
Going to bed only when tired
Using the bedroom only for sleeping or intimacy
A delusion represents a problem in which area?
Memory
Motivation
Orientation
Thinking - ANSWER: thinking
A nurse documents that "the client describes the recent breakup of a dating
relationship with an emotionless tone and a flat facial expression." In which section
of the mental status exam would the nurse have documented this statement?
blocking
feelings
affect
mood - ANSWER: affect
, Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An
effective way for nurses to deal with this discomfort includes what?
Recognizing that these areas may also be uncomfortable for the client to discuss.
Sharing feelings of discomfort with the client.
Deferring assessing these areas to a more experienced nurse.
Developing a standard question to ask of all clients during this area of assessment. -
ANSWER: Recognizing that these areas may also be uncomfortable for the client to
discuss.
A client states, "I don't want to eat anything because I am afraid that my food is
poisoned." Which intervention is best for the nurse to perform to encourage the
client to eat?
Tell the client to take vitamins on a daily basis.
Ask the client about favorite foods to add for meals.
Discuss the importance of proper nutrition with the client.
Encourage the client to help with meal preparation. - ANSWER: Encourage the client
to help with meal preparation.
The nurse is performing a cultural assessment on a client admitted with depression.
What question would obtain the most detailed assessment information?
"Do you believe in medicine men?"
"Are you from another country?"
"What is your definition of health?"
"Do you seek help when you are ill?" - ANSWER: "What is your definition of health?"
The nurse is performing an assessment on a mental health client. She is asking him
about relationships in his life and his use of coping skills. What type of assessment is
the nurse performing?
Mental status assessment
Psychosocial assessment
Health history
Psychological assessment - ANSWER: Psychosocial assessment
A client's nursing diagnosis of "risk for self-directed violence" has been identified
because of her recent history of cutting and self-mutilation. Which of the following
expected outcomes is most appropriate for this client's plan of care during inpatient
treatment?
"The client will demonstrate resolution of her psychiatric diagnosis."
"The client will demonstrate better coping skills."
"Staff will observe the client for signs of self-mutilation."
"The client will refrain from cutting or self-mutilation." - ANSWER: "The client will
refrain from cutting or self-mutilation."
Mental Health Nursing 9th Edition By Margaret Halter
The nurse is selecting a relaxation technique for a client with post-traumatic stress
disorder. Which techniques would the nurse consider most helpful for this client?
Select all that apply.
guided imagery
deep breathing exercises
massage
hypnosis
distraction - ANSWER: distraction
guided imagery
deep breathing exercises
What suggestions should a nurse make when providing a client with
nonpharmacologic interventions for dysfunction sleep patterns? Select all that apply.
Establishing a consistent bedtime routine
Going to bed only when tired
Using the bedroom only for sleeping or intimacy
Taking a short nap late in the afternoon
Avoiding a heavy bedtime snack - ANSWER: Avoiding a heavy bedtime snack
Establishing a consistent bedtime routine
Going to bed only when tired
Using the bedroom only for sleeping or intimacy
A delusion represents a problem in which area?
Memory
Motivation
Orientation
Thinking - ANSWER: thinking
A nurse documents that "the client describes the recent breakup of a dating
relationship with an emotionless tone and a flat facial expression." In which section
of the mental status exam would the nurse have documented this statement?
blocking
feelings
affect
mood - ANSWER: affect
, Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An
effective way for nurses to deal with this discomfort includes what?
Recognizing that these areas may also be uncomfortable for the client to discuss.
Sharing feelings of discomfort with the client.
Deferring assessing these areas to a more experienced nurse.
Developing a standard question to ask of all clients during this area of assessment. -
ANSWER: Recognizing that these areas may also be uncomfortable for the client to
discuss.
A client states, "I don't want to eat anything because I am afraid that my food is
poisoned." Which intervention is best for the nurse to perform to encourage the
client to eat?
Tell the client to take vitamins on a daily basis.
Ask the client about favorite foods to add for meals.
Discuss the importance of proper nutrition with the client.
Encourage the client to help with meal preparation. - ANSWER: Encourage the client
to help with meal preparation.
The nurse is performing a cultural assessment on a client admitted with depression.
What question would obtain the most detailed assessment information?
"Do you believe in medicine men?"
"Are you from another country?"
"What is your definition of health?"
"Do you seek help when you are ill?" - ANSWER: "What is your definition of health?"
The nurse is performing an assessment on a mental health client. She is asking him
about relationships in his life and his use of coping skills. What type of assessment is
the nurse performing?
Mental status assessment
Psychosocial assessment
Health history
Psychological assessment - ANSWER: Psychosocial assessment
A client's nursing diagnosis of "risk for self-directed violence" has been identified
because of her recent history of cutting and self-mutilation. Which of the following
expected outcomes is most appropriate for this client's plan of care during inpatient
treatment?
"The client will demonstrate resolution of her psychiatric diagnosis."
"The client will demonstrate better coping skills."
"Staff will observe the client for signs of self-mutilation."
"The client will refrain from cutting or self-mutilation." - ANSWER: "The client will
refrain from cutting or self-mutilation."
