2020 Mental Health q q q
PN Hesi SpecialtyV7 q qq
1. The LPN/LVN calls security and has physical restrains applied when a client
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qwho was admitted voluntarily becomes both physically and verbally abusive w
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hile demanding to be discharged from the hospital. Which represents the possib
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le legal ramifications for the nurse associated with these interventions? Select al
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l that apply.
q q
1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment q
Correct Answer: q
2) Battery
3) Assault
5) False Imprisonment
q q
2) A nurse is working with a client who has sought counseling after trying
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to rescue a neighbor involved in a house fire. Despite the client's efforts, th
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e neighbor died. Which action does the nurse engage in with the client duri
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ng the working phase of the nurse-client relationship?
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1) Exploring the client's ability to function q q q q q
2) Exploring the client's potential for self-harm q q q q q
3) Inquiring about the client's perception of appraisal of the neighbor's d
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eath
4) Inquiring about and examine the client's feelings that may block a
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daptive coping q
Correct Answer:4) Inquiring about and examine the client's feelings that m
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ay block adaptive coping
q q q
3) A client who has just been sexually assaulted is calm and quiet. The nurs
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e analyzes this behavior as indicating which defense mechanism?
q q q q q q q q
1) Denial
2) Projection
3) Rationalization
,4) Intellectualization
, Correct Answer:1) Denial q q
4) Unresolved feelings related to loss most likely may be recognized durin
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g which phase of the therapeutic nurse-client relationship?
q q q q q q q
1) Working
2) Trusting
3) Orientation
4) Termination
Correct Answer: 4) Termination q q q
5) Which statement demonstrates the best understanding of the nurse's r
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ole regarding ensuring that each client's rights are respected?
q q q q q q q q
1) "Autonomy is the fundamental right of each and every client." q q q q q q q q q
2) "A client's rights are guaranteed by both state and federal laws."
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3) "Being respectful and concerned will ensure that I'm attentive to my c
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lients' rights." q
4) "Regardless of the client's condition, all nurses have the duty to r
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espect client rights." q q
Correct Answer: 3) "Being respectful and concerned will ensure that I'm attenti
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ve to my clients' rights."
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6) A LPN/LVN employed in a mental health unit of a hospital is the le
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ader of a group psychotherapy session. The nurses's role in the termin
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ation stage of group development is to:
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1) Encourage problem solving q q
2) Encourage accomplishment of the group's work q q q q q
3) Acknowledge the contributions of each group member q q q q q q
4) Encourage members to become acquainted with one another
q q q q q q q
Correct Answer: 3) Acknowledge the contributions of each group member
q q q q q q q q q
7) A male client with delirium becomes disoriented and confused in his r
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oom at night. The best initial nursing intervention is to:
q q q q q q q q q
1) Move the client next to the nurse's station
q q q q q q q
PN Hesi SpecialtyV7 q qq
1. The LPN/LVN calls security and has physical restrains applied when a client
q q q q q q q q q q q q
qwho was admitted voluntarily becomes both physically and verbally abusive w
q q q q q q q q q q
hile demanding to be discharged from the hospital. Which represents the possib
q q q q q q q q q q q
le legal ramifications for the nurse associated with these interventions? Select al
q q q q q q q q q q q
l that apply.
q q
1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment q
Correct Answer: q
2) Battery
3) Assault
5) False Imprisonment
q q
2) A nurse is working with a client who has sought counseling after trying
q q q q q q q q q q q q q q
to rescue a neighbor involved in a house fire. Despite the client's efforts, th
q q q q q q q q q q q q q
e neighbor died. Which action does the nurse engage in with the client duri
q q q q q q q q q q q q q
ng the working phase of the nurse-client relationship?
q q q q q q q
1) Exploring the client's ability to function q q q q q
2) Exploring the client's potential for self-harm q q q q q
3) Inquiring about the client's perception of appraisal of the neighbor's d
q q q q q q q q q q
eath
4) Inquiring about and examine the client's feelings that may block a
q q q q q q q q q qq
daptive coping q
Correct Answer:4) Inquiring about and examine the client's feelings that m
q q q q q q q q q q
ay block adaptive coping
q q q
3) A client who has just been sexually assaulted is calm and quiet. The nurs
q q q q q q q q q q q q q q
e analyzes this behavior as indicating which defense mechanism?
q q q q q q q q
1) Denial
2) Projection
3) Rationalization
,4) Intellectualization
, Correct Answer:1) Denial q q
4) Unresolved feelings related to loss most likely may be recognized durin
q q q q q q q q q q q
g which phase of the therapeutic nurse-client relationship?
q q q q q q q
1) Working
2) Trusting
3) Orientation
4) Termination
Correct Answer: 4) Termination q q q
5) Which statement demonstrates the best understanding of the nurse's r
q q q q q q q q q
ole regarding ensuring that each client's rights are respected?
q q q q q q q q
1) "Autonomy is the fundamental right of each and every client." q q q q q q q q q
2) "A client's rights are guaranteed by both state and federal laws."
q q q q q q q q q q
3) "Being respectful and concerned will ensure that I'm attentive to my c
q q q q q q q q q q qq
lients' rights." q
4) "Regardless of the client's condition, all nurses have the duty to r
q q q q q q q q q q q
espect client rights." q q
Correct Answer: 3) "Being respectful and concerned will ensure that I'm attenti
q q q q q q q q q q q
ve to my clients' rights."
q q q q
6) A LPN/LVN employed in a mental health unit of a hospital is the le
q q q q q q q q q q q q q
ader of a group psychotherapy session. The nurses's role in the termin
q q q q q q q q q q q
ation stage of group development is to:
q q q q q q
1) Encourage problem solving q q
2) Encourage accomplishment of the group's work q q q q q
3) Acknowledge the contributions of each group member q q q q q q
4) Encourage members to become acquainted with one another
q q q q q q q
Correct Answer: 3) Acknowledge the contributions of each group member
q q q q q q q q q
7) A male client with delirium becomes disoriented and confused in his r
q q q q q q q q q q q
oom at night. The best initial nursing intervention is to:
q q q q q q q q q
1) Move the client next to the nurse's station
q q q q q q q
