Mental Health Proctored COMPLETE SOLUTION
100% VERIFIED ANSWERS A+ GRADED (best and
correct answers)
_____________________________________________________________________________________
A nurse in an acute mental health facility is assisting with discharge planning for a client who has a
severe mental illness and requires supervision much of the time. The client's wife works all day but is
home by late afternoon. Which of the following strategies should the nurse suggest as appropriate
follow-up care?
A. Receiving daily care from a home health aide
B. Having a weekly visit from a nurse case worker
C. Attending a partial hospitalization program
D. Visiting a community mental health center on a daily basis
c
. A nurse is caring for a group of clients. Which of the following clients should a nurse consider for
referral to an assertive community treatment (ACT) group?
A. A client in an acute care mental health facility who has fallen several times while running down
the hallway B
B. . A client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic
injection for schizophrenia
C. C. A client in a day treatment program who says he is becoming more anxious during group
therapy
D. D. A client in a weekly grief support group who says she still misses her deceased husband who
has been dead for 3 months
B
8. A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical
psychoanalysis. Which of the following client statements indicates an understanding of this form of
therapy?
A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks.
B. "The therapist will focus on my past relationships during our sessions."
C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors."
D. "This therapy will address my conscious feelings about stressful experiences."
b
,. A nurse is discussing free association as a therapeutic tool with a client who has major depressive
disorder. Which of the following client statements indicates understanding of this technique?
A. "I will write down my dreams as soon as I wake up."
B. "I may begin to associate my therapist with important people in my life."
C. "I can learn to express myself in a nonaggressive manner."
D. "I should say the first thing that comes to my mind."
d
A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety
disorder. Which of the following are appropriate to include in the plan of care? (Select all that apply.)
A. Priority restructuring
B. Monitoring thoughts
C. Diaphragmatic breathing
D. Journal keeping
E. Meditation
ABD
A nurse is caring for a client who has a new prescription for disulfiram (Antabuse) for the treatment of
his alcohol use disorder. The nurse informs the client that this medication can cause nausea and
vomiting if he drinks alcohol. This form of treatment is an example of which of the following?
A. Aversion therapy
B. Flooding
C. Biofeedback
D. Dialectical behavior therapy
A
A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators.
Which of the following is appropriate when implementing this form of therapy?
A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior.
B. Advise the client to say "stop" out loud every time he begins to feel an anxiety response related to
an elevator.
C. Gradually expose the client to an elevator while practicing relaxation techniques.
D. Stay with the client in an elevator until his anxiety response diminishes.
C
,A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate
conflict resolution techniques. The nurse is correct in implementing this form of group leadership
when she demonstrates which of the following actions?
A. Observes group techniques without interfering with the group process.
B. Discusses a technique and then directs members to practice the technique
. C. Asks for group suggestions of techniques and then supports discussion.
D. Suggests techniques and asks group members to reflect on their use.
C
A nurse is planning group therapy for clients dealing with bereavement. Which of the following should
the nurse include in the initial phase? (SATA)
A. Encourage the group to work toward goals.
B. Define the purpose of the group.
C. Discuss termination of the group.
D. Identify informal roles of members within the group.
E. Establish an expectation of confidentiality within the group.
BCE
. A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways
to make his sister look bad so his parents will think he's the better sibling, which he believes will give
him more privileges. The nurse should identify this dysfunctional behavior as which of the following?
A. Placation
B. Manipulation
C. Blaming
D. Distraction
B
A nurse is working with an established group and identifies various member roles. Which of the
following should the nurse identify as an individual role?
A. A member who praises input from other members.
B. A member who follows the direction of other members.
C. A member who brags about accomplishments.
D. A member who evaluates the group's performance toward a standard
C
, A nurse working on an acute mental health unit forms a group to focus on self-management of
medications. At each of the meetings, two of the members conspire together to exclude the rest of
the group. This is an example of which of the following?
a. triangulation
b. group processs
c. subgroup
d. hidden agenda
C
A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the
following information should the nurse include in the discussion?
A. Excessive stressors cause the client to experience distress.
B. The body's initial adaptive response to stress is denial.
C. Absence of stressors results in homeostasis.
D. Negative, rather than positive, stressors produce a biological response
a
A nurse is discussing acute vs. prolonged stress with a client. Which of the following should the nurse
identify as an acute stress response? (Select all that apply.)
A. Decreased appetite
B. Depressed immune system
C. Increased blood pressure
D. Panic attacks
E. Unhappiness
ABCE
A nurse is teaching a client about stress-reduction techniques. Which of the following client
statements indicates understanding of the teaching?
A. "Cognitive reframing will help me change my irrational thoughts to something positive."
B. "Progressive muscle relaxation uses a mechanical device to help me gain control over my pulse
rate."
C. "Biofeedback causes my body to release endorphins so that I feel less stress and anxiety."
D. "Mindfulness allows me to prioritize the stressors that I have in my life so that I have less anxiety."
A
100% VERIFIED ANSWERS A+ GRADED (best and
correct answers)
_____________________________________________________________________________________
A nurse in an acute mental health facility is assisting with discharge planning for a client who has a
severe mental illness and requires supervision much of the time. The client's wife works all day but is
home by late afternoon. Which of the following strategies should the nurse suggest as appropriate
follow-up care?
A. Receiving daily care from a home health aide
B. Having a weekly visit from a nurse case worker
C. Attending a partial hospitalization program
D. Visiting a community mental health center on a daily basis
c
. A nurse is caring for a group of clients. Which of the following clients should a nurse consider for
referral to an assertive community treatment (ACT) group?
A. A client in an acute care mental health facility who has fallen several times while running down
the hallway B
B. . A client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic
injection for schizophrenia
C. C. A client in a day treatment program who says he is becoming more anxious during group
therapy
D. D. A client in a weekly grief support group who says she still misses her deceased husband who
has been dead for 3 months
B
8. A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical
psychoanalysis. Which of the following client statements indicates an understanding of this form of
therapy?
A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks.
B. "The therapist will focus on my past relationships during our sessions."
C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors."
D. "This therapy will address my conscious feelings about stressful experiences."
b
,. A nurse is discussing free association as a therapeutic tool with a client who has major depressive
disorder. Which of the following client statements indicates understanding of this technique?
A. "I will write down my dreams as soon as I wake up."
B. "I may begin to associate my therapist with important people in my life."
C. "I can learn to express myself in a nonaggressive manner."
D. "I should say the first thing that comes to my mind."
d
A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety
disorder. Which of the following are appropriate to include in the plan of care? (Select all that apply.)
A. Priority restructuring
B. Monitoring thoughts
C. Diaphragmatic breathing
D. Journal keeping
E. Meditation
ABD
A nurse is caring for a client who has a new prescription for disulfiram (Antabuse) for the treatment of
his alcohol use disorder. The nurse informs the client that this medication can cause nausea and
vomiting if he drinks alcohol. This form of treatment is an example of which of the following?
A. Aversion therapy
B. Flooding
C. Biofeedback
D. Dialectical behavior therapy
A
A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators.
Which of the following is appropriate when implementing this form of therapy?
A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior.
B. Advise the client to say "stop" out loud every time he begins to feel an anxiety response related to
an elevator.
C. Gradually expose the client to an elevator while practicing relaxation techniques.
D. Stay with the client in an elevator until his anxiety response diminishes.
C
,A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate
conflict resolution techniques. The nurse is correct in implementing this form of group leadership
when she demonstrates which of the following actions?
A. Observes group techniques without interfering with the group process.
B. Discusses a technique and then directs members to practice the technique
. C. Asks for group suggestions of techniques and then supports discussion.
D. Suggests techniques and asks group members to reflect on their use.
C
A nurse is planning group therapy for clients dealing with bereavement. Which of the following should
the nurse include in the initial phase? (SATA)
A. Encourage the group to work toward goals.
B. Define the purpose of the group.
C. Discuss termination of the group.
D. Identify informal roles of members within the group.
E. Establish an expectation of confidentiality within the group.
BCE
. A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways
to make his sister look bad so his parents will think he's the better sibling, which he believes will give
him more privileges. The nurse should identify this dysfunctional behavior as which of the following?
A. Placation
B. Manipulation
C. Blaming
D. Distraction
B
A nurse is working with an established group and identifies various member roles. Which of the
following should the nurse identify as an individual role?
A. A member who praises input from other members.
B. A member who follows the direction of other members.
C. A member who brags about accomplishments.
D. A member who evaluates the group's performance toward a standard
C
, A nurse working on an acute mental health unit forms a group to focus on self-management of
medications. At each of the meetings, two of the members conspire together to exclude the rest of
the group. This is an example of which of the following?
a. triangulation
b. group processs
c. subgroup
d. hidden agenda
C
A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the
following information should the nurse include in the discussion?
A. Excessive stressors cause the client to experience distress.
B. The body's initial adaptive response to stress is denial.
C. Absence of stressors results in homeostasis.
D. Negative, rather than positive, stressors produce a biological response
a
A nurse is discussing acute vs. prolonged stress with a client. Which of the following should the nurse
identify as an acute stress response? (Select all that apply.)
A. Decreased appetite
B. Depressed immune system
C. Increased blood pressure
D. Panic attacks
E. Unhappiness
ABCE
A nurse is teaching a client about stress-reduction techniques. Which of the following client
statements indicates understanding of the teaching?
A. "Cognitive reframing will help me change my irrational thoughts to something positive."
B. "Progressive muscle relaxation uses a mechanical device to help me gain control over my pulse
rate."
C. "Biofeedback causes my body to release endorphins so that I feel less stress and anxiety."
D. "Mindfulness allows me to prioritize the stressors that I have in my life so that I have less anxiety."
A
