Mental Health Exam 2 NCLEX questions And Answers Verified 100% Correct

Mental Health Exam 2 NCLEX questions And Answers Verified 100% Correct Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? Select all that apply. 1.Communicate expected behaviors to the client e that the client knows that he or she is not in charge of the nursing unit t the client in developing means of setting limits on personal behavior w through about the consequences of behavior in a nonpunitive manner ce rules and inform the client that he or she will not be allowed to attend therapy groups. clear with the client regarding the consequences of exceeding limits set regarding behavior - ANSWER 1.Communicate expected behaviors to the client t the client in developing means of setting limits on personal behavior w through about the consequences of behavior in a non-punitive manner clear with the client regarding the consequences of exceeding limits set regarding behavior a nurse is caring for an older adult client who has recently lost her husband. The client says, "no one cares about me anymore. All the people I loved are dead." Which response by the nurse is therapeutic? 1."right! why not just pack it in?" 2."that seems rather unlikely to me" 3."i don't believe that, and neither do you" 4."you must be feeling all alone at this point" - ANSWER 4."you must be feeling all alone at this point" a nurse is planning care for a client who is being hospitalized because the client has been displaying violent behavior and is at risk for potential harm to others. THe nurse avoids which intervention in the plan of care? g the client when providing care ing that a security officer is within the immediate area ng the door to the client's room open when with the client ning the client to a room at the end of the hall to prevent disturbing the other clients. - ANSWER ning the client to a room at the end of the hall to prevent disturbing the other clients. which behaviors observed by the nurse might lead to the suspicion that a depressed adolescent client could be suicidal? client gives away a prized CD and a cherished autographed picture of the performer client runs out of the therapy group swearing at the group leader and then runs to her room client gets angry with her roommate when the roommate borrows her clothes without asking client becomes angry while speaking on the telephone and slams the receiver down on the hook. - ANSWER client gives away a prized CD and a cherished autographed picture of the performer a client is admitted to the psychiatric unit after a serious suicidal attempt by hanging. the nurse's most important aspect of care is to maintain client safety and plans to: st that a peer remain with the client at all times e the client's clothing and place the client in a hospital gown. n a staff member to the client who will remain with him or her at all times the client to a seclusion room where all potentially dangerous articles are removed - ANSWER will remain with him or her at all times the police arrive at the emergency room with a client who has seriously lacerated both wrists. the initial nursing action is to: ister an anti anxiety agent ne and treat the wound sites e and record a detailed history rage and assist the client to vent feelings - ANSWER ne and treat the wound sites a nurse is caring for a client with severe depression. Which of the following activities would be appropriate for this client? 1.a puzzle ng ers by number - ANSWER ng a client experiencing a severe major depressive episode is unable to address activities of daily living. the appropriate nursing intervention is to: , bathe, and dress the client as needed until the client can perform these activities independently. the client choices and consequences to the failure to comply with the expectation of maintaining activities of daily living. ture the client's day so that adequate time can be devoted to the client's assuming responsibility for the activities of daily living the client's peers confront the client about how the noncompliance in addressing activities of daily living affects the milieu. - ANSWER , bathe, and dress the client as needed until the client can perform these activities independently. an older client is a victim of elder abuse, and the client's family has been attending weekly counseling sessions. Which statement by the abusive family member would indicate the client has learned positive coping skills? 1."i will be more careful to make sure that my father's needs are met" 2."now that my father is moving into my home, I will need to change my ways" 3."i feel better able to care for my father now that I know where to obtain assistance" 4."I am so sorry and embarrassed that the abusive event occurred. It won't happen again." - ANSWER 3."i feel better able to care for my father now that I know where to obtain assistance" a nurse is assisting in planning care for a client being admitted to the nursing unit who has attempted suicide. which priority nursing intervention will the nurse include in the plan of care? to one suicide precautions de precautions, with 30 minute checks ing the whereabouts of the client every 15 minutes g that the client report suicidal thoughts immediately - ANSWER to one suicide precautions a nurse is reviewing the health care record of a client admitted to the psychiatric unit. the nurse notes that the admission nurse has documented that the client is experiencing anxiety as a result of a situational crisis. the nurse would determine that this type of crisis could be caused by: ssing a murder death of a loved one 3.a fire that destroyed the client's home