NU 674 PSYCHIATRIC MENTAL HEALTHCARE II
REVIEW 2025/2026 Complete All 200 Questions And
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The nurse is having a conversation with a depressed client
in an inpatient psychiatric unit. The client says to the
nurse, "Things would be so much better for everyone if I
just wasn't around." Which response by the nurse would
be appropriate at this time? - Answer-You sound very
unhappy. Are you thinking of harming yourself?
The nurse in the emergency department is assisting in
caring for a young female victim of sexual assault. The
client's physical assessment is complete, and physical
evidence has been collected. The nurse notes that the
client is withdrawn, confused, and at times physically
immobile. Which interpretation should the nurse make of
these behaviors? - Answer-They are expected reactions to
a devastating event.
The nurse is caring for a client diagnosed with catatonic
stupor. The client is lying on the bed, with the body pulled
into a fetal position. Which is the appropriate nursing
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intervention? - Answer-Sit beside the client in silence and
verbalize occasional open-ended questions.
The spouse of a client admitted to the hospital for alcohol
withdrawal says to the nurse, "I should get out of this bad
situation." The most helpful response by the nurse should
be which statement? - Answer-What do you find difficult
about this situation?
The nurse employed in a psychiatric unit receives a client
assignment for the day. Which client assigned to the nurse
is at the highest risk for committing suicide? - Answer-A
client with severe depression and terminal cancer
Which behaviors observed by the nurse might lead to the
suspicion that a depressed adolescent client could be
suicidal? - Answer-The client gives away a DVD and a
cherished autographed picture of the performer.
The nurse is preparing for the hospital discharge of a
client with a history of command hallucinations to harm
self or others. The nurse instructs the client about
interventions for hallucinations and anxiety and
determines that the client understands the interventions
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when the client makes which statement? - Answer-"I can
call my therapist when I'm hallucinating so I can talk about
my feelings and plans and not hurt anyone."
A client tells the nurse that he is feeling out of control. The
nurse observes that the client is pacing back and forth.
Which approach by the nurse is appropriate to maintain a
safe environment? - Answer-Move the client to a quiet
room and talk about his feelings.
The nurse is caring for an older depressed client whose
son was killed in an armed robbery after murdering two
people. The client says, "I don't know what I did wrong. His
dad died a hero in Vietnam when he was only 2 years old,
but he's had everything. When he threw the cat up against
the wall to see if it landed on its feet and stole money from
me and denied it, his sister covered for him." The nurse
plans to make which therapeutic response to the client? -
Answer-"It seems as if you or your daughter feel regret?"
The nurse has been caring for a client with a diagnosis of
depression. The client says to the nurse, "I wish you would
just be my friend." The appropriate response by the nurse
is which? - Answer-"Our relationship is a therapeutic and a
helping one."
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The nurse is working with an older client who has a
diagnosis of depression. To work most effectively with this
client, the nurse recalls that which information is accurate
regarding depression and the older client? Select all that
apply. - Answer--Suicide is a frequent cause of death
among the older population.
-Some indications of dementia may actually originate as
depression.
-Depression in an older person is likely to have physical
manifestations.
The nurse is assisting with the data collection on a client
admitted to the psychiatric unit. After review of the
obtained data, the nurse should identify which as a priority
concern? - Answer-The client's report of self-destructive
thoughts
The nurse is assessing a newly admitted client recently
diagnosed with depression. Which data best supports that
the client is at risk for self-harm? - Answer-reported
hopelessness