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NURS 406 Capstone Mental Health Assessment 1. A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form ...

NURS 406 Capstone Mental Health Assessment 1. A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline? 2. A nurse in a well-child clinic receives a phone call from the parent of an adolescent client. The parent states, "I think my son might try to kill himself." Which of the following statements by the parent is the priority for the nurse to investigate further? 3. A nurse is caring for an adult client who is receiving treatment for alcohol use disorder. The client is upset because his partner has refused to visit him in the treatment facility. Which of the following actions by the client should indicate to the nurse that the client is using regression as a defense mechanism? 4. A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment? 5. A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect? 6. A nurse in an urgent-care clinic is caring for a school-age child who has several visible bruises. The child's parent states, "My partner got red today and came home angry. I don't think this will happen again." Which of the following responses should the nurse make? 7. A nurse is caring for a client who has dementia and insists a doll is her infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client? 8. A nurse is planning care for a client who has major depressive disorder and is being admitted following a suicide attempt. Which of the following interventions is the nurse's priority? 9. A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take? 10. A nurse is providing teaching to a client who has a prescription for disulram. Which of the following client statements indicates an understanding of the teaching? 11. A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition? 12. A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse? 13. A nurse is providing teaching to the caretakers of a client who has Alzheimer's disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include? 14. A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training? 15. A nurse is caring for a client who has bipolar disorder. The client says to the nurse, "Give me your pen to cut the pain out of my chest." The nurse should identify that the client is at risk for which of the following? 16. A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity? 17. A nurse is using de-escalation techniques with a client who has become verbally aggressive with a staff member. Which of the following actions should the nurse take? 18. A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal. Which of the following resources should the nurse recommend to the client? 19. A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort? 20. A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching? 21. A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting irtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders? 22. A nurse is caring for a client who is taking a tricyclic antidepressant. For which of the following findings should the nurse monitor as an adverse effect of tricyclic antidepressants? 23. A mental health nurse is providing preventive care for a group of clients in the community. Which of the following actions by the nurse demonstrates a secondary prevention strategy? 24. A nurse is caring for a client who has posttraumatic stress disorder (PTSD) after being physically assaulted. The client is unable to recall any details of the event. Which of the following defense mechanisms should the nurse recognize that the client is displaying? 25. A charge nurse is providing education to a group of newly-licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses by a newly-licensed nurse indicates understanding of the teaching? 26. A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication? 27. A charge nurse on a mental health unit is preparing an in-service for staff members about client rights. Which of the following information should the nurse include? 28. A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care? 29. A nurse is caring for a client who reports a history of frequent alcohol consumption. Which of the following questions should the nurse ask when screening for alcohol use disorder? 30. A nurse is caring for a client who has just learned that her partner has died by suicide. Which of the following actions should the nurse take first? 31. A nurse is caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available, which of the following actions should the nurse take first? 32. A nurse is assessing a client who reports using cocaine 1 hr ago. Which of the following findings should the nurse expect? 33. A nurse is assessing an older adult client's ability to make a successful role transition to widowhood following the death of her partner. Which of the following factors should the nurse include in the assessment? (Select all that apply.) 34. A nurse in an acute mental health facility receives change-of-shift report on a group of clients. Which of the following clients should the nurse assess first? 35. A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. Available is haloperidol 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 36. A nurse in an acute care facility is assessing a client who has schizophrenia. The client states, "Walk tall broom short dog bell." The nurse should document the client's speech as which of the following speech patterns? 37. A nurse is caring for a client who has depression and is taking imipramine 300 mg PO divided equally every 6 hr. Available is imipramine 50 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 38. A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching? 39. A nurse on a mental health unit is leading a group therapy staff for a group of clients. Which of the following statements should the nurse expect from a client who has illness anxiety disorder? 40. A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)? 41. A nurse is planning to teach a client who is taking lithium. Which of the following should the nurse include in the teaching as possible adverse effects of therapeutic lithium levels? 42. A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply.) 43. A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse include? 44. A nurse is caring for a client who is experiencing visual hallucinations followed by impaired consciousness as a result of alcohol withdrawal. Which of the following conditions should the nurse identify as causing these manifestations? 45. A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT? 46. A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.) 47. A nurse is caring for a 4-year-old child who has autism spectrum disorder. Which of the following behaviors should the nurse expect? (Select all that apply.) 48. A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include? 49. A nurse is planning care for a client who requires close observation. Which of the following rights should the nurse identify that the client has forfeited due to the potential for safety hazards? 50. A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?