Mental Health Practice A
A nurse is admitting a client who has alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? ans: "I am able to
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Mental Health Practice A
A nurse is admitting a client who has alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? ans: "I am able to go to work every day, so I don't have a problem."
A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take? ans: Gather supplies for endotracheal intubation.
A nurse is caring for a client who is undergoing electroconvulsive therapy and will receive succinycholine. The client asks the nurse about this medication. Which of the following responses should the nurse make? ans: "Succinylcholine is given to reduce muscle movements during therapy."
A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? ans: Hypertension
A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? ans: St. John's Wort
A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? ans: "If you do my homework for me, I won't bother you for the rest of the day."
A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the nurse include in the plan? ans: Promote the use of music to compete with the client's auditory hallucinations.
A client who has paranoid schizophrenia is attending a treatment planning conference with a family member. During the discussion of the medication adherence portion of the plan, a nurse notices that the family member seems distracted. Which of the following actions should the nurse take? ans: Ask the family member if they have any thoughts or questions about the treatment plan.
During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact and leaning forward. Which of the following assumptions should the nurse make based on the client's nonverbal behaviors? ans: The client is interested in what the nurse is saying.
A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? ans: Refrains from manipulating others to earn dining room privileges.
A nurse is assessing a school-age child who has conduct disorder. Which of the following characteristics should the nurse expect the child to demonstrate? ans: Aggression towards animals
A client who has a diagnosis of depression is attending a group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client? ans: Allow the client time to formulate an answer
A nurse is obtaining a mental health history from an older adult client. Which of the following actions should the nurse plan to take? ans: Interview the client in a private setting
A nurse is caring for a group of clients. For which of the following situations should the nurse complete the incident report? ans: A client was administered one-half of the prescribed dose of medication.
A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2 mg IM? ans: Shuffling gait
A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? ans: Change the dressings of a client who has borderline personality disorder and superficial self-inflicted wounds.
A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following? ans: Provide frequent high-calorie snacks
A nurse is documenting admission assessment findings for a client who has major depressive disorder. The nurse should identify which of the following findings as clinical manifestations? ans: -Feelings of hopelessness
-Anhedonia
-Flat facial expressions
A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommend to the caregiver? ans: Respite care
A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicates a potential psychiatric emergency? ans: The client reports command hallucinations
A nurse is planning discharge for a client who has bipolar disorder and has a prescription for lithium. Which of the following client statements indicates understanding of the teaching about the medication? ans: "I should eat a regular diet with normal amounts of salt and fluids."
A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority? ans: Instruct the client to avoid driving during initial therapy
A nurse is planning care for a client who is experiencing acute mania. Which of the following interventions should the nurse include in the plan to promote sleep? ans: Encourage frequent rest periods throughout the day.
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