1. A nurse is performing an admission assessment for a client who voluntary entered an outpatient mental health crisis facility. The client states, “I’ve lost control of everything in my life!” which of the following que
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1. A nurse is performing an admission assessment for a client who voluntary entered an outpatient mental health crisis facility. The client states, “I’ve lost control of everything in my life!” which of the following questions should the nurse ask first?
a. “What has helped you to cope with a crisis in the past?”
b. “Who can we call to support you during this crisis?”
c. “Are you having thoughts about harming yourself today?”
d. “What event brought on this crisis?”
2. A nurse in a mental health facility is assessing the use of defense mechanisms in a client show has bulimia nervosa. Which of the following client behaviors should the nurse identify as displacement?
a. The client reports a headache each day when group therapy is scheduled
b. The client criticizes the nurse at each medication administration time
c. The client continually talks about the benefits of healthy eating habits
d. The client complains about the taste of the food
3. A nurse in a community mental health clinic is planning staff education about the levels of prevention of intimate partner abuse. Which of the following should the nurse identify as a strategy for primary prevention?
a. Referring a client who left a violent relationship to a legal advocacy program
b. Administering pharmacotherapy to minimize long-term effects of violence
c. Promoting self-esteem by having a client identify personal strengths
d. Establishing a support group for survivors to foster emotional healing
4. A nurse is admitting a client who has schizophrenia and has recently attempted to commit suicide. The client is angry over this admission and wants to go home. Which of the following interventions should the nurse anticipate implementing? (Select all that apply.)
a. Place the client in seclusion
b. Obtain a no-suicide contract
c. Institute one-to-one observation
d. Administer an antidepressant medication
e. Restrain the client during change of shift
5. A nurse in a community health center is obtaining a health history of an older adult client who reports being abused by a caregiver. Which of the following actions is appropriate for the nurse to take?
a. Arrange for admission to a long-term care facility
b. Notify a protective agency
c. Inform the client’s family
d. Discuss the concerns with the caregiver
6. A nurse is providing discharge teaching for a client who has a prescription for buspirone. Which of the following should the nurse include in the teaching?
a. Taking the medication with grapefruit juice can intensify the effects of the medication
b. It may take up to a week for the medication to reach its full therapeutic effect
c. Avoid sudden discontinuation of this medication to prevent withdrawal symptoms
d. When filling the prescription for this medication it is limited to a 90-day supply
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