Mental Health Exam 4

1. The nurse is providing support to the family of a recently deceased client. A family member states, “My father took me fishing all the time. He can’t physically take me anymore, but he will be watching over me. I re ...

1. The nurse is providing support to the family of a recently deceased client. A family member states, “My father took me fishing all the time. He can’t physically take me anymore, but he will be watching over me. I really miss him, “The nurse recognizes the family member is experiencing A. Mourning B. Anticipatory grief C. Disenfreanchised grief D. Bereavement 2. The nurse educator is providing an in—service to nursing staff on a unit that has recently experienced and increase in client deaths. The nurse educator knows that a priority recommendation for nurses who are struggling to cope with all the loss is A. Creating sustainable practice of self-care and balance B. Working additional shifts to provide support for each other C. Volunteering on days off to stay busy and make a positive difference D. Temporarily transferring to another unit with fewer terminal diagnosis 3. The nurse is caring for a client whose spouse of 52 years suddenly died. Which of the following statements by the nurse is most therapeutic. A. “Your loved on is no longer in pain: you should be happy for that.” B. “You can be grateful for the time you had together” C. “Your loved one was very special and will not be replaceable” D. “I know how you feel: I have had many family members pass away” 4. The nurse is caring for a client who is dying and in severe pain. Which of the following interventions should the nurse consider as the priority? A. Teach the client the end stages of grief. B. Enhance the client’s quality of life. C. Encourage the client to speak to a grief counselor. D. Support the clients family in grieving. 5. The nurse is caring for a terminally ill client. Which of the following statements by the nurse best demonstrates the art of presence? A. “Would you like to talk about what this experience is like for you?” B. “I am going to sit here and read a book, just pretend I am not here.” C. “I am going to the other room so you can be alone and reflect on your life; please call out if you need me.” D. “Are you feeling guilty about leaving your wife and kids behind?” 6. The home health nurse is caring for a client who is dying from acquired immune deficiency syndrome (AIDS). The client is incompetent and asks the nurse to help with assisted suicide. The nurse tell the client they will not assist with the request. Which of the following ethical liberties is the nurse demonstrating? A. Autonomy B. Nonmaleficence C. Individual liberty D. Beneficence This study source was downloaded by 100000834903101 from CourseHero.com on 12-15-2022 15:35:30 GMT -06:00 https://www.coursehero.com/file/120083158/Mental-Health-Final-Examdocx/ A+ 7. A nurse is caring for a client in hospice who is in the dying process. The family wants to put in a feeding tube because the client is refusing to eat. Which of the following statements by the nurse is appropriate therapeutic communication? A. “Its natural for clients to refuse food at this stage and can be difficult for family members” B. “You do understand this can be a painful procedure.” C. “You do not need to worry about that at this stage of the dying process.” D. “It is not unusual for family members to feel guilty” 8. The nurse is caring for a client who is dying. The client tells the nurse, “ I have worked hard all my life and now this, its not fair!” The nurse recognizes the phase of Kubler-Ross the client is experiencing is A. Denial B. Depression C. Bargaining D. Anger 9. The nurse is caring for assigned clients who have various diseases and is preparing a referral to hospice. The nurse recognizes which of the following clients as meeting the admission criteria? A> 50-year-old who has early-stage cervical cancer and is scheduled for a hysterectomy. B> 70-year-old who has chronic obstructive pulmonary disease (COPD) and has two years to live. C> 92-year-old who has acute pneumonia and late-stage Alzheimer’s disease with no insurance. D> 35-year-old who has multipule sclerosis (MS) and severe pain from muscle spasms. 10. The nurse is caring for a client who has a terminal diagnosis and asks the nurse if physicianassisted suicide is allowed in every state. Which of the following responses by the nurse is appropriate? A. “I don’t know but I personally find it immoral. Aren’t you a religious person?” B. “Yes, the federal government now allows providers in every state to facilitate physicianassisted suicide. I will get your provider to discuss with you.” C. “No, physician-assisted suicide is determined by state legislature. Tell me more about what you are thinking.” D. “Yes, the National Hospice and Palliative Care Organization (NHPCO) has advocated for nurses to help clients with the last request.” 11. The school nurse is providing an in-service for parents about warning signs of eating disorders in children. A parent asks,” Are poor graders a common warning sign for anorexia in children?” The appropriate response by the school nurse is A. “Has your child gained a lot of weight lately?” B. “Does your child have a problem paying attention in class, too?” C. “ No, children who are at risk for anorexia are often strive for academic excellence.” D. “Yes, declining grades are often an early sign of anorexia. 12. The nurse is caring for a client who is being admitted with bulimia nervosa. Which of the following information from the chart below should the nurse report immediately to the PCP? A. Body mass index (BMI) B. Temperature C. Calcium D. Potassium This study source was downloaded by 100000834903101 from CourseHero.com on 12-15-2022 15:35:30 GMT -06:00 https://www.coursehero.com/file/120083158/Mental-Health-Final-Examdocx/ A+ 13. The nurse is caring for a client who is experiencing alcohol withdrawal and prescribed naltrexone. Which of the following information should the nurse teach the client regarding this medication? A. Clients experiencing nausea should expect resolution within 2 weeks B. Clients should be opiate-free for 10 days before initiation C. Clients may report increased activity D. Clients should take 1 pill sublingual every 12 hours 14. The nurse is preparing to admit a client from the emergency department (ED) to the mental health unit. The nurse reviews the information in the chart below and recognizes the may be an instance of A. Intoxication B. Withdrawal C. Overdose D. Panic 15. The nurse is caring for a 17-year-old female client who is being discharged from inpatient care with a diagnosis of anorexia. The family askes the nurse what type of therapy will be recommended. The correct response by the nurse is A. “Electroconvulsive therapy (ECT) is the most effective therapy.” B. “There are no therapies that are recommended for clients with anorexia.” C. “Your daughter is cured, but we recommended a few social groups.” D. “A combination of group and individualized therapy is recommended. 16. The new nurse is precepting on the mental health unit and tells the nurse preceptor there is an error in a client’s chart. The chart says history of anorexia, but the client’s reason for admission is bulimia. “Which of the following responses should the nurse preceptor tell the new nurse? A. “Let’s notify the charge nurse so she can follow-up on this error.” B. “We will leave a note for the admitting nurse to correct it next shift.” C. “It is possible for a client to have a history of both.” D. “I am sure it’s a mistake, lets cross out bulimia and document anorexia instead.” 17. The nurse is developing a resource document about eating disorders for new nurses on the unit. The nurse includes that anorexia commonly occurs in clients who also have A. Disoociative disorder B. Anxiety disorders C. Narcissistic disorder D. Schizotypal disorder 18. The nurse is caring for a client who is diagnosed with bulimia and recently prescribed fluoxetine. Which of the following information should the nurse teach the client about this medication? A. It is administered at a higher dose for bulimia than for depression B. It is approved for the treatment of bulimia and anorexia C. It is 1 of several medications approved by FDA for the treatment of bulimia D. It is a benzodiazepine 19. The nurse is caring for a client who was recently admitted with binge-purge bulimia. Which of the following actions is a priority for the nurse the perform? A. Complete the clients electrocardio