Saunders Mental health Exam 2.0 FULLY VERIFIED & CORRECT

1073. A client in a long-term care facility who had multiple sclerosis is embarrassed about the need to use a wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in assist ...

1073. A client in a long-term care facility who had multiple sclerosis is embarrassed about the need to use a wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in assisting the client to cope? 1. Keep the client in her room as much as possible . 2. Assist the client with all activities of daily living (ADLs). 3. Tell the client that many of the people in the facility have these same sorts of problems. 4. Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily. - 4. Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily 1074. The nurse uses which approach when caring for a client with a diagnosis of acute undifferentiated schizophrenia? 1. Repeatedly points out inconsistencies in the client's communication . 2. Allows the client to set his or her own treatment goals for the plan of care. 3. Lets the client act out initially and uses the quiet room and restraints as needed. 4. Provides assistance with grooming and nutrition until the client's thinking is cleared. - 4. Provides assistance with grooming and nutrition until the client's thinking is cleared 1075. A client is admitted to the mental health unit after a suicide attempt by hanging. The nurse's most important aspect of care is to maintain client safety. The is best accomplished by which action? 1. Requesting that a peer remain with the client at all times. 2. Removing the client's clothing and placing the client in a hospital gown. 3. Assigning a staff member to the client who will remain with the client at all times. 4. Admitting the client to a seclusion room where all potentially dangerous articles are removed. - 3. Assigning a staff member to the client who will remain with the client at all times 1076. The nurse providing end-of-life care to a Muslim client understands that which practice is accurate regarding end-of-life care? 1. The client's head should be positioned below the body. 2. Discussions about death are usually welcomed and open. 3. A same-gendered Muslim should handle the body if possible. 4. Stopping medical treatment is allowed if permitted by the family. - 3. A same-gendered Muslim should handle the body if possible. 1077. On admission assessment, the nurse is obtaining subjective data about a client's sexual and reproductive status. The client states, "I don't want to discuss this; it's private and personal." Which response by the nurse is most therapeutic? 1. "I'd hate being asked these sorts of questions too, but it's a necessary part of providing you with the best care." 2. "This is difficult for you to speak about, but I need this information from you in order to perform a complete assessment." 3. "I am a professional registered nurse, and , as such, I'll have you know that all your information is certainly kept confidential." 4. " I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated to respect your confidentiality." - 4. " I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated to respect your confidentiality