Test Bank - NCLEX Examination Questions Test Bank - 2023 Updated and Elaborated All Topics Included

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NCLEX Examination Questions Test Bank - 2023 Updated and Elaborated All Topics Included #NCLEX #exam #MaslowsHierarchy #ECTTreatment #TherapeuticRelationship #PhasesOfRelationship #BillOfRight... sPsych #VoluntaryAdmission #PatientRights #ClientConfidentiality #PsychNursing #SuicidePrevention #MentalHealthRights #InpatientRights #PsychiatricCare #PatientAdvocacy #NursingEthics PSYCHIATRIC A N D MENTAL HEALTH N U R SING Foundations of psychiatric nursing 1. Knowledge of Maslow’s hierarchy of needs can assist a nurse in understanding client behavior. Place the stages of Maslow’s hierarchy of needs in order from basic to most complex. Use all the options. Answer: Rationale: Maslow’s hierarchy of needs progresses from the most basic to the most complex needs. Maslow’s theory states that physiologic needs are the most basic human needs. Only after physiologic needs have been met can safety concerns be ad- dressed followed by love and belonging, which then fosters self-esteem and finally self-actualization. Nursing process step: Planning Client needs category: Psychosocial integrity Client needs subcategory: None Cognitive level: Application 2. Electroconvulsive therapy (ECT) is an effective treatment for severe depression when which condi- tions accompany it? Select all that apply. □ 1. The client also has dementia. □ 2. The client can’t tolerate tricyclic antidepressants. □ 3. The client lives in a long-term care facility. □ 4. The client is undergoing a stressful life change. □ 5. The client is having acute suicidal thoughts. □ 6. The client is severely depressed despite taking numerous antidepressants. Rationale: The goal of a therapeutic relationship is to enhance the personal growth of the client. Giving ad- vice, exchanging personal information, and striving to meet the personal needs of the nurse and the client aren’t therapeutic for the client and cross the bound- aries of professionalism. Discussing information from or about the client with family members is a breach of confidentiality unless the client has expressly request- ed that the information be disclosed. Nursing process step: Implementation Client needs category: Psychosocial integrity Client needs subcategory: None Cognitive level: Analysis 4. A nurse understands that the first step in caring for a client with a mental health illness is to establish a therapeutic relationship to achieve effective communi- cation. Place the phases of a therapeutic relationship in ascending chronological order. Use all the options. 1. Working phase 2. Preinteraction phase 3. Termination phase 4. Orientation phase 5. A nurse is explaining the Bill of Rights for psychi- atric clients to a client who has voluntarily sought ad- mission to an inpatient psychiatric facility. Which rights should the nurse include in the discussion? Select all that apply. □ 1. Right to select health care team members □ 2. Right to refuse treatment □ 3. Right to a written treatment plan □ 4. Right to obtain disability □ 5. Right to confidentiality □ 6. Right to personal mail 6. In the emergency department, a client reveals to the nurse a lethal plan for committing suicide and agrees to a voluntary admission to the psychiatric unit. Which information will the nurse discuss with the client to answer the question, “How long do I have to stay here?” Select all that apply. □ 1. “You may leave the hospital at any time unless you are suicidal, homicidal, or unable to meet basic needs.” □ 2. “Let’s talk more after the health team has as- sessed you.” □ 3. “Once you’ve signed the papers, you have no say.” □ 4. “Because you could hurt yourself, you must be safe before being discharged.” □ 5. “You need a lawyer to help you make that deci- sion.” □ 6. “There must be a court hearing before you leave the hospital.” [Show More]

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