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ATI MENTAL HEALTH Those 100 questions A nurse overhears a hospitalized client with mania telling another client, "I'm actually a journalist writing an article for a magazine — I'm just posing as... a person with mental illness." How should the nurse respond? A client who is hallucinating fearfully says to the nurse, "Please tell that demon to get out." How should the nurse respond to the client? " The mother of a 3-year-old says, "My child hit his teddy bear after being scolded for picking the neighbors' flowers." Which defense mechanism was the child using? t A client says to the nurse, "Even though my husband and I keep telling them we don't want to have children, our parents are pressuring us to 'start a family.' What should we say to them?" Which of the following responses by the nurse is therapeutic? " A young adult client says, "I just can't seem to stop snapping at my parents. I know they work hard to support me, but what do I do when they're so overbearing?" Which responses by the nurse is therapeutic? " A client says, "I have so much trouble caring for my husband's child from his first marriage. I resent the money we have to pay for child support because we have to deprive my own child of things. How can I stop feeling this way?" Which response by the nurse is therapeutic? " A client says to the nurse, "My wife retired last year from a lucrative law practice, and I'm really discouraged. I'll be working until I die, even though I helped pay for her education." Which response by the nurse is supportive? " A gay man is brought to the emergency department by the police. The client tells the nurse, "I was beaten up. I guess I just have to expect this kind of treatment for the rest of my life." Which statement by the nurse is therapeutic? " A client whose spouse recently died is experiencing dysfunctional grieving. Which intervention has priority in the plan of care? A nurse develops a plan of care for a client in whom AIDS was recently diagnosed. The client is experiencing difficulty adjusting to the illness. Which interventions are appropriate for this client? Select all that apply. . An emergency department nurse is caring for an older client who is a victim of physical abuse. List in order of priority the following nursing actions, with number 1 representing the first action and number 4 the last. The parents of an 18-month-old arrive at the emergency department with their unconscious child. Physical examination reveals bruises on the child's upper arms that resemble grip marks. Which nursing intervention is the priority? A nurse in a women's clinic develops a plan of care for abused women. Which tertiary prevention intervention should be included in the plan of care? A nurse assists in caring for victims of an explosion at a local industrial plant. The nurse plans to implement crisis interventions, knowing that this incident is characteristic of: A nurse prepares equipment in the electroconvulsive therapy (ECT) suite for a client who will be arriving shortly for therapy. Which items are essential? Select all that apply. A client with depression says, "I always make mistakes. I never do anything right." Which response by the nurse is therapeutic? A hospitalized client with a diagnosis of delirium often becomes disoriented and confused during the night. Which intervention does the nurse implement? A psychiatric nurse assists victims of a nightclub fire and their families. Which actions on the part of the nurse is the most important intervention in the immediate post disaster period? A psychiatric nurse who is a member of a mobile crisis team is called to deal with a person who is threatening to jump off a bridge in a suicide attempt. On arrival at the site, the nurse immediately: A client tells the nurse, "I did my hair just like my favorite math teacher wears hers. I hope I can be a good teacher, too." Which defense mechanism is the client using? . A nurse assesses a new client hospitalized on the mental health unit. The client is experiencing negative thinking and says, "I'm doomed to failure." The nurse recognizes that the client's announcement indicates problems with: A psychiatric nurse is sitting with several clients in the day room. A client who has been experiencing delusions and hallucinations says to the nurse, "That television is sending special messages to me." Which of the following responses by the nurse is therapeutic? " A client with depression says, "My children hate me." Which response by the nurse is therapeutic? .................................................................CONTINUED........................................................................... [Show More]
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