Psych EAQs 1-5 Foundations and Practice of Mental Health

Psych EAQs 1-5 Foundations and Practice of Mental Health The grieving spouse of a client who has just died says to the nurse, "We should have spent more time together. I always felt that my work came first." What should the nurse conclude that the spouse is experiencing? - Feelings of guilt A nurse is assigned to lead a relaxation group. Which techniques should the nurse incorporate? (Select all that apply.) - 1 Meditation 2 Mental imagery 5 Deep-breathing exercises After speaking with the parents of a child dying of leukemia, the practitioner gives a verbal do-not-resuscitate order but refuses to put it in writing. What should the nurse do? - 4 Determine whether the family is in accord with the practitioner while following hospital policy A nurse is aware that after the administration of alprazolam (Xanax) is started, it is important to observe the client for side effects. What is the nurse's initial action? - Checking the client's blood pressure A nurse is caring for a client who has abruptly stopped taking a barbiturate. What should the nurse anticipate that the client may experience? - Seizures Which statement by the client indicates to the nurse that the teaching about taking an antidepressant medication has been understood? - "I need to take every dose of my medication as prescribed." After a child's visit to a health care provider, the parent tells the nurse, "I'm so upset! The doctor prescribed an antidepressant!" What is the best response by the nurse? - "Tell me more about what's bothering you." A client is scheduled for several diagnostic studies. Which behavior best indicates to the nurse that the client has received adequate preparation? - Arrives early and waits quietly to be called for the tests A nurse is aware that a co-worker's mother died 16 months ago. The co-worker cries every time someone says the word "mother" and when the mother's name is mentioned. What does the nurse conclude about this behavior? - The co-worker may need help with grieving. During a group discussion regarding the unexpected suicide of a young female client who was on a weekend pass, one of the other clients stands up and shouts, "Oh, I know what you're all thinking. You think that I should've known that she was going to kill herself. You think I helped her plan this." What is the most therapeutic response by the group leader? - "You're upset because you think we're blaming you for her death?" A client has become increasingly depressed, and the practitioner prescribes an antidepressant. After 20 days of therapy, the client returns to the clinic. The client appears relaxed and smiles at the nurse. The most significant conclusion that the nurse can draw from this behavior is that the client: - 4 Is responding to the antidepressant therapy An adolescent on the psychiatric unit has an angry outburst toward another client who cut in front of people standing in line to get their mail. Later the nurse conducts a one-on-one therapeutic session with the angry client. What is an appropriate short-term goal for the client to strive for? - 2 Talking about the situation that precipitated the anger A nurse counseling a female client on the inpatient psychiatric unit responds to a statement made by the woman by stating, "I'm confused about exactly what is upsetting you. Would you go over that again, please?" The nurse is using: - 1 Clarifying A nurse is speaking with a client who was sexually abused as a child. The client does not know what constitutes inappropriate touch by another person. What issue will have to be addressed with this client? - 3 Boundary violations An older adult living in a long-term care facility has been receiving lithium 600 mg twice a day for 3 weeks to ease manic behavior. The client is experiencing nausea and vomiting, diarrhea, thirst, polyuria, slurred speech, and muscle weakness. What is the most appropriate nursing intervention? - 1 Withholding the next dose of lithium and drawing blood to test it for toxicity A 44-year-old client has been unable to function since her husband asked for a divorce 2 weeks ago. She is brought to the crisis intervention center by a friend. What type of crisis is this situation? - 2 Situational A male nurse is caring for a client. The client states, "You know, I've never had a male nurse before." What is the best reply by the nurse? - 2 "How do you feel about having a male nurse?" A person mowing a lawn is badly disfigured by the lawnmower blade. According to Erikson's theory, which age at the time of injury will be associated with the greatest risk of long-term psychological effects? - 11 years A nurse enters the room of an agitated, angry client to administer the prescribed antipsychotic medication. The client shouts, "Get out of here!" The nurse's best approach is to: - Say, "I'll be back in 15 minutes, and then we can talk." A nurse is caring for clients who are undergoing therapy for dependence on alcohol. Which member of the health team has the primary responsibility for their rehabilitation? - 2 Client A nurse is caring for a client who is angry and agitated. What is the best approach for the nurse to use with this client? - Maintaining a calm, consistent approach with the client In conjunction with which classification of medication are trihexyphenidyl, biperiden (Akineton), and benztropine (Cogentin) often prescribed? - Antipsychotics A client receiving the medication buspirone hydrochloride (Buspar) is admitted to the hospital with the diagnosis of possible hepatitis. The nurse identifies that the client's sclerae look yellow. What should be the nurse's initial action? - Withhold the medication A nurse understands that when a client is a member of a different ethnic community it is important to: - Offer a therapeutic regimen compatible with the lifestyle of the family A client who is taking lithium arrives at the mental health center for a routine visit. The client has slurred speech, has an ataxic gait, and complains of nausea. The nurse knows that these signs and symptoms are: - Probably associated with a toxic level of lithium An executive, busy at work, receives a phone call from a friend relating bad news. The woman makes a conscious effort to put this information out of her mind and continues to work at the task at hand. The next day she remembers that her friend telephoned her but is unable to recall the message. Which defense mechanism does this behavior represent? - Suppression A 13-year-old girl is brought to the emergency department by her mother, who tells the nurse that she just found out that her daughter has been sexually abused by her grandfather for almost 2 years. What is the nurse's priority intervention? - Providing a safe, nonjudgmental environment