RN Mental Health Online Practice 2019 B With NGN Questions and Answers + Rationale

RN Mental Health Online Practice 2019 B With NGN Questions and Answers + Rationale A nurse is talking with a group of parents who have recently experienced the death of a child. Which of the following actions should the nurse take? A) Encourage the parents to avoid discussing the death with their other children to protect their feelings. B) Recommend each parent grieve in private to avoid hindering each other's healing. C) Suggest forming a weekly support group for parents who have experienced the death of a child. D) Advise the parents to begin counseling if they are still grieving in a few months. [Correct Ans: - C Support groups are a positive resource in the process of recovery for parents following the death of a child. A nurse in a community health center is working with a group of clients who have post-traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? A) Response prevention B) Guided imagery C) Aversion therapy D) Light therapy [Correct Ans: - B Guided imagery involves assisting the client to imagine a restful and safe place. This method is effective in reducing anxiety in clients who have post-traumatic stress disorder. A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan? A) Administer phenytoin 30 min prior to the procedure. B) Instruct the client to expect a headache following the procedure. C) Place the client in four point restraints prior to the procedure. D) Monitor the client's cardiac rhythm during the procedure. [Correct Ans: - D The seizure induced during ECT can stress the client's heart. Therefore, the nurse should plan to monitor the client's cardiac rhythm during ECT via an electrocardiogram. A nurse is planning prevention strategies for partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention? A) Provide teaching about the use of positive coping mechanisms. B) Establish screening programs to identify at-risk clients. C) Refer survivors of intimate partner abuse to a legal advocacy program. D) Organize rehabilitation therapy for clients who have experienced intimate partner abuse. [Correct Ans: - B This is an example of secondary prevention. By establishing screening programs, the nurse can identify individuals who are at risk for partner violence in the community and can take the necessary steps to address individual client needs. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the following findings places the client at the greatest risk for self-directed injury or injuring others? A) Inability to communicate with others B) Feelings of absence of self-worth C) Lack of motivation to perform daily tasks D) Command hallucinations [Correct Ans: - D A client who has schizophrenia and is experiencing command hallucinations can hear voices telling them to hurt themselves or others. Therefore, a client who is experiencing command hallucinations is at the greatest risk for self-directed injury or injuring others.