2024-2025 NEWEST NURS 136 EXAM 2,MOSTLY TESTED COMPLETE
QUESTIONS WITH ANSWERS 100% VERIFIED 100% SURE PASS 100%
RATED CORRECT!!
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should
identify that which of the following clients requires a temporary emergency admission?
A. a client who has schizophrenia with delusions of grandeur
B. a client who has manifestations of depression and attempted suicide a year ago
C. a client who has borderline personality disorder and assaulted a homeless man with a metal
rod
D. a client who has bipolar disorder and paces quickly around the room while talking to himself -
(ANSWER)C
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the
unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions
are an example of which of the following torts?
A. invasion of privacy
B. false imprisonment
C. assault
,D. battery - (ANSWER)B
A client tells a nurse, "don't tell anyone, but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always yelling at me and threatening me." Which of
the following actions should the nurse take?
A. keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to hiding the knife
B. keep the client's communication confidential, but watch the client and his roommate closely
C. tell the client that this must be reported to the health care team because it concerns the health
and safety of the client and others
D. report the incident to the health care team, but do not inform the client of the intention to do
so - (ANSWER)C
A nurse is caring for a client who is in mechanical restraints. Which of the following statements
should the nurse include in the documentation? (select all that apply)
A. "client ate most of his breakfast"
B. "client was offered 8 oz of water every hour"
C. "client shouted obscenities at assistive personnel"
,D. client received chlorpromazine 15 mg by mouth at 1000"
E. "client acted out after lunch" - (ANSWER)BCD
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
A. notify the nurse manager
B. tell the nurse to stop discussing the behavior
C. provide an in-service program about confidentiality
D. complete an incident report - (ANSWER)B
A charge nurse is conducting a class on therapeutic communication to a group of newly licensed
nurses. Which of the following aspects of communication should the nurse identify as a
component of verbal communication?
A. personal space
B. posture
C. eye contact
D. intonation - (ANSWER)D
, A nurse in an acute mental health facility is communication with a client. The client states, "I
can't sleep. I stay up all night." The nurse responds, "you are having difficulty sleeping?" which
of the following therapeutic communication techniques is the nurse demonstrating?
A. offering general leads
B. summarizing
C. focusing
D. restating - (ANSWER)D
A nurse is communicating with a client who was just admitted for treatment of a substance use
disorder. Which of the following communication techniques should the nurse identify as a barrier
to therapeutic communication?
A. offering advice
B. reflecting
C. listening attentively
D. giving information - (ANSWER)A
QUESTIONS WITH ANSWERS 100% VERIFIED 100% SURE PASS 100%
RATED CORRECT!!
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should
identify that which of the following clients requires a temporary emergency admission?
A. a client who has schizophrenia with delusions of grandeur
B. a client who has manifestations of depression and attempted suicide a year ago
C. a client who has borderline personality disorder and assaulted a homeless man with a metal
rod
D. a client who has bipolar disorder and paces quickly around the room while talking to himself -
(ANSWER)C
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the
unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions
are an example of which of the following torts?
A. invasion of privacy
B. false imprisonment
C. assault
,D. battery - (ANSWER)B
A client tells a nurse, "don't tell anyone, but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always yelling at me and threatening me." Which of
the following actions should the nurse take?
A. keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to hiding the knife
B. keep the client's communication confidential, but watch the client and his roommate closely
C. tell the client that this must be reported to the health care team because it concerns the health
and safety of the client and others
D. report the incident to the health care team, but do not inform the client of the intention to do
so - (ANSWER)C
A nurse is caring for a client who is in mechanical restraints. Which of the following statements
should the nurse include in the documentation? (select all that apply)
A. "client ate most of his breakfast"
B. "client was offered 8 oz of water every hour"
C. "client shouted obscenities at assistive personnel"
,D. client received chlorpromazine 15 mg by mouth at 1000"
E. "client acted out after lunch" - (ANSWER)BCD
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
A. notify the nurse manager
B. tell the nurse to stop discussing the behavior
C. provide an in-service program about confidentiality
D. complete an incident report - (ANSWER)B
A charge nurse is conducting a class on therapeutic communication to a group of newly licensed
nurses. Which of the following aspects of communication should the nurse identify as a
component of verbal communication?
A. personal space
B. posture
C. eye contact
D. intonation - (ANSWER)D
, A nurse in an acute mental health facility is communication with a client. The client states, "I
can't sleep. I stay up all night." The nurse responds, "you are having difficulty sleeping?" which
of the following therapeutic communication techniques is the nurse demonstrating?
A. offering general leads
B. summarizing
C. focusing
D. restating - (ANSWER)D
A nurse is communicating with a client who was just admitted for treatment of a substance use
disorder. Which of the following communication techniques should the nurse identify as a barrier
to therapeutic communication?
A. offering advice
B. reflecting
C. listening attentively
D. giving information - (ANSWER)A
