Saunders Mental Health exam 1
A patron admitted voluntarily for remedy of an anxiety ailment demands to be launched from the
sanatorium. Which action should the nurse take to begin with?
1. Contact the clients health care provider (HCP)
2. Call the customers family to arrange for transportation.
3. Attempt to influence the purchaser to stay "for only some greater days."
four. Tell the client that leaving might possibly results in an involuntary dedication - ANS-1.
Contact the clients fitness care issuer (HCP)
A customer identified with delirium will become disoriented and burdened at night time. Which
intervention should the nurse enforce to begin with?
1. Move the purchaser next to the nurses station
2. Use an indirect light supply to show off the tv
three. Keep the television and a soft mild on in the course of the night
four. Play smooth tune all through the night, and keep a properly-lit room - ANS-2. Use an
oblique mild supply to turn off the television
A consumer experiencing disturbed idea processes believes that his meals is being poisoned.
Which communique technique have to the nurse use to encourage the customer to consume?
1. Using open-ended questions and silence
2. Sharing personal preference regarding meals alternatives
3. Documenting reasons why the patron does now not want to consume
4. Offering opinions approximately the necessity of good enough nutrients - ANS-1. Using
open-ended questions and silence
A purchaser offers the home health nurse a bottle of clomipramine. The nurse notes that the
medicine has now not been taken by way of the customer in 2 months. Which behavior
determined inside the client would validate noncompliance with this medicinal drug?
1. Complaints of insomnia
2. Complaints of starvation and fatigue
three. A pulse rate less than 60 beats/minute
4. Frequent hand washing with warm soapy water - ANS-4. Frequent hand washing with hot
soapy water
A consumer is admitted to the medical nursing unit with a diagnosis of acute blindness after
being worried in a success-and-run accident. When diagnostic checking out can't discover any
natural reason why this purchaser can not see, a intellectual health consult is prescribed. The
nurse plans care based on which circumstance that ought to be the focus of this consult?
1. Psychosis
2. Repression
3. Conversion ailment
four. Dissociative disease - ANS-3. Conversion ailment
A patron is admitted to the intellectual health unit after an tried suicide by way of striking. The
nurse can pleasant ensure patron protection by way of which motion?
, 1. Requesting that a peer stay with the customer at all times
2. Removing the consumer's apparel and putting the consumer in a health facility gown
3. Assigning to the customer a workforce member who will stay with the consumer always
4. Admitting the customer to a seclusion room were all potentially dangerous articles are
eliminated - ANS-3. Assigning to the client a personnel member who will continue to be with the
consumer always
A patron is admitted to the intellectual health unit with a diagnosis of melancholy. The nurse
have to broaden a plan of care for the consumer that includes which intervention?
1. Encouraging quiet analyzing and writing for the first few days
2. Identification of the physical sports with a purpose to provide workout
3. No socializing activities, until the purchaser asks to take part in milieu
four. A established program of activities wherein the client can participate - ANS-4. A dependent
application of activities in which the customer can participate
A client is admitted with a latest records of intense tension following a home invasion and
robbery. During the preliminary assessment interview, which statement by using the consumer
must indicate to the nurse the possible prognosis of posttraumatic strain disorder? Select all that
follow
1. "I am scared of spiders"
2. "I hold reliving the theft"
three. "I see his face anywhere I pass"
four. "I do not need anything to consume now"
five. "I may have died over some bucks in my pocket"
6. "I ought to wash my fingers time and again once more in many instances" - ANS-2. "I
maintain reliving the theft"
3. "I see his face everywhere I go"
five. "I may have died over some greenbacks in my pocket"
A patron is diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my
circle of relatives would prevent hoping for a remedy! I get so irritated when they convey on like
this. After all, I'm the only who is loss of life." which reaction via the nurse is healing?
1. "Have you shared your feelings together with your circle of relatives"
2. "I suppose we ought to talk more about your anger with your family."
three. "You're feeling indignant that your own family keeps to pray as a way to be cured?"
4. "You are possibly very depressed, that is understandable with this kind of prognosis." -
ANS-three. "You're feeling indignant that your own family continues to pray with a view to be
cured?"
A purchaser is collaborating in a therapy group and specializes in viewing all crew participants
as similarly critical in assisting the clients to satisfy their desires. The nurse is implementing
which healing method?
1. Milieu therapy
2. Interpersonal remedy
3. Behavior modification
four. Support institution therapy - ANS-1. Milieu remedy
A client is getting ready to wait a Gamblers nameless assembly for the primary time. The nurse
need to tell the customer that that is the first prevent on this 12 step software?
A patron admitted voluntarily for remedy of an anxiety ailment demands to be launched from the
sanatorium. Which action should the nurse take to begin with?
1. Contact the clients health care provider (HCP)
2. Call the customers family to arrange for transportation.
3. Attempt to influence the purchaser to stay "for only some greater days."
four. Tell the client that leaving might possibly results in an involuntary dedication - ANS-1.
Contact the clients fitness care issuer (HCP)
A customer identified with delirium will become disoriented and burdened at night time. Which
intervention should the nurse enforce to begin with?
1. Move the purchaser next to the nurses station
2. Use an indirect light supply to show off the tv
three. Keep the television and a soft mild on in the course of the night
four. Play smooth tune all through the night, and keep a properly-lit room - ANS-2. Use an
oblique mild supply to turn off the television
A consumer experiencing disturbed idea processes believes that his meals is being poisoned.
Which communique technique have to the nurse use to encourage the customer to consume?
1. Using open-ended questions and silence
2. Sharing personal preference regarding meals alternatives
3. Documenting reasons why the patron does now not want to consume
4. Offering opinions approximately the necessity of good enough nutrients - ANS-1. Using
open-ended questions and silence
A purchaser offers the home health nurse a bottle of clomipramine. The nurse notes that the
medicine has now not been taken by way of the customer in 2 months. Which behavior
determined inside the client would validate noncompliance with this medicinal drug?
1. Complaints of insomnia
2. Complaints of starvation and fatigue
three. A pulse rate less than 60 beats/minute
4. Frequent hand washing with warm soapy water - ANS-4. Frequent hand washing with hot
soapy water
A consumer is admitted to the medical nursing unit with a diagnosis of acute blindness after
being worried in a success-and-run accident. When diagnostic checking out can't discover any
natural reason why this purchaser can not see, a intellectual health consult is prescribed. The
nurse plans care based on which circumstance that ought to be the focus of this consult?
1. Psychosis
2. Repression
3. Conversion ailment
four. Dissociative disease - ANS-3. Conversion ailment
A patron is admitted to the intellectual health unit after an tried suicide by way of striking. The
nurse can pleasant ensure patron protection by way of which motion?
, 1. Requesting that a peer stay with the customer at all times
2. Removing the consumer's apparel and putting the consumer in a health facility gown
3. Assigning to the customer a workforce member who will stay with the consumer always
4. Admitting the customer to a seclusion room were all potentially dangerous articles are
eliminated - ANS-3. Assigning to the client a personnel member who will continue to be with the
consumer always
A patron is admitted to the intellectual health unit with a diagnosis of melancholy. The nurse
have to broaden a plan of care for the consumer that includes which intervention?
1. Encouraging quiet analyzing and writing for the first few days
2. Identification of the physical sports with a purpose to provide workout
3. No socializing activities, until the purchaser asks to take part in milieu
four. A established program of activities wherein the client can participate - ANS-4. A dependent
application of activities in which the customer can participate
A client is admitted with a latest records of intense tension following a home invasion and
robbery. During the preliminary assessment interview, which statement by using the consumer
must indicate to the nurse the possible prognosis of posttraumatic strain disorder? Select all that
follow
1. "I am scared of spiders"
2. "I hold reliving the theft"
three. "I see his face anywhere I pass"
four. "I do not need anything to consume now"
five. "I may have died over some bucks in my pocket"
6. "I ought to wash my fingers time and again once more in many instances" - ANS-2. "I
maintain reliving the theft"
3. "I see his face everywhere I go"
five. "I may have died over some greenbacks in my pocket"
A patron is diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my
circle of relatives would prevent hoping for a remedy! I get so irritated when they convey on like
this. After all, I'm the only who is loss of life." which reaction via the nurse is healing?
1. "Have you shared your feelings together with your circle of relatives"
2. "I suppose we ought to talk more about your anger with your family."
three. "You're feeling indignant that your own family keeps to pray as a way to be cured?"
4. "You are possibly very depressed, that is understandable with this kind of prognosis." -
ANS-three. "You're feeling indignant that your own family continues to pray with a view to be
cured?"
A purchaser is collaborating in a therapy group and specializes in viewing all crew participants
as similarly critical in assisting the clients to satisfy their desires. The nurse is implementing
which healing method?
1. Milieu therapy
2. Interpersonal remedy
3. Behavior modification
four. Support institution therapy - ANS-1. Milieu remedy
A client is getting ready to wait a Gamblers nameless assembly for the primary time. The nurse
need to tell the customer that that is the first prevent on this 12 step software?
