A client in a mental health facility says to a nurse, "My family won't let me come
home if I cannot control my anger." Which of the following responses should the
nurse make?
Tell me about some changes you can make to control your anger."
"I understand your family's feelings regarding your anger."
Why do you think your family feels that your anger is a concern?"
Do you feel that your medication is helping to control your anger?" Ans✓✓✓ Do
you feel that your medication is helping to control your anger?"
A client who delivered a healthy newborn 4 weeks ago calls her provider's office
and tells the nurse. "This baby constantly cries. My partner works all the time, and
I can't take any more." Which of the following responses is the nurse's priority?
"Tell me about your baby. Where is she now?"
Have you discussed this with your partner?"
"Do you have a friend who could help you?"
"Having a newborn must be stressful. Do you have other children? Ans✓✓✓
"Having a newborn must be stressful. Do you have other children?
,A nurse in a mental health facility is caring for an adolescent who is newly
admitted for an overdose of prescription pain medication. The client has
prescriptions for an anxiolytic and an SSRI antidepressant. Which of the following
precautions should the nurse take?
Restrict interactions with other clients.
Document the client's behavior every 2 hr.
implement 24-hr one-to-one nursing observation.
Administer prescribed medication via the IM route. Ans✓✓✓ Document the
client's behavior every 2 hr.
A nurse in a mental health facility is contributing to the plan of care for a new
client. Which of the following actions should the nurse plan to
include in the working phase of the nurse-client relationship?
Establish a regular meeting time with the client.
Collect data about the clients current health status.
Determine whether the client's goals are met.
,Provide the client with information on problem-solving. Ans✓✓✓ Establish a
regular meeting time with the client.
A nurse in a mental health facility is discussing client rights with an adult client
who was involuntarily committed. Which of the following
statements should the nurse make?
"If you want to leave the hospital, you need to sign a release form."
Once 90 days have passed, you can request a review of your admission."
Your provider will need to notify your employer of your admission.
You have the option to refuse your medication while in the facility." Ans✓✓✓
You have the option to refuse your medication while in the facility."
A nurse in a substance use disorder clinic is explaining the alcohol recovery
process to a client's family. Which of the following should the nurse identify as
the first step toward successful recovery from alcohol use disorder?
Agree to a prescription for an alcohol use deterrent.
Form a close support network.
Incorporate a form of spirituality into daily life.
, Acknowledge an inability to control drinking. Ans✓✓✓ Acknowledge an inability
to control drinking
A nurse in an acute care mental health facility is assigned to care for a group of
clients. Which of the following tasks is the nurse's priority?
Accompany a client who has obsessive compulsive disorder to their group therapy
session.
Complete an Abnormal Involuntary Movement Scale for a client who takes
risperidone and is concerned about adverse effects.
Check the vital signs of a client who takes phenelzine and ate their roommate's
cheese and salami.
Talk to a client who has depressive disorder about their past coping strategles.
Ans✓✓✓ Check the vital signs of a client who takes phenelzine and ate their
roommate's cheese and salami
A nurse in an urgent care facility is collecting data from a group of clients. The
nurse should identify that which of the following clients is at risk for experiencing
a maturational crisis?
A client who was sexually assaulted
A client who is in the process of getting a
divorce