Mental Health – Uworld Study Guide / Actual Exam Questions
with Verified Answers / Already Graded A
Terms in this set (117)
A nurse is admitting a child 2
and observes multiple
irregular bruises. Which A nurse who suspects child abuse should conduct a detailed
action should the nurse take interview and physical examination to identify potential
next? indicators of abuse (Option 2). In addition to obvious injuries,
abused children may show extremes in behavior, including
1. Ask parents to leave being overly shy, fearful, or even unusually affectionate.
theroom during the
admission process Parents should remain present during the admission
2. Continue with a process and the nurse should observe parent-child
detailedinterview and interactions for signs of abusive behavior (eg, refusal to
physical examination comfort, blaming, belittling) (Option 1). Abusive parents
3. Notify the charge may be hostile or uncooperative with the health care team.
nurseand the social worker 4. The nurse should also assess for inconsistencies between
Promise not to tell anyone if the parents' report and the actual findings.
the child reveals
abuse (Option 3) The nurse should report findings that indicate
abuse to the charge nurse, social worker, and health care
provider only after conducting a full history and physical
examination.
(Option 4) The nurse should not make promises of secrecy
to the child or family if abuse is revealed. The child or family
should be told that the nurse is required by law to report all
abuse.
Educational objective: If child abuse is suspected, the nurse
should obtain a detailed history, perform a physical
examination, and report signs of abuse. Parent-child
interaction should be examined closely, and any
inconsistencies between a parent's report and the actual
findings should be documented.
, 2
Clients with OCD engage in rituals and behaviors that help
reduce the anxiety or stress rooted in their obsessions
(recurrent thoughts, impulses, or images that cause notable
distress). If the ritual is interrupted, the client will experience
increased anxiety.
A client with compulsive behavior often does not realize the
amount of time or how many times the same activity has
A client with
been performed. By providing reflective feedback about the
obsessivecompulsive
client's behavior, the nurse is acknowledging the behavior in
disorder (OCD) has been
a nonjudgmental manner. The nurse should also help the
cleaning a bathroom for most
client become involved in other activities and problem-
of the morning. When the
solving skills.
roommate demands that the
client leave the bathroom so
(Option 1) Engaging other staff members to remove the
that the roommate can
client from the bathroom is confrontational and will increase
shower, the client becomes
the client's and roommate's anxiety; this approach is not
angry and says, "You can't
necessary or therapeutic.
make me leave, everything is
still dirty." What is the best
(Option 3) Pointing out that the bathroom is clean does not
nursing action?
change the client's obsessive thoughts. Saying that the
client's behavior is unreasonable conveys a message of
1. Engage other staff
disapproval and would increase the client's anxiety.
members to remove the
client from the bathroom 2.
(Option 4) Telling the roommate to use a different
Give a reminder that the
bathroom allows the client to continue the ritualistic
client has been cleaning the
behavior, is non-therapeutic, reinforces the behavior, and
bathroom for 1½ hours and it
avoids the issue.
is time to take a break
3. Tell the client that
Educational objective: Clients with OCD engage in rituals
thebathroom is very clean and activities that help reduce the anxiety associated with
and that this behavior is unacceptable thoughts, images, and impulses.
unreasonable Therapeutic approaches to a client with
4. Tell the roommate
touse the shower in
another room
,OCD include pointing out the amount of time the client has
spent performing an activity and redirecting the client to
another activity.
,
with Verified Answers / Already Graded A
Terms in this set (117)
A nurse is admitting a child 2
and observes multiple
irregular bruises. Which A nurse who suspects child abuse should conduct a detailed
action should the nurse take interview and physical examination to identify potential
next? indicators of abuse (Option 2). In addition to obvious injuries,
abused children may show extremes in behavior, including
1. Ask parents to leave being overly shy, fearful, or even unusually affectionate.
theroom during the
admission process Parents should remain present during the admission
2. Continue with a process and the nurse should observe parent-child
detailedinterview and interactions for signs of abusive behavior (eg, refusal to
physical examination comfort, blaming, belittling) (Option 1). Abusive parents
3. Notify the charge may be hostile or uncooperative with the health care team.
nurseand the social worker 4. The nurse should also assess for inconsistencies between
Promise not to tell anyone if the parents' report and the actual findings.
the child reveals
abuse (Option 3) The nurse should report findings that indicate
abuse to the charge nurse, social worker, and health care
provider only after conducting a full history and physical
examination.
(Option 4) The nurse should not make promises of secrecy
to the child or family if abuse is revealed. The child or family
should be told that the nurse is required by law to report all
abuse.
Educational objective: If child abuse is suspected, the nurse
should obtain a detailed history, perform a physical
examination, and report signs of abuse. Parent-child
interaction should be examined closely, and any
inconsistencies between a parent's report and the actual
findings should be documented.
, 2
Clients with OCD engage in rituals and behaviors that help
reduce the anxiety or stress rooted in their obsessions
(recurrent thoughts, impulses, or images that cause notable
distress). If the ritual is interrupted, the client will experience
increased anxiety.
A client with compulsive behavior often does not realize the
amount of time or how many times the same activity has
A client with
been performed. By providing reflective feedback about the
obsessivecompulsive
client's behavior, the nurse is acknowledging the behavior in
disorder (OCD) has been
a nonjudgmental manner. The nurse should also help the
cleaning a bathroom for most
client become involved in other activities and problem-
of the morning. When the
solving skills.
roommate demands that the
client leave the bathroom so
(Option 1) Engaging other staff members to remove the
that the roommate can
client from the bathroom is confrontational and will increase
shower, the client becomes
the client's and roommate's anxiety; this approach is not
angry and says, "You can't
necessary or therapeutic.
make me leave, everything is
still dirty." What is the best
(Option 3) Pointing out that the bathroom is clean does not
nursing action?
change the client's obsessive thoughts. Saying that the
client's behavior is unreasonable conveys a message of
1. Engage other staff
disapproval and would increase the client's anxiety.
members to remove the
client from the bathroom 2.
(Option 4) Telling the roommate to use a different
Give a reminder that the
bathroom allows the client to continue the ritualistic
client has been cleaning the
behavior, is non-therapeutic, reinforces the behavior, and
bathroom for 1½ hours and it
avoids the issue.
is time to take a break
3. Tell the client that
Educational objective: Clients with OCD engage in rituals
thebathroom is very clean and activities that help reduce the anxiety associated with
and that this behavior is unacceptable thoughts, images, and impulses.
unreasonable Therapeutic approaches to a client with
4. Tell the roommate
touse the shower in
another room
,OCD include pointing out the amount of time the client has
spent performing an activity and redirecting the client to
another activity.
,
