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What is the most appropriate nursing action to help manage a manic
client who is monopolizing a group therapy session?
1. Ask the client to leave the group for this session only
2. Refer the client to another group that includes other manic clients
3. Tell the client to stop monopolizing in a firm but compassionate
manner.
4. Thank the client for the input, but inform the client that others now
need a chance to contribute. --- correct answer ---4. Thank the client
for the input, but inform the client that others now need a chance to
contribute.
A client is participating in a therapy group and focuses on viewing all
team members as equally important in helping the clients to meet
their goals. The nurse is implementing which therapeutic approach?
1. Milieu therapy
2. Interpersonal therapy
3. Behavior modification
,4. Support group therapy --- correct answer ---1. Milieu therapy
The nurse is working with a client who despite making a heroic effort
was unable to rescue a neighbor trapped in a house fire. Which client
focused action should the nurse engage in during the working phase of
the nurse-client relationship?
1. Exploring the client's ability to function
2. Exploring the clients potential for self-harm
3. Inquiring about the client's perception or appraisal of why the
rescue was unsuccessful
4. Inquiring about and examining the client's feelings for any that may
block adaptive coping --- correct answer ---4. Inquiring about and
examining the client's feelings for any that may block adaptive coping
The nurse provides an educational sessions on client rights. Which
statement by a member of the session demonstrates the best
understanding of the nurses role regarding ensuring that each client's
rights are respected?
1. "Autonomy is the fundamental right of each and every client"
2. "A clients rights are guaranteed by both state and federal laws"
3. "Being respectful and concerned will ensure that i'm attentive to
my clients rights."
,4. "Regardless of the client's condition, all nurses have the duty to
value client rights" --- correct answer ---3. "Being respectful and
concerned will ensure that i'm attentive to my clients rights."
A client says to the nurse, "the federal guards were sent to kill me."
which is the best response by the nurse to the client's concern?
1. "I don't believe this is true"
2. "The guards are not out to kill you"
3. "Do you feel afraid that people are trying to hurt you?"
4. "What makes you think the guards were sent to hurt you?" ---
correct answer ---3. "Do you feel afraid that people are trying to hurt
you?"
A client diagnosed with delirium becomes disoriented and confused at
night. Which intervention should the nurse implement initially?
1. Move the client next to the nurses station
2. Use an indirect light source to turn off the television
3. Keep the television and a soft light on during the night
4. Play soft music during the night, and maintain a well-lit room ---
correct answer ---2. Use an indirect light source to turn off the
television
, A client is admitted to the mental health unit with a diagnosis of
depression. The nurse should develop a plan of care for the client that
includes which intervention?
1. Encouraging quiet reading and writing for the first few days
2. Identification of the physical activities that will provide exercise
3. No socializing activities, until the client asks to participate in
milieu
4. A structured program of activities in which the client can
participate --- correct answer ---4. A structured program of activities
in which the client can participate
When planning for the discharge of a client with chronic anxiety, the
nurse directs the goals at promoting a safe environment at home.
Which is the most appropriate maintenance goal?
1. Suppressing feelings of anxiety
2. Identifying anxiety-producing situations
3. Continuing contact with a crisis counselor
4. Eliminating all anxiety from daily situations --- correct answer ---2.
Identifying anxiety-producing situations
A client is unwilling to go to his church because his ex-girlfriend goes
there and he feels that she will laugh at him if she sees him. because