PSYCHIATRIC MENTAL HEALTH NURSING REVISED EXAM QUESTIONS AND ANSWERS

PSYCHIATRIC MENTAL HEALTH NURSING REVISED EXAM QUESTIONS AND ANSWERS A client in the mental health clinic has a phobia about closed spaces. Which desensitization method should the nurse expect to be used successfully with this client? - Imagery What treatment should a nurse anticipate will be prescribed for a client with severe, persistent, intractable depression and suicidal ideation? - Electroconvulsive therapy An older adult, accompanied by family members, is admitted to a long-term care facility with symptoms of dementia. During the admission procedure the initial statement by the nurse most helpful to this client is: - "Don't be afraid. I'm your nurse, and everyone here in the hospital is here to help you." An older depressed person at an independent living facility constantly complains about her health problems to anyone who will listen. One day the client says, "I'm not going to any more activities. All these old crabby people do is talk about their problems." What defense mechanism does the nurse conclude that the client is using? - Projection A client with alcohol dependence problem asks whether the nurse can see the bugs that are crawling on the bed. What is the nurse's initial reply? - "No, I don't see any bugs." A client is responding within an hour of receiving naloxone to combat respiratory depression from an overdose of heroin. Why should a nurse continue to closely monitor this client's status? - Symptoms of the heroin overdose may return after the naloxone is metabolized. A client tells the nurse, "The voices say I'll be safe only if I stay in this room, wear these clothes, and avoid stepping on the cracks between the floor tiles." What is the best initial response by the nurse? - "I understand that these voices are real to you, but I want you to know that I don't hear them." A parent of a 17-year-old girl who has been hospitalized for extremely disturbed acting-out behavior leaves a gift for the daughter but says, "I'm too busy to visit today." The daughter becomes upset and tearful after being given the message and opening the package. What does the nurse conclude that the parent's actions represent? - Double-bind message A client with schizophrenia is admitted to a psychiatric unit. The client is talking while walking in the hall, is unkempt, and obviously has not washed in several days. What should the nurse say when trying to help this client shower? - "I'll help you take your shower now." When a client is expressing severe anxiety by sobbing in the fetal position on her bed, the nurse's priority is: - Ensuring a safe therapeutic milieu A nurse is caring for several clients who are going through withdrawal from alcohol. The primary reason for the ingestion of alcohol by clients with a history of alcohol abuse is that they: - Are dependent on it A nurse is caring for a client with the diagnosis of alcohol withdrawal delirium. Which action is most appropriate for the nurse to implement? - Assuring the client that the symptoms are part of the withdrawal syndrome