Saunders Mental Health Practice
Question And Answers
1073.rArclientrinrarlong-
termrcarerfacilityrwhorhadrmultiplersclerosisrisrembarrassedraboutrtherneedrtoruser
arwheelchairrandrthermusclerspasmsrthatrarerreadilyrvisiblerinrherrlegs.rWhichrappr
oachrisrtherapeuticrinrassistingrtherclientrtorcope?r
1.rKeeprtherclientrinrherrroomrasrmuchrasrpossibler.
2.rAssistrtherclientrwithrallractivitiesrofrdailyrlivingr(ADLs).
3.rTellrtherclientrthatrmanyrofrtherpeoplerinrtherfacilityrhaverthesersamersortsrofrpro
blems.
4.rEncouragerandrpraiserperseverancerinrperformingrADLs,randrassistrtherclientrtor
dressrandrgroomrdaily.r-rans-
4.rEncouragerandrpraiserperseverancerinrperformingrADLs,randrassistrtherclientrtor
dressrandrgroomrdaily
1074.rThernurserusesrwhichrapproachrwhenrcaringrforrarclientrwithrardiagnosisrofra
cuterundifferentiatedrschizophrenia?
1.rRepeatedlyrpointsroutrinconsistenciesrinrtherclient'srcommunicationr.
2.rAllowsrtherclientrtorsetrhisrorrherrownrtreatmentrgoalsrforrtherplanrofrcare.
3.rLetsrtherclientractroutrinitiallyrandrusesrtherquietrroomrandrrestraintsrasrneeded.
4.rProvidesrassistancerwithrgroomingrandrnutritionruntilrtherclient'srthinkingrisrcleare
d.r-rans-
4.rProvidesrassistancerwithrgroomingrandrnutritionruntilrtherclient'srthinkingrisrcleare
d
1075.rArclientrisradmittedrtorthermentalrhealthrunitrafterrarsuiciderattemptrbyrhangin
g.rThernurse'srmostrimportantraspectrofrcarerisrtormaintainrclientrsafety.rTherisrbest
raccomplishedrbyrwhichraction?
1.rRequestingrthatrarpeerrremainrwithrtherclientratrallrtimes.
2.rRemovingrtherclient'srclothingrandrplacingrtherclientrinrarhospitalrgown.
3.rAssigningrarstaffrmemberrtortherclientrwhorwillrremainrwithrtherclientratrallrtimes.
4.rAdmittingrtherclientrtorarseclusionrroomrwhererallrpotentiallyrdangerousrarticlesrar
erremoved.r-rans-
3.rAssigningrarstaffrmemberrtortherclientrwhorwillrremainrwithrtherclientratrallrtimes
1076.rThernurserprovidingrend-of-
lifercarertorarMuslimrclientrunderstandsrthatrwhichrpracticerisraccuraterregardingren
d-of-lifercare?
1.rTherclient'srheadrshouldrberpositionedrbelowrtherbody.
2.rDiscussionsraboutrdeathrarerusuallyrwelcomedrandropen.
,3.rArsame-genderedrMuslimrshouldrhandlertherbodyrifrpossible.r
4.rStoppingrmedicalrtreatmentrisrallowedrifrpermittedrbyrtherfamily.r-rans-3.rArsame-
genderedrMuslimrshouldrhandlertherbodyrifrpossible.
1077.rOnradmissionrassessment,rthernurserisrobtainingrsubjectiverdataraboutrarclie
nt'srsexualrandrreproductiverstatus.rTherclientrstates,r"Irdon'trwantrtordiscussrthis;rit'
srprivaterandrpersonal."rWhichrresponserbyrthernurserisrmostrtherapeutic?r
1.r"I'drhaterbeingraskedrthesersortsrofrquestionsrtoo,rbutrit'srarnecessaryrpartrofrpro
vidingryourwithrtherbestrcare."
2.r"Thisrisrdifficultrforryourtorspeakrabout,rbutrIrneedrthisrinformationrfromryourinror
derrtorperformrarcompleterassessment."
3.r"Iramrarprofessionalrregisteredrnurse,randr,rasrsuch,rI'llrhaveryourknowrthatrallry
ourrinformationrisrcertainlyrkeptrconfidential."
4.r"rIrknowrthatrsomerofrtheserquestionsrarerdifficultrforryou,rbut,rasrarprofessionalr
nurse,rIramrobligatedrtorrespectryourrconfidentiality."r-rans-
4.r"rIrknowrthatrsomerofrtheserquestionsrarerdifficultrforryou,rbut,rasrarprofessionalr
nurse,rIramrobligatedrtorrespectryourrconfidentiality."
1078.rThernursershouldrincluderwhichrinformationrinrthernursingrplanrofrcarerforrarc
lientrwithrobsessive-compulsiverdisorderr(OCD)?rSelectrallrthatrapply.
1.rThermedicalrdiagnosisrofrtherclient.
2.rIndividualizedrgoalsrandrobjectives.
3.rAttendanceratrgrouprtherapyrsessions.
4.rSelf-carermeasuresrtorimproverhygiene.
5.rInterruptionrofrallrcompulsiverbehaviors.r-rans-
2.rIndividualizedrgoalsrandrobjectives.
3.rAttendanceratrgrouprtherapyrsessions.
4.rSelf-carermeasuresrtorimproverhygiene.
1079.rArclientrasksrthernursertorexplainrwhatrmilieurtherapyris.rThernurserresponds,
rknowingrthatrtherprimaryrfocusrofrmilieurtherapyrcanrberbestrdescribedrbyrwhichrst
atement?r
1.rChangingrbehaviorrthroughrcrisisrintervention.
2.rArcognitiverapproachrtorchangingrclientrbehavior.
3.rProvidingrarsafe,rtherapeuticrenvironmentrforrclients.
4.rArbehavioralrapproachrtorchangingrbehaviorrappropriately.r-rans-
3.rProvidingrarsafe,rtherapeuticrenvironmentrforrclients.
1080.rAnrolderradultrclientrstatesrtorthernurse,r"LatelyrI'mrgettingrforgetfulraboutrthin
gs.rDoryourthinkrI'mrgettingrAlzheimer'srdisease?"rWhichrresponserbyrthernurserisr
mostrtherapeutic?
1.r"Oh,rI'mrcertainrit'srnotrAlzheimer'srdiseaserbecausereveryonerforgetsrthingsrsom
etimes."
2.r"rNo,rIrdon'trthinkrwerreallyrneedrtordiscussrthisrbecauserI'rsureritrisrjustrnormalr
aging."
, 3.r"rAlthoughrit'srnotrunusualrtorexperiencersomerlapsesrofrmemory,rlet'srdiscussryo
urrconcerns."
4.r"rIramrsorforgetful,rtoo.rIrneverrneededrlistsrofrthingsrthatrIrhadrtordo,rbutrthatrc
hangedrasrIrgotrolder."r-rans-
3.r"rAlthoughrit'srnotrunusualrtorexperiencersomerlapsesrofrmemory,rlet'srdiscussryo
urrconcerns."
1081.rArclientrinrthermentalrhealthrunitrbelievesrthatrtherfoodrisrbeingrpoisoned.rWh
ichrintervention(s)rwouldrberhelpfulrwhenrattemptingrtorencouragertherclientrtoreat?
rSelectrallrthatrapply.
1.rUseropen-endedrquestionsrtorencouragerclientrdialogue.
2.rOfferropinionsraboutrthernecessityrforradequaternutrition.
3.rFocusronrtherclient'srself-disclosureraboutrfoodrpreferences.
4.rIdentifyrtherreasonsrthatrtherclientrhadrforrnotrwantingrtoreat.r
5.rOfferrtherclientrfoodrinrclosedrcontainers,rsuchrasrinrcansrthatrhavertorberopene
d.r-rans-1.rUseropen-endedrquestionsrtorencouragerclientrdialogue.
5.rOfferrtherclientrfoodrinrclosedrcontainers,rsuchrasrinrcansrthatrhavertorberopene
d.
1082.rTherspouserofrarclientrwhorabusesralcoholrstates,r"rIrwishrIrcouldrjustrgetrou
trofrthisrsituationrandrfarrawayrfromrmyrspouse."rWhichrresponserbyrthernurserisrth
erapeutic?r
1.r"rWhatraspectsrofrthisrsituationrarermostrdifficultrforryou?"
2.r"rInrorderrtorensureryourrsafety,rit'srprobablyrbestrthatryourleave."
3.r"Mayberyourshouldrmakerthisrdecisionrwhenryourrspouserisrstable."
4.r"Irdon'trthinkrthat'srwhatrisrbestrforryourorryourrspousernow.rBesides,rwhererwoul
dryourgo?"r-rans-1.r"rWhatraspectsrofrthisrsituationrarermostrdifficultrforryou?"
1083.rArcrisisrcenterrnurserreceivesrartelephonercallrfromr
arclientrwhorstatesrthatrherwantsrtorkillrhimselfrandrthatrherhadrarbottlerofrsleeping
rpillsrinrfromrofrhim.rWhatrisrtherappropriaternursingraction?
1.rKeeprtherclientrtalking,randrallowrhimrtorventilaterhisrfeelings.
2.rUsertherapeuticrcommunicationrtechniques,respeciallyrtherreflectionrofrfeelings.r
3.rInsistrthatrtherclientrgiveryourhisrnamerandraddressrsorthatryourcanrgetrtherpolic
erthererimmediately.
4.rKeeprtherclientrtalking,randrsignalranotherrstaffrmemberrtortracerthercallrsorthatr
appropriaterhelprcanrbersent.r-rans-
4.rKeeprtherclientrtalking,randrsignalranotherrstaffr
memberrtortracerthercallrsorthatrappropriaterhelprcanrbersent.
1084.rWhichrdescription(s)rarercharacteristic(s)rofrarcrisisrstaterforrarclient.rSelectral
lrthatrapply.
1.rArclient'srresponsertorarcrisisrisrindividualized.
2.rArcrisisrstaterwillralwaysrlastrfromr3rtor5rdays.r
3.rArcrisisrstaterdoesrnotrmeanrthatrtherindividualrhasrarmentalrillness.r
4.rPresentingrsymptomsrinrarcrisisrsituationrarersimilarrforrallrindividuals.
Question And Answers
1073.rArclientrinrarlong-
termrcarerfacilityrwhorhadrmultiplersclerosisrisrembarrassedraboutrtherneedrtoruser
arwheelchairrandrthermusclerspasmsrthatrarerreadilyrvisiblerinrherrlegs.rWhichrappr
oachrisrtherapeuticrinrassistingrtherclientrtorcope?r
1.rKeeprtherclientrinrherrroomrasrmuchrasrpossibler.
2.rAssistrtherclientrwithrallractivitiesrofrdailyrlivingr(ADLs).
3.rTellrtherclientrthatrmanyrofrtherpeoplerinrtherfacilityrhaverthesersamersortsrofrpro
blems.
4.rEncouragerandrpraiserperseverancerinrperformingrADLs,randrassistrtherclientrtor
dressrandrgroomrdaily.r-rans-
4.rEncouragerandrpraiserperseverancerinrperformingrADLs,randrassistrtherclientrtor
dressrandrgroomrdaily
1074.rThernurserusesrwhichrapproachrwhenrcaringrforrarclientrwithrardiagnosisrofra
cuterundifferentiatedrschizophrenia?
1.rRepeatedlyrpointsroutrinconsistenciesrinrtherclient'srcommunicationr.
2.rAllowsrtherclientrtorsetrhisrorrherrownrtreatmentrgoalsrforrtherplanrofrcare.
3.rLetsrtherclientractroutrinitiallyrandrusesrtherquietrroomrandrrestraintsrasrneeded.
4.rProvidesrassistancerwithrgroomingrandrnutritionruntilrtherclient'srthinkingrisrcleare
d.r-rans-
4.rProvidesrassistancerwithrgroomingrandrnutritionruntilrtherclient'srthinkingrisrcleare
d
1075.rArclientrisradmittedrtorthermentalrhealthrunitrafterrarsuiciderattemptrbyrhangin
g.rThernurse'srmostrimportantraspectrofrcarerisrtormaintainrclientrsafety.rTherisrbest
raccomplishedrbyrwhichraction?
1.rRequestingrthatrarpeerrremainrwithrtherclientratrallrtimes.
2.rRemovingrtherclient'srclothingrandrplacingrtherclientrinrarhospitalrgown.
3.rAssigningrarstaffrmemberrtortherclientrwhorwillrremainrwithrtherclientratrallrtimes.
4.rAdmittingrtherclientrtorarseclusionrroomrwhererallrpotentiallyrdangerousrarticlesrar
erremoved.r-rans-
3.rAssigningrarstaffrmemberrtortherclientrwhorwillrremainrwithrtherclientratrallrtimes
1076.rThernurserprovidingrend-of-
lifercarertorarMuslimrclientrunderstandsrthatrwhichrpracticerisraccuraterregardingren
d-of-lifercare?
1.rTherclient'srheadrshouldrberpositionedrbelowrtherbody.
2.rDiscussionsraboutrdeathrarerusuallyrwelcomedrandropen.
,3.rArsame-genderedrMuslimrshouldrhandlertherbodyrifrpossible.r
4.rStoppingrmedicalrtreatmentrisrallowedrifrpermittedrbyrtherfamily.r-rans-3.rArsame-
genderedrMuslimrshouldrhandlertherbodyrifrpossible.
1077.rOnradmissionrassessment,rthernurserisrobtainingrsubjectiverdataraboutrarclie
nt'srsexualrandrreproductiverstatus.rTherclientrstates,r"Irdon'trwantrtordiscussrthis;rit'
srprivaterandrpersonal."rWhichrresponserbyrthernurserisrmostrtherapeutic?r
1.r"I'drhaterbeingraskedrthesersortsrofrquestionsrtoo,rbutrit'srarnecessaryrpartrofrpro
vidingryourwithrtherbestrcare."
2.r"Thisrisrdifficultrforryourtorspeakrabout,rbutrIrneedrthisrinformationrfromryourinror
derrtorperformrarcompleterassessment."
3.r"Iramrarprofessionalrregisteredrnurse,randr,rasrsuch,rI'llrhaveryourknowrthatrallry
ourrinformationrisrcertainlyrkeptrconfidential."
4.r"rIrknowrthatrsomerofrtheserquestionsrarerdifficultrforryou,rbut,rasrarprofessionalr
nurse,rIramrobligatedrtorrespectryourrconfidentiality."r-rans-
4.r"rIrknowrthatrsomerofrtheserquestionsrarerdifficultrforryou,rbut,rasrarprofessionalr
nurse,rIramrobligatedrtorrespectryourrconfidentiality."
1078.rThernursershouldrincluderwhichrinformationrinrthernursingrplanrofrcarerforrarc
lientrwithrobsessive-compulsiverdisorderr(OCD)?rSelectrallrthatrapply.
1.rThermedicalrdiagnosisrofrtherclient.
2.rIndividualizedrgoalsrandrobjectives.
3.rAttendanceratrgrouprtherapyrsessions.
4.rSelf-carermeasuresrtorimproverhygiene.
5.rInterruptionrofrallrcompulsiverbehaviors.r-rans-
2.rIndividualizedrgoalsrandrobjectives.
3.rAttendanceratrgrouprtherapyrsessions.
4.rSelf-carermeasuresrtorimproverhygiene.
1079.rArclientrasksrthernursertorexplainrwhatrmilieurtherapyris.rThernurserresponds,
rknowingrthatrtherprimaryrfocusrofrmilieurtherapyrcanrberbestrdescribedrbyrwhichrst
atement?r
1.rChangingrbehaviorrthroughrcrisisrintervention.
2.rArcognitiverapproachrtorchangingrclientrbehavior.
3.rProvidingrarsafe,rtherapeuticrenvironmentrforrclients.
4.rArbehavioralrapproachrtorchangingrbehaviorrappropriately.r-rans-
3.rProvidingrarsafe,rtherapeuticrenvironmentrforrclients.
1080.rAnrolderradultrclientrstatesrtorthernurse,r"LatelyrI'mrgettingrforgetfulraboutrthin
gs.rDoryourthinkrI'mrgettingrAlzheimer'srdisease?"rWhichrresponserbyrthernurserisr
mostrtherapeutic?
1.r"Oh,rI'mrcertainrit'srnotrAlzheimer'srdiseaserbecausereveryonerforgetsrthingsrsom
etimes."
2.r"rNo,rIrdon'trthinkrwerreallyrneedrtordiscussrthisrbecauserI'rsureritrisrjustrnormalr
aging."
, 3.r"rAlthoughrit'srnotrunusualrtorexperiencersomerlapsesrofrmemory,rlet'srdiscussryo
urrconcerns."
4.r"rIramrsorforgetful,rtoo.rIrneverrneededrlistsrofrthingsrthatrIrhadrtordo,rbutrthatrc
hangedrasrIrgotrolder."r-rans-
3.r"rAlthoughrit'srnotrunusualrtorexperiencersomerlapsesrofrmemory,rlet'srdiscussryo
urrconcerns."
1081.rArclientrinrthermentalrhealthrunitrbelievesrthatrtherfoodrisrbeingrpoisoned.rWh
ichrintervention(s)rwouldrberhelpfulrwhenrattemptingrtorencouragertherclientrtoreat?
rSelectrallrthatrapply.
1.rUseropen-endedrquestionsrtorencouragerclientrdialogue.
2.rOfferropinionsraboutrthernecessityrforradequaternutrition.
3.rFocusronrtherclient'srself-disclosureraboutrfoodrpreferences.
4.rIdentifyrtherreasonsrthatrtherclientrhadrforrnotrwantingrtoreat.r
5.rOfferrtherclientrfoodrinrclosedrcontainers,rsuchrasrinrcansrthatrhavertorberopene
d.r-rans-1.rUseropen-endedrquestionsrtorencouragerclientrdialogue.
5.rOfferrtherclientrfoodrinrclosedrcontainers,rsuchrasrinrcansrthatrhavertorberopene
d.
1082.rTherspouserofrarclientrwhorabusesralcoholrstates,r"rIrwishrIrcouldrjustrgetrou
trofrthisrsituationrandrfarrawayrfromrmyrspouse."rWhichrresponserbyrthernurserisrth
erapeutic?r
1.r"rWhatraspectsrofrthisrsituationrarermostrdifficultrforryou?"
2.r"rInrorderrtorensureryourrsafety,rit'srprobablyrbestrthatryourleave."
3.r"Mayberyourshouldrmakerthisrdecisionrwhenryourrspouserisrstable."
4.r"Irdon'trthinkrthat'srwhatrisrbestrforryourorryourrspousernow.rBesides,rwhererwoul
dryourgo?"r-rans-1.r"rWhatraspectsrofrthisrsituationrarermostrdifficultrforryou?"
1083.rArcrisisrcenterrnurserreceivesrartelephonercallrfromr
arclientrwhorstatesrthatrherwantsrtorkillrhimselfrandrthatrherhadrarbottlerofrsleeping
rpillsrinrfromrofrhim.rWhatrisrtherappropriaternursingraction?
1.rKeeprtherclientrtalking,randrallowrhimrtorventilaterhisrfeelings.
2.rUsertherapeuticrcommunicationrtechniques,respeciallyrtherreflectionrofrfeelings.r
3.rInsistrthatrtherclientrgiveryourhisrnamerandraddressrsorthatryourcanrgetrtherpolic
erthererimmediately.
4.rKeeprtherclientrtalking,randrsignalranotherrstaffrmemberrtortracerthercallrsorthatr
appropriaterhelprcanrbersent.r-rans-
4.rKeeprtherclientrtalking,randrsignalranotherrstaffr
memberrtortracerthercallrsorthatrappropriaterhelprcanrbersent.
1084.rWhichrdescription(s)rarercharacteristic(s)rofrarcrisisrstaterforrarclient.rSelectral
lrthatrapply.
1.rArclient'srresponsertorarcrisisrisrindividualized.
2.rArcrisisrstaterwillralwaysrlastrfromr3rtor5rdays.r
3.rArcrisisrstaterdoesrnotrmeanrthatrtherindividualrhasrarmentalrillness.r
4.rPresentingrsymptomsrinrarcrisisrsituationrarersimilarrforrallrindividuals.
