2024 RASMUSSEN MENTAL HEALTH NURSING (NUR 2488) MH EXAM 1 REAL 75 QUESTIONS AND ANSWERS ALREADY GRADED A+

2024 RASMUSSEN MENTAL HEALTH NURSING (NUR 2488) MH EXAM 1 REAL 75 QUESTIONS AND ANSWERS ALREADY GRADED A+ Question 1 A nurse caring for a client is preparing to access the client's implanted medication port (Mediport). The client states, "Every time I have to have my port accessed, I get extremely anxious, and I have heart palpitations." Which response by the nurse would be most appropriate for the assessment stage of crisis intervention? "Let's talk to the doctor about getting something ordered before the procedure.' "What have you done in the past to relieve or reduce your anxiety during the procedure?" "That must be overwhelming considering how often we access the port." "Do you think you will be able to control your anxiety in the future?" Question 2 A client has a phobia of horses and has been receiving behavioral therapy. During her sessions over the last few months, she has progressed from looking at a photo of the animal and through other small steps resulting in petting the real animal. This progression is an example of which behavioral therapy? Flooding Modeling Positive reinforcement Systematic desensitization Question 4 The nurse is asked to explain "informed consent." Which statement by the nurse is accurate? "All clients have the right to understand the treatment process before consenting to treatment." "It is the right of all voluntary clients to explain the treatment process." "It is solely the nurse's responsibility to determine if the client is competent to sign the consent for treatment." "It is the process by which consent is obtained for a procedure to be carried out for an incompetent client. Question 5 The client tells the nurse, "You are the best nurse here; you are the only nurse who listens and understands me." The next day the client requests to be reassigned to a different nurse stating, That nurse doesn't understand how to care for people like me. That nurse is the worst nurse here." The client is using which defense mechanism? Splitting - maladaptive Rationalization - adaptive Denial - adaptive Undoing - maladaptive Question 6 The client expresses the loneliness she feels to the nurse. Which response by the nurse demonstrates the existence of a therapeutic relationship? "You need to get involved in community activities." "Loneliness can be a painful and difficult emotion." "Let's see if we have any common interests." "Have you thought about ways to locate other lonely people?" Question 7 The nurse demonstrates "active listening" by what action? Using interpretation as a communication technique. Listening attentively and providing sympathetic responses. Paying close attention and remaining silent during the entire conversation. Concentrating on what the client says and responding, Question 8 A nurse is admitting a client to the psychiatric unit after attacking a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hour hold is over when which of the following conditions is met? The client states that they will never attack the neighbor again. The client is unwilling to accept the treatment being offered. The client plans to move out of state immediately upon discharge from the hospital. The client is a threat to themself or others. Question 9 A nurse is admitting a client to the unit who does not fluently speak English and is becoming visibly frustrated. Which of the following nursing actions is most appropriate? Medicate the client to help reduce anxiety. Ask a staff member who is fluent in the client's native language to translate Provide the questions in a written format. Contact an interpreter before conducting the admission assessment. Question 10 The nurse places a client in the seclusion room until he admits responsibility for the fight in the day room. The nurse's action could be viewed as which of the following? Assault Malpractice False imprisonment Battery Question 11 During the orientation phase of the nurse-client relationship, which of the following will occur? Information regarding the client is obtained from the chart. One's feelings are examined. Rapport is established. Problem-solving skills are identified. Question 13 Therapeutic communication is the foundation of a client-centered interaction. Which of the following could negatively impact communication? Exploring Restating Advising Seeking clarification Question 14 A nurse is caring for a client admitted to a mental health facility who asks; "Can I refuse the electroconvulsive therapy (ECT) treatment scheduled for tomorrow?" Which of the following responses by the nurse would be most appropriate? "You will feel better after the course of treatments." "You have given signed consent for the treatments after they were explained to you." "You can refuse them, but the provider believes they are necessary." "You have the right to refuse even though the consent form has been signed." Question 15 A nurse is caring for a devout Catholic on the psychiatric unit. The client has been unable to attend mass and receive communion. Which nursing diagnosis would be most relevant to this situation? Risk for spiritual distress Risk for ineffective coping Risk for impaired self-esteem Risk for impaired family coping Question 16 A nurse is discussing the use of mechanical restraints with a newly licensed nurse. Which of the following situations should the nurse include as an indication for placing a client in mechanical restraints? Coercion for medication compliance Punishment for throwing an object in the dayroom Self-destructive behavior despite alternative interventions Discipline for verbally attacking staff Question 17 Which nursing intervention constitutes false imprisonment? ................................................................................................................................................