Saunders Mental Health Questions
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1.4. Encourage and praise perseverance in performing ADLs, and assist the
client to dress and groom daily: 1073. A client in a long-term care facility
who had multiple sclerosis is embarrassed about the need to use a
wheelchair and the muscle spasms that are readily visible in her legs.
Which approach is therapeutic in assisting the client to cope?
1.Keep the client in her room as much as possible .
2.Assist the client with all activities of daily living (ADLs).
3.Tell the client that many of the people in the facility have these
same sorts of problems.
4.Encourage and praise perseverance in performing ADLs, and assist
the client to dress and groom daily.
2.4. Provides assistance with grooming and nutrition until the client's
thinking is cleared: 1074. The nurse uses which approach when caring
for a client with a diagnosis of acute undifferentiated schizophrenia?
1.Repeatedly points out inconsistencies in the client's communication .
2.Allows the client to set his or her own treatment goals for the plan of
care.
3.Lets the client act out initially and uses the quiet room and restraints
as needed.
4.Provides assistance with grooming and nutrition until the client's
thinking is cleared.
3.3. Assigning a staff member to the client who will remain with the client at
all times: 1075. A client is admitted to the mental health unit after a
suicide attempt by hanging. The nurse's most important aspect of care
is to maintain client safety. The is best accomplished by which action?
1.Requesting that a peer remain with the client at all times.
2.Removing the client's clothing and placing the client in a hospital
gown.
3.Assigning a staff member to the client who will remain with the client
at all times.
4.Admitting the client to a seclusion room where all potentially
dangerous articles are removed.
4. 3. A same-gendered Muslim should handle the body if possible.: 1076.
The nurse providing end-of-life care to a Muslim client understands that
which practice is accurate regarding end-of-life care?
1.The client's head should be positioned below the body.
2.Discussions about death are usually welcomed and open.
3.A same-gendered Muslim should handle the body if possible.
4.Stopping medical treatment is allowed if permitted by the family.
, Saunders Mental Health Questions
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5.4. " I know that some of these questions are difficult for you, but, as a
professional nurse, I am obligated to respect your confidentiality.": 1077.
On admission assessment, the nurse is obtaining subjective data about a
client's sexual and reproductive status. The client states, "I don't want
to discuss this; it's private
, Saunders Mental Health Questions
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and personal." Which response by the nurse is most therapeutic?
1."I'd hate being asked these sorts of questions too, but it's a
necessary part of providing you with the best care."
2."This is difficult for you to speak about, but I need this information
from you in order to perform a complete assessment."
3."I am a professional registered nurse, and , as such, I'll have you
know that all your information is certainly kept confidential."
4." I know that some of these questions are difficult for you, but, as a
professional nurse, I am obligated to respect your confidentiality."
6. 2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.: 1078. The nurse should include
which information in the nursing plan of care for a client with obsessive-
compulsive disorder (OCD)? Select all that apply.
1.The medical diagnosis of the client.
2.Individualized goals and objectives.
3.Attendance at group therapy sessions.
4.Self-care measures to improve hygiene.
5.Interruption of all compulsive behaviors.
7.3. Providing a safe, therapeutic environment for clients.: 1079. A client
asks the nurse to explain what milieu therapy is. The nurse responds,
knowing that the primary focus of milieu therapy can be best described
by which statement?
1.Changing behavior through crisis intervention.
2.A cognitive approach to changing client behavior.
3.Providing a safe, therapeutic environment for clients.
4.A behavioral approach to changing behavior appropriately.
8.3. " Although it's not unusual to experience some lapses of memory, let's
discuss your concerns.": 1080. An older adult client states to the nurse,
"Lately I'm getting forgetful about things. Do you think I'm getting
Alzheimer's disease?" Which response by the nurse is most therapeutic?
1."Oh, I'm certain it's not Alzheimer's disease because everyone
forgets things sometimes."
2." No, I don't think we really need to discuss this because I' sure it is
just normal aging."
3." Although it's not unusual to experience some lapses of memory,
let's discuss your concerns."
4." I am so forgetful, too. I never needed lists of things that I had to
do, but that changed as I got older."
, Saunders Mental Health Questions
Study online at https://quizlet.com/_2av767
9.1. Use open-ended questions to encourage client dialogue.
5. Offer the client food in closed containers, such as in cans that have to be
opened.: 1081. A client in the mental health unit believes that the food
is being poisoned. Which intervention(s) would be helpful when
attempting to encourage the client to eat? Select all that apply.
1.Use open-ended questions to encourage client dialogue.
2.Offer opinions about the necessity for adequate nutrition.
3.Focus on the client's self-disclosure about food preferences.
4.Identify the reasons that the client had for not wanting to eat.
5.Offer the client food in closed containers, such as in cans that have to
be opened.
10.1. " What aspects of this situation are most difficult for you?": 1082.
The spouse of a client who abuses alcohol states, " I wish I could just
get out of
this situation and far away from my spouse." Which response by the
nurse is therapeutic?
1." What aspects of this situation are most difficult for you?"
2." In order to ensure your safety, it's probably best that you leave."
3."Maybe you should make this decision when your spouse is stable."
4."I don't think that's what is best for you or your spouse now. Besides,
where would you go?"
11.4. Keep the client talking, and signal another staff
member to trace the call so that appropriate help can be sent.: 1083. A crisis
center nurse receives a telephone call from
a client who states that he wants to kill himself and that he had a bottle
of sleeping pills in from of him. What is the appropriate nursing action?
1.Keep the client talking, and allow him to ventilate his feelings.
2.Use therapeutic communication techniques, especially the reflection o
feelings.
3.Insist that the client give you his name and address so that you can
get the police there immediately.
4.Keep the client talking, and signal another staff member to trace the
call so that appropriate help can be sent.
12.1. A client's response to a crisis is individualized.
3. A crisis state does not mean that the individual has a mental illness.:
1084. Which description(s) are characteristic(s) of a crisis state for a
client. Select all that apply.
1. A client's response to a crisis is individualized.
2. A crisis state will always last from 3 to 5 days.
Study online at https://quizlet.com/_2av767
1.4. Encourage and praise perseverance in performing ADLs, and assist the
client to dress and groom daily: 1073. A client in a long-term care facility
who had multiple sclerosis is embarrassed about the need to use a
wheelchair and the muscle spasms that are readily visible in her legs.
Which approach is therapeutic in assisting the client to cope?
1.Keep the client in her room as much as possible .
2.Assist the client with all activities of daily living (ADLs).
3.Tell the client that many of the people in the facility have these
same sorts of problems.
4.Encourage and praise perseverance in performing ADLs, and assist
the client to dress and groom daily.
2.4. Provides assistance with grooming and nutrition until the client's
thinking is cleared: 1074. The nurse uses which approach when caring
for a client with a diagnosis of acute undifferentiated schizophrenia?
1.Repeatedly points out inconsistencies in the client's communication .
2.Allows the client to set his or her own treatment goals for the plan of
care.
3.Lets the client act out initially and uses the quiet room and restraints
as needed.
4.Provides assistance with grooming and nutrition until the client's
thinking is cleared.
3.3. Assigning a staff member to the client who will remain with the client at
all times: 1075. A client is admitted to the mental health unit after a
suicide attempt by hanging. The nurse's most important aspect of care
is to maintain client safety. The is best accomplished by which action?
1.Requesting that a peer remain with the client at all times.
2.Removing the client's clothing and placing the client in a hospital
gown.
3.Assigning a staff member to the client who will remain with the client
at all times.
4.Admitting the client to a seclusion room where all potentially
dangerous articles are removed.
4. 3. A same-gendered Muslim should handle the body if possible.: 1076.
The nurse providing end-of-life care to a Muslim client understands that
which practice is accurate regarding end-of-life care?
1.The client's head should be positioned below the body.
2.Discussions about death are usually welcomed and open.
3.A same-gendered Muslim should handle the body if possible.
4.Stopping medical treatment is allowed if permitted by the family.
, Saunders Mental Health Questions
Study online at https://quizlet.com/_2av767
5.4. " I know that some of these questions are difficult for you, but, as a
professional nurse, I am obligated to respect your confidentiality.": 1077.
On admission assessment, the nurse is obtaining subjective data about a
client's sexual and reproductive status. The client states, "I don't want
to discuss this; it's private
, Saunders Mental Health Questions
Study online at https://quizlet.com/_2av767
and personal." Which response by the nurse is most therapeutic?
1."I'd hate being asked these sorts of questions too, but it's a
necessary part of providing you with the best care."
2."This is difficult for you to speak about, but I need this information
from you in order to perform a complete assessment."
3."I am a professional registered nurse, and , as such, I'll have you
know that all your information is certainly kept confidential."
4." I know that some of these questions are difficult for you, but, as a
professional nurse, I am obligated to respect your confidentiality."
6. 2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.: 1078. The nurse should include
which information in the nursing plan of care for a client with obsessive-
compulsive disorder (OCD)? Select all that apply.
1.The medical diagnosis of the client.
2.Individualized goals and objectives.
3.Attendance at group therapy sessions.
4.Self-care measures to improve hygiene.
5.Interruption of all compulsive behaviors.
7.3. Providing a safe, therapeutic environment for clients.: 1079. A client
asks the nurse to explain what milieu therapy is. The nurse responds,
knowing that the primary focus of milieu therapy can be best described
by which statement?
1.Changing behavior through crisis intervention.
2.A cognitive approach to changing client behavior.
3.Providing a safe, therapeutic environment for clients.
4.A behavioral approach to changing behavior appropriately.
8.3. " Although it's not unusual to experience some lapses of memory, let's
discuss your concerns.": 1080. An older adult client states to the nurse,
"Lately I'm getting forgetful about things. Do you think I'm getting
Alzheimer's disease?" Which response by the nurse is most therapeutic?
1."Oh, I'm certain it's not Alzheimer's disease because everyone
forgets things sometimes."
2." No, I don't think we really need to discuss this because I' sure it is
just normal aging."
3." Although it's not unusual to experience some lapses of memory,
let's discuss your concerns."
4." I am so forgetful, too. I never needed lists of things that I had to
do, but that changed as I got older."
, Saunders Mental Health Questions
Study online at https://quizlet.com/_2av767
9.1. Use open-ended questions to encourage client dialogue.
5. Offer the client food in closed containers, such as in cans that have to be
opened.: 1081. A client in the mental health unit believes that the food
is being poisoned. Which intervention(s) would be helpful when
attempting to encourage the client to eat? Select all that apply.
1.Use open-ended questions to encourage client dialogue.
2.Offer opinions about the necessity for adequate nutrition.
3.Focus on the client's self-disclosure about food preferences.
4.Identify the reasons that the client had for not wanting to eat.
5.Offer the client food in closed containers, such as in cans that have to
be opened.
10.1. " What aspects of this situation are most difficult for you?": 1082.
The spouse of a client who abuses alcohol states, " I wish I could just
get out of
this situation and far away from my spouse." Which response by the
nurse is therapeutic?
1." What aspects of this situation are most difficult for you?"
2." In order to ensure your safety, it's probably best that you leave."
3."Maybe you should make this decision when your spouse is stable."
4."I don't think that's what is best for you or your spouse now. Besides,
where would you go?"
11.4. Keep the client talking, and signal another staff
member to trace the call so that appropriate help can be sent.: 1083. A crisis
center nurse receives a telephone call from
a client who states that he wants to kill himself and that he had a bottle
of sleeping pills in from of him. What is the appropriate nursing action?
1.Keep the client talking, and allow him to ventilate his feelings.
2.Use therapeutic communication techniques, especially the reflection o
feelings.
3.Insist that the client give you his name and address so that you can
get the police there immediately.
4.Keep the client talking, and signal another staff member to trace the
call so that appropriate help can be sent.
12.1. A client's response to a crisis is individualized.
3. A crisis state does not mean that the individual has a mental illness.:
1084. Which description(s) are characteristic(s) of a crisis state for a
client. Select all that apply.
1. A client's response to a crisis is individualized.
2. A crisis state will always last from 3 to 5 days.
