Psychiatric Mental Health Nursing:
Saunders NCLEX Review
A purchaser admitted voluntarily for treatment of an tension disorder needs to be released from
the health center. Which action should the nurse take first of all?
1. Contact the client's fitness care provider (HCP).
2. Call the patron's own family to set up for transportation.
3. Attempt to steer the consumer to stay "for only some more days."
4. Tell the patron that leaving would probable result in an involuntary commitment. - ANS-1
Rationale: In general, clients are looking for voluntary admission. Volun- tary customers have
the proper to demand and obtain launch. The nurse needs to be familiar with the nation and
facility policies and techniques. The initial nursing movement is to contact the HCP, who has the
authority to talk about discharge with the purchaser. While arranging for secure transportation is
suitable, it's miles pre- maturein thissituation and have to bedoneonlywith theclient's
permission.Whileitisappropriatetodiscusswhytheclientfeels the want to go away and the viable
effects of leaving in opposition to medical recommendation, attempting to get the purchaser to
conform to staying "for just a few greater days" has little price and could now not probable be
successful. Many states require that the purchaser put up a written release be aware to the
power psychiatrist, who reevaluates the cli- ent's situation for possible conversion to involuntary
reputation if necessary, in step with standards mounted by means of regulation. While this is a
opportunity, it should now not be used as a danger with the consumer.
A customer experiencing disturbed concept techniques believes that his food is being poisoned.
Which communique method have to the nurse use to inspire the patron to devour?
1. Using open-ended questions and silence
2. Sharing non-public choice concerning meals selections
3. Documenting reasons why the client does now not need to eat
four. Offering critiques approximately the need of ok nutrients - ANS-1
Rationale: Open-ended questions and silence are strategies used to inspire customers to speak
about their troubles. Sharing private meals possibilities is not a consumer-targeted intervention.
The ultimate alternatives are not beneficial to the purchaser due to the fact they do not inspire
the purchaser to express emotions. The nurse ought to no longer provide evaluations and have
to inspire the purchaser to discover the motives for the behavior.
A client is taking part in a remedy organization and focuses on viewing all team individuals as
equally essential in supporting the clients to fulfill their dreams. The nurse is imposing which
therapeutic approach?
, 1. Milieu therapy
2. Interpersonal therapy
3. Behavior modification
4. Support institution therapy - ANS-1
Rationale: All treatment crew individuals are viewed as sizeable and precious to the customer's
a success treatment effects in milieu therapy. Interpersonal remedy is based totally on a
one-to-one or group remedy approach in which the therapist-client courting is frequently used as
a manner for the purchaser to examine different relationships in his or her life. Behavior change
is based totally on rewards and punishment. Support groups are primarily based on the basis
that people who've experienced and are insightful regarding a hassle are capable of assist
others who've a similar hassle
A consumer is making ready to wait a Gamblers Anony- mous meeting for the primary time. The
nurse must tell the purchaser that that's step one in this 12-step application?
1. Admitting to having a hassle
2. Substituting other activities for playing
3. Stating that the gambling might be stopped
4. Discontinuing relationships with individuals who gamble - ANS-1
Rationale: The first step inside the 12-step application is to confess that a hassle exists.
Substituting different activities for playing can be a method however it is not the first step. The
ultimate alternatives are not sensible strategies for the preliminary step in a 12-step program.
A customer with a prognosis of melancholy who has tried suicide says to the nurse, "I must
have died. I've usually been a failure. Nothing ever goes proper for me." Which response by
using the nurse demon- strates therapeutic verbal exchange?
1. "You have the entirety to live for."
2. "Why do you spot your self as a failure?"
three. "Feeling like that is all part of being depressed."
four. "You've been feeling like a failure for some time?" - ANS-four
Rationale: Responding to the feelings expressed by a client is an powerful therapeutic
communication approach. The correct choice is an instance of using restating. The last options
block communique due to the fact they limit the cli- ent's revel in and do no longer facilitate
exploration of the purchaser's expressed feelings. In addition, use of the word why is
nontherapeutic.
Aclient recognized with terminal most cancers says to the nurse, "I'm going to die, and I desire
my circle of relatives might prevent hoping for a remedy! I get so indignant when they carry on
like this. After all, I'm the one who is death." Which reaction by using the nurse is therapeutic?
1. "Have you shared your feelings with your own family?"
2. "I think we need to communicate extra about your anger along with your circle of relatives."
Saunders NCLEX Review
A purchaser admitted voluntarily for treatment of an tension disorder needs to be released from
the health center. Which action should the nurse take first of all?
1. Contact the client's fitness care provider (HCP).
2. Call the patron's own family to set up for transportation.
3. Attempt to steer the consumer to stay "for only some more days."
4. Tell the patron that leaving would probable result in an involuntary commitment. - ANS-1
Rationale: In general, clients are looking for voluntary admission. Volun- tary customers have
the proper to demand and obtain launch. The nurse needs to be familiar with the nation and
facility policies and techniques. The initial nursing movement is to contact the HCP, who has the
authority to talk about discharge with the purchaser. While arranging for secure transportation is
suitable, it's miles pre- maturein thissituation and have to bedoneonlywith theclient's
permission.Whileitisappropriatetodiscusswhytheclientfeels the want to go away and the viable
effects of leaving in opposition to medical recommendation, attempting to get the purchaser to
conform to staying "for just a few greater days" has little price and could now not probable be
successful. Many states require that the purchaser put up a written release be aware to the
power psychiatrist, who reevaluates the cli- ent's situation for possible conversion to involuntary
reputation if necessary, in step with standards mounted by means of regulation. While this is a
opportunity, it should now not be used as a danger with the consumer.
A customer experiencing disturbed concept techniques believes that his food is being poisoned.
Which communique method have to the nurse use to inspire the patron to devour?
1. Using open-ended questions and silence
2. Sharing non-public choice concerning meals selections
3. Documenting reasons why the client does now not need to eat
four. Offering critiques approximately the need of ok nutrients - ANS-1
Rationale: Open-ended questions and silence are strategies used to inspire customers to speak
about their troubles. Sharing private meals possibilities is not a consumer-targeted intervention.
The ultimate alternatives are not beneficial to the purchaser due to the fact they do not inspire
the purchaser to express emotions. The nurse ought to no longer provide evaluations and have
to inspire the purchaser to discover the motives for the behavior.
A client is taking part in a remedy organization and focuses on viewing all team individuals as
equally essential in supporting the clients to fulfill their dreams. The nurse is imposing which
therapeutic approach?
, 1. Milieu therapy
2. Interpersonal therapy
3. Behavior modification
4. Support institution therapy - ANS-1
Rationale: All treatment crew individuals are viewed as sizeable and precious to the customer's
a success treatment effects in milieu therapy. Interpersonal remedy is based totally on a
one-to-one or group remedy approach in which the therapist-client courting is frequently used as
a manner for the purchaser to examine different relationships in his or her life. Behavior change
is based totally on rewards and punishment. Support groups are primarily based on the basis
that people who've experienced and are insightful regarding a hassle are capable of assist
others who've a similar hassle
A consumer is making ready to wait a Gamblers Anony- mous meeting for the primary time. The
nurse must tell the purchaser that that's step one in this 12-step application?
1. Admitting to having a hassle
2. Substituting other activities for playing
3. Stating that the gambling might be stopped
4. Discontinuing relationships with individuals who gamble - ANS-1
Rationale: The first step inside the 12-step application is to confess that a hassle exists.
Substituting different activities for playing can be a method however it is not the first step. The
ultimate alternatives are not sensible strategies for the preliminary step in a 12-step program.
A customer with a prognosis of melancholy who has tried suicide says to the nurse, "I must
have died. I've usually been a failure. Nothing ever goes proper for me." Which response by
using the nurse demon- strates therapeutic verbal exchange?
1. "You have the entirety to live for."
2. "Why do you spot your self as a failure?"
three. "Feeling like that is all part of being depressed."
four. "You've been feeling like a failure for some time?" - ANS-four
Rationale: Responding to the feelings expressed by a client is an powerful therapeutic
communication approach. The correct choice is an instance of using restating. The last options
block communique due to the fact they limit the cli- ent's revel in and do no longer facilitate
exploration of the purchaser's expressed feelings. In addition, use of the word why is
nontherapeutic.
Aclient recognized with terminal most cancers says to the nurse, "I'm going to die, and I desire
my circle of relatives might prevent hoping for a remedy! I get so indignant when they carry on
like this. After all, I'm the one who is death." Which reaction by using the nurse is therapeutic?
1. "Have you shared your feelings with your own family?"
2. "I think we need to communicate extra about your anger along with your circle of relatives."
