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Evolve Saunders MH Questions and Correct Answers/ Latest Update / Already Graded

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A nursing student is assisting with the care of a client with a chronic mental illness. The nurse informs the student that a behavior modification approach (operant conditioning) will be used in treatment for the client. Which statement by the student indicates a need for further information about the therapy? Ans: "It uses negative reinforcement." A client with a potential for violence is exhibiting aggressive gestures, making belligerent comments to the other clients, and is continuously pacing in the hallway. Which comment by the nurse would be therapeutic at this time? Ans: "What is causing you to become agitated?" A client tentatively diagnosed with a borderline personality disorder says to the nurse, "I don't know why I got my tattoo; it was for me. 2 | Page OK? Sometimes I do these things to get my parents mad, and sometimes I do them because I'm bored. That's what happened the night I crashed the family car. I wasn't drunk or suicidal or anything like the police thought. It was just for kicks!" Which is the appropriate nursing response? Ans: "It is scary when you feel out of control with such feelings of emptiness and anger that you can't stop yourself." An acutely depressed client is receiving cognitive-behavioral therapy. The nurse is developing a plan of care for the client and includes interventions that focus on this type of therapy. Which interventions should the nurse include? Select all that apply.

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Evolve Saunders MH Questions and
Correct Answers/ Latest Update /
Already Graded
A nursing student is assisting with the care of a client with a chronic

mental illness. The nurse informs the student that a behavior

modification approach (operant conditioning) will be used in

treatment for the client. Which statement by the student indicates a

need for further information about the therapy?


Ans: "It uses negative reinforcement."




A client with a potential for violence is exhibiting aggressive gestures,

making belligerent comments to the other clients, and is

continuously pacing in the hallway. Which comment by the nurse

would be therapeutic at this time?


Ans: "What is causing you to become agitated?"




A client tentatively diagnosed with a borderline personality disorder

says to the nurse, "I don't know why I got my tattoo; it was for me.

,2 | Page

OK? Sometimes I do these things to get my parents mad, and

sometimes I do them because I'm bored. That's what happened the

night I crashed the family car. I wasn't drunk or suicidal or anything

like the police thought. It was just for kicks!" Which is the appropriate

nursing response?


Ans: "It is scary when you feel out of control with such feelings of

emptiness and anger that you can't stop yourself."




An acutely depressed client is receiving cognitive-behavioral

therapy. The nurse is developing a plan of care for the client and

includes interventions that focus on this type of therapy. Which

interventions should the nurse include? Select all that apply.

,3 | Page

Ans: 1.


Assisting the client to identify and test negative cognition




2.


Assisting the client to participate in the treatment process




3.


Assisting the client to develop alternative thinking patterns




4.


Assisting the client to rehearse new cognitive and behavioral responses




A homeless shelter has sustained severe damage as a result of a fire,

and most of the structure and people's belongings were destroyed.

Ten of the individuals who are being displaced have a history of

, 4 | Page

chronic mental illness. The mental health team coordinating support

initially should focus their efforts on which action?


Ans: Providing the clients with shelter, clothing, and food




The nurse is planning care for a client with bipolar disorder who is

experiencing psychomotor agitation. Which activity should the nurse

plan for this client?


Ans: Including the client in a clay-molding class that is scheduled for

today




A client experiencing a great deal of stress and anxiety is being

taught to use self-control therapy. Which statement by the client

indicates a need for further teaching about the therapy?


Ans: "This form of therapy provides a negative reinforcement when the

stimulus is produced."

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