Evolve Saunders MH Questions and
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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.
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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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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
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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."