MENTAL HEALTH FINAL EXAM
A nurse is caring for a client who is hospitalized for mental health treatment. Which of
the following nursing approaches is therapeutic to include in the client's plan of care? -
ANS-Spending time sitting with the client
A nurse is observing a newly licensed nurse as she interacts with a client regarding his
concerns about his relationship with his partner. Which of the following statements by
the newly licensed nurse requires intervention by the nurse? - ANS-You should try to
see your partner's point of view before your own."
A nurse on an acute mental health unit is caring for a group of clients. For which of the
following clients is seclusion contraindicated? - ANS-An adult client following a suicide
attempt
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? - ANS-Self-destructive behavior despite alternative
interventions
A nurse manager on a mental health unit is discussing involuntary admissions during a
staff meeting. Which of the following statements should the manager include in the
discussion? - ANS-"Clients who are involuntarily admitted have the right to informed
consent."
A nurse in a mental health facility is caring for a client who is upset about the loss of
privileges due to repetitive negative behavior. Which of the following statements by the
nurse demonstrates the effective use of assertive communication? - ANS-"I understand
that you are angry. However, I followed the appropriate protocol."
A client becomes very upset and states, "No one really cares what happens to me. Life
isn't worth living anymore." Which of the following responses should the nurse make? -
ANS-"I care about you, and I am concerned that you feel so sad."
A nurse is caring for a group of clients in an acute mental health facility. Which of the
following clients has the legal right to refuse treatment? - ANS-An older adult client who
was voluntarily admitted
A nurse is providing teaching about confidentiality with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding of the
teaching? - ANS-"The courts might require me to discuss confidential information."
A nurse is caring for a group of clients on a mental health unit. Which of the following
actions should the nurse implement to establish therapeutic relationships with the
clients? - ANS-Control the pace of establishing the nurse-client relationships.???
, A nurse is assessing a family as a system. Which of the following factors should the
nurse include when assessing sociocultural context? - ANS-The family's religious
practices
A nurse observes a client's spouse sitting alone in the waiting room crying. When
approached, the spouse says, "I am really concerned about my husband." Which of the
following is a therapeutic nursing response? - ANS-"Tell me what is concerning you."
A nurse is caring for a client who begins yelling at other clients in the day room. Which
of the following actions should the nurse take? - ANS-Express empathy about to the
client's feelings of anger.
A nurse observes a client sitting alone in her room crying. As the nurse approaches her,
the client states, "I'm feeling sad. I don't want to talk now." Which of the following
responses should the nurse make? - ANS-"I'll stay with you a few minutes."
A nurse is caring for a client who begins to yell and scream at staff members. Which of
the following should be the nurse's priority action? - ANS-Say to the client, "I can tell
that you are upset."
Which technique used by mental health nurses would be least effective in promoting
therapeutic communication? - ANS-Reassurance
Which theorist introduced the concept of the nurse-client relationship? - ANS-Peplau
A nurse recognizes the purpose of the defense mechanism for patients - ANS-To
protect the ego from anxious feelings, including guilt
The nurse understand when communicating with a patient, which of the following would
the nurse use to convey positive body language? - ANS-Sitting at the patient's eye level
A nurse responds to a patient's statement with silence based on the rationale that this
technique is used primarily to do which of the following? - ANS-Permit the patient to
gather his or her thoughts
A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse
should know that the client can be kept in the hospital after the 72-hr hold is over for
which of the following conditions? - ANS-The client is a danger to herself or others
A nurse enters the room of a client who becomes verbally abusive. Which of the
following actions should the nurse take? - ANS-Speak slowly in a low, calm voice
A nurse enters the room of a client who becomes verbally abusive. Which of the
following actions should the nurse take? - ANS-"You must feel very concerned and
disappointed by that information"
A nurse is caring for a client who is hospitalized for mental health treatment. Which of
the following nursing approaches is therapeutic to include in the client's plan of care? -
ANS-Spending time sitting with the client
A nurse is observing a newly licensed nurse as she interacts with a client regarding his
concerns about his relationship with his partner. Which of the following statements by
the newly licensed nurse requires intervention by the nurse? - ANS-You should try to
see your partner's point of view before your own."
A nurse on an acute mental health unit is caring for a group of clients. For which of the
following clients is seclusion contraindicated? - ANS-An adult client following a suicide
attempt
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? - ANS-Self-destructive behavior despite alternative
interventions
A nurse manager on a mental health unit is discussing involuntary admissions during a
staff meeting. Which of the following statements should the manager include in the
discussion? - ANS-"Clients who are involuntarily admitted have the right to informed
consent."
A nurse in a mental health facility is caring for a client who is upset about the loss of
privileges due to repetitive negative behavior. Which of the following statements by the
nurse demonstrates the effective use of assertive communication? - ANS-"I understand
that you are angry. However, I followed the appropriate protocol."
A client becomes very upset and states, "No one really cares what happens to me. Life
isn't worth living anymore." Which of the following responses should the nurse make? -
ANS-"I care about you, and I am concerned that you feel so sad."
A nurse is caring for a group of clients in an acute mental health facility. Which of the
following clients has the legal right to refuse treatment? - ANS-An older adult client who
was voluntarily admitted
A nurse is providing teaching about confidentiality with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding of the
teaching? - ANS-"The courts might require me to discuss confidential information."
A nurse is caring for a group of clients on a mental health unit. Which of the following
actions should the nurse implement to establish therapeutic relationships with the
clients? - ANS-Control the pace of establishing the nurse-client relationships.???
, A nurse is assessing a family as a system. Which of the following factors should the
nurse include when assessing sociocultural context? - ANS-The family's religious
practices
A nurse observes a client's spouse sitting alone in the waiting room crying. When
approached, the spouse says, "I am really concerned about my husband." Which of the
following is a therapeutic nursing response? - ANS-"Tell me what is concerning you."
A nurse is caring for a client who begins yelling at other clients in the day room. Which
of the following actions should the nurse take? - ANS-Express empathy about to the
client's feelings of anger.
A nurse observes a client sitting alone in her room crying. As the nurse approaches her,
the client states, "I'm feeling sad. I don't want to talk now." Which of the following
responses should the nurse make? - ANS-"I'll stay with you a few minutes."
A nurse is caring for a client who begins to yell and scream at staff members. Which of
the following should be the nurse's priority action? - ANS-Say to the client, "I can tell
that you are upset."
Which technique used by mental health nurses would be least effective in promoting
therapeutic communication? - ANS-Reassurance
Which theorist introduced the concept of the nurse-client relationship? - ANS-Peplau
A nurse recognizes the purpose of the defense mechanism for patients - ANS-To
protect the ego from anxious feelings, including guilt
The nurse understand when communicating with a patient, which of the following would
the nurse use to convey positive body language? - ANS-Sitting at the patient's eye level
A nurse responds to a patient's statement with silence based on the rationale that this
technique is used primarily to do which of the following? - ANS-Permit the patient to
gather his or her thoughts
A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse
should know that the client can be kept in the hospital after the 72-hr hold is over for
which of the following conditions? - ANS-The client is a danger to herself or others
A nurse enters the room of a client who becomes verbally abusive. Which of the
following actions should the nurse take? - ANS-Speak slowly in a low, calm voice
A nurse enters the room of a client who becomes verbally abusive. Which of the
following actions should the nurse take? - ANS-"You must feel very concerned and
disappointed by that information"
