A nurse is being concerned for a customer who has recently skilled a mental health disaster
which resulted inside the consumer being bodily confined. Which of the subsequent statements
via the consumer shows that the crisis has exceeded?
A. "I am feeling calmer and am hungry. I think I'm prepared to talk about what passed off."
B. "I can't face my circle of relatives. But I don't think I can stand up and stroll around."
C. "I just need to sleep. If you may provide me some thing to help me sleep, I would be k."
D. "This is a comic story. You are all a joke. I just got to get out of here now."
ANS: A
A nurse is being concerned for an older customer with a prime depressive ailment. The patron
states, "I do now not assume I am financially prepared for retirement, but I am eligible to retire
this yr." The nurse must perceive that the client is wherein of the subsequent stages of Erikson's
tiers of improvement?
A. Generativity vs. Stagnation or self-absorption
B. Intimacy vs. Isolation
C. Transcendence
D. Ego integrity vs. Depression
ANS: D
An RN on a behavioral health unit is assessing a client. The RN plans to delegate part of the
nursing process to a certified sensible nurse (LPN). Which of the subsequent statements via the
RN indicates appropriate delegation to the LPN?
A. "Please use these purchaser assessment findings to draw a conclusion in order that a plan of
care may be evolved."
B. "Please document the admission assessment within the chart."
C. "Please verify with the patron which of the subsequent medicinal drugs they're taking."
D. "Please perform a entire evaluation of the consumer."
ANS: C
A nurse is reviewing treatment options for managing a customer's behavior. The nurse should
perceive that which of the following examples describes the least restrictive alternative?
, A. An person consumer is restrained with bodily restraints after throwing chairs at different
clients and body of workers.
B. An grownup patron is given clozapine, an antipsychotic medicine, after punching a wall with
their fist and telling everyone that they intend to harm them.
C. An eight-year-old child is requested to go back to their room after yelling at different
youngsters during a group therapy consultation.
D. An adolescent is taken to a relaxed, quiet room after threatening and lasting-out at different
customers and body of workers.
ANS: C
A nurse is worrying for a group of clients at a mental health facility. The nurse ought to discover
that which of the following clients is exhibiting a caution signal of suicide?
A. A patron requests an appointment to speak about their depression
B. A client who states that they're preventing their medicine
C. A purchaser who is gifting away their possessions
D. A purchaser who states they were snoozing 12 hr a day
ANS: C
A nurse is being concerned for a patron who's inquiring about the use of herbal treatments in
treating manifestations of intellectual contamination. Which of the subsequent subjects must the
nurse put together to speak about with the client?
A. Most natural treatments do no longer interact with prescription medications.
B. Discourage the usage of natural treatments in treating manifestations of mental
contamination.
C. Herbal remedies are not effective in treating manifestations of intellectual illness.
D. Serotonin syndrome can arise when using herbal treatments.
ANS: D
A nurse is imparting teaching about pressure with a consumer. The nurse need to identify that
which of the subsequent consumer statements indicates an understanding of the coaching?
A. "I am best harassed because of my lack of sleep."
B. "Certain practices can increase my attention of my pressure."
C. "I can modify all my strain triggers."
D. "I am no longer in reality stressed; it is just my belief."
ANS: B