Mental Health Exam 4
The n
sumsu?:i ' vdi
leg::ewdmg - of a recentlydéeceased client. A family member
suopqfl to the family
- My ¢ took me fishing all the ime. He can't physically take me anymore, but he will
be w. atching over me. | really miss
‘ ham, '- The nurse recognizes the family member 1s Expenencing
'
A Mourning
B. Anticipatory grict 900040 (X(\QNQ
C. Disenfreanchised grief Less of P Pex | caregiver
0. Bereavement (wiw ofter Deoth
The nurse educator is providing an in—service to nursing staff on a unit that has recently
"-J
expenenced and INCrEasein clieAt BeathsnThe nurse educator knows that a prioritys
recommendation for nurses who are steuggling to.cope with all the 106 15
A Creating sustainable practice of self-care and balance
‘g.k\ Working additional shifts to provide support for cach other
fi.\ Volunteering on days off to stay busy and make a positive difference
.
_ Temporarily transterring to another unit with fewer termanal diagnosis which of the following
spouse of 52 years;{;f;suddeniv,died.
3. The nurse s canng for a cliegnt whose
statements by the nurse 1s most therapeuhc.
that.”
% “Your loved on is no longer in pain: you should be happy tor
#._ “You can be grateful for the time you had toget her”
C. “Your loved one was very special and will not be replaceable” :
members pass away
B. "1 know how you feel: | have had marny family
which of the following
4 The nurse is caring for a client who isidying and in severe pain.
interventions should the nurse consider as theprionty2.
A Teach the chent the end stages of grief.
Enhance the client's quality of life, 5 onDIN X0U0S AariY 1S 24
'
€. Encourage the client to speak to 3 grief counselor.
/‘6. Support the clients family in grieving. the nurse best
5 * The nurse 1s canng for altérmnallyill chent. which of the following statements by
demonstrates the artiof presence’
like for you?”
A “Would you like to talk about what this experience is
& 1 am going to sit here and read a book, just pretend | am not here.”
_& “| am going to the other room so you can be alone and reflect on your life; please call out if
you need me.”
) Are you feeling guilty about leaving your wife and kids behind?”
6. The home health nurse 15 canng for a client who isidying trom acquired immune dehcency
wndomedAIDS), The client is incompetent and asks the nurse to help with assisted suit-kk'v The
mrse tell the client they will not assist with the request. Which of the tollowing cthical liberties
is the nurse demonstrating? |
/A- Autonormy
:8, Nonmaleficenc e
C. Individual liberty
D. Beneficene
, S Caring f,
Or a client Nt inintlho
krespi
sss:
ce who is in the dying processi The family wants to put
€Cause t FEETy in a
Priate thhe client is refusing to eat. Which of the following statements by the
[
Its Natu €rapeutic communication?
ral f 0 r cllents
i to refuse food at this stage and can be difficult
B. "vo for family members”:g
e U do underst and :
thlS c . ”
€. "You do Not need to worrémli)e i e cedure-f
5
D. “Itis 9 y about that at this stage of the the dying
dying p process.”! e e
PR
8. Thenursej : Un}lsual for family members to feel guilty”
S€ IS caring for a client who is dying. The client tells the nurse, “ | have worked hard all
my life and now this, its not fair!” The nurse recognizes the phaseof KublersRoss'the
client is
€Xperiencing is
Denial
Depression
N\ Bargaining
D. Anger Depressvon
9. Thenurseis caring for assigned clients who have various diseases and is preparing a referral to
fhospice! The nurse recognizes which of the following clients as meeting the admission criteria?
A 50-year-old who has early-stage cervical cancer and is scheduled for a hysterectomy.
&’ 70-year-old who has chronic obstructive pulmonary disease (COPD) and has two years to
live.
92-year-old who has acute pneumonia and late-stage Alzheimer’s disease with no insurance.
35-year-old who has multipule sclerosis (MS) and severe pain from muscle spasms.
,S@J 10. The nurse is caring for a client who has atterminal diagnosis.and asks the nurse if physician-
assistedisuicidesis allowed in every state. Which of the following responses by the nurse is
appropriate?
A. “Idon’t know but | personally find it immoral. Aren't you a religious person?”
B.
“Yes, the federal government now allows providers in every state to facilitate physician-
assisted suicide. | will get your provider to discuss with you.”
_, @ “No, physician-assisted suicide is determined by state legislature. Tell me more about what
you are thinking.”
D. “Yes, the National Hospice and Palliative Care Organization (NHPCO) has advocated for
nurses to help clients with the last request.”
| ' 11. The school nurse is providing an in-service for parents about warning signs of ‘€ating'disorders in
'3 {5 children. A parent asks,” Are poor graders a common warning sign for anorexiaiin children?” The
appropriate response by the school nurse is
A. “Has your child gained a lot of weight lately?”
“Does your child have a problem paying attention in class, too?”
))) “No, children who are at risk for anorexia are often strive for academic excellence.”
“Yes, declining grades are often an early sign of anorexia.
12. The nurse is caring for a client who is being admitted withibulimianervosa. Which of the
following information from the chart below should the nurse report immediately:to the PCP? \
A. Body mass index (BMI) ) S
B. Temperature Aok B2
C. Calcium 9
@ Potassium \*\\\Pb\m\t"\“mfj \Q\’\(\\(QW\
. Wm@?\@g
The n
sumsu?:i ' vdi
leg::ewdmg - of a recentlydéeceased client. A family member
suopqfl to the family
- My ¢ took me fishing all the ime. He can't physically take me anymore, but he will
be w. atching over me. | really miss
‘ ham, '- The nurse recognizes the family member 1s Expenencing
'
A Mourning
B. Anticipatory grict 900040 (X(\QNQ
C. Disenfreanchised grief Less of P Pex | caregiver
0. Bereavement (wiw ofter Deoth
The nurse educator is providing an in—service to nursing staff on a unit that has recently
"-J
expenenced and INCrEasein clieAt BeathsnThe nurse educator knows that a prioritys
recommendation for nurses who are steuggling to.cope with all the 106 15
A Creating sustainable practice of self-care and balance
‘g.k\ Working additional shifts to provide support for cach other
fi.\ Volunteering on days off to stay busy and make a positive difference
.
_ Temporarily transterring to another unit with fewer termanal diagnosis which of the following
spouse of 52 years;{;f;suddeniv,died.
3. The nurse s canng for a cliegnt whose
statements by the nurse 1s most therapeuhc.
that.”
% “Your loved on is no longer in pain: you should be happy tor
#._ “You can be grateful for the time you had toget her”
C. “Your loved one was very special and will not be replaceable” :
members pass away
B. "1 know how you feel: | have had marny family
which of the following
4 The nurse is caring for a client who isidying and in severe pain.
interventions should the nurse consider as theprionty2.
A Teach the chent the end stages of grief.
Enhance the client's quality of life, 5 onDIN X0U0S AariY 1S 24
'
€. Encourage the client to speak to 3 grief counselor.
/‘6. Support the clients family in grieving. the nurse best
5 * The nurse 1s canng for altérmnallyill chent. which of the following statements by
demonstrates the artiof presence’
like for you?”
A “Would you like to talk about what this experience is
& 1 am going to sit here and read a book, just pretend | am not here.”
_& “| am going to the other room so you can be alone and reflect on your life; please call out if
you need me.”
) Are you feeling guilty about leaving your wife and kids behind?”
6. The home health nurse 15 canng for a client who isidying trom acquired immune dehcency
wndomedAIDS), The client is incompetent and asks the nurse to help with assisted suit-kk'v The
mrse tell the client they will not assist with the request. Which of the tollowing cthical liberties
is the nurse demonstrating? |
/A- Autonormy
:8, Nonmaleficenc e
C. Individual liberty
D. Beneficene
, S Caring f,
Or a client Nt inintlho
krespi
sss:
ce who is in the dying processi The family wants to put
€Cause t FEETy in a
Priate thhe client is refusing to eat. Which of the following statements by the
[
Its Natu €rapeutic communication?
ral f 0 r cllents
i to refuse food at this stage and can be difficult
B. "vo for family members”:g
e U do underst and :
thlS c . ”
€. "You do Not need to worrémli)e i e cedure-f
5
D. “Itis 9 y about that at this stage of the the dying
dying p process.”! e e
PR
8. Thenursej : Un}lsual for family members to feel guilty”
S€ IS caring for a client who is dying. The client tells the nurse, “ | have worked hard all
my life and now this, its not fair!” The nurse recognizes the phaseof KublersRoss'the
client is
€Xperiencing is
Denial
Depression
N\ Bargaining
D. Anger Depressvon
9. Thenurseis caring for assigned clients who have various diseases and is preparing a referral to
fhospice! The nurse recognizes which of the following clients as meeting the admission criteria?
A 50-year-old who has early-stage cervical cancer and is scheduled for a hysterectomy.
&’ 70-year-old who has chronic obstructive pulmonary disease (COPD) and has two years to
live.
92-year-old who has acute pneumonia and late-stage Alzheimer’s disease with no insurance.
35-year-old who has multipule sclerosis (MS) and severe pain from muscle spasms.
,S@J 10. The nurse is caring for a client who has atterminal diagnosis.and asks the nurse if physician-
assistedisuicidesis allowed in every state. Which of the following responses by the nurse is
appropriate?
A. “Idon’t know but | personally find it immoral. Aren't you a religious person?”
B.
“Yes, the federal government now allows providers in every state to facilitate physician-
assisted suicide. | will get your provider to discuss with you.”
_, @ “No, physician-assisted suicide is determined by state legislature. Tell me more about what
you are thinking.”
D. “Yes, the National Hospice and Palliative Care Organization (NHPCO) has advocated for
nurses to help clients with the last request.”
| ' 11. The school nurse is providing an in-service for parents about warning signs of ‘€ating'disorders in
'3 {5 children. A parent asks,” Are poor graders a common warning sign for anorexiaiin children?” The
appropriate response by the school nurse is
A. “Has your child gained a lot of weight lately?”
“Does your child have a problem paying attention in class, too?”
))) “No, children who are at risk for anorexia are often strive for academic excellence.”
“Yes, declining grades are often an early sign of anorexia.
12. The nurse is caring for a client who is being admitted withibulimianervosa. Which of the
following information from the chart below should the nurse report immediately:to the PCP? \
A. Body mass index (BMI) ) S
B. Temperature Aok B2
C. Calcium 9
@ Potassium \*\\\Pb\m\t"\“mfj \Q\’\(\\(QW\
. Wm@?\@g
