A nurse is assisting with the planning of a therapeutic support group for
individuals who have bulimia nervosa. Which of the following tasks
should the nurse include during the orientation phase of group
development?
A. determine the rules that the group will follow
B. address disagreements among group members
C.help clients work through the grief response
D.transition from the role of leader to facilitator - correct answers -
determine the rules that the group will follow
*during the orientation phase of group development, the nurse should
determine the rules that apply to the group and ensure that all
members understand these rules. Examples of rules to be discussed
include confidentiality and meeting times.
A nurse is providing support for a client who is grieving the loss of her
mother who died from Alzeimer's disease. Which of the following
statements should the nurse offer?
E. "I know how you must be feeling. I recently lost my father."
F. "Dealing with your mother's death must be difficult for you."
G."Knowing your mother is in a better place provides you with some
comfort."
H."I want you to let me know what I can do to help you cope with your
mother's death."
- correct answers - "Dealing with your mother's death must be difficult
for you."
*The nurse should use therapeutic communication when supporting a
client who is grieving. This statement keeps the focus of the
conversation on the client by acknowledging her grief and encourages
further communication."
A nurse in the emergency room is collecting data from a client who
has heroin intoxication. Which of the following findings should the
nurse expect?
I. Seizure activity
J. Respiratory depression
GRADED
K. Hypersensitivity to pain
A+
L. Increased mental alertness - correct answers - Respiratory
depression
*Heroin is an opioid; therefore, the nurse should expect this client who
has heroin intoxication to exhibit respiratory depression.
,A nurse on a mental health unit is caring for a client who is displaying
signs of anger. Which of the following pieces of information about the
client is the strongest indicator that the client might become aggressive?
A. The client has marginal coping skills
B. The client has a history of violence
C.The client feels powerless after being hospitalized
D.The client blames others for her problems - correct answers - The
client has a history of violence
*The client's history of violence is the most important indicator that this
client might become violent; therefore, this is the strongest indicator of
potential aggressiveness.
A nurse is reinforcing teaching with the caregiver of a client who has
dementia. Which of the following instructions should the nurse include in
the teaching?
E. Offer the client a list of activities to choose from
F. Offer finger foods to the client
G.Discourage naps throughout the day
H.Turn on the television when the client is in the room - correct
answers - Offer finger foods to the client
*The caregiver should offer finger foods that the client can eat without
sitting down. Clients who have dementia often like to wander and walk
off nervous energy, which can decrease anxiety and calm the client.
A nurse is contributing to the plan of care for a client with bipolar
disorder who has acute mania. Which of the following interventions
should the nurse recommend including in the plan?
I. Provide the client with a low-calorie, low-fat diet
J. Encourage the client to have frequent rest periods
K. Escort the client to daily group therapy
L. Limit the client's intake of caffeinated beverages to 12 oz per day
- correct answers
- Encourage the client to have frequent rest periods
*The nurse should recommend encouraging frequent rest periods
throughout the day to decrease the client's risk of exhaustion from the
constant activity associated with acute mania.
A nurse is reviewing the plan of care for a client who has bipolar
disorder. Which of the following is an effect of using cognitive behavioral
therapy (CBT) for a client who has bipolar disorder?
GRADED
A+
,A. Prevents the need for mood-stabilizing medications
B. Helps the client deal with distorted thought processes
C.Aids in communication among family members
D.Replaces the need for lifestyle interventions - correct answers -
Helps the client deal with distorted thought processes
*CBT assists the client with recognizing distorted thought processes that
are maladaptive with regards to recovery. When experiencing mania, the
client tends to view the future unrealistically as highly favorable. CBT
assists the client in recognizing and challenging such unrealistic or
"automatic" thoughts and can help the client and the health care team
recognize early trends toward mania
A nurse is caring for a client in a mental health facility and overhears the
client discussing plans to harm her father-in-law physically when she is
discharged. Which of the following interventions should the nurse take?
E. Ask the client to sign a contract agreeing not to harm others
F. Notify the provider of the client's threat
G.Keep the client's discussion confidential
H.Place the client in individual observation - correct answers - Notify
the provider of the client's threat
*It is the nurse's duty to notify the provider of the client's threat. It will
then be the provider's responsibility to warn the the intended victim or
the police of the client's threat
A nurse is preparing to meet with a client who has borderline personality
disorder. Which of the following actions should the nurse plan to take
during the working phase of the therapeutic relationship?
I. Introduce the concept of client confidentiality
J. Establish goals with the client
K. Define the roles of the nurse and the client
L.Facilitate change in the client's behavior - correct answers -
Facilitate change in the client's behavior
*The nurse should facilitate change in the client's behavior during the
working phase of the therapeutic relationship.
A nurse is contributing to the plan of care for a client who has suicidal
ideation and is being transferred to the mental health unit. Which of the
following interventions should the nurse recommend?
GRADED
A+
, A. Search the client and his belongings upon arrival
B. Assign the client to a private room near the nurse's station
C.Instruct assistive personnel to check on the client every 15 m in
D.Keep the door to the client's room closed - correct answers -
Search the client and his belongings upon arrival
*The nurse should plan to search the client and all of his belongings upon
arrival to the unit. This search is conducted for the client's safety so that
the nurse can identify and remove any objects that increase the client's
risk of injury or suicide. Potentially harmfully objects include razors,
shoelaces, hygiene products, and tweezers
A nurse is talking with a client about his admission to a mental health
unit. The client states, "I just don't know if I should be here. What will
my family think?" Which of the following responses by the nurse uses
the therapeutic communication technique of reflection?
E. "It sounds like you are concerned about your family's reaction."
F."What your family thinks isn't important; you need to be concerned
about getting well."
G."I suspect your family doesn't seem to understand you.
H."Many clients are concerned about the reaction of their
families." - correct answers - "It sounds like you are concerned
about your family's reaction."
*In a reflective response, the nurse directs feelings and statements back
to the client, allowing the client to think about personal feelings
A nurse is caring for a client who just received a terminal diagnosis of
cancer. Which of the following initial reactions should the nurse expect
from the client?
I. Bargaining
J. Depression
K. Denial
L. Anger - correct answers - Denial
*The nurse should expect the client to deny the reality of the diagnosis
initially. This is a protective reaction seeking to avoid psychological pain
A nurse is reinforcing teaching with the parent of a child who has a new
prescription for methylphenidate to treat ADHD. Which of the following
instructions should the nurse include in the teaching?
M."Weigh your child 3 times per week."
N."Expect your child to experience dark-colored stools."
O."Administer this medication at bedtime."
GRADED
A+
individuals who have bulimia nervosa. Which of the following tasks
should the nurse include during the orientation phase of group
development?
A. determine the rules that the group will follow
B. address disagreements among group members
C.help clients work through the grief response
D.transition from the role of leader to facilitator - correct answers -
determine the rules that the group will follow
*during the orientation phase of group development, the nurse should
determine the rules that apply to the group and ensure that all
members understand these rules. Examples of rules to be discussed
include confidentiality and meeting times.
A nurse is providing support for a client who is grieving the loss of her
mother who died from Alzeimer's disease. Which of the following
statements should the nurse offer?
E. "I know how you must be feeling. I recently lost my father."
F. "Dealing with your mother's death must be difficult for you."
G."Knowing your mother is in a better place provides you with some
comfort."
H."I want you to let me know what I can do to help you cope with your
mother's death."
- correct answers - "Dealing with your mother's death must be difficult
for you."
*The nurse should use therapeutic communication when supporting a
client who is grieving. This statement keeps the focus of the
conversation on the client by acknowledging her grief and encourages
further communication."
A nurse in the emergency room is collecting data from a client who
has heroin intoxication. Which of the following findings should the
nurse expect?
I. Seizure activity
J. Respiratory depression
GRADED
K. Hypersensitivity to pain
A+
L. Increased mental alertness - correct answers - Respiratory
depression
*Heroin is an opioid; therefore, the nurse should expect this client who
has heroin intoxication to exhibit respiratory depression.
,A nurse on a mental health unit is caring for a client who is displaying
signs of anger. Which of the following pieces of information about the
client is the strongest indicator that the client might become aggressive?
A. The client has marginal coping skills
B. The client has a history of violence
C.The client feels powerless after being hospitalized
D.The client blames others for her problems - correct answers - The
client has a history of violence
*The client's history of violence is the most important indicator that this
client might become violent; therefore, this is the strongest indicator of
potential aggressiveness.
A nurse is reinforcing teaching with the caregiver of a client who has
dementia. Which of the following instructions should the nurse include in
the teaching?
E. Offer the client a list of activities to choose from
F. Offer finger foods to the client
G.Discourage naps throughout the day
H.Turn on the television when the client is in the room - correct
answers - Offer finger foods to the client
*The caregiver should offer finger foods that the client can eat without
sitting down. Clients who have dementia often like to wander and walk
off nervous energy, which can decrease anxiety and calm the client.
A nurse is contributing to the plan of care for a client with bipolar
disorder who has acute mania. Which of the following interventions
should the nurse recommend including in the plan?
I. Provide the client with a low-calorie, low-fat diet
J. Encourage the client to have frequent rest periods
K. Escort the client to daily group therapy
L. Limit the client's intake of caffeinated beverages to 12 oz per day
- correct answers
- Encourage the client to have frequent rest periods
*The nurse should recommend encouraging frequent rest periods
throughout the day to decrease the client's risk of exhaustion from the
constant activity associated with acute mania.
A nurse is reviewing the plan of care for a client who has bipolar
disorder. Which of the following is an effect of using cognitive behavioral
therapy (CBT) for a client who has bipolar disorder?
GRADED
A+
,A. Prevents the need for mood-stabilizing medications
B. Helps the client deal with distorted thought processes
C.Aids in communication among family members
D.Replaces the need for lifestyle interventions - correct answers -
Helps the client deal with distorted thought processes
*CBT assists the client with recognizing distorted thought processes that
are maladaptive with regards to recovery. When experiencing mania, the
client tends to view the future unrealistically as highly favorable. CBT
assists the client in recognizing and challenging such unrealistic or
"automatic" thoughts and can help the client and the health care team
recognize early trends toward mania
A nurse is caring for a client in a mental health facility and overhears the
client discussing plans to harm her father-in-law physically when she is
discharged. Which of the following interventions should the nurse take?
E. Ask the client to sign a contract agreeing not to harm others
F. Notify the provider of the client's threat
G.Keep the client's discussion confidential
H.Place the client in individual observation - correct answers - Notify
the provider of the client's threat
*It is the nurse's duty to notify the provider of the client's threat. It will
then be the provider's responsibility to warn the the intended victim or
the police of the client's threat
A nurse is preparing to meet with a client who has borderline personality
disorder. Which of the following actions should the nurse plan to take
during the working phase of the therapeutic relationship?
I. Introduce the concept of client confidentiality
J. Establish goals with the client
K. Define the roles of the nurse and the client
L.Facilitate change in the client's behavior - correct answers -
Facilitate change in the client's behavior
*The nurse should facilitate change in the client's behavior during the
working phase of the therapeutic relationship.
A nurse is contributing to the plan of care for a client who has suicidal
ideation and is being transferred to the mental health unit. Which of the
following interventions should the nurse recommend?
GRADED
A+
, A. Search the client and his belongings upon arrival
B. Assign the client to a private room near the nurse's station
C.Instruct assistive personnel to check on the client every 15 m in
D.Keep the door to the client's room closed - correct answers -
Search the client and his belongings upon arrival
*The nurse should plan to search the client and all of his belongings upon
arrival to the unit. This search is conducted for the client's safety so that
the nurse can identify and remove any objects that increase the client's
risk of injury or suicide. Potentially harmfully objects include razors,
shoelaces, hygiene products, and tweezers
A nurse is talking with a client about his admission to a mental health
unit. The client states, "I just don't know if I should be here. What will
my family think?" Which of the following responses by the nurse uses
the therapeutic communication technique of reflection?
E. "It sounds like you are concerned about your family's reaction."
F."What your family thinks isn't important; you need to be concerned
about getting well."
G."I suspect your family doesn't seem to understand you.
H."Many clients are concerned about the reaction of their
families." - correct answers - "It sounds like you are concerned
about your family's reaction."
*In a reflective response, the nurse directs feelings and statements back
to the client, allowing the client to think about personal feelings
A nurse is caring for a client who just received a terminal diagnosis of
cancer. Which of the following initial reactions should the nurse expect
from the client?
I. Bargaining
J. Depression
K. Denial
L. Anger - correct answers - Denial
*The nurse should expect the client to deny the reality of the diagnosis
initially. This is a protective reaction seeking to avoid psychological pain
A nurse is reinforcing teaching with the parent of a child who has a new
prescription for methylphenidate to treat ADHD. Which of the following
instructions should the nurse include in the teaching?
M."Weigh your child 3 times per week."
N."Expect your child to experience dark-colored stools."
O."Administer this medication at bedtime."
GRADED
A+
