QUESTIONS AND ANSWERS 100% CORRECT!!
,A nurse in an emergency mental health facility is caring for a group of clients. The nurse
should identify that which of the following clients requires a temporary emergency
admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with
a metal rod
D. A client who has bipolar disorder and paces quickly around the room while talking to
themselves - ANSWER C. A client who has borderline personality disorder and
assaulted a homeless man with a metal rod
A nurse decides to put a client who has a psychotic disorder in seclusion overnight
because the unit short-staffed, and the client frequently is very fights with other clients.
The nurse's actions are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - ANSWER B. False imprisonment
A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always threatening me." Which of the
following actions should the nurse take?
A. Keep the client's communication confidential, but talk to the client daily, using
therapeutic communication to convince them to admit to hiding the knife.
B. Keep the client's communication confidential, but watch the client and their roommate
closely.
C. Tell the client that this must be reported to the health care team because it concerns
the health and safety of the client and others.
D. Report the incident to the health care team, but do not inform the client of the
intention to do so. - ANSWER C. Tell the client that this must be reported to the health
care team because it concerns the health and safety of the client and others.
A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? (Select all that apply.)
A. "Client ate most of their breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
, D. "Client received chlorpromazine 15 mg by mouth at 1000."
E. "Client acted out after lunch." - ANSWER B. "Client was offered 8 oz of water every
hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
Anurse is communicating with a client who was admitted for treatment of a substance
use disorder. Which of the following communication techniques should the nurse
identify as a barrier to therapeutic communication?
A. Offering advice
B. Reflecting
C. Listening attentively
D. Giving information - ANSWER A. Offering advice
A nurse is talking with a client who is at risk for suicide following their partner's death.
Which of the following statements should the nurse make?
A. "I feel very sorry for the loneliness you must be experiencing."
B. "Suicide is not the appropriate way to cope with loss."
C. "Losing someone close to you must be very upsetting."
D. "I know how difficult it is to lose a loved one." - ANSWER C. "Losing someone close
to you must be very upsetting."
A charge nurse is discussing the characteristics of a nurse-client relationship with a
newly licensed nurse. Which of the following characteristics should the nurse include in
the discussion? (Select all that apply.)
A. The needs of both participants are met.
B. An emotional commitment exists between the participants.
C. It is goal-directed.
D. Behavioral change is encouraged.
E. A termination date is established. - ANSWER C. It is goal-directed.
D. Behavioral change is encouraged.
E. A termination date is established.
A nurse is in the working phase of a therapeutic relationship with a client who has
methamphetamine use disorder. Which of the following actions indicates transference
behavior? A. The client asks the nurse if they will go out to dinner together.
B. The client accuses the nurse of being controlling just like an ex-partner.
C. The client reminds the nurse of a friend who died from substance toxicity.
D. The client becomes angry and threatens to engage in self harm. - ANSWER B. The
client accuses the nurse of being controlling just like an ex-partner.