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A Nurse Is Teaching A Client Who Has An Anxiety Disorder And Is Scheduled To Begin Classical
Psychoanalysis. Which Of The Following Client Statements Indicates An Understanding Of This Form Of
Therapy?
ACCURATE ANS>> The Therapist Will Focus On My Past Relationships During Our Sessions."
A Nurse Is Discussing Free Association As A Therapeutic Tool With A Client Who Has Major Depressive
Disorder. Which Of The Following Client Statements Indicates Understanding Of This Technique?
ACCURATE ANS>> I Should Say The First Thing That Comes To My Mind."
A Charge Nurse Is Discussing Mental Status Exams With A Newly Licensed Nurse. Which Of The
Following Statements By The Newly Licensed Nurse Indicates An Understanding Of The Teaching?
(Select All That Apply).
ACCURATE ANS>>
-To Assess Cognitive Ability, I Should Ask The Client To Count Backward By Sevens."
-To Assess Affect, I Should Observe The Client's Facial Expression.
-To Assess Language Ability, I Should Instruct The Client To Write A Sentence."
A Nurse Is Planning Care For A Client Who Has A Mental Health Disorder. Which Of The Following
Actions Should The Nurse Include As A Psychobiological Intervention?
ACCURATE ANS>> Monitor The Client For Adverse Effects Of The Medications.
A Nurse In An Outpatient Mental Health Clinic Is Preparing To Conduct An Initial Client Interview. When
Conducting The Interview, Which Of The Following Actions Should The Nurse Identify As The Priority?
ACCURATE ANS>> Identify The Client's Perception Of Her Mental Health Status.
A Nurse Is Told During Change Of Shift Report That A Client Is Stuporous. When Assessing The Client,
Which Of The Following Findings Should The Nurse Expect?
,ACCURATE ANS>> The Client Arouses Briefly In Response To A Sternal Rub.
A Nurse Is Caring For A Client Who Has A New Prescription For Disulfiram For Treatment Of Alcohol Use
Disorder. The Nurse Informs The Client That This Medication Can Cause Nausea And Vomiting If He
Drinks Alcohol. Which Of The Following Types Of Treatment Is This Method An Example?
ACCURATE ANS>> Aversion Therapy
A Nurse Is Assisting With Systematic Desensitization For A Client Who Has An Extreme Fear Of Elevators.
Which Of The Following Actions Should The Nurse Implement With This Form Of Therapy?
ACCURATE ANS>> Gradually Expose The Client To An Elevator While Practicing Relaxation Techniques.
A Nurse Wants To Use Democratic Leadership With A Group Whose Purpose Is To Learn Appropriate
Conflict Resolution Techniques. The Nurse Is Correct In Implementing This Form Of Group Leadership
When She Demonstrates Which Of The Following Actions?
ACCURATE ANS>> Observes Group Techniques Without Interfering With The Group Process
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?
ACCURATE ANS>> 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
Is Very Short-Staffed, And The Client Frequently Fights With Other Clients. The Nurse's Actions Are An
Example Of Which Of The Following Torts?
ACCURATE ANS>> 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 Yelling At Me And Threatening Me." Which Of The Following
Actions Should The Nurse Take?
ACCURATE ANS>> Report The Incident To The Health Care Team, But Do Not Inform The Client Of The
Intention To Do So.
, 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)
ACCURATE ANS>>
-Client Was Offered 8 Oz Of Water Every Hr."
-Client Shouted Obscenities At Assistive Personnel."
-Client Received Chlorpromazine 15 Mg By Mouth At 1000.
A Nurse Hears A Newly Licensed Nurse Discussing A Client's Hallucinations In The Hallway With Another
Nurse. Which Of The Following Actions Should The Nurse Take First?
ACCURATE ANS>> Tell The Nurse To Stop Discussing The Behavior
A Nurse Is Caring For The Parents Of A Child Who Has Demonstrated Changes In Behavior And Mood.
When The Mother Of The Child Asks The Nurse For Reassurance About Her Son's Condition, Which Of
The Following Responses Should The Nurse Make?
ACCURATE ANS>> I Understand You're Concerned. Let's Discuss What Concerns You Specifically."
A Nurse Is Caring For A Client Who Smokes And Has Lung Cancer. The Client Reports, "I'm Coughing
Because I Have That Cold That Everyone Has Been Getting." The Nurse Should Identify That The Client Is
Using Which Of The Following Defense Mechanisms?
ACCURATE ANS>> Denial
A Nurse Is Providing Preoperative Teaching For A Client Who Was Just Informed That She Requires
Emergency Surgery. The Client Has A Respiratory Rate 30/Min And Says, "This Is Difficult To
Comprehend. I Feel Shaky And Nervous." The Nurse Should Identify That The Client Is Experiencing
Which Of The Following Levels Of Anxiety?
ACCURATE ANS>> Moderate
A Nurse Is Caring For A Client Who Is Experiencing Moderate Anxiety. Which Of The Following Actions
Should The Nurse Take When Trying To Give Necessary Information To The Client? (Select All That
Apply.)
ACCURATE ANS>>
-Discuss Prior Use Of Coping Mechanisms With The Client.