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a nurse is leading a family therapy session for a mother, father, and 2 adolescent siblings. which
of the following statements should the nurse recognize as an example of effective
communication among family members?
"can you tell me the reason you get upset each time i go to the mall?"
~expresses clear understandable messages
a nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. as the
nurse approaches the client, he states, "i am at the end of my rope. i don't think i can take any
more bad news." which of the following responses should the nurse make?
"come with me to an area where we can talk without interruption"
~offering oneself, empathy, respecting privacy, willingness to learn
a nurse is caring for a client who has MDD and was prescribed citalopram 2 weeks ago with a
planned dosage increase 1 week ago. the client reports having an improved appetite, but still
feels very depressed and is still having trouble sleeping. which of the following actions should
the nurse take?
explain that antidepressants often take several weeks to be fully effective
~can take 4-6 weeks before therapeutic effects occur
a nurse in an inpatient mental health unit is planning care for a client who is in restraints. which
of the following findings should indicate to the nurse that the client is ready to reintegrate into
the unit?
the client follows directions
a nurse is teaching a client about the uses of chamomile. which of the following information
should the nurse include in the teaching?
"chamomile may act as a calming agent"
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,a nurse in a psychiatric unit is caring for several clients. which of the following clients should the
nurse recommend for group therapy?
a client who has been taking amitriptyline for 3 months for depression
~provides opportunity to enhance relationships, increase self-awareness, and try new behaviors
safely
a nurse is caring for a group of clients on a mental health unit. which of the following actions
should the nurse implement to establish therapeutic relationships with the clients?
demonstrate genuineness when communicating
a client who is having burn debridement states, "you are the worst nurse i have ever seen. all
you do is hurt me." which of the following responses should the nurse make?
"tell me more about that"
~asks the client to talk about the problem
a nurse in an acute mental health facility is caring for a client who jumps out of her chair and
begins to should angrily ad the clients around her. which of the following action should the
nurse take first?
speak to the client calmly, giving simple instructions
a nurse is assessing a parent who lost a 12 y/o child in a car crash 2 years ago. which of the
following findings indicates the client is exhibiting manifestations of prolonged grieving?
leaves the child's room exactly as it was before the loss
~dysfunctional when the client is unable to resume regular activities of daily living or experience
emotions other than sadness or depression (ex: room shrine 1+ year)
a nurse observes a client's spouse sitting alone in the waiting room crying. when approached,
the spouse says, "i am concerned about my husband." which of the following is a therapeutic
nursing response?
"tell me what is concerning you"
a nurse manager on a mental health unit is discussing involuntary admissions during a staff
meeting. which of the following statements should the manager include in the discussion?
"clients who are involuntarily admitted have the right to informed consent"
a nurse is caring for a client who is depressed and refuses to participate in group therapy or
perform activities of daily living. which of the following statements should the nurse make to
the client?
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, "i will assist you in getting out of bed and getting dressed"
~conveys the client is worthy of attention and help
a nurse is caring for a client who begins to yell and scream at staff members. which of the
following should be the nurse's priority action?
say to the client "i can tell that you are upset"
a nurse caring for a client who has depression observes the client comes to breakfast freshly
bathed, wearing clean clothes, and with combed and styled hair. which of the following
responses by the nurse is therapeutic?
"i see you have done some grooming today"
~open ended, recognition of positive behavior
a nurse is teaching a group of clients about st john's wort. which of the following information
should the nurse include in the teaching?
"st john's wort can be used to treat mild depression"
~increases serotonin level of serotonin enhancing antidepressants *possible risk for serotonin
syndrome
a nurse is discussing the use of mechanical restraints with a newly licensed nurse. which of the
following situations should the nurse include as an indication for placing a client in mechanical
restraints?
self-destructive behavior despite alternative interventions
a nurse is discussing culturally competent care at a nursing staff inservice. which of the
following information should the nurse include when discussing clients' cultures?
nurses should focus on the clients' culture, rather than ethnicity, when providing care
a client who has MDD states to the nurse that he and his family would be better off if he were
gone. which of the following is the nurse's priority response?
"are you thinking for harming yourself?"
a nurse is caring for a client who is cognitively impaired. which of the following rooms will
provide a therapeutic environment for this client?
a room containing personal belongings
a nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns
about his relationship with his partner. which of the following statements by the newly licensed
nurse requires intervention by the nurse?
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