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NUR 150 - Exam 2 Questions with answers 100%

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NUR 150 - Exam 2 Questions with answers 100%

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NUR 150 - Exam 2 Questions with
answers 100%

MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS

A nurse is performing an assessment on a client. Which of the following would be considered
objective information received during the assessment?

A. The client reports feeling tingling in his feet

B. The client weighs 186 pounds

C. The client rates pain at a level of 6 out of 10

D. The client feels light-headed when the doctor enters the room

B. The client weighs 186 pounds

MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS

Which of the following assessment items can be documented as subjective client data?

A. A client’s face turns pale when he stands up

B. A client’s cervical lymph nodes are palpable

C. A client feels nauseated

D. The nursing assistant reports to the RN that the client refused to eat lunch

C. A client feels nauseated

MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS

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 priority?

A. Include the client’s family in the interview

B. Coordinate holistic care with social services

C. Teach the client about their current mental health disorder

D. Identify the client’s perception of their mental health status

D. Identify the client’s perception of their mental health status

MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS

Which of the following is a correct assumption regarding the concept of crisis?

A. Crises occur only in individuals with psychiatric disorders.

B. The stressful event that precipitates crisis is rarely identifiable.

, C. A crisis situation contains the potential for psychological growth or deterioration.

D. Crises are chronic situations that will recur many times during an individual's life.

C. A crisis situation contains the potential for psychological growth or deterioration.

MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS

Amanda's mobile home was destroyed by a tornado. Amanda received only minor injuries but is
experiencing disabling anxiety in the aftermath of the event. What is this type of crisis called?

A. Existential crisis

B. Situational crisis

C. Psychological crisis

D. Developmental crisis

B. Situational crisis

MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS

Which event has the potential for causing a situational crisis?

A. Losing one’s faith in God

B. Getting laid off from a job after 30 years

C. Giving birth to a child

D. Retiring from a job after 50 years of service

B. Getting laid off from a job after 30 years

MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS

A patient who survived a tornado is without shelter and food, lost his car, and has learned that
several friends sustained injuries. To tailor interventions to the patient’s needs, the nurse would
make it a priority to:

A. Offer anti-anxiety medication

B. Allow the patient to explore earlier life experiences

C. Explain the different components of crisis therapy

D. Arrange for an agency to provide shelter and food

D. Arrange for an agency to provide shelter and food

Three components of nursing diagnosis:

problem (unmet need)

etiology (cause of the problem)

supporting data (signs & symptoms)

problem RELATED TO underlying cause AS EVIDENCED BY signs and symptoms

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