NUR 356 EXAM 1 LATEST
(MENTAL HEALTH)
If a client came in through the ER and they were unresponsive,
should the nurse get a consent form?
No, wait until they are awake
Elderly client in the ER, shows several bruises at different healing
stages, what should you do?
Report immediately, may be a sign of abuse
Nursing intervention when treating a pt with transference?
Work towards sorting out any past from present
Should a nurse talk to a client about personal problems they are
having?
No, that is violating the professional boundaries
You have a patient that vocalizes fear that you will lock them in a
room and forget about them, how should you respond empathically?
"I can see you are very frightened about being here"
In the termination phase it is good for a client to say that they need
additional therapy
Introductory phase the nurse should
establish trust
How should a nurse develop trust and rapport?
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1
, NUR 356 EXAM 1 LATEST
(MENTAL HEALTH)
By conveying warmth and care about the client
A patient has been put in seclusion at 2am by threatening the harm
the nurse on duty, at 5am a clinical psychologist declares the client
to no longer be a threat, what is the most appropriate nursing
interaction?
Discontinue seclusion
Can a nurse use restraints when ordered for the provider?
Yes, if a patient is a harm to themselves or others
What should the nurse do during the pre-interaction phase
It is okay to speak with a spouse/significant other regarding the patient
to gather data
Social determinants
Conditions in which the place where people grow, live, work, and age
What happens during severe anxiety?
Headaches, nausea, dizzy, visual field
Rationalization
Defense mechanism that offers self-justifying explanations for bad
actions
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2
(MENTAL HEALTH)
If a client came in through the ER and they were unresponsive,
should the nurse get a consent form?
No, wait until they are awake
Elderly client in the ER, shows several bruises at different healing
stages, what should you do?
Report immediately, may be a sign of abuse
Nursing intervention when treating a pt with transference?
Work towards sorting out any past from present
Should a nurse talk to a client about personal problems they are
having?
No, that is violating the professional boundaries
You have a patient that vocalizes fear that you will lock them in a
room and forget about them, how should you respond empathically?
"I can see you are very frightened about being here"
In the termination phase it is good for a client to say that they need
additional therapy
Introductory phase the nurse should
establish trust
How should a nurse develop trust and rapport?
END OF
PAGE
1
, NUR 356 EXAM 1 LATEST
(MENTAL HEALTH)
By conveying warmth and care about the client
A patient has been put in seclusion at 2am by threatening the harm
the nurse on duty, at 5am a clinical psychologist declares the client
to no longer be a threat, what is the most appropriate nursing
interaction?
Discontinue seclusion
Can a nurse use restraints when ordered for the provider?
Yes, if a patient is a harm to themselves or others
What should the nurse do during the pre-interaction phase
It is okay to speak with a spouse/significant other regarding the patient
to gather data
Social determinants
Conditions in which the place where people grow, live, work, and age
What happens during severe anxiety?
Headaches, nausea, dizzy, visual field
Rationalization
Defense mechanism that offers self-justifying explanations for bad
actions
END OF
PAGE
2
