(GRADED A+ 100% DETAILED VERIFIED ANSWERS)
A nurse is planning overall strategies to address problems for a client who
has a borderline personality disorder. Which of the following strategies is the
priority for the nurse to incorporate into the plan of care?
a. discuss the appropriate use of assertive behavior with the client
b. encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and feelings
d. implement measures to prevent intentional self-inflicted injury - ANSWER✅ d.
implement measures to prevent intentional self-inflicted injury
A nurse is conducting an admission interview with a client who is experiencing mania. Which
of the following should the nurse report to the provider?
a. States that he hasn't bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. - ANSWER✅ b. Reports eating twice in the past two
weeks.
,A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the
following recommendation should the nurse include in the client's plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - ANSWER✅ b. Thought stopping
A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode.
Which of the following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate - ANSWER✅ b. Dim the lights in the client's room
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a
classmate. Which of the following actions should the nurse take first?
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality - ANSWER✅ c. Identify prior coping skills
,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)
A. "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
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify our most
recent presidents." - ANSWER✅ A, B, C
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?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of the medications. - ANSWER✅ D
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?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
, D. Teach the client about her current mental health disorder. - ANSWER✅ B
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an eye in
the sky. Sky is up high." The nurse should document the client's statement as which of the
following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - ANSWER✅ d. Clang association
An older adult client is brought to the mental health clinic by her daughter. The daughter
reports that her mother is not eating and seems uninterested in routine activities. The
daughter states "Im so worried that my mother is depressed" which of the following
responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because the depressive disorder is easily treated.
c. Older adults are usually diagnosed with the depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - ANSWER✅ d. Tell me the
reasons you think your mother is depressed.