(Psychiatric Assessment and Fundamentals of Mental Health)

ATI RNMental Health and Psychiatric NursingTestbank with answers & Rationale(Psychiatric Assessment and Fundamentals of Mental Health)1.Nurse Monette is aware that extremely depressed clients seem to do best in settings wherethey have:A. Multiple stimuliB. Routine ActivitiesC. Minimal decision makingD. Varied ActivitiesCorrect Answer: B. Routine ActivitiesDepression usually is both emotional & physical. A simple daily routine is the best, least stressful, andleast anxiety-producing. Initially, provide activities that require minimal concentration (e.g., drawing,playing simple board games). Depressed people lack concentration and memory. Activities that have no"right or wrong" or "winner or loser" minimizes opportunities for the client to put himself/herself down.Option A:Involve the client in gross motor activities that call for very little concentration (e.g.,walking). Such activities will aid in relieving tensions and might help in elevating the mood. Whenthe client is in the most depressed state, involve the client in a one-to-one activity. Maximizes thepotential for interactions while minimizing anxiety levels.Option C:Eventually involve the client in group activities (e.g., group discussions, art therapy, dancetherapy). Socialization minimizes feelings of isolation. Genuine regard for others can increasefeelings of self-worth. Eventually maximize the client's contacts with others (first one other, thentwo others, etc.). Contact with others distracts the client from self-preoccupation.Option D:Allow the patient to engage in simple recreational activities, advancing to more complexactivities in a group environment. The patient may feel overwhelmed at the start when participatingin a group setting. Give positive feedback after a task is achieved. Positive reinforcement has a bigpart in building self-esteem.2.Conney with borderline personality disorder who is to be discharged soon threatens to "dosomething" to herself if discharged. Which of the following actions by the nurse wouldbemostimportant?A. Ask a family member to stay with the client at home temporarily.B. Discuss the meaning of the client's statement with her.C. Request an immediate extension for the client.D. Ignore the client's statement because it's a sign of manipulation.Correct Answer: B. Discuss the meaning of the client's statement with her.