Saunders Mental Health LATEST
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,1073. A client in a long-term care facility who had multiple sclerosis is embarrassed about the need to
use a wheelchair and the muscle spasms that are readily visible in her legs. Which approach is
therapeutic in assisting the client to cope?
1. Keep the client in her room as much as possible .
2. Assist the client with all activities of daily living (ADLs).
3. Tell the client that many of the people in the facility have these same sorts of problems.
4. Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily.
- correct ans:4. Encourage and praise perseverance in performing ADLs, and assist the client to dress
and groom daily
1074. The nurse uses which approach when caring for a client with a diagnosis of acute undifferentiated
schizophrenia?
1. Repeatedly points out inconsistencies in the client's communication .
2. Allows the client to set his or her own treatment goals for the plan of care.
3. Lets the client act out initially and uses the quiet room and restraints as needed.
4. Provides assistance with grooming and nutrition until the client's thinking is cleared. - correct ans:4.
Provides assistance with grooming and nutrition until the client's thinking is cleared
1075. A client is admitted to the mental health unit after a suicide attempt by hanging. The nurse's most
important aspect of care is to maintain client safety. The is best accomplished by which action?
1. Requesting that a peer remain with the client at all times.
2. Removing the client's clothing and placing the client in a hospital gown.
3. Assigning a staff member to the client who will remain with the client at all times.
4. Admitting the client to a seclusion room where all potentially dangerous articles are removed. -
correct ans:3. Assigning a staff member to the client who will remain with the client at all times
1076. The nurse providing end-of-life care to a Muslim client understands that which practice is accurate
regarding end-of-life care?
1. The client's head should be positioned below the body.
2. Discussions about death are usually welcomed and open.
3. A same-gendered Muslim should handle the body if possible.
,4. Stopping medical treatment is allowed if permitted by the family. - correct ans:3. A same-gendered
Muslim should handle the body if possible.
1077. On admission assessment, the nurse is obtaining subjective data about a client's sexual and
reproductive status. The client states, "I don't want to discuss this; it's private and personal." Which
response by the nurse is most therapeutic?
1. "I'd hate being asked these sorts of questions too, but it's a necessary part of providing you with the
best care."
2. "This is difficult for you to speak about, but I need this information from you in order to perform a
complete assessment."
3. "I am a professional registered nurse, and , as such, I'll have you know that all your information is
certainly kept confidential."
4. " I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated
to respect your confidentiality." - correct ans:4. " I know that some of these questions are difficult for
you, but, as a professional nurse, I am obligated to respect your confidentiality."
1078. The nurse should include which information in the nursing plan of care for a client with obsessive-
compulsive disorder (OCD)? Select all that apply.
1. The medical diagnosis of the client.
2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.
5. Interruption of all compulsive behaviors. - correct ans:2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.
1079. A client asks the nurse to explain what milieu therapy is. The nurse responds, knowing that the
primary focus of milieu therapy can be best described by which statement?
1. Changing behavior through crisis intervention.
2. A cognitive approach to changing client behavior.
3. Providing a safe, therapeutic environment for clients.
4. A behavioral approach to changing behavior appropriately. - correct ans:3. Providing a safe,
therapeutic environment for clients.
, 1080. An older adult client states to the nurse, "Lately I'm getting forgetful about things. Do you think
I'm getting Alzheimer's disease?" Which response by the nurse is most therapeutic?
1. "Oh, I'm certain it's not Alzheimer's disease because everyone forgets things sometimes."
2. " No, I don't think we really need to discuss this because I' sure it is just normal aging."
3. " Although it's not unusual to experience some lapses of memory, let's discuss your concerns."
4. " I am so forgetful, too. I never needed lists of things that I had to do, but that changed as I got older."
- correct ans:3. " Although it's not unusual to experience some lapses of memory, let's discuss your
concerns."
1081. A client in the mental health unit believes that the food is being poisoned. Which intervention(s)
would be helpful when attempting to encourage the client to eat? Select all that apply.
1. Use open-ended questions to encourage client dialogue.
2. Offer opinions about the necessity for adequate nutrition.
3. Focus on the client's self-disclosure about food preferences.
4. Identify the reasons that the client had for not wanting to eat.
5. Offer the client food in closed containers, such as in cans that have to be opened. - correct ans:1. Use
open-ended questions to encourage client dialogue.
5. Offer the client food in closed containers, such as in cans that have to be opened.
1082. The spouse of a client who abuses alcohol states, " I wish I could just get out of this situation and
far away from my spouse." Which response by the nurse is therapeutic?
1. " What aspects of this situation are most difficult for you?"
2. " In order to ensure your safety, it's probably best that you leave."
3. "Maybe you should make this decision when your spouse is stable."
4. "I don't think that's what is best for you or your spouse now. Besides, where would you go?" - correct
ans:1. " What aspects of this situation are most difficult for you?"
1083. A crisis center nurse receives a telephone call from
a client who states that he wants to kill himself and that he had a bottle of sleeping pills in from of him.
What is the appropriate nursing action?
1. Keep the client talking, and allow him to ventilate his feelings.
EXAM VERSION With Expected real
and comprehensive Questions and
Revised Correct Answers Guarantee
Pass A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,1073. A client in a long-term care facility who had multiple sclerosis is embarrassed about the need to
use a wheelchair and the muscle spasms that are readily visible in her legs. Which approach is
therapeutic in assisting the client to cope?
1. Keep the client in her room as much as possible .
2. Assist the client with all activities of daily living (ADLs).
3. Tell the client that many of the people in the facility have these same sorts of problems.
4. Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily.
- correct ans:4. Encourage and praise perseverance in performing ADLs, and assist the client to dress
and groom daily
1074. The nurse uses which approach when caring for a client with a diagnosis of acute undifferentiated
schizophrenia?
1. Repeatedly points out inconsistencies in the client's communication .
2. Allows the client to set his or her own treatment goals for the plan of care.
3. Lets the client act out initially and uses the quiet room and restraints as needed.
4. Provides assistance with grooming and nutrition until the client's thinking is cleared. - correct ans:4.
Provides assistance with grooming and nutrition until the client's thinking is cleared
1075. A client is admitted to the mental health unit after a suicide attempt by hanging. The nurse's most
important aspect of care is to maintain client safety. The is best accomplished by which action?
1. Requesting that a peer remain with the client at all times.
2. Removing the client's clothing and placing the client in a hospital gown.
3. Assigning a staff member to the client who will remain with the client at all times.
4. Admitting the client to a seclusion room where all potentially dangerous articles are removed. -
correct ans:3. Assigning a staff member to the client who will remain with the client at all times
1076. The nurse providing end-of-life care to a Muslim client understands that which practice is accurate
regarding end-of-life care?
1. The client's head should be positioned below the body.
2. Discussions about death are usually welcomed and open.
3. A same-gendered Muslim should handle the body if possible.
,4. Stopping medical treatment is allowed if permitted by the family. - correct ans:3. A same-gendered
Muslim should handle the body if possible.
1077. On admission assessment, the nurse is obtaining subjective data about a client's sexual and
reproductive status. The client states, "I don't want to discuss this; it's private and personal." Which
response by the nurse is most therapeutic?
1. "I'd hate being asked these sorts of questions too, but it's a necessary part of providing you with the
best care."
2. "This is difficult for you to speak about, but I need this information from you in order to perform a
complete assessment."
3. "I am a professional registered nurse, and , as such, I'll have you know that all your information is
certainly kept confidential."
4. " I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated
to respect your confidentiality." - correct ans:4. " I know that some of these questions are difficult for
you, but, as a professional nurse, I am obligated to respect your confidentiality."
1078. The nurse should include which information in the nursing plan of care for a client with obsessive-
compulsive disorder (OCD)? Select all that apply.
1. The medical diagnosis of the client.
2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.
5. Interruption of all compulsive behaviors. - correct ans:2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.
1079. A client asks the nurse to explain what milieu therapy is. The nurse responds, knowing that the
primary focus of milieu therapy can be best described by which statement?
1. Changing behavior through crisis intervention.
2. A cognitive approach to changing client behavior.
3. Providing a safe, therapeutic environment for clients.
4. A behavioral approach to changing behavior appropriately. - correct ans:3. Providing a safe,
therapeutic environment for clients.
, 1080. An older adult client states to the nurse, "Lately I'm getting forgetful about things. Do you think
I'm getting Alzheimer's disease?" Which response by the nurse is most therapeutic?
1. "Oh, I'm certain it's not Alzheimer's disease because everyone forgets things sometimes."
2. " No, I don't think we really need to discuss this because I' sure it is just normal aging."
3. " Although it's not unusual to experience some lapses of memory, let's discuss your concerns."
4. " I am so forgetful, too. I never needed lists of things that I had to do, but that changed as I got older."
- correct ans:3. " Although it's not unusual to experience some lapses of memory, let's discuss your
concerns."
1081. A client in the mental health unit believes that the food is being poisoned. Which intervention(s)
would be helpful when attempting to encourage the client to eat? Select all that apply.
1. Use open-ended questions to encourage client dialogue.
2. Offer opinions about the necessity for adequate nutrition.
3. Focus on the client's self-disclosure about food preferences.
4. Identify the reasons that the client had for not wanting to eat.
5. Offer the client food in closed containers, such as in cans that have to be opened. - correct ans:1. Use
open-ended questions to encourage client dialogue.
5. Offer the client food in closed containers, such as in cans that have to be opened.
1082. The spouse of a client who abuses alcohol states, " I wish I could just get out of this situation and
far away from my spouse." Which response by the nurse is therapeutic?
1. " What aspects of this situation are most difficult for you?"
2. " In order to ensure your safety, it's probably best that you leave."
3. "Maybe you should make this decision when your spouse is stable."
4. "I don't think that's what is best for you or your spouse now. Besides, where would you go?" - correct
ans:1. " What aspects of this situation are most difficult for you?"
1083. A crisis center nurse receives a telephone call from
a client who states that he wants to kill himself and that he had a bottle of sleeping pills in from of him.
What is the appropriate nursing action?
1. Keep the client talking, and allow him to ventilate his feelings.
