Mental Health Scenario Based Questions And Answers 2022

Mental Health Scenario Based Questions And Answers 2022 A nurse in an acute care facility is assisting with the admission of an older adult client who has late stage Alzheimer's disease. The nurse notes that the client's partner appears exhausted. He states that he is finding it more and more difficult to care for his partner. Which of the following actions should the nurse take first? - Answer- Ask the partner to talk about his difficulties in caring for the client. A nurse is collecting data from a client who is taking bupropion. Which of the following findings indicates the medication is effective? - Answer- Decrease in urge to smoke A nurse is evaluating the outcomes for a client who has depression following the death of his wife 3 months ago. Which of the following client statements indicates a need for further intervention? - Answer- "I just don't feel like eating because I never liked to eat alone." A nurse in a long-term care setting is caring for a client who has Alzheimer's disease. The client states, "I just came back from a hard day's work in my office." The nurse should identify this statement is an example of which of the following coping mechanisms? - Answer- Confabulation A nurse is planning care for a new client. Which of the following actions should the nurse plan to take in order to use the technique of presence to establish the nurseclient relationship? - Answer- Use active listening when with the client. A nurse is assessing a client in the emergency department who drank alcohol while taking disulfiram. The client states, "The nurse told me not to drink when taking the medication. I am just a social drinker. I didn't realize that having just one drink with my friends would cause such a problem." Which of the following defense mechanisms is the client demonstrating? - Answer- Rationalization A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium? - Answer- A client asks when family members will be arriving after visiting 1 hr earlier. A nurse is collecting data from a client newly admitted for anorexia nervosa. Which of the following findings should the nurse expect? - Answer- Amenorrhea A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority? - Answer- The client paces in the hallway during the day and most of the night. A nurse is preparing to assist with the care of a client who is to undergo electroconvulsive therapy (ECT). What pieces of equipment should the nurse set up in the room prior to the treatment? - Answer- -Electroencephalogram (EEG) monitor -Oxygen saturation monitor -ECG monitor A nurse is assisting with a family therapy session for parents and 2 school-age children. Which of the following statements should the nurse recognize as an example of effective communication among family members? - Answer- "Can you tell me the reason you get upset each time I go to the mall?" A nurse is reinforcing discharge teaching with a client who is 2 days postpartum and has a history of postpartum depression. Which of the following instructions should the nurse include? - Answer- Sleep as much as possible. A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of the following statements by the client indicates an understanding of the teaching? - Answer- "I will contact my provider if I have difficulty urinating." A nurse is collecting data from a client following a recent suicide attempt. Which of the following findings in the client's history places him at the greatest risk for another suicide attempt? - Answer- Impulsivity A nurse is caring for a client who escapes anxiety-causing thoughts by ignoring their existence. The nurse should recognize this behavior as which of the following defense mechanisms? - Answer- Undoing A nurse is caring for an older adult client who is scheduled for surgery. The client becomes upset when the nurse asks her to remove her dentures prior to the surgery. Which of the following is a therapeutic response by the nurse? - Answer- "You seem worried. Are you concerned someone may see you without your teeth?" A nurse is talking with a client who has schizophrenia. Suddenly the client states, "I'm frightened. Do you hear that? The voices are telling me to do terrible things." Which of the following responses by the nurse is appropriate? - Answer- "What are the voices telling you to do?" A nurse is collecting data from a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect? - Answer- Significant change in weight A nurse is reinforcing teaching with a client about a new prescription for lithium. Which of the following statements should the nurse include in the teaching? - Answer- "We will need to check your lithium levels in the next 3 to 5 days." A nurse is discussing comorbidities associated with eating disorders with a newly licensed nurse. Which of the following comorbidities should the nurse include in the discussion? - Answer- - Anxiety - Schizophrenia - Depression A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process? - Answer- "The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication." CONTINUES....