NUR 2459 MH EXAM 1 STUDY.| 2023 STUDY GUIDE

NUR 2459 MH EXAM 1 STUDY.MH Exam 1 1. a client become agitated and shout at the nurse if you come closer, I will hit you. What is the best response by the nurse? a) I am calling for assistance. You have until then to get it together b) You need to stay calm, you are responsible for your behavior c) I am going to go get your medication, try to relax while I am gone d) I am not planning to come any closer, what is happening now 2. a nurse is speaking to the family of a trauma client. The nurse is blocking the sirens noises and alarms while speaking with the client’s family. The nurse is practicing which defense mechanism a) Denial-adaptive b) Dissociation-, adaptive c) Altruism-maladaptive d) Rationalization-maladaptive 3. a nurse is caring for a client on a psychiatric unit who has been involuntarily admitted. The nurse understands even though given this admission status, the client will still maintain which of the following rights (select all that apply) a) The right to all their personal belongings b) The right to at least restrictive environment c) The right to refuse daily medication d) The right to inform consent e) The right to leave against medical advice 4. A nurse is working with a client with a history of panic attacks. During group therapy, the nurse notes the client begins to tap their foot, become mildly anxious, and is pushing away. Preparing to leave the group. The nurse instructs the client to remain seated and asks if they would like to use their journal to write down some thoughts while the group resumes. What phases of crisis care is the nurse implementing? a) Phase three- intervention b) Phase four -evaluation c) Phase two- planning d) Phase one- assessment 5. Which of the following behavior suggest a breach of professional boundaries (select all that apply) a) The nurse shares the details about her family problems b) The nurse agrees to keep a secret with the client c) The nurse allows a client to hold her hand before chemotherapy d) The nurse reads a get-well card to the client e) The nurse makes plan to have lunch with the client after discharge 6. . A client receiving cognitive behavior therapy (CBT) is being introduced to the concepts guiding the therapy. Which statement best explain automatic thoughts? a) Automatic thoughts occur rapidly in a situation and without rational analysis b) Automatic thoughts are an example of psychiatric disorders c) Automatic thoughts are typically positive and based on fact d) Automatic thoughts are often influenced by our childhood 7. which of the following is an example of intentional tort? a) The nurse decides to give prn dose of neuroleptic drug to a client to prevent violent acting out because the unit is short staffed b) The advanced practice nurse recommends that a client who is a danger to self and others be voluntary admitted to the psychiatric unit c) The primary nurse does not complete the plan of care for a client within 24 hours of client admission d) The treatment team changes a client’s admission status from involuntary to voluntary after medication alleviates the client hallucinations 8. A client has a phobia of horses and has been receiving behavioral therapy. During her sessions over the last few months, she has progressed from looking a photo of the animal and through other small steps resulting in petting the real animal. This progression is an example of which behavioral therapy? a) Positive reinforcements b) Modeling c) Flooding d) Systematic desensitization 9. The nurse is preparing the client for electroconvulsive therapy (ECT) the following daily the teaching will include what information regarding side effects a) Agitation and confusion are side effects of ECT b) You may have memory loss and disorientation immediate after the treatment c) There are no side effects that should concern you d) Tachycardia and dyspnea often occur, but you are constantly monitored 10. a nurse is preparing to administer lithium syrup 1200mg PO bid. Available is lithium syrup 600 mg/ 5ml. how many ml would the nurse administer per dose (record number as a whole number) 10 11. . Which nursing behavior is consistent with therapeutic communication a) Offering opinions b) Active listening c) Approving of behavior d) Begin speaking in periods of silence 12. . The client states his assigned nurse reminds him of his very stem aunt. This statement is an example of what type of issue can occur in the nurse-client relationship a) Making a judgment b) Countertransference c) Transference d) Giving recognition 13. The nurse is asked to explain informed consent. Which statement by the nurse is accurate?