Psych Mental Health Exam (Complete Solution Guide, Answered 100% Correctly)

Psych Mental Health Exam (Complete Solution Guide, Answered 100% Correctly) Psych Mental Health Exam (Complete Solution Guide, Answered 100% Correctly) A client with a known history of panic disorder comes to the emergency department and states to the nurse, "Please help me. I think I'm having a heart attack." What is the priority nursing action? Check the client's vital signs The nurse admits a client to the hospital with a suspected diagnosis of bulimia nervosa. While performing the admission assessment, the nurse asks questions and expects to elicit which data about bulimia? Binge eats, then purges The nurse is caring for a female client who was recently admitted to the hospital with a diagnosis of anorexia nervosa. When the nurse enters the room, the client is engaged in rigorous push-ups. Which nursing action would be therapeutic? Interrupt the client and offer to take the client for a walk A client with a severe major depressive episode is unable to address activities of daily living (ADL). Which is the appropriate nursing intervention? Feed, bathe, and dress the client as needed until the client's condition improves so that he/she can perform these activities independently. An emergency department staff member calls the mental health unit and tells the nurse that a severely depressed client is being transported to the unit. The nurse in the mental health unit expects to note which finding on assessment of this client? Reports of substantial weight loss, insomnia, and decreased crying spells A client has been admitted to the mental health unit on a voluntary basis. The client has reported a history of depression over the past 5 years. Which question by the nurse would elicit the most thorough assessment data regarding the client's recent sleeping patterns? Tell me about your sleeping patterns A moderately depressed client who was admitted to the mental health unit 2 days ago suddenly begins smiling and reporting that the crisis is over. The client says to the nurse, "Call the doctor. I'm finally cured." Which modification to the treatment plan should occur based on the behavioral cues of the client? Increasing the level of suicide precautions The nurse is planning care for a suicidal client. At which time should the nurse implement additional precautions? During the unit shift change The nurse is planning care for a hallucinating and delusional client who has been rescued from a suicide attempt. Which intervention should the nurse incorporate into the nursing care plan? Initiate one-to-one suicide precautions immediately An older adult client has been identified as a victim of physical abuse. Which is the priority nursing intervention? Removing the client from any situation that presents immediate danger A psychotic client on an acute care psychiatric unit is pacing, agitated, and presenting with aggressive gestures. The client's speech pattern is rapid, and the client's affect is belligerent. Which priority nursing intervention should the nurse implement based on these objective data? Provide safety for the client and other clients on the unit The nurse observes a client wringing her hands and looking frightened. The client reports to the nurse that she "feels out of control." Which approach by the nurse is most appropriate to maintain a safe environment? Encourage the client to talk about her feelings in a quiet setting. The nurse is planning the discharge instructions from the emergency department for an adult client who is a victim of family violence. The nurse should understand that it is most important that which information is included in the discharge plans? Specific information regarding "safe havens" or shelters in the client's neighborhood The nurse is planning activities for a depressed client who was just admitted to the hospital. Which activity should be part of the nurse's plan? Provide a structured daily program of activities and encourage the client to participate A client is admitted to the psychiatric unit after a suicide attempt by hanging. The nurse should plan which intervention as the most important aspect of care to maintain client safety? Assign a staff member who will remain with the client at all times When planning the discharge of a client with chronic anxiety, the nurse develops goals to promote a safe environment at home. Which area should the appropriate maintenance goal for the client focus on? Identifying anxiety-producing situations A suicidal client is being discharged home with family. Which statement by a family member might constitute criteria for delaying discharge? The client's wife asks, "Does he know that i've already moved out and filed for a divorce?" A client with a history of depression will be participating in cognitive therapy for health maintenance. The client asks the nurse, "How does this treatment work?" Which statement is most appropriate for the nurse to make to the client? This treatment helps examine how your thoughts and feelings contribute to your difficulties. The nurse is caring for a client who is a survivor of a disaster event. The client begins to display behaviors not demonstrated before. Which manifestations would indicate to the nurse that the client may be experiencing posttraumatic stress disorder (PTSD)? Select all that apply. 1. Irritability and sleep disturbances 2. Flashbacks or recollections of the disaster 3. A feeling of estrangement or detachment from others 4. Repression or the inability to remember an important aspect associated with the disaster A battered woman seen in the emergency department requires tertiary intervention because of repeated abuse. Which nursing interventions are appropriate? Select all that apply. 1. Report the abuse to the police 2. Provide medications to relieve pain and anxiety 3. Explore family and friends as support possibilities 4. Focus on the woman's strengths, endurance and abilities The mother of a teenage client with an anxiety disorder is concerned about her daughter's progress after discharge. She states that her daughter "stashes food, eats all the wrong things that make her hyperactive," and "hangs out with the wrong crowd." To assist the mother with preparing for her daughter's discharge, the nurse advises the mother to implement which action in order to promote optimal health? Limit the amount of chocolate and caffeine products that are available in the home Which would the nurse identify as a situational crisis? Select all that apply. 1. Divorce 2. Loss of a job 3. Death of a loved one