RASMUSSEN MENTAL HEALTH FINAL REVIEW EXAM LATEST REAL EXAM

RASMUSSEN MENTAL HEALTH FINAL REVIEW EXAM LATEST REAL EXAM A A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make? A. "I wonder if you are fearful of dying alone." B. "We will call your family in time for them to get here." C. "I will make sure a staff member is in your room at all times." D. "I will tell your family of your concern so that they can be here." D A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make? A. "Have you talked to your parents about this yet?" B. "How long has this been going on?" C. "Why do you think you are so anxious?" D. "It sounds like you're having a difficult time." B A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make? A. "Of course people care. Your family comes to visit every day." B. "I care about you, and I am concerned that you feel so sad." C. "Why do you feel that way?" D. "Tell me who you think doesn't care about you." A A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors? A. Plan the client's schedule to allow time for rituals. B. Isolate the client for a period of time. C. Confront the client about the senseless nature of the repetitive behaviors. D. Set strict limits on the behaviors so that the client can conform to the unit rules and schedules. C A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms? A. Projection B. Conversion C. Undoing D. Regression C A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment? A. "I can try participating in group therapy every week." B. "I will join a book club in my neighborhood." C. "I plan to sit on a park bench for a few minutes each day." D. "I should avoid entering elevators and other closed spaces." D A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority? A. Lock the doors to the unit and secure windows so they cannot be opened. B. Provide the client with plastic eating utensils for meals. C. Remove any objects from the client's environment that could be used for self-harm. D. Assign a staff member to stay with the client at all times. D A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client? A. Disclose some personal information to the client to demonstrate approachability. B. Wait for the client to initiate interaction. C. Approach the client frequently throughout the day for brief interactions. D. Adopt a neutral attitude when providing care. C A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations? A. Attention-seeking conduct B. Mild difficulty problem solving C. Threatening behavior D. Mild fidgeting A A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make? A. "I'll just sit here with you for a few minutes then." B. "It might help you feel better if you talk about it." C. "I understand. I've felt like that before, too." D. "Why are you feeling so down?" B A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hr hold is over for which of the following conditions? A. The client is unwilling to accept that treatment is needed. B. The client is a danger to herself or others. C. The client states that she does not like the neighbor. D. The client states that she plans to move out of the state immediately. B A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response? A. "Did your husband say something to upset you?" B. "Tell me what is concerning you." C. "Your husband is making really good progress." D. "Crying helps us let things out and we feel better." A A nurse is caring for a client who is depressed and refuses to participate in group therapy, or perform activities of daily living. Which of the following nursing statements by the nurse is appropriate? A. "I will assist you in getting out of bed and getting dressed." B. "You can remain in bed until you feel well enough to join the milieu." C. "The unit rules state that you may not remain in bed." D. "If you don't participate in your care, you will not get better." D