Saunders - Mental Health Questions with correct
detailed answers
A client asks the nurse about the meaning of behavioral therapy. Which
description describes the purpose of behavioral therapy?
1. Fosters positive behavioral change
2.Develops structure and organizes time
3.Creates insight into maladaptive behavior
4.Decreases stress through relaxation training - Answer:
1. Fosters positive behavioral change
Rationale:
The purpose of behavioral therapy is to create effective changes in behavior.
Developing structure and organizing time describe aspects of milieu
management. Insight is a useful outcome of psychotherapy but does not always
result in behavior change. Relaxation training is a treatment modality effective
for reducing stress.
A client diagnosed with depression says to the nurse, "Things would be so much
better for everyone if I just weren't around." Which response should the nurse
make at this time to assess the client's state of mind?
1."You sound very unhappy. Are you thinking of harming yourself?"
2."Have you talked to anyone specifically about what is bothering you?"
3."Those feelings will go away when your medication really takes effect."
4."I know what you mean; everyone gets that way when they are depressed." -
Answer:
1."You sound very unhappy. Are you thinking of harming yourself?"
Rationale:
Clients who are depressed may be at higher risk for suicide. When clients make
statements such as the one in the question, it is critical for the nurse specifically
to assess suicidal ideation and plan. The best method is to ask the client directly
,about whether a specific plan has been formed. The incorrect options either do
not address the client's concern or place the client's feelings on hold.
The nurse monitors a client diagnosed with anorexia nervosa understanding
that the client manages anxiety by which action?
1.Engaging in self-mutilating acts
2.Observing rigid rules and regulations
3.Always reverting to the independent role
4.Constantly striving to avoid making decisions - Answer:
2. Observing rigid rules and regulations
Rationale:
Clients with anorexia nervosa have the desire to please others. Rules and rituals
help them manage their anxiety. Their need to be correct or perfect interferes
with rational decision-making processes. These clients generally don't engage
in self-mutilation
Which behavior in a client with schizophrenia demonstrates the client's
cognitive inability to appropriately process data from external stimuli?
1.The client remains in the same physical position for hours.
2.The client is convinced that the curtains are actually ghosts.
3.The client looks for a cat when someone says, "It's raining cats and dogs."
4.The client repeatedly asks, "Can you see my dead sister over by the door? -
Answer:
2.The client is convinced that the curtains are actually ghosts.
Rationale:
A delusion is a personal belief that is the product of dysfunctional processing of
information derived from external reality. This cognitive processing dysfunction
is the basis of schizophrenia. Catatonia is a stuporous state that renders the
client incapable of physical movement. Magical thinking is a result of concrete
thinking that causes the client to interpret a statement literally. Hallucinations
are the result of distortions in perceptions of the senses, but they are not reliant
on internal or external stimuli
The nurse should be prepared to manage which occurrence unique to the abuse
of hallucinogenic drugs?
1.Flashbacks
2.Amotivational syndrome
3.Enhanced physical strength
4.Absence of pain perception - Answer:
1. Flashbacks
, Rationale:
Flashbacks, the recurrence of perceptual distortions, are unique to the use of
hallucinogenic drugs. Enhanced physical strength and the inability to feel pain
are indicative of phencyclidine use, whereas marijuana abuse can result in
amotivational syndrome
During a nursing interview, a client says, "My daughter was murdered. I can't
help wondering if her husband killed her, but he's been eliminated as a suspect."
Which statement is a therapeutic nursing response?
1."I agree. What do you want to bet he did it?"
2."Have you shared your concerns with the police?"
3."I don't think that you should blame yourself one little bit."
4."It feels terrible to lose a daughter. Your suspicions are only natural." - Answer:
2."Have you shared your concerns with the police?"
Rationale:
The correct option addresses the subject of the client's statement. Avoid options
that identify the process of agreeing with the client. The option of telling the
client not to blame themselves is not directly related to the subject of the client's
statement.
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I
wish my family would stop hoping for a cure! I get so angry when they carry on
like this. After all, I'm the one who's dying." Which response by the nurse is
therapeutic?
1."Have you shared your feelings with your family?"
2."I think we should talk more about your anger with your family."
3."You're feeling angry that your family continues to hope for you to be cured?"
4."You are probably very depressed, which is understandable with such a
diagnosis." - Answer:
3."You're feeling angry that your family continues to hope for you to be cured?
Rationale:
Restating is a therapeutic communication technique in which the nurse repeats
what the client says to show understanding and to review what was said. While it
is appropriate for the nurse to attempt to assess the client's ability to discuss
feelings openly with family members, it does not help the client to discuss the
feelings causing the anger. The nurse's direct attempt to expect the client to talk
more about the anger is premature. The nurse would never make a judgment
detailed answers
A client asks the nurse about the meaning of behavioral therapy. Which
description describes the purpose of behavioral therapy?
1. Fosters positive behavioral change
2.Develops structure and organizes time
3.Creates insight into maladaptive behavior
4.Decreases stress through relaxation training - Answer:
1. Fosters positive behavioral change
Rationale:
The purpose of behavioral therapy is to create effective changes in behavior.
Developing structure and organizing time describe aspects of milieu
management. Insight is a useful outcome of psychotherapy but does not always
result in behavior change. Relaxation training is a treatment modality effective
for reducing stress.
A client diagnosed with depression says to the nurse, "Things would be so much
better for everyone if I just weren't around." Which response should the nurse
make at this time to assess the client's state of mind?
1."You sound very unhappy. Are you thinking of harming yourself?"
2."Have you talked to anyone specifically about what is bothering you?"
3."Those feelings will go away when your medication really takes effect."
4."I know what you mean; everyone gets that way when they are depressed." -
Answer:
1."You sound very unhappy. Are you thinking of harming yourself?"
Rationale:
Clients who are depressed may be at higher risk for suicide. When clients make
statements such as the one in the question, it is critical for the nurse specifically
to assess suicidal ideation and plan. The best method is to ask the client directly
,about whether a specific plan has been formed. The incorrect options either do
not address the client's concern or place the client's feelings on hold.
The nurse monitors a client diagnosed with anorexia nervosa understanding
that the client manages anxiety by which action?
1.Engaging in self-mutilating acts
2.Observing rigid rules and regulations
3.Always reverting to the independent role
4.Constantly striving to avoid making decisions - Answer:
2. Observing rigid rules and regulations
Rationale:
Clients with anorexia nervosa have the desire to please others. Rules and rituals
help them manage their anxiety. Their need to be correct or perfect interferes
with rational decision-making processes. These clients generally don't engage
in self-mutilation
Which behavior in a client with schizophrenia demonstrates the client's
cognitive inability to appropriately process data from external stimuli?
1.The client remains in the same physical position for hours.
2.The client is convinced that the curtains are actually ghosts.
3.The client looks for a cat when someone says, "It's raining cats and dogs."
4.The client repeatedly asks, "Can you see my dead sister over by the door? -
Answer:
2.The client is convinced that the curtains are actually ghosts.
Rationale:
A delusion is a personal belief that is the product of dysfunctional processing of
information derived from external reality. This cognitive processing dysfunction
is the basis of schizophrenia. Catatonia is a stuporous state that renders the
client incapable of physical movement. Magical thinking is a result of concrete
thinking that causes the client to interpret a statement literally. Hallucinations
are the result of distortions in perceptions of the senses, but they are not reliant
on internal or external stimuli
The nurse should be prepared to manage which occurrence unique to the abuse
of hallucinogenic drugs?
1.Flashbacks
2.Amotivational syndrome
3.Enhanced physical strength
4.Absence of pain perception - Answer:
1. Flashbacks
, Rationale:
Flashbacks, the recurrence of perceptual distortions, are unique to the use of
hallucinogenic drugs. Enhanced physical strength and the inability to feel pain
are indicative of phencyclidine use, whereas marijuana abuse can result in
amotivational syndrome
During a nursing interview, a client says, "My daughter was murdered. I can't
help wondering if her husband killed her, but he's been eliminated as a suspect."
Which statement is a therapeutic nursing response?
1."I agree. What do you want to bet he did it?"
2."Have you shared your concerns with the police?"
3."I don't think that you should blame yourself one little bit."
4."It feels terrible to lose a daughter. Your suspicions are only natural." - Answer:
2."Have you shared your concerns with the police?"
Rationale:
The correct option addresses the subject of the client's statement. Avoid options
that identify the process of agreeing with the client. The option of telling the
client not to blame themselves is not directly related to the subject of the client's
statement.
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I
wish my family would stop hoping for a cure! I get so angry when they carry on
like this. After all, I'm the one who's dying." Which response by the nurse is
therapeutic?
1."Have you shared your feelings with your family?"
2."I think we should talk more about your anger with your family."
3."You're feeling angry that your family continues to hope for you to be cured?"
4."You are probably very depressed, which is understandable with such a
diagnosis." - Answer:
3."You're feeling angry that your family continues to hope for you to be cured?
Rationale:
Restating is a therapeutic communication technique in which the nurse repeats
what the client says to show understanding and to review what was said. While it
is appropriate for the nurse to attempt to assess the client's ability to discuss
feelings openly with family members, it does not help the client to discuss the
feelings causing the anger. The nurse's direct attempt to expect the client to talk
more about the anger is premature. The nurse would never make a judgment
