RN Mental Health Online Practice 2019 B With NGN Questions With Complete Solutions

RN Mental Health Online Practice 2019 B With NGN Questions With Complete Solutions A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should the nurse make? A) "It appears as though you would like to open the door." B) "You will feel more comfortable after you've been here for a while." C) "It is okay to not want to be here." D) "You really shouldn't be pushing on the door." [Correct Ans: - A This statement is an example of the therapeutic technique of making observations. This technique encourages the client to notice the behavior so that they can describe thoughts and feelings related to that behavior. A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of her illness? A) "I am going to order a wheelchair for when I'm unable to walk." B) "I am going to stop paying my bills since I won't be around much longer." C) "I wish you would go take care of somebody who actually needs you." D) "I am sure I'm going to be able to continue to care for myself without help." [Correct Ans: - A The client is recognizing the reality of continued loss of independence and is anticipating the need for assistive devices, which indicates the behavioral response of acceptance. A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the treatment team? A) Calling family members B) Spending time alone C) Giving away possessions D) Excessive crying [Correct Ans: - C Giving away possessions indicates that this client is at greatest risk for suicide. Therefore, this is the priority finding for the nurse to report to the treatment team. A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of acute mania. Which of the following findings should the client's partner report to the provider? A) Obsessive attention to detail B) Inability to sleep C) Reports of fatigue D) Isolation from others [Correct Ans: - B During acute mania, the client is extremely active and does not sleep, which can lead to exhaustion. Therefore, the nurse should instruct the partner to report this finding. A nurse on an acute mental health facility is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first? A) A client who does not recognize familiar people B) A client who cannot verbalize their needs C) A client who is awake and disoriented at night D) A client who is experiencing delusions of persecution [Correct Ans: - D The presence of delusions of persecution indicates that this client is at the greatest risk for injury due to the client's belief that a person in power is out to harm them. Therefore, the nurse should assess this client first.