Overview of Psychiatric-Mental Health Nursing NCLEX with complete solutions

The client states, "Who is confused? He said I should go, but I didn't. Is that weird?" Which response by the nurse would be best to clarify the client's statement? A. How did you feel before you talked to him? B. When did you first notice yourself feeling confused? C. Did he indicate to you exactly what he meant? D. I don't understand. Can you explain in another way? D During the initial interview with a client, the nurse begins to feel uncomfortable and realizes the client's behavior and mannerisms remind the nurse of the nurse's abusive parent. The nurse concludes that the current situation represents which phenomenon? A. Transference B. Countertransference C. Denial D. Reaction formation B 00:02 01:17 A client asks the nurse what to do about leaving the spouse. The nurse replies "Why are you having trouble making a decision? It's easy to see that you should file for divorce." The nurse manager overhearing the conversation would counsel this nurse because the nurse's response: (Select all that apply) A. Restricts the client's opportunity for self-exploration & problem solving skills B. Belittles the client & the client's indecisiveness C. Challenges the client's belief system D. Assumes that the client is incapable of reaching an independent decision A,B,D While communicating with a client, the nurse decides to provide the client with feedback. The primary reason for this is that giving appropriate feedback makes it possible for the nurse to: A. Present advice B. Explore feelings C. Provide information D. Explain behavior C The nurse assesses a client as being on the mental health end of the mental health/mental illness continuum. Which statement by the client best supports this assessment? (Select all that apply) A. I am satisfied with my life and life choices B. My family thinks that I am a good person C. I'm an average person leading a normal average life. D. I've always thought I should have been more sucessful A,C A newly admitted adult client says, "No, I don't want that medicine. I won't take it." The nurse says, "Take it. It's good medicine." The nurse then places the cup in front of the client's mouth and forcefully presses it against the client's lips. In counseling this nurse, what important legal principles can be applied to the nurse's action? (Select all that apply) A. If a client does not object a second time, a nurse can administer the medication B. If treatment is given without consent, legal charges of battery can be filed C. Clients have the right to be treated in the least restrictive manner possible D. Clients, unless declared legally incompetent, have the right to refuse medication B,D A client presents at a crisis clinic with reports of having crying spells and overwhelming feelings of loss. The client further relates that this extreme distress began one week ago when the client's parent developed an acute physical illness & died. The client speaks clearly and descriptively about the illness & death & verbalizes feelings readily. The nurse interprets that the client's behaviors suggest the client: A. Has suffered irreversible psychological damage B. Is a candidate for long-term psychotherapy C. Is highly anxious and depressed D. Is a good candidate for short-term, focused psychotherapy D A client has purposefully attempted to embarrass a nurse by making a sexually explicit comment. The best response by the nurse is to: A. Clarify the intention of the client B. Leave the situation altogether C. Refuse to talk with the client any further D. Continue to interact as if the comments did not cause embarrassment A An emergency psychiatric client presents with amnesia, hyperthermia, & unexplained loss of appetite. Accompanying family members state that the client suffered a head injury while falling from a ladder several days before. The nurse concludes that the client's symptoms are consistent with trauma to which area of the brain? A. Thalamus B. Hypothalamus C. Cerebrum D. Cerebellum B