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NUR 3235C Clinical Reasoning: Mental Health Final Exam Review Q & A 2024 (Complete And Verified Study material)

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NUR 3235C Clinical Reasoning: Mental Health Final Exam Review Q & A 2024 (Complete And Verified Study material)

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NUR 3235C Clinical Reasoning: Mental Health
Final Exam Review Q & A 2024 (Complete And
Verified Study material)



1. A patient with schizophrenia is prescribed clozapine. Which of the
following side effects should a nurse prioritize for monitoring? - A)
Sedation - B) Weight gain - C) Agranulocytosis - D) Constipation
Answer: C) Agranulocytosis
A nurse is caring for a patient experiencing a manic episode. Which
of the following interventions is most appropriate? - A) Encouraging
participation in group activities - B) Providing a quiet and structured
environment - C) Challenging the patient's unrealistic beliefs - D)
Promoting lengthy conversations about personal issues Answer: B)
Providing a quiet and
3. When assessing a patient with depression, which of the following
symptoms would indicate a risk of suicide? - A) Hypersomnia - B)
Anhedonia - C) Sudden mood improvement - D) Decreased appetite
Answer: C) Sudden mood improvement Rationale: A sudden mood
improvement can be a sign that a patient has made a decision to
commit suicide and may appear less depressed.
What is evidence-based counseling? - ✔✔ANSWER✔✔-Counseling
interventions based on outcome research.


What does NBCC stand for? - ✔✔ANSWER✔✔-The National Board
for Certified Counselors

,What are the five moral principles that form the foundation for
ethical guidelines? - ✔✔ANSWER✔✔-Autonomy, Nonmaleficence,
Beneficence, Justice, and Fidelity


Counselors need to be aware of their own ____________ to
effectively work with clients from diverse backgrounds. -
✔✔ANSWER✔✔-Beliefs, attitudes, and feelings associated with
cultural differences


Which acronym is used to help counselors systematically consider
various cultural influences, and what does this acronym stand for? -
✔✔ANSWER✔✔-Age & generational influences
Developmental disabilities
Disabilities acquired later in life
Religion (and/or spirituality)
Ethnicity (may include race)
Social status (or social class)
Sexual orientation
Indigenous heritage
National origin
Gender (and gender socialization)
(ADDRESS)

,The counseling process and the direction it will take are influenced
by the ________ of the client's presenting problem. -
✔✔ANSWER✔✔-Seriousness


What is the primary goal of assessment in counseling? -
✔✔ANSWER✔✔-To collect data about client's behaviors,
characteristics, and contexts that will facilitate clinical decision
making and evaluation.


The Wellness Wheel, a holistic theoretical model of wellness, is used
to ____________________. - ✔✔ANSWER✔✔-Understand
individuals from a holistic perspective.


What is the purpose of client outcome evaluation? -
✔✔ANSWER✔✔-To evaluate treatment and outcomes with specific
clients.


Assessing suicidality is an important reality for clinicians to
understand. What acronym is used to help assess suicidality, and
what does it stand for? - ✔✔ANSWER✔✔-Specificity: How detailed
and specific are the plans for suicide?
Lethality: How deadly are the means that the client plans to use?
Access to means: How available are the means for suicide?
Proximity of social support: How close by are safe people who can
provide support and/or assistance.
SLAP

, Which types of groups, discussed in the textbook, have training
standards developed by the ASGW? - ✔✔ANSWER✔✔-
Psychoeducational
Counseling
Psychotherapy
Task/Work


Identify at least one of the family counseling approaches described in
the text. - ✔✔ANSWER✔✔-Psychodynamic
Behavioral
Brief solution-focused
Strategic
Structural
Narrative


The transition framework provides a way of understanding pivotal
events and nonevents that people encounter throughout a lifetime.
Identify the three transition terms described in the textbook, and
what they mean. - ✔✔ANSWER✔✔-Anticipated transition:
normative or expected
Unanticipated transition: unexpected; positive or negative
Nonevent transition: expected, but do not occur


Treatment plans help set the course for counseling, are required by
managed care, and explain what will take place in counseling. What
is included in a treatment plan, and what does each section mean? -

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