MH Exam 1 Review

Front

A nurse is caring for a group of clients in a mental health facility. Which client should the provider see first? A client taking clozapine who has a sore throat and mild fever. A client taking chlorpromazine who is napping frequently throughout the day. A client taking risperidone who has gained 5 lb in 3 weeks. A client taking olanzapine who experiences dizziness upon standing.

Back

A client taking clozapine who has a sore throat and mild fever.

Front

A nurse is caring for an older adult client admitted to the hospital following a cerebrovascular accident. The client's daughter tells the nurse, "I wish I could stay with my father, but I need to go home to my family." Which of the following responses should the nurse make?

Back

You are feeling drawn in two different directions.

Front

A client who is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?

Back

You've been feeling that your life has no meaning.

Front

A nurse observes that a client is sitting alone in her room crying. As the nurse approaches, she states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses is appropriate for the nurse?

Back

"I'll just sit here with you for a few minutes then."

Front

A nurse on a mental health unit is assisting with several group therapy sessions. The nurse should include which of the following information about using group therapy as a treatment method? It establishes a situation where the client can relate to others and share perceptions.

Back

It establishes a situation where the client can relate to others and share perceptions.

Front

A nurse is caring for an older adult client who is being discharged to an extended-care nursing facility. The client asks, “Why do I have to go to that place?” What should the nurse respond?

Back

What have you been told about going to the new facility?

Front

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate? Options: You really need to follow the rules of the unit and get out of bed. If you do not get out of bed, you will not receive your meal. I will help you sit up and get your slippers on. You should rest in bed until you feel able to take part in unit activities.

Back

I will help you sit up and get your slippers on.

Front

A nurse is caring for a client three days after admission to an acute care mental health facility for treatment of major depression. The client leaves her current activity, approaches the nurse and states, “There’s no reason to go on living. I just want to end it all.” Which of the following nursing interventions is appropriate?

Back

Ask the client if she has a plan to commit suicide.

Front

A nurse is caring for a client who reports acute anxiety. Which action should the nurse take first? Options: Remain with the client, Provide an activity for diversion, Encourage verbalization of feelings, Have the client identify two coping skills.

Back

Remain with the client.

Front

A nurse is collecting data on a client who is experiencing chronic stress. Which of the following is an expected finding? Hypotension, Viral infection, Increased energy, Increased cognitive awareness

Back

Viral infection