Mental health Final Review

The nurse is reviewing the medical history of a patient receiving Electroconvulsive Therapy (ECT). Which finding would the nurse identify as a priority?

• Severe Depression

• Cardiac arrhythmias 

• Obsessive Compulsive disorder 

• Bipolar Disorder

A nurse is caring for an alcohol-intoxicated client admitted to the emergency department. Which intervention is most important when caring for the client?

• Touch and calm the client frequently.

• Monitor the level of consciousness of the client.

• Monitor the client for an increase in respiratory rate.

• Encourage the client to watch television as a distraction.

Many substance users use defense mechanisms to cope with their stress. Which defense mechanisms are pertinent to substance use?

• Rationalization

• Displacement

• Sublimation

A client with dementia at the long-term care facility states to the nurse, “I want to go home.” What is the best response by the nurse?

• “You can't live at your house anymore, it isn't safe.”

• “You are safe here. Would you like to eat lunch?”

• “No one can take care of you at home anymore.”

• “You can't live at your house anymore, it isn't safe.”

A nurse is contributing to the plan of care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention?

• Assist the client with systematic desensitization therapy.

•  Reinforce the use of the client appropriate coping mechanisms.

• Check the client for comorbid health conditions.

• Monitor the client for adverse effects of medications.

A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short‑staffed, and the client frequently fights with other clients. The nurse’s actions are an example of which of the following torts? 

•  Invasion of privacy

• False imprisonment

• Assault

• Battery

This level of anxiety is precipitated by an imminent loss or change that threatens one’s sense of security

• Acute Anxiety 

• Chronic Anxiety 

• Panic Anxiety 

• Normal Anxiety 

A nurse is communicating with a client who was admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?

• Giving information

• Offering advice

• Reflecting

• Listening attentively

A parent brings her 2-year-old child to the emergency department frequently, reporting seizure activity that has not been witnessed by anyone other than the parent. Diagnostic tests reveal no organic cause. What should the nurse monitor the parent for?

• Obsessive-compulsive disorder

• Posttraumatic stress disorder

• Borderline personality disorder

• Munchausen syndrome by proxy

A nurse is caring for a client diagnosed with Wernicke–Korsakoff syndrome. The nurse observes rapid eyeball movement from side to side. Which term should the nurse use to document rapid eyeball movement from side to side in the client?

• Delirium tremens

• Palmar erythema

• Spider angioma

• Horizontal nystagmus