MH Exam 1 Review

A nurse is caring for a group of clients in a mental health facility. Which of the following clients recommend 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

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?

• You are feeling drawn in two different directions.

• Don't worry. We'll take good care of your father while you are gone.

• Perhaps you could stay here and just call your family to see how they are doing.

• There's nothing you can do here. You should go home to your family.

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?

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

• It's not unusual for people who have depression to feel this way.

• Why do you feel you are worthless?

• You have a great deal to live for.

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?

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

• "It might help you feel better if you talk about it."

• "I understand. I've felt like that before, too."

• "Why are you feeling so down?"

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.

• It enables clients to see that other individuals have mental health issues.

• It is economical, since one staff member can treat many clients at once.

• It provides a forum to reinforce client teaching regarding medication administration.

A nurse is an acute care facility is caring for an older adult client who is being discharged to an extended-care nursing facility the next day. The client asks, “Why do I have to go to that place?” Which of the following responses should the nurse make?

• Your doctor feels that this is the best place for you right now.

• Why don’t you ask your doctor about that when he comes in to see you?

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

• Your family can’t take care of you at home, so you will need to go there.

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?

• 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.

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?

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

• Recognize the attempt at manipulation and escort the client back to her activity.

• Assist the client to her room and allow her to rest before resuming activity.

• Notify the client’s family and request a visitor to stay with the client until thoughts of suicide are gone.

A nurse is caring for a client who reports acute anxiety. Which of the following actions should the nurse take first?

• Remain with the client.

• Provide an activity for diversion.

• Encourage verbalization of feelings.

• Have the client identify two coping skills.

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