Mental health Exam 1 2024-2025 Edition. All Questions & Answers. Already Graded A+, Exams of Nursing

Download Mental health Exam 1 2024-2025 Edition. All Questions & Answers. Already Graded A+ and more Exams Nursing in PDF only on Docsity! Mental health Exam 1 2024-2025 Edition. All Questions & Answers. Already Graded A+ A 22-year-old college student is admitted to a hospital following a suicide attempt and states, "No one will ever love a loser like me." According to Erikson's theory of personality - ANSIntimacy vs. isolation A 4 year old child grabs a toy from their siblings, saying "I want that toy now:" The siblings cry, and the child's parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child's behavior as a product of impulses originating in the: - ANSId A client diagnosed with schizophrenia receives fluphenazine from a home health nurse. The client refuses the medication during one regularly scheduled home visit. Which nursing intervention is ethically appropriate? - ANSAllow the client to decline the medication, document the refusal and inform the provider A client diagnosed with schizophrenia refuses to take medication citing the right to autonomy. Under which circumstances would a nurse have the right to medicate the client ? - ANSA client physically attacks another client after being confronted in group therapy A client has been involuntarily admitted to an inpatient behavior health unit. During the admission. Which of the following rights does the patient still retains? (Select all that apply) - ANSThe right to informed consent - This was the only answer in my exam. Only one answer to choose The right to refuse medication A client is screaming at the nurse who is attempting to give him his medication. He is yelling and screaming in his room and any staff members who walks by. Which of the following statement ....? - ANS"Please stop screaming and walk with me outside." A client on an inpatient psychiatric unit suffering from major depression. He has poor appetite and poverty of speech. Which response by the nurse demonstrates offering self? - ANSI would like to sit with you for a while to help you get comfortable talking to me A client tells a nurse that he hates his doctor and plans to hurt the doctor, but she did not report this prior to leaving. When the nurse returns to work the next day, she finds that the physician has been brutally beaten by the client and the physician is hospitalized. Which of the following best represents the nurse's failure to act by not reporting the client's intent? - ANSNegligence A client tells the nurse " I feel bad because my mother does not want to return home after I leave the hospital. Which nursing response is most therapeutic? - ANSYou feel that your mother does not want you to come back home? A client thought to be cheecking/pocketing their medication is prescribed lithium 900 mg BID. The syrup contains 300 mg lithium per 5 ml. At 0800, how many milliliters would the nurse administer. (Record as a whole number) - ANS900 mg/1 * 5ml/300 mg = 15 ml A client was transferred to the inpatient behavioral health unit due to a car accident that was planned. Which of the following has the nurse been completing on daily basis to check the client's cognitive status? - ANSMental status Examination A client with paranoid schizophrenia believes evil spirits are being summarized by a local minister and verbally threatened to bomb to local church. The psychiatrist notifies the minister. What is the basis for this action? - ANSDemonstrated the duty to warn and protect. A male client frequently inquires about the female students nursing boyfriend social activities and school experiences. Which is the best initial response by the student? - ANSShe limits sharing personal information and stresses the client focus of the conversation A mental health technician asks the nurse, "How do psychiatrist determine which diagnostic to give a client? Know which is the nurse's best response. - ANSPsychiatrists use criteria from the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM-5). A mother who is notified that her child was killed in a tragic car accident states, " I can't bear to people taking these medication Selective Serotonin Reuptake Inhibitors (SSRI) - Can lead to serotonin syndrome if with St. John's Wort During an intake assessment, a nurse asks both physiological and psychosocial questions, The client angrily responds, "I'm here for my heart, not my head problems." What are the nurse's best response? - ANSPsychological factors, like excessive stress, have been found to affect medical conditions." During an intake interview, which question would assist the nurse in gathering data about the client's judgement? - ANS"If you found a stamped, addressed envelope in the street, what would you do?" During the recent counseling session with a depressed client, the psychiatric nurse observes sign of transference. Which statement by the client would indicate that the nurse is correct? - ANSYou sure do remind me of my mom Identify the following theorist to the theory or concept related to them. - ANSSigmund Feud - Id, Ego, Superego B. F. Skinner - Classic and operant conditioning A. Maslow - Hierarchy of Needs Aaron Beck - Automatic thoughts and cognitive In a psychiatric in-patient setting, the nurse observes an adolescent client's peer calling the client names. In this context which statement by the nurse exemplifies the concept of empathy? - ANS"I can see that you are upset. I am here to listen if you would like to talk". In the shift report, a nurse is going off and criticizes a client who wears heavy make up & c/o her attitude. Which comment by the nurse receiving the report best demonstrate proper response? - ANSOurs client need our help to learn behaviors that will help them get along in treatment. In treatment of anxiety disorders, benzodiazepines are indicated for ___ use and have ___ - ANSShort term; high The nurse is performing a mental status assessment on an elderly nursing home resident. The client is alert and oriented to person, place and time, the nurse is addressing which part of the.... - ANSLevel of consciousness The nurse recognizes which need as the priority concern according to Maslow's Hierarchy of needs? - ANSA client exhibiting aggressive behavior toward another client The nurse, working on an in-patient psychiatric unit, show an understanding of therapeutic milieu by which of the following actions. - ANSHaving the client decide when group therapy will occur. Which client action should a nurse expect during the working phase of the nurse-client relationship? - ANSThe client gains insight and incorporates alternative behaviors. Which expected client outcome should a nurse identify as being correctly formulated as a fully develop SMART? - ANSClient will initiate interaction with one peer during free time within 2 days. Which is a goal for orientation phase of the nurse-client relationship - ANSestablish trust Which nontherapeutic communication technique is used in the following example? Client, "I and .... discharge". Nurse: Why? you should be happy to leave. - ANSMinimizing feelings Which of the following classification of medication are utilized to treat depression? (Select all that apply). - ANSSelective serotonin reuptake inhibitors (SSRIs). Tricyclic antidepressants Monoamine oxidase inhibitors Which of the following indicate that the integrity of the nurse-client relationship may be in jeopardy? (Select all that apply). - ANSAllowing the client to color a picture for the nurse Requesting to be reassigned to a particular client Contacting the client after discharge. Which of the following should the nurse plan to include In the assessment of an older adult client? - ANSIdentify physical needs and necessary accommodations for this client Which situation violates the ethical of veracity? - ANSA nurse tricks a client into seclusion by asking the client to carry linen to the seclusion room Which statement should the nurse identify as correct regarding a client's right to refuse medication? - ANSProfessionals can override treatment refusal by an actively suicidal or homicidal client.