Mental Health Exam 2

Question 1

VIDEBECK CHAPTER 13
1. Which behavior might the nurse assess in a 3-year-old child with
RAD?
a. Choosing the mother to provide comfort
b. Crying when the parents leave the room
c. Extreme resistance to social contact with parents and staff
d. Seeking comfort from holding a favorite stuffed animal

Answer 1

c. Extreme resistance to social contact with parents and staff

Question 2

VIDEBECK CHAPTER 13
2. Which intervention would be most helpful for a client with dissociative disorder having difficulty expressing feelings?
a. Distraction
b. Reality orientation
c. Journaling
d. Grounding techniques

Answer 2

c. Journaling

Question 3

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3. Which statement is true about touching a client who is experiencing a flashback?
a. The nurse should stand in front of the client before touching.
b. The nurse should never touch a client who is having a flashback.
c. The nurse should touch the client only after receiving permission to do so.
d. The nurse should touch the client to increase feelings of security.

Answer 3

c. The nurse should touch the client only after receiving permission to do so.

Question 4

VIDEBECK CHAPTER 13
4. Clients from other countries who suffered traumatic oppression in their native country may develop PTSD. Which of the following is least helpful in dealing with their PTSD? ( posttraumatic stress disorder)

A. assimilating quickly into the culture of their current country of residence.
B. Engaging in their native religious practices.
C. Maintaining a strong cultural identity.
D. Social support from an interpreter or fellow countrymen

Answer 4

A. assimilating quickly into the culture of their current country of residence.

Question 5

VIDEBECK CHAPTER 13
5. The nurse working with a client during a flashback says, “I know you’re scared, but you’re in a safe place. Do you see the bed in your room? Do you feel the chair you’re sitting on?” The nurse id’s using which of the following techniques?

A. Distraction
B. Reality orientation
C. Relaxing
D. Grounding

Answer 5

D. Grounding

Question 6

VIDEBECK CHAPTER 13
6. Nursing interventions for hospitalized clients with PTSD include

A. Encouraging a thorough discussion of the original trauma.
B. Providing private solitary time for reflection.
C. Time-out during flashback to regain self-control
D. Use of deep breathing and relaxation techniques

Answer 6

D. Use of deep breathing and relaxation techniques

Question 7

VIDEBECK CHAPTER 13
7. The nurse who is assessing a client with PTSD would expect the client to report which of the following? select all that apply

A. inability to relax
B. increased alcohol consumption
C. Insomnia even when very fatigued
D. Suspicious of strangers
E. Talking about problems to friends
F. Wanting to sleep all the time

Answer 7

A. inability to relax
B. increased alcohol consumption
C. Insomnia even when very fatigued
D. Suspicious of strangers

Question 8

VIDEBECK CHAPTER 13
8. Education for clients with PTSD should include which of the following? select all that apply

A. Avoid drinking alcohol
B. Discuss intense feelings only dieting counseling sessions.
C. Eat well- balanced. nutritious meals.
D. Find and join a support group in the community.
E. Get regular exercise, such as walking.
F. Try to solve an important problem independently.

Answer 8

A. Avoid drinking alcohol
C. Eat well- balanced. nutritious meals.
D. Find and join a support group in the community.
E. Get regular exercise, such as walking.

Question 9

VIDEBECK CHAPTER 14
1. The nurse observes a client who is becoming increasingly upset. He is rapidly pacing, hyperventilating, clenching his jaw, wringing his hands, and trembling. His speech is high-pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his other hand. The nurse identifies his anxiety level as

a. mild.
b. moderate.
c. severe.
d. panic

Answer 9

c. severe.

Question 10

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2. When assessing a client with anxiety, the nurse’s questions should be

a. avoided until the anxiety is gone.
b. open-ended.
c. postponed until the client volunteers information.
d. specific and direct.

Answer 10

d. specific and direct.

Question 11

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3. The best goal for a client learning a relaxation technique is that the client will

a. confront the source of anxiety directly.
b. experience anxiety without feeling overwhelmed.
c. report no episodes of anxiety.
d. suppress anxious feelings.

Answer 11

b. experience anxiety without feeling overwhelmed.

Question 12

VIDEBECK CHAPTER 14
4. Which of the four classes of medications used for panic disorder is considered the safest because of low incidence of side effects and lack of physiological dependence?

a. Benzodiazepines
b. Tricyclics
c. Monoamine oxidase inhibitors
d. SSRIs

Answer 12

d. SSRIs

Question 13

VIDEBECK CHAPTER 14
5. Which would be the best intervention for a client having a panic attack?

a. Involve the client in a physical activity.
b. Offer a distraction such as music.
c. Remain with the client.
d. Teach the client a relaxation technique.

Answer 13

c. Remain with the client.

Question 14

VIDEBECK CHAPTER 14
6. A client with GAD states, “I have learned that the best thing I can do is to forget my worries.” How would the nurse evaluate this statement?

a. The client is developing insight.
b. The client’s coping skills have improved.
c. The client needs encouragement to verbalize feelings.
d. The client’s treatment has been successful.

Answer 14

c. The client needs encouragement to verbalize feelings.

Question 15

VIDEBECK CHAPTER 14
7. A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client’s

a. motivation for treatment.
b. family and social support.
c. use of coping mechanisms.
d. use of alcohol.

Answer 15

d. use of alcohol.

Question 16

VIDEBECK CHAPTER 14
1. Interventions for a client with panic disorder would include
SATA

a. encouraging the client to verbalize feelings.
b. helping the client avoid panic-producing situations.
c. reminding the client to practice relaxation when anxiety level is low.
d. teaching the client reframing techniques.
e. teaching relaxation exercises to the client.
f. telling the client to ignore any anxious feelings.

Answer 16

a. encouraging the client to verbalize feelings.
c. reminding the client to practice relaxation when anxiety level is low.
d. teaching the client reframing techniques.
e. teaching relaxation exercises to the client.

Question 17

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1. A client with OCD is admitted to the hospital due to ritualistic hand washing that occupies several hours each day. The skin on the client’s
hands is red and cracked, with evidence of minor bleeding. The goal for this client is

a. decreasing the time spent washing hands.
b. eliminating the hand washing rituals.
c. providing milder soap for hand washing.
d. providing good skin care.

Answer 17

a. decreasing the time spent washing hands.

Question 18

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2. Which would be an appropriate intervention for a client with
OCD who has a ritual of excessive constant cleaning?

a. A structured schedule of activities throughout the day
b. Intense psychotherapy sessions daily
c. Interruption of rituals with distracting activities
d. Negative consequences for ritual performance

Answer 18

a. A structured schedule of activities throughout the day

Question 19

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3. Clients with OCD often have exposure/response prevention therapy. Which statement by the client would indicate positive outcomes for
this therapy?

a. “I am able to avoid obsessive thinking.”
b. “I can tolerate the anxiety caused by obsessive thinking.”
c. “I no longer have any anxiety when I have obsessive thoughts.”
d. “I no longer feel a compulsion to perform rituals.”

Answer 19

b. “I can tolerate the anxiety caused by obsessive thinking.”

Question 20

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The client with OCD has counting and checking rituals that prolong attempts to perform activities of daily living. The nurse knows that interrupting the client’s ritual to assist in faster task completion will likely result in

a. a burst of increased anxiety.
b. gratitude for the nurse’s assistance.
c. relief from stopping the ritual.
d. symptoms of depression or suicidality.

Answer 20

a. a burst of increased anxiety.

Question 21

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Interventions for a client with OCD would include
SATA

a. encouraging the client to verbalize feelings.
b. helping the client avoid obsessive thinking.
c. interrupting rituals with appropriate distractions.
d. planning with the client to limit rituals.
e. teaching relaxation exercises to the client.
f. telling the client to tolerate any anxious feelings.

Answer 21

d. planning with the client to limit rituals.
e. teaching relaxation exercises to the client.
f. telling the client to tolerate any anxious feelings.

Question 22

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1. A child is taking pemoline (Cylert) for ADHD. The nurse must be aware of which side effect?

a. Decreased thyroid-stimulating hormone
b. Decreased red blood cell count
c. Elevated white blood cell count
d. Elevated liver function tests

Answer 22

d. Elevated liver function tests

Question 23

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2. Teaching for methylphenidate (Ritalin) should include which
information?

a. Give the medication after meals.
b. Give the medication when the child becomes overactive.
c. Increase the child’s fluid intake when he or she is taking the
medication.
d. Check the child’s temperature daily.

Answer 23

a. Give the medication after meals.

Question 24

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3. The nurse would expect to see all the following symptoms in a child with ADHD, except

a. distractibility and forgetfulness.
b. excessive running, climbing, and fidgeting.
c. moody, sullen, and pouting behavior.
d. interrupting others and inability to take turns.

Answer 24

c. moody, sullen, and pouting behavior.

Question 25

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4. The nurse is teaching a 12-year-old with intellectual disability about medications. Which intervention is essential?

a. Speak slowly and distinctly.
b. Teach the information to the parents only.
c. Use pictures rather than printed words.
d. Validate client understanding of teaching.

Answer 25

d. Validate client understanding of teaching.

Question 26

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5. Which is used to treat enuresis?

a. Imipramine (Tofranil)
b. Methylphenidate (Ritalin)
c. Olanzapine (Zyprexa)
d. Risperidone (Risperdal)

Answer 26

a. Imipramine (Tofranil)

Question 27

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6. The nurse is assessing an adult client with ADHD. The nurse expects which to be present?

a. Difficulty remembering appointments
b. Falling asleep at work
c. Problems getting started on a project
d. Lack of motivation to do tasks

Answer 27

a. Difficulty remembering appointments

Question 28

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7. The nurse recognizes which as a common behavioral sign of autism?

a. Clinging behavior toward parents
b. Creative imaginative play with peers
c. Early language development
d. Indifference to being hugged or held

Answer 28

d. Indifference to being hugged or held

Question 29

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1. A nurse assessing a client with IED would expect which finding?

a. Blaming others for provoking angry outbursts
b. Difficulty coping with ordinary life stressors
c. Lack of remorse for aggressive behavior
d. Premeditated aggressive outbursts to get what the client wants

Answer 29

b. Difficulty coping with ordinary life stressors

Question 30

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2. Parents of a child with ODD are referred to a parent management training program. The parents ask the nurse what to expect from these sessions. The best response by the nurse is

a. “This is a method of parenting that involves negotiation of
responsibilities with your child.”
b. “This is a support group for parents to discuss the difficulties they
are having with their children.”
c. “You will have a chance to learn how to manage all of your child’s
negative behaviors.”
d. “You will learn behavior management techniques to use at home
with your child.”

Answer 30

d. “You will learn behavior management techniques to use at home
with your child.”

Question 31

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3. The nurse has completed teaching sessions for parents about conduct disorder. Which statement indicates a need for further teaching?

a. “Being consistent with rules at home will probably be a real
challenge for me and my child.”
b. “It helps to know that these problems will get better as my child gets older.”
c. “Real progress for our child is likely to take several weeks or even months.”
d. “We need to set up a system of rewards and consequences for our child’s behaviors.”

Answer 31

b. “It helps to know that these problems will get better as my child gets older.”

Question 32

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4. Which behavior is normal adolescent behavior?

a. Being critical of self and others
b. Defiant, negative, and depressed behavior
c. Frequent hypochondriacal complaints
d. Unwillingness to assume greater autonomy

Answer 32

a. Being critical of self and others

Question 33

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5. An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is

a. assertiveness training.
b. consistent limit setting.
c. negotiation of rules.
d. open expression of feelings.

Answer 33

b. consistent limit setting.

Question 34

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1. The nurse understands that effective limit setting for children includes

a. allowing the child to participate in defining limits.
b. consistent enforcement of limit by entire team.
c. explaining the consequences of exceeding limits.
d. informing the child of the rule or limit.
e. negotiation of reasonable requests for change in limits.
f. providing
(SATA)

Answer 34

b. consistent enforcement of limit by entire team.
c. explaining the consequences of exceeding limits.
d. informing the child of the rule or limit.

Question 35

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2. A 16-year-old with ODD is most likely to have difficulty in
relationships with
SATA

a. family friends.
b. law enforcement.
c. parents—mother or father or both.
d. peers of the same age group.
e. school superintendent.
f. store manager at work.

Answer 35

b. law enforcement.
c. parents—mother or father or both.
e. school superintendent.
f. store manager at work.

Question 36

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1. The nurse is talking with a woman who is worried that her mother has Alzheimer disease. The nurse knows that the first sign of dementia is

a. disorientation to person, place, or time.
b. memory loss that is more than ordinary forgetfulness.
c. inability to perform self-care tasks without assistance.
d. variable with different people.

Answer 36

b. memory loss that is more than ordinary forgetfulness.

Question 37

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2. The nurse has been teaching a caregiver about donepezil (Aricept). The nurse knows that teaching has been effective when the caregiver makes which statement?

a. “Let’s hope this medication will stop the Alzheimer disease from progressing any further.”
b. “It is important to take this medication on an empty stomach.”
c. “I’ll be eager to see if this medication makes any improvement in concentration.”
d. “This medication will slow the progress of Alzheimer disease
temporarily.”

Answer 37

d. “This medication will slow the progress of Alzheimer disease
temporarily.”

Question 38

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3. When teaching a client about memantine (Namenda), the nurse will include which information?

a. Lab tests to monitor the client’s liver function are needed.
b. Namenda can cause elevated blood pressure.
c. Taking Namenda will improve the client’s cognitive functioning.
d. The most common side effect of Namenda is gastrointestinal
bleeding.

Answer 38

b. Namenda can cause elevated blood pressure.

Question 39

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4. Which statement by the caregiver of a client newly diagnosed with dementia requires further intervention by the nurse?

a. “I will remind Mother of things she has forgotten.”
b. “I will keep Mother busy with favorite activities as long as she can participate.”
c. “I will try to find new and different things to do every day.”
d. “I will encourage Mother to talk about her friends and family.”

Answer 39

c. “I will try to find new and different things to do every day.”

Question 40

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5. A client with delirium is attempting to remove the IV tubing from his arm, saying to the nurse, “Get off me! Go away!” What is the client experiencing?

a. Delusions
b. Hallucinations
c. Illusions
d. Disorientation

Answer 40

b. Hallucinations

Question 41

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6. Which statement indicates the caregiver’s accurate knowledge about the needs of a parent at the onset of the moderate stage of dementia?

a. “I need to give my parent a bath at the same time every day.”
b. “I need to postpone any vacations for 5 years.”
c. “I need to spend time with my parent doing things we both enjoy.”
d. “I need to stay with my parent 24 hours a day for supervision.”

Answer 41

c. “I need to spend time with my parent doing things we both enjoy.”

Question 42

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7. Which of the following interventions is most appropriate in helping a client with early-stage dementia complete ADLs?

a. Allow enough time for the client to complete ADLs as
independently as possible.
b. Provide the client with a written list of all the steps needed to
complete ADLs.
c. Plan to provide step-by-step prompting to complete the ADLs.
d. Tell the client to finish ADLs before breakfast or the nursing
assistant will do them.

Answer 42

a. Allow enough time for the client to complete ADLs as
independently as possible.

Question 43

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8. A client with late moderate-stage dementia has been admitted to a long-term care facility. Which nursing intervention will help the client maintain optimal cognitive function?

a. Discuss pictures of children and grandchildren with the client.
b. Do word games or crossword puzzles with the client.
c. Provide the client with a written list of daily activities.
d. Watch and discuss the evening news with the client.

Answer 43

a. Discuss pictures of children and grandchildren with the client.

Question 44

VIDEBECK 24
1. When assessing a client with delirium, the nurse will expect to see
SATA

a. aphasia.
b. confusion.
c. impaired level of consciousness.
d. long-term memory impairment.
e. mood fluctuations.
f. rapid onset of symptoms.

Answer 44

b. confusion.
c. impaired level of consciousness.
f. rapid onset of symptoms.

Question 45

VIDEBECK 24
1. Interventions for clients with dementia that follow the psychosocial model of care include
SATA

a. asking the clients about the places where they were born.
b. correcting the any misperceptions or delusion.
c. finding activities that engage the clients’ attention.
d. introducing new topics of discussion at dinner.
e. processing behavioral problems to improve coping skills.
f. providing unrelated distractions when clients are agitated

Answer 45

a. asking the clients about the places where they were born.
c. finding activities that engage the clients’ attention.
f. providing unrelated distractions when clients are agitated

Question 46

The preferred psychological treatment method for managing an anxiety disorder is

behavioral therapy
electroshock therapy
medications
medication and behavioral therapy
psychoanalysis

Answer 46

behavioral therapy

Question 47

Behavioral therapy includes

gradually introducing the client to the avoided stimulus
ringing a bell
shocking the patient when they do the wrong thing
spanking

Answer 47

gradually introducing the client to the avoided stimulus

Question 48

Which of the following does not currently fall in the category of anxiety disorders?

anorexia nervosa
generalized anxiety
obsessive compulsive
panic with agoraphobia
panic without agoraphobia

Answer 48

anorexia nervosa

Question 49

What separates a “normal” anxiety response from the anxiety that leads to an anxiety disorder diagnosis?

level of functional impairment
cost of treatment for the problem
use of medication
psychiatric hospitalization

Answer 49

level of functional impairment

Question 50

Ms. J. has been consistently late for work. When questioned about what was causing the delay by her supervisor, she said that she just couldn’t decide which clothes were “safe” and not “contaminated.” She also said she had to check her apartment in a certain way to make sure she had turned everything off. Which diagnosis most likely would fit her?

agoraphobia
generalized anxiety disorder
obsessive compulsive disorder
post-traumatic stress disorder
social phobia

Answer 50

obsessive compulsive disorder

Question 51

Mrs. S has been to the emergency room, and states” I am going to die, or go crazy. Someone help me”. In addition, she complains of shortness of breath, tachycardia, sweating, tingling in her arms (bilateral). An EKG was normal. This is the third EKG she has had in the past 2 months. These physiological symptoms are most consistent with which anxiety disorder?

agoraphobia
generalized anxiety disorder
obsessive compulsive disorder
panic disorder
post-traumatic stress disorder

Answer 51

panic disorder

Question 52

Let’s say you are a nurse working in an outpatient clinic, you have done your assessment, and have recognized a client has an anxiety disorder diagnosis. What would be your next step in the process of helping the client, and the family?

begin medication consultation
educate the client about their illness
notify the case-worker for possible admission to a psychiatric hospital
start behavioral therapy
form a support group for the client

Answer 52

educate the client about their illness

Question 53

Mr. Hadley has been a faithful and loyal employee until this last year, when he started missing several days of work, and started getting numerous phone calls from his wife. He stated that she is afraid of being alone, and needs him to take her everywhere. The entire time he is at work, she wants him to return home. Her most likely diagnosis is

agoraphobia
generalized anxiety disorder
obsessive compulsive disorder
post-traumatic stress disorder
social phobia

Answer 53

agoraphobia

Question 54

An adolescent who is negative, defiant, and hostile toward authority figures to the extent that it interferes in academic and work settings, but does not break laws for engage in activity such as vandalism, delinquency, and violence would have which of the following diagnoses?

Attention Deficit Disorder
Autistic Disorder
Conduct Disorder
Oppositional Defiant Disorder

Answer 54

Oppositional Defiant Disorder

Question 55

What is the most important activity/intervention on an adolescent psychiatric unit, when within the group of clients nearly all have the diagnosis of Conduct Disorder? Keep in mind the safety issues for this group of clients.

Consistent limits and structure
Encouraging clients to talk about illegal behaviors
Friendly interaction about social topics
Teaching each client about “time-out” as the client is admitted

Answer 55

Consistent limits and structure

Question 56

Which of the following is a pervasive developmental disorder?

autistic disorder
encopresis
pica
Tourette’s

Answer 56

autistic disorder

Question 57

A mother is asking a pediatric nurse what she should do with the bedtime routine for her 6-year-old child diagnosed with ADHD. He won’t go to bed and seems to become more hyper as bedtime approaches. What advice should the nurse give to this mother?

Establish a bedtime routine and follow it regularly.
Give the child toys to play with in bed until he goes to sleep.
Leave the child alone in the bedroom until he becomes too tired to stay awake.
Talk with the doctor about changing the times to administer medication such as Ritalin.

Answer 57

Establish a bedtime routine and follow it regularly.

Question 58

A school nurse is administering methylphenidate (Ritalin) to a child with ADHD. The child starts to grab the medication while running through the nurse’s office. What is the best intervention to help the child focus and take the medication?

Explain why the child needs to slow down.
Give a firm, short instruction to stop, and watch the child take the medication.
Hold the child by the arm and tell him he cannot leave until he settles down.
Tell the child he is bad when he runs so fast.

Answer 58

Give a firm, short instruction to stop, and watch the child take the medication.

Question 59

An adolescent with Conduct Disorder is hospitalized briefly in a psychiatric unit. He is aggressive and threatening. Based on this data, what nursing diagnosis is most appropriate?

Ineffective Individual Coping
Noncompliance
Risk for Violence
Self-Esteem Disturbance

Answer 59

Risk for Violence

Question 60

The nurse is admitting an 85 y.o. female patient with a diagnosis of Alzheimer’s disease. She has been living with her 88 y.o. husband who can no longer care for her at home. She wanders at night, does not recognize family members or self and is very forgetful. She cannot perform ADLs. Which is the correct terminology to use to document these signs and symptoms?

aphasia, agnosia, amnesia
depression, dependence, mania
elation, dystonia, forgetfulness
somnolence, agitation, hallucinations

Answer 60

aphasia, agnosia, amnesia

Question 61

A delirious patient tells the nurse he is seeing spiders all over the wall. What is the best response by the nurse?

We don’t have spiders here.
It seems that way right now to you, but this should go away as you get better.
They’re not very big, so it’s alright.
Just try to go to sleep please.

Answer 61

It seems that way right now to you, but this should go away as you get better.

Question 62

It is important that family members understand that medications such as aricept will

Cure the patient of the Alzheimer’s Disease
Have a placebo effect on the patient
Temporarily improve symptoms of the disorder.
Reverse the damage in the brain

Answer 62

Temporarily improve symptoms of the disorder.

Question 63

An example of a complex cognitive skill is:

Balancing a checkbook
Following a recipe
Navigating a shopping mall
All of the above

Answer 63

All of the above

Question 64

Which of the following diagnoses are appropriate for a patient with Alzheimer’s disease?

Ineffective coping r/t lack of knowledge
Impaired communication r/t major depression
Self care deficits r/t cognitive impairment
Poor concentration r/t lack of motivation

Answer 64

Self care deficits r/t cognitive impairment

Question 65

Some common symptoms of dementia include

Aphasia, agnosia, apraxia, amnesia
Gradual, progressive decline of mental functioning seen in Alzheimer’s Disease
Wandering and restlessness
All of the above

Answer 65

All of the above

Question 66

Some common causes of delirium include

Electrolyte disturbances such as hyponatremia
Infections such as pneumonia
Reactions to medications such as narcotics and other drugs
All of the above

Answer 66

All of the above

Question 67

The nurse has a patient in late stage Alzheimer’s disease who is experiencing increasing agitation. The patient is screaming and saying she wants to stay with another patient whom she thinks is her sister. The patient’s sister died last year. The nurse’s best response is?

Reorient her regarding her sister’s death.
Respond to her feelings and distract her.
Insist that she go to dinner with you.
Place the patient in seclusion.

Answer 67

Respond to her feelings and distract her.

Question 68

A 90 year old patient in late stage Alzheimer’s Disease frequently becomes anxious at night and says she needs to leave to go feed her babies. What is the best intervention for the nurse to use?

Allow her to express feelings about her children and distract and redirect her.
Give her a benzodiazepine medication to get her to go to sleep early.
Reorient her to the fact that she is now 90 years old and has no babies to feed.
Place her in the seclusion room for the night.

Answer 68

Allow her to express feelings about her children and distract and redirect her.

Question 69

When checking registration and immediate recall while performing the mini mental status exam, the patient is asked to

Remember what they ate for breakfast
Remember a significant event in their past
Remember three unrelated objects that were mentioned a few minutes earlier
Remember what year it is currently

Answer 69

Remember three unrelated objects that were mentioned a few minutes earlier

Question 70

Delusions, wandering, and failure to recognize family members are seen in which stage of Alzheimers’s disease?

pre-disease
early
late
all stages

Answer 70

late

Question 71

The family of a patient with early stage Alzheimer’s disease asks the nurse for guidance in regard to planning for care of the patient. The nurse should inform them:

There really isn’t anything that can be done for the patient.
Planning now with advance directives is a good idea.
You must try to keep the patient out of long term care.
You should really worry when the patient reaches the late stage.

Answer 71

Planning now with advance directives is a good idea.

Question 72

The nurse is responding to the patient who has Alzheimer’s disease. He would like the patient to put on her slippers, get her BP taken, and then go to dinner. How should he communicate?

Keep directions detailed and numerous.
Paraphrase what he said if patient does not comprehend the first time.
Keep communication simple and provide visual cues such as carrying the BP cuff.
First ask the patient many questions to check orientation.

Answer 72

Keep communication simple and provide visual cues such as carrying the BP cuff.

Question 73

The best outcome for a delirious patient is:

Patient goes to a nursing home
Patient progresses to dementia
Patient will be maintained on many pain meds
Patient experiences removal of root cause of problem

Answer 73

Patient experiences removal of root cause of problem

Question 74

The group members in a group that you are leading share information each session with each other about their depression and grief and everyone is included in the discussion. The group content refers to the

fact that each member is included.
topics of depression and grief.
various group members.
leader of the group.

Answer 74

topics of depression and grief.

Question 75

Unless the group is able to develop this curative factor they typically are not able to move past the orientation phase. Name this curative factor.

Universality
Existential factors
Altruism
Cohesiveness

Answer 75

Cohesiveness

Question 76

The leader that includes all members in discussion and allows the group to make decisions about the flow and functioning of the group is typically described as

Democratic
Autocratic
Laissez-faire
Loose

Answer 76

Democratic