MH Flashcards
A nurse is attempting to develop rapport with a client. The nurse understands that the rationale for the use of therapeutic communication between nurse and client is to
Build a relationship that will allow for expression of mutual concerns.
A nurse is caring for a client diagnosed with drug dependency and experiencing the physical effects of withdrawal. Which of the following is the appropriate nursing response?
“I’m sure what you’re experiencing is painful; would you like to take a warm bath to help ease the aches and pain?”
A nurse is caring for a client diagnosed with paranoid personality disorder who reports difficulty sleeping. Which of the following is an appropriate nursing intervention in this situation?
Administer a hypnotic 30 min prior to bedtime.
A nurse is working with a client who has schizophrenia who has been taking chlorpromazine (thorazine) 100 mg BID for 4 days. The nurse evaluates which of the following findings as therapeutic for this client?
The client reports hallucinations occur less frequently.
A nurse is caring for a client admitted with a diagnosis of suicidal ideation. Which of the following assessments should the nurse perform?
Symptoms of depression
A nurse is caring for a client admitted to the hospital for extreme agitation and feels that pacing the floor a specific number of times is necessary or “ something bad will happen”. Which of the following is the appropriate response by the nurse?
“It might help if we talked about why you find it necessary to pace the floor”.
A nurse is preparing to care for an older adult client who has been diagnosed with stage 6 Alzheimer’s disease. Which of the following findings should the nurse expect to assess at this stage?
The client begun to lose the ability to bathe and groom.
A nurse is caring for a Japanese- American client newly diagnosed with depression. Which of the following nursing questions is most appropriate in planning care?
“What do you believe is causing your illness?”
A nurse is caring for an older client who is hospitalized for the first time and is very anxious. Which of the following actions by the nurse should be incorporated in the clients plan of care?
Explain procedures to the client prior to implementing them
A nurse is counseling a couple grieving the death of their newborn. The appropriate nursing intervention is to
allow the parents to cry; available to listen
A nurse is caring for a client who has alcoholism and claims that his family is exaggerating the problem. The nurse should understand that the defense mechanism being used by the client is
Denial
A nurse is working with a client who exhibits oddities of thought, perception, speech, and behavior. The nurse should realize that these are features of which of the following personality disorders?
Schizotypal
A nurse is caring for a client diagnosed with drug dependency and experiencing the physical effects of withdrawal. Which of the following is the appropriate nursing response?
“I’m sure what you’re experiencing is painful; would you like to take a warm bath to help ease the aches and pains?’
