Practice Questions Flashcards
A client with a diagnosis of depression who has attempted suicide says to the nurse, “I should have died. I’ve always been a failure. Nothing ever goes right for me.” Which therapeutic response would the nurse make?
a) “You have everything to livd for.”
b) “Why do you see yourself as a failure.”
c) “Feeling like this is all part of being depressed.”
d) “It sounds as if you’ve been feeling like a failure for a while.”
d) “It sounds as if you’ve been feeling like a failure for a while.”
The nurse visits a client at home. The client states, “I haven’t slept at all the last couple of nights.” Which therapeutic response would the nurse make?
a) “Really?”
b) Why haven’t you been able to sleep?”
c) “Sometimes I have trouble sleeping too.”
d) “Tell me more about your sleep over the past few nights.”
d) “Tell me more about your sleep over the past few nights.”
A client experiencing disturbed thought processes believes that the food is being poisoned. Which communication technique would the nurse use to encourage the client to eat?
a) Using open ended questions and silence
b) Sharing personal preference regarding food choices
c) Documenting reasons why the client does not want to eat
d) Offering opinions about the necessity of adequate nutrition
a) Using open ended questions and silence
The nurse would plan which goals for the termination stage of group development? Select all that apply.
a) The group evaluates the experience.
b) The real work of the group is accomplished.
c) Group interaction involves superficial conversation.
d) Group members become acquainted with one another.
e) Some structuring of group norms, roles, and responsibilities takes place.
f) The group explores members’ feelings about the group and the impending separation.
a) The group evaluates the experience.
f) The group explores members’ feelings about the group and the impending separation.
A client diagnosed with terminal cancer says to the nurse, “I’m going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I’m the one who’s dying.” Which response by the nurse is therapeutic?
a) “Have you shared your feelings with your family?”
b) I think we should talk more about your anger with your family.”
c) “It sounds as if you are feeling angry that your family continues to hope for you to be cured.”
d) “You are probably very depressed, which is understandable with such diagnosis.”
c) “It sounds as if you are feeling angry that your family continues to hope for you to be cured.”
On review of the client’s record, the nurse notes that the admission was voluntary. Based on this information, the nurse plans care, anticipating which client behaviour?
a) fearfulness regarding treatment measures
b) anger and aggressiveness directed toward others
c) an understanding of the pathology and symptoms of the diagnosis
d) A willingness to participate in the planning of the care and treatment plan
d) A willingness to participate in the planning of the care and treatment plan
A client admitted voluntarily for treatment of an anxiety problem demands to be released from the hospital. Which action would the nurse take initially?
a) Contact the client’s primary health care provider
b) Call the client’s family to arrange for transportation
c) Attempt to persuade the client to stay “for only a few more days”
d) Tell the client that leaving would likely result in an involuntary commitment
a) Contact the client’s primary health care provider
When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse would provide which intervention for this client?
a) Monitor closely for harm to self or others
b) Assist in completing an application for admission
c) Supply the client with written information about their mental health problem
d) Provide an opportunity for family members to discuss why they felt the admission was needed
a) Monitor closely for harm to self or others
When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a cognitive behavioural approach is used as part of the treatment plan. The nurse plans care based on which purpose of this approach?
a) Providing a supportive environment
b) Examining intrapsychic conflicts and past issues
c) Emphasizing social interaction with clients who withdraw
d) Helping the client to examine dysfunctional thoughts and beliefs
d) Helping the client to examine dysfunctional thoughts and beliefs
A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse would plan to tell the client that which is the first step in this 12-step program?
a) Admitting to having a problem
b) Substituting other activities for gambling
c) Stating that the gambling will be stopped
d) Discontinuing relationships with people who gamble
a) Admitting to having a problem
The nurse employed in a mental health clinic is greeted by a neighbour in a local grocery store. The neighbour says to the nurse, “How is Carol doing? Carol is my best friend and is seen at your clinic every week.” Which is the most appropriate nursing response?
a) “I cannot discuss any client situation with you”
b) “If you want to know about Carol, you need to ask Carol yourself.”
c) “Only because you’re worried about a friend, I’ll tell you that Carol is improving.”
d) “Being a friend, you know that Carol is having a difficult time and deserves privacy.”
a) “I cannot discuss any client situation with you”
The nurse calls security and has physical restraints applied to a client who was admitted voluntarily when the client becomes verbally abusive, demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply.
a) Libel
b) Battery
c) Assault
d) Slander
e) False imprisonment
b) Battery
c) Assault
e) False imprisonment
The nurse in the mental health unit plans to use which therapeutic communication techniques when communicating with a client? Select all that apply.
a) Restating
b) Active listening
c) Asking the client “why?”
d) Maintaining neutral responses
e) Providing acknowledgement and feedback
f) Giving advice and approval or disapproval
a) Restating
b) Active listening
d) Maintaining neutral responses
e) Providing acknowledgement and feedback
What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session?
a) Ask the client to leave the group for this session only
b) Refer the client to another group that includes other manic clients
c) Tell the client to stop monopolizing in a firm but compassionate manner
d) Thank the client for the input but inform the client that others now need a chance to contribute
d) Thank the client for the input but inform the client that others now need a chance to contribute
A client is participating in a therapy group and focuses on viewing all team members as equally important in helping the clients meet their goals. The nurse is implementing which therapeutic approach?
a) Milieu therapy
b) Interpersonal therapy
c) Behaviour modification
d) Support group therapy
a) Milieu therapy
