Quiz 1

Question 1

A client on the psychiatric unit asks a nurse about psychiatric advance directives. What information should form the basis of the nurses response?

Answer 1

A client is allowed to consent or refuse potential psychiatric treatments if a future incapacitating mental health crisis occurs

Question 2

Which statement best describes the purpose of psychiatric nursing?

Answer 2

Helps people with present or potential mental health problems

Question 3

A physician is admitted to the psychiatric unit of a community hospital. The client, who was restless, loud, aggressive, and resistive during the admission procedure states. “ I will take my own blood pressure”. What is the nurses most therapeutic response?

Answer 3

I am sorry but i cannot allow that, i must take you blood pressure

Question 4

What is the most difficult initial task when developing a nurse client relationship?

Answer 4

Developing an awareness of self and the professional role in the relationship

Question 5

A parent of a 13-year-old adolescent was recently diagnosed with Hodgkin’s disease tell the nurse I don’t want my child to know the diagnosis. How should the nurse respond?

Answer 5

Let’s talk about your feelings regarding your child’s diagnosis

Question 6

A male nurse is caring for a client. The client states you know I’ve never had a male nurse before. What is the nurses that’s reply

Answer 6

How do you feel about having a male nurse

Question 7

A nurse reminded client that is time for group therapy. The client responds by yelling at the nurse you are always telling me what to do, just like my father! What defense mechanism is the client using?

Answer 7

Transference

Question 8

What is the most important tool in our spring for therapeutic nurse client relationship?

Answer 8

Oneself and a desire to help

Question 9

A Latino client with schizophrenia is admitted to a mental health unit in an aggravated and disheveled stay after failing to take prescribed medication for the last five days. When developing a plan of care that incorporates the clients cultural background, the nurse give priority to what?

Answer 9

Including of the family in the plan of care with the clients permission

Question 10

A family member bring the relative to the local community Hospital because the relative is been acting strange. Which statement meets involuntary hospitalization criteria?

Answer 10

1. I would like to end it always sleeping pills

2. Voices say it is okay for me to kill all prostitutes

Question 11

A nurse encourages the client to join a self-help group after being discharged from a mental health facility. What is the purpose of having people work in a group?

Answer 11

Support

Question 12

As depression begins to lift, client is asked to join a small discussion group that meets every evening on the unit. The client is reluctant to join because I have nothing to talk about. What is the best response by the nurse?

Answer 12

You feel you will not be excepted unless you have something to say

Question 13

During a group meeting a client tells everyone I am afraid of my am pending discharge from the hospital what is the most appropriate response by the nurse facilitator?

Answer 13

Maybe others in the group have similar feelings that they would share

Question 14

Add a group therapy session a client tearful he tells the other members I just lost my job this week.

Answer 14

What is the nurse leaders most appropriate response?

Question 15

A 44-year-old client is unable to function since her husband asked for a divorce two weeks ago. She’s brought to the crisis intervention center by a friend. What type of crisis reflects the situation?

Answer 15

Situational

Question 16

A client with the diagnosis of paranoid schizophrenia throws a chair across the room and start screaming at the other clients several of these clients have frightened expressions, one starts to cry, and another begins to pace. A nurse removed agitated client from the room. What should the nurse remaining in the room do next?

Answer 16

Arraigned a unit meeting to discuss what just happened

Question 17

The client with a history of violence is becoming increasingly agitated. Which nursing intervention will most likely increase the risk of acting out behavior?

Answer 17

Teaching relaxation

Question 18

The client is diagnosed with borderline personality disorder. What is the realistic initial intervention for this client?

Answer 18

Establish clear boundaries

Question 19

A nurse is aware that a coworker’s mother died 16 months ago. The coworker cries every time someone says the word mother Earth mother’s name is mentioned. What does the nurse conclude about this behavior?

Answer 19

The coworker may need help with grieving

Question 20

A nurse educator is leading a class on supporting middle-aged adults were experiencing midlife crisis what should the nurse include is the most significant factor in the development of this type of crisis?

Answer 20

The perception of their life situation

Question 21

What is the primary goal and plan and care for a client in crisis?

Answer 21

Restoring the client psychologic equilibrium

Question 22

An adult who is been in a gay relationship for three years arrives at the emergency department in your panic state the client states my printer just left me I am a rack which the nurse to help the client cope with this loss?

Answer 22

Identify the client support systems and encourage the client to talk about the situation

Question 23

Which approach should the nurse use during crisis intervention?

Answer 23

1. Active

2. Goal oriented

Question 24

Which is the most important assessment data for a nurse to gather from the client crisis?

Answer 24

The clients perception of the circumstances surrounding the crisis

Question 25

And extremely anxious client enters the crisis center and asks a nurse for help which response best reflects the nurses role in crisis intervention?

Answer 25

I will be here for you to help you figure things out

Question 26

When assisting clients to cope with crisis, the healthcare provider ship all the principles of intervention place the following interventions in order of their priority

Answer 26

1. Intervene immediately
2. Stabilize the client
3. Facilitate understanding of the event
4. Use the available resources
5. Encourage self-reliance

Question 27

A child in the first grade is murdered and counseling is plan for other children in the school what should a nurse identify first for assessing a child’s response to a crisis?

Answer 27

Developmental level of the child

Question 28

What is an initial client objective in relation to anger management?

Answer 28

Taking responsibility for the hostile behavior

Question 29

The nurse leaves and assertiveness training program for a group of clients which client statement demonstrates that the treatment been effective?

Answer 29

It annoys me when people call me Deary so I told him not to do it anymore

Question 30

A nurse is working with a married woman who is come to the emergency department several times with injuries that appear to be related to domestic violence. While talking with the nurse manager a nurse expresses discuss that the woman return the same situation. What is the nurse managers best response?

Answer 30

Most women attempt to leave about six times before they are able to do so

Question 31

What is the most important information understood teach to prevent relapse and a client with the psychiatric illness?

Answer 31

Follow the prescribed medication regimen

Question 32

A depressed my prescribed antidepressant. How long should the nurse informed the client it will take for noticing a significant change in the depression?

Answer 32

2 to 4 weeks

Question 33

A nurse is teaching clients about dietary stricture ends when taking and MAOIs. What responses the nurse tell them to anticipate if they do not fall these restrictions?

Answer 33

Occipital headaches

Question 34

A client is receiving lithium. What is an important nursing intervention while this medication is being administered?

Answer 34

Monitor the clients drug blood level regularly

Question 35

Client in the hyperactive disorder, bipolar type, is receiving like them. The nurse identifies that the client with him flood level is 1.8 mEq what is the most appropriate nursing action?

Answer 35

Hold the drug and notify the healthcare provider immediately because the blood lithium level maybe toxic

Question 36

A nurse administers an antipsychotic to a client. For which common manageable side effects of the nurse assessed the client?

Answer 36

Unintentional tremors

Question 37

What medication should the nurse expect to administer the actively reverse overdose set it effects of benzodiazepines?

Answer 37

Flumazenil

Question 38

A nurses caring for client breath we went through from barbiturate use. What should the nurse anticipate that the client may experience?

Answer 38

Seizures

Question 39

Chlordiazepoxide (Librium) 100 mg PO per hour is prescribed for client with the clinical Institute with drawl assessment score of 25. The client had 300 mg in three hours and it still displaying acute alcohol withdrawal symptoms. What is the next nursing action?

Answer 39

Adminster chlordiazepoxide as indicated by clients CIWA score

Question 40

Among members of the nursing team, which functions are registered nurses legally permitted to perform in the mental health hospital?

Answer 40

1. Health promotion
2. Case management
3. Treating human responses

Question 41

I healthcare provider orders restraints PRN for applying with history of violent behavior. What is the nurses responsibility concerning this order?

Answer 41

1. Ask that the order indicate the type of restraint
2. Recognize that PRN orders for restraints are unacceptable
3. Implement the restraint order when the client begins to act out