Mental Health Exam 1

NUR 2459 Mental and Behavioral Health Nursing

Mental Health Exam 1

Question:

A client asks the nurse, "Do you think I should tell my husband about my affair with my boss?" Which is the most appropriate response by the nurse?

• "What do you think would be best for you to do?"
• "Of course you should. Marriage has to be based on truth."
• "Of course not. That would only make things worse."
• "I can't tell you what to do. You have to decide for yourself.

Answer:

• "What do you think would be best for you to do?"

Question:

An adolescent who has just returned from group therapy is crying. She says to the nurse, "All the other kids laughed at me! I try to fit in, but I always seem to say the wrong thing. I've never had a close friend. I guess I never will." Which is the most appropriate response by the nurse?

• "What makes you think you will never have any friends?"
• "You're feeling pretty down on yourself right now."
• "I'm sure they didn't mean to hurt your feelings."
• "Why do you feel this way about yourself?"

Answer:

• "You're feeling pretty down on yourself right now." 1 / 4

Question:

The nurse is using nursing process to care for a client who is suicidal. Which of the following nursing actions is a part of the assessment step of the nursing process?

a. Identifies nursing diagnosis: Risk for suicide.

• Notes that client's family reports recent suicide attempt.
• Prioritizes the necessity of maintaining a safe client environment.
• Obtains a commitment from the patient to work collaboratively to identify

adaptive coping skills.

Answer:

• Notes that client's family reports recent suicide attempt.

Question:

The nurse is using nursing process to care for a client who is suicidal. Which of the following nursing actions is a part of the diagnosis step of the nursing process?

• Identifies the client as "At risk for suicide."
• Notes that client's family reports recent suicide attempt.
• Prioritizes the necessity for maintaining a safe environment for the client.
• Obtains a commitment from the patient to work collaboratively to identify

adaptive coping skills.

Answer:

• Identifies the client as "At risk for suicide."

• / 4

Question:

The nurse is using nursing process to care for a client who is suicidal. Which of the following nursing actions is a part of the outcome identification step of the nursing process?

• Prioritizes the necessity for maintaining a safe environment for the client.
• Determines whether nursing interventions have been appropriate to

achieve desired results.

• Obtains a commitment from the patient to work collaboratively to identify

adaptive coping skills.

• Identifies that the "Client will not harm self during hospitalization."

Answer:

• Identifies that the "Client will not harm self during hospitalization."

Question:

The nurse is using nursing process to care for a client who is suicidal. Which of the following nursing actions is a part of the planning step of the nursing process?

• Prioritizes the necessity for maintaining a safe environment for the client.
• Determines whether nursing interventions have been appropriate to

achieve desired results.

• Obtains a commitment from the patient to work collaboratively to identify

adaptive coping skill.

• Identifies that the "Client will not harm self during hospitalization.

Answer:

• Prioritizes the necessity for maintaining a safe environment for the client.

• / 4

Question:

The nurse is using nursing process to care for a client who is suicidal. Which of the following nursing actions is a part of the implementation step of the nursing process?

• Prioritizes the necessity for maintaining a safe environment for the client.
• Determines whether nursing interventions have been appropriate to

achieve desired results.

• Collaborates with the client to develop a plan for ongoing safety and

suicide prevention.

• Identifies that the "Client will not harm self during hospitalization."

Answer:

• Collaborates with the client to develop a plan for ongoing safety and

suicide prevention.

Question:

The nurse is using nursing process to care for a client who is suicidal. Which of the following nursing actions is a part of the evaluation step of the nursing process?

• Prioritizes the necessity for maintaining a safe environment for the client.
• Determines whether nursing interventions have been appropriate to

achieve desired goals.

• Collaborates with the client to develop a plan for ongoing safety and

suicide prevention.

• Identifies that the "Client will not harm self during hospitalization."

Answer:

• Determines whether nursing interventions have been appropriate to

achieve desired goals.

• / 4