Mental Health Final Exam (NCLEX-Style Questions) A nurse is assessing a client who, over the past 3 years has experienced feelings of sadness r/t death of a beloved aunt. Client barely eats, or sleeps and is socially isolative. How should the nurse interpret the behavior?
- Clients functional impairment indicates a need for psychiatric commitment
- Clients behaviors are part of normal grief process
- Clients behaviors are not congruent with cultural norms
- Clients functional impairment indicates potential mental illness
(ANS- D
Which of the following is an immediate physical response associated with fight or flight? (Select all that apply)
- Pupils constrict
- Respiratory rate increases
- Sweat gland secretions decrease
- Renal and digestive system functions are suppressed
(ANS- B, D
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would be most concerned if the client exhibited which of the following?
- Hallucinations
- Nervousness
- Diaphoresis
- Nausea
(ANS- A
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A client asks a nurse not to tell his parents about his alcohol problem. What is the most appropriate response by the nurse?
- "How can you not tell them? Is that being honest?"
- "Don't you think you'll need to tell them someday?"
- "Do alcohol problems run in either side of your family?"
- "What do you think will happen if you tell your parents?"
(ANS- D
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's family asks the nurse about the medication. What is the best response by the nurse?
- "Short-term use of lorazepam can lead to dependence"
- "The lorazepam will reduce the symptoms of withdrawal"
- "The lorazepam will make him forget about symptoms of withdrawal"
- "The lorazepam will also help with his heart disease"
(ANS- B
A nurse is caring for a client undergoing treatment for acute alcohol dependence.The client tells the nurse, "I don't have a problem. My wife made me come here." Which defense mechanism does the nurse interpret the client's statement as representing?
- Projection and suppression
- Denial and rationalization
- Rationalization and repression
- Suppression and denial
(ANS- B
An alcoholic client tells the nurse, "I feel so depressed about what I've done to my family that I feel like giving up." It is most important for the nurse to assess the client for which of the following?
- Family support
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