NURS 3525 MENTAL HEALTH EXAM 3 LATEST 2023-2024

NURS 3525 MENTAL HEALTH EXAM 3 LATEST 2023-2024

REAL EXAM QUESTIONS AND CORRECT

ANSWERS|KEISER UNIVERSITY

1.A nurse discovers a client's suicide note that details the time, place, and means to commit suicide. Which is the priority nursing intervention and the rationale for this action?

• Administering lorazepam (Ativan) prn, because the client is angry about the discovery

of the note

• Establishing room restrictions because the client's threat is an attempt to manipulate

the staff

• Placing this client on one-to-one suicide precautions, because the more specific the

plan, the more likely the client will attempt suicide

• Calling an emergency treatment team meeting because the client's threat must be

addressed

• During the planning of care for a suicidal client, which correctly written outcome should be

the nurse's priority?

• The client will not physically harm self.

• The client will express hope for the future by day 3.

• The client will establish a trusting relationship with the nurse.

• The client will remain safe during the hospital stay.

• A client diagnosed with Major Depressive Disorder with psychotic features hears voices

commanding self-harm. The client refuses to commit to developing a plan for safety. Which is the nurse's priority intervention now?

• Obtaining an order for locked seclusion until client is no longer suicidal
• Conducting 15-minute checks to ensure safety
• Placing the client on one-to-one observation while monitoring suicidal ideations
• Encouraging client to express feelings related to suicide

• A client with a history of three suicide attempts has been taking fluoxetine (Prozac) for 1

month. The client suddenly presents with a bright affect, is much more communicative, and 1 / 3

rates mood at 9/10. Which action should be the nurse's priority at this time?

• Give the client off-unit privileges as positive reinforcement.

• Encourage the client to share mood improvement

• Increase frequency of client observation.

in group. 2 / 3

• Request that the psychiatrist reevaluate the current medication protocol.

• During a one-to-one session, the client states, "Nothing will ever get better," and "Nobody

can help me." Which nursing diagnosis is most appropriate for the nurse to assign at this time?

• Powerlessness R/T altered mood AEB client statements
• Risk for injury R/T altered mood AEB client statements
• Risk for suicide R/T altered mood AEB client statements
• Hopelessness R/T altered mood AEB client statements

• The treatment team is making a discharge decision regarding a previously suicidal client.

Which client assessment information should a nurse recognize as contributing to the team's decision?

• No previous admissions for major depressive disorder
• Vital signs stable; no psychosis noted
• Able to comply with medication regimen; able to problem-solve life issues
• Able to participate in a plan for safety; family agrees to constant observation

• The family of a suicidal client is supportive and requests more facts related to caring for

their family member after discharge. Which information should the nurse provide?

• Address only serious suicide threats to avoid the possibility of secondary gain.
• Promote trust by verbalizing a promise to keep suicide attempt information within the

family.

• Offer a private environment to provide needed time alone at least once a day.
• D. Be available to actively listen, support, and accept the client's feelings.

• A stockbroker commits suicide after being convicted of insider trading. While speaking with

the family, which statement by the nurse demonstrates accurate and appropriate sharing

of information?

• "Your grieving will subside within 1 year; until then, I recommend antidepressants."

• "Support groups are available specifically for survivors of suicide, and I would be glad

to help you locate one in this area."

• "The only way to deal effectively with this kind of grief is to write a letter to the

brokerage firm to express your anger with them.

• / 3