1 .A hospitalized client becomes angry and belligerent toward a nurse after speaking on the phone with his or her mother. The nurse learns that the mother cannot visit as expected because of her work. Which interven-tions will the nurse use to help the client deal with the displaced anger?1. Explore the clients unmet needs2. Acknowledge the client's behavior as inappropriate.3. Suggest that the client direct the anger at his or her mother's employee.4. Invite the client to a quiet place to talk after he or she has settled down.5. Assist the client in identifying alternate ways of approaching the problem.
1,2,4,5
2 .The nurse is caring for a client with severe depression.In which conditions would the nurse anticipate the use of electroconvulsive therapy (ECT) as an option? Select all that apply.1. The client also has a neurocognitive disorder.2. The client cannot tolerate MAOIs.3. The client has not responded to conventional and antidepressant medication therapy.4. The client is undergoing a stressful life change.5. The client is having acute suicidal thoughts.2,3,5 3 .A nurse is working in the emergency room when a police officer walks in with a rape victim to be exam-ined. If the nursing goal is to reduce client anxiety, which interventions would be appropriate? Select all that apply.1. Admit the client to the treatment area right away.2. Begin the examination immediately in order to get it behind her.3. Assure the client of safety in the examination room.4. Touch the client early on demonstrating the nurse is supportive.5. Allow a third party to be present if the client re-quests it.
1,3,5,6
1 / 18
Practicum Mental Health 1 / 3
- Ask factual questions to determine the type of as-
sault.4 .The nurse is meeting a client on the mental health unit.When beginning a therapeutic relationship, which nursing actions are appropriate? Select all that apply.1. Meet the needs and specific desires of the client.2. Help the client explore different problem solving techniques. 3. Encourage the practice of new coping skills.4. Provide health advice to the client.5. Exchange social media information with the client.6. Discuss the client's feelings with family members.2,3 5 .A nurse is explaining client rights for psychiatric clients to a client who has voluntarily sought admis-sion to an inpatient psychiatric facility. Which rights would the nurse include in the discussion? Select all that apply.1. right to select health care team members2. right to refuse treatment3. right to a written treatment plan4. right to obtain disability benefits5. right to confidentiality 6. right to personal mail
2,3,5,6
6 .In the emergency department, a client reveals to the nurse a lethal plan for dying by suicide and agrees to a voluntary admission to the psychiatric unit. Which information would the nurse discuss with the client to answer the question, "How long do I have to stay here?" Select all that apply.1. "You ma leave the hospital at any time unless you're suicidal or homicidal or unable to meet your basic needs"2. "Let's talk more after the health care team has assessed you"3. "Once you've signed the papers, you are required to follow the treatment plan" 1,2,4
2 / 18 2 / 3
- "Because you have stated that you want to hurt
yourself, you must be safe before discharged"5. "You need legal representation to help you make an informed decision"6. "All clients need a court hearing before they leave the hospital" 7 .A nurse has developed a therapeutic relationship with a client who has an addiction disorder. Which client behaviors would indicate that the therapeutic interac-tion is in the working phase? Select all that apply.1. The client discusses how the addiction has con-tributed to family distress.2. The client reluctantly shares the family history of addiction.3. The client verbalizes difficulty identifying personal strengths.4. The client discusses the financial problems related to the addiction.5. The client expresses uncertainty about what topic to discuss.6. The client acknowledges the addiction's effects on his or her children.
1,3,4,6
8 .A nurse is caring for a client who exhibits behav- iors that test the nurse-client relationship. When dis-cussing this behavior at a multidisciplinary team con-ference, which behaviors would the nurse provide as examples of this behavior? Select all that apply.1. placing the nurse in the role of parent2. dressing in a flamboyant or seductive manner3. requesting personal information from the nurse4. displaying tattoos and piercings5. stating information to try to shock the nurse6. violating the nurse's personal space
1,3,5,6
9 .A male client states feelings of sadness and is seeking suggestions for strategies to keep active after the loss of his spouse. Which activities might the nurse 1,2,5
- / 18
- / 3