18. A charge nurse is orienting a newly licensed nurse and observes the newly licensed nurse imitating her behaviors. The nurse should recognize this
... [Show More] behavior as which of the following defense mechanisms?
A. Suppression (Voluntarily denying unpleasant thoughts and feelings)
B. Identification (Conscious or unconscious assumption of the characteristics of another individual or group)
C. Compensation (Emphasizing strengths to make up for weaknesses)
D. Reaction formation (Overcompensating or demonstrating the opposite behavior of what is felt)
21. A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking
haloperidol. Which of the following clinical findings is the nurse’s priority?
A. Insomnia (Sedation)
B. Urinary frequency (Complication → ANTIcholinergic effects) C. High fever (Complication → agranulocytosis)
D. Headache
Other complications: Acute dystonia, Pseudoparkinsonism, Akathisia, Tardive dyskinesia, Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual irregularities), NMS, Orthostatic Hypotension, Sedation, Sexual dysfunction, Skin effects, Liver impairment
27. A nurse in a mental health facility is caring for a client. Which of the following actions should the nurse take during the working phase of the nurse-client relationship?
A. Summarize goals and objectives.
B. Address confidentiality.
C. Promote problem-solving skills.
D. Establish a participation contract
30. A nurse is providing behavioral therapy for a client who has OCD. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
A. “Keep a journal of how often you check the locks each night.”
B. “Ask a family member to check the locks for you at night.”
C. “Focus on abdominal breathing whenever you go to check the locks.”
D. “Snap a rubber band on your wrist when you think about checking the locks.”
Thought stopping: teach pt to say “stop” when negative thoughts/compulsive behaviors arise & substitute positive thought - goal for pt use command silently over time
33. A nurse is assisting with obtaining informed consent for a client who has been legally incompetent. Which of the following actions should the nurse take?
A. Explain implied consent to the client’s family.
B. Contact the facility social work to obtain the consent.
C. Request that the client’s guardian sign the consent
D. Ask the charge nurse to obtain informed consent.
Client who has been judged incompetent has a temporary or permanent guardian appointed by the court. The guardian can sign the informed consent for the client.
46. A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder. Which of the following laboratory results should the nurse report to the provider?
A. Urine specific gravity 1.029
B. Platelets 90,000/mm
C. Urine pH 5.6
D. RBC 4.7/mm
Complications: CNS effects, Blood Dyscrasias, Teratogenesis, Hyperosmolality (ANTI-diuretic), Skin Disorders
49. A nurse in a mental health facility is making plans for client’s discharge. Which of the following
interdisciplinary team members should the nurse contact to assist the client with housing placement?
A. Social worker
B. Occupational therapist
C. Clinical nurse specialist
D. Recreational therapist
50. A nurse is caring for a client who reports that he is angry with his partner because she thinks he is trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating? (ATI p.21)
A. Rationalization
B. Compensation
C. Denial
D. Displacement
Displacement - shifting feelings r/t to an object, person or situation to another less threatening object, person, or situation
59. A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
A. Encourage physical activity for the client during the day.
B. Keep a bright light on in the client’s room at night.
C. Identify and schedule alternative group activities for the client.
D. Discourage the client from expressing feelings of anger.
64. An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, “I’m so worried that my mother is depressed.” Which of the following responses should the nurse make?
A. “Tell me the reasons you think your mother is depressed.”
B. “You shouldn't worry about this, because depressive disorder is easily treated.”
C. “Everyone gets depressed from time to time.”
D. “Older adults are usually diagnosed with depressive disorder as they age.”
......NB: THE COMPILATION ENTAILS QUESTIONS AND ANSWERS AS FROM YEAR 2019 TO 2022 . THE NUMBERS CAN HELP YOU SPOT THE QUESTION IN THE DIFFERENT EXAM PAPERS. [Show Less]