Capstone Quiz Assessment Mental health
3. A nurse is caring for an adult client who is receiving treatment for alcohol use disorder. The client is upset b
... [Show More] ecause his partner has refused to visit him in the treatment facility. Which of the following actions by the client should indicate to the nurse that the client is using regression as a defense mechanism?
The client states that he has developed sudden hearing loss.
The client states that his partner will not visit because they are too busy with their job. The client yells obscenities at the nurse.
The client stomps his feet and throws objects o his bedside table
4. A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?
Decreased startle response to loud noises
Reports uninterrupted sleep of 10 to 12 hr each night Reluctance to discuss the event that precipitated the distress Reports feelings of acute distress that began 1 to 2 weeks ago
5. A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?
The child has a history of jaw factures. The child seems frightened of their parent.
The child has had no immunizations since birth. The child rocks back and forth continually.
6. A nurse in an urgent-care clinic is caring for a school-age child who has several visible bruises. The child's parent states, "My partner got red today and came home angry. I don't think this will happen again." Which of the following responses should the nurse make?
"I agree with you. I'm sure this will never happen again." "This is awful. You should le charges against your partner."
"This is clearly child endangerment. I will have to call the police." "I'd like to know more about what happened. Let's sit and talk."
7. A nurse is caring for a client who has dementia and insists a doll is her infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?
Cognitive reframing Thought stopping Validation therapy Operant conditioning
8. A nurse is planning care for a client who has major depressive disorder and is being admitted following a suicide attempt. Which of the following interventions is the nurse's priority?
Initiate one-to-one observation.
Encourage the client to participate in group activities. Administer an antidepressant.
Set up a time for individual meetings with the client.
9. A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?
Document the client's behavior once every hour.
Keep the client in restraints until the prescription expires. Conduct a debrieng regarding the client with the unit staff.
Request an evaluation of the client within 12 hr of application of restraints.
10. A nurse is providing teaching to a client who has a prescription for disulram. Which of the following client statements indicates an understanding of the teaching?
"If I drink alcohol, I will become very sick."
"If I drink alcohol, I will not be able to fall asleep."
"If I drink alcohol, I will lose control of my inhibitions and say something I don't mean." "If I drink alcohol, I will have severe mood swings and exhibit belligerent behavior."
11. A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?
The client has a serotonin deficiency. The client has acute bronchitis.
The client has an elevated calcium level. The client is an only child
12. A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?
Keep the client hospitalized until there is no longer a threat. Ensure the client's ex-partner is notified of the threat.
Ask a friend or family member to monitor the client. Transfer the client to a mental health facility.
13. A nurse is providing teaching to the caretakers of a client who has Alzheimer's disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?
Give the client a cup of hot black tea before bed. Wake the client at the same time each morning.
Take the client for a walk 2 hr before bedtime each night. Allow the client to take a 90-min nap immediately after lunch.
14. A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?
A client who has new-onset delirium
A client who is experiencing auditory hallucinations A client who is experiencing mania
A client who has somatic symptom disorder
15. A nurse is caring for a client who has bipolar disorder. The client says to the nurse, "Give me your pen to cut the pain out of my chest." The nurse should identify that the client is at risk for which of the following?
Illusion Hallucination
Attention-seeking behavior Self-mutilation
16. A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?
Spending equal time with clients regardless of their insurance status. Explaining possible adverse effects to clients receiving new prescriptions. Respecting the decision of clients to refuse to participate in group therapy. Attending an educational conference on identifying clients at risk for suicide.
17. A nurse is using de-escalation techniques with a client who has become verbally aggressive with a staff member. Which of the following actions should the nurse take?
Remain 15 cm (6 in) away from the client Use a raised voice when speaking to the client Determine the cause of the client's feelings Ask the client short, close-ended questions
18. A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal. Which of the following resources should the nurse recommend to the client?
Reach to Recovery A 12-step program Al-Anon
Light therapy
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