Exam 1: NUR 2459/ NUR2459 Newly Updated 2023/ 2024 | Mental and Behavioral Health Nursing Exam| Already Graded A| Questions and Verified Answers|
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QUESTION
A nurse is communicating with a client on the acute mental health facility. The client states, "I can't sleep. I stay up all night." the nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating?
Select one:
a. Restating
b. Offering general leads
c. Focusing
d. Summarizing
Answer:
A. Restating
Restating allows the nurse to repeat the main idea expressed.
QUESTION
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following is an appropriate nursing intervention when trying to give necessary information to the client?
Select one:
a. Use a low-pitched voice and speak slowly.
b. Ignore the client's anxiety so that she will not be embarrassed.
c. Demonstrate a calm manner while using simple and clear language.
d. Reassure the client that everything will be okay.
Answer:
C. Demonstrate a calm manner while using simple and clear language.
Give information simply and calmly will help the client grasp essential facts.
QUESTION
A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions is appropriate to include in the plan of care?
Select one:
a. Establishing boundaries
b. Practicing new problem-solving skills
c. Developing goals
d. Discussing ways to use new behaviors
Answer:
D. Discussing ways to use new behaviors
Discussing ways for the client to incorporate new healthy behaviors into life is an appropriate task for the termination phase.
QUESTION
What is the mnemonic to remember for the Mental Health Action Plan?
Select one:
a. ALGEE (Assess, Listen, Give Reassurance, Encourage treatment, Encourage self-help and supportive strategies)
b. ASEPTIC (Appearance and behavior, Speech, Emotion-mood and affect, Perception, Thought-content and process, Insight and judgment, Cognition)
c. ACT (Act, Care, Treat)
d. ADPIE (Assessing, Diagnosing, Planning, Implementing, Evaluating)
Answer:
A. ALGEE (Assess, Listen, Give Reassurance, Encourage treatment, Encourage self-help and supportive strategies)
This is the Mental Health Action Plan
QUESTION
A client says she is experiencing increased stress because her significant other is "pressuring me and my children to go live with him. I love him, but I'm not ready to do that." She also states that her significant other "keeps nagging at my oldest son, which makes me mad, since he's my son, not his." Which of the following should the nurse recommend to promote a change in the client's situation?
Select one:
a. Use assertiveness techniques
b. Learn to practice mindfulness
c. Exercise regularly
d. Rely on the support of a close friend
Answer:
A. Use assertiveness techniques
Assertive communication allows the client to assert her feelings and then make a change in the situation.
QUESTION
The ability to become intentional—which could be defined as the opposite of post-traumatic reactivity—is predicated upon what important skill?
Select one:
a. Self-actualization
b. Positive expectancy
c. Reframing
d. Relaxation/Self-Regulation
Answer:
D. Relaxation/Self-Regulation
QUESTION
What is a nurse's legal responsibility if child abuse or neglect is suspected?
Select one:
a. Continue the assessment.
b. Document the observations and speculations in the medical record.
c. Discuss the findings with the child's teacher, principal, and school psychologist.
d. Report the suspected abuse or neglect according to state regulations.
Answer:
D. Report the suspected abuse or neglect according to state regulations.
Each state has specific regulations for reporting child abuse that must be observed. The nurse is usually a mandated reporter. The reporter does not need to be sure that the abuse or neglect has occurred but only that it is suspected. Speculation should not be documented; only the facts are recorded.
QUESTION
A disheveled patient with severe depression and psychomotor retardation has not showered for several days. The nurse should:
Select one:
a. calmly tell the patient, "You must bathe daily."
b. avoid forcing the issue.
c. bring up the issue at the community meeting.
d. firmly and neutrally assist the patient with showering.
Answer:
D. firmly and neutrally assist the patient with showering.
When patients are unable to perform self-care activities, staff members must assist them rather than ignore the issue. Better grooming increases self-esteem Calmly telling the patient to bather daily and bringing up the issue at a community meeting are punitive. [Show Less]