Question 1 1 / 1 pts
A client whose adolescent son committed suicide by hanging himself in
the family’s garage says to the nurse, “The coroner just
... [Show More] informed us
that our son had AIDS.” Which response to the client by the nurse is
appropriate?
“Your son had an autopsy because he committed suicide, but the
coroner didn’t have to tell you that he was ill.”
“Your poor son. How troubled he must have been. It’s a shame he
couldn’t talk to you and get some help.”
“You didn’t know that he had AIDS? How did he see the family health
care provider without your knowing?”
“Your son was keeping a very troubling diagnosis to himself. I am so
sorry. No matter how close and loving children are to their parents,
some children just aren’t able to confide in their parents.”
Correct! Correct!Bailiff, Yanaira's Quiz History: Module 3 Exam 2/7/21, 1:31 PM
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Rationale: The therapeutic response is the one that makes
observations and is helpful in supporting the client as he or she
grieves. “You didn’t know he had AIDS? How did he see the
family health care provider without your knowing?” is a
redundant question that simply places emphasis on the client’s
not having the child’s confidence. It is also nontherapeutic,
because the nurse is changing the subject. “Your poor son. How
troubled he must have been. It’s a shame he couldn’t talk to you
and get some help” is nontherapeutic because it is social and
fosters a sense of guilt. In stating, “Your son had an autopsy
because he committed suicide, but the coroner didn’t have to tell
you that he was ill,” the nurse makes a social statement that
changes the focus and moves away from the client’s grief.
Test-Taking Strategy: The correct option is the only one that
shows supportiveness of the client. Review: measures for
providing support to a client who is grieving .
Reference: Stuart, G. (2009). Principles & practice of psychiatric
nursing (9th ed., pp. 27-31, 317, 318). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Mental Health
Giddens Concepts: Communication, Family Dynamics
HESI Concepts: Communication, Developmental—Family
Dynamics
Question 2 1 / 1 ptsBailiff, Yanaira's Quiz History: Module 3 Exam 2/7/21, 1:31 PM
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The nurse is caring for a patient with a chronic illness who is having
conflicts with beliefs. Which health care team member will the nurse ask
to see this patient?
A social worker
An occupational therapist
A psychiatrist
Correct! Correct! The clergy
Other important resources to patients are spiritual advisors and
members of the clergy. Spiritual care helps people identify
meaning and purpose in life, look beyond the present, and
maintain personal relationships, as well as a relationship with a
higher being or life force. A psychiatrist is for emotional health. A
social worker focuses on social, financial, and community
resources. An occupational therapist provides care with
vocational issues and functioning within physical limitations.
Question 3 1 / 1 pts
The nurse is evaluating the coping skills of a client with a diagnosis of
depression. Which statement indicates to the nurse the need to help the
client learn and appropriately use these skills?Bailiff, Yanaira's Quiz History: Module 3 Exam 2/7/21, 1:31 PM
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“I need to take my medications.”
Correct! Correct! “I won’t ever be depressed again.”
“I have learned ways to deal with stress.”
“I know that I can’t do everything.”Bailiff, Yanaira's Quiz History: Module 3 Exam 2/7/21, 1:31 PM
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Rationale: Depression may be a recurring illness for some
people. The client needs to understand the symptoms and
recognize when or if treatment needs to be started again.
Statements such as “I need to take my medications,” “I know
that I can’t do everything,” and “I have learned ways to deal with
stress,” indicate that the client has learned some coping skills,
such as setting limits and taking medications.
Test-Taking Strategy: Note the words "need to help the client
learn and appropriately use these skills.” Eliminate the options
that are comparable or alike and are positive and realistic. A
client statement such as “I won’t ever be depressed again” is
unrealistic and therefore indicates that further assistance is
needed. Review: the indicators of effective use of coping skills .
References: Stuart, G. (2009). Principles & practice of
psychiatric nursing (9th ed., pp. 27-31). St. Louis: Mosby.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric
mental health nursing: A communication approach to evidencebased care (p. 225). St. Louis: Saunders.
Cognitive Ability: Evaluating
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Evaluation
Content Area: Mental Health
Giddens Concepts: Client Education, Mood and Affect
HESI Concepts: Mood and Affect, Teaching and Learning/Client
Education
Question 4 1 / 1 ptsBailiff, Yanaira's Quiz History: Module 3 Exam 2/7/21, 1:31 PM
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A 12-year-old client who has been reported for drawing sexually explicit
scenes in her textbooks during class says to the psychiatric nurse, “I
just felt like it.” Which response by the nurse would be therapeutic and
aid assessment of abuse-related symptoms?
“Your parents and teachers are very concerned about your drawings.”
“You just felt like destroying your textbooks?”
“I am concerned about you. Are you being or have you ever been
abused?”
Correct! Correct!
“Well, a picture paints a thousand words.”Bailiff, Yanaira's Quiz History: Module 3 Exam 2/7/21, 1:31 PM
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Rationale: The behavior that this child has engaged in is a signal
of distress. The correct option is the only option that specifically
addresses abuse and demonstrates the nurse’s concern about
the client. In stating, “Well, a picture paints a thousand words,”
the nurse is insensitive, sarcastic, and intrusive. In asking, “You
just felt like destroying your textbooks?” the nurse is addressing
the client’s destructive behaviors, not the possibility of sexual
abuse. By stating, “Your parents and teachers are very
concerned about your drawings,” the nurse is trying to assess
the client’s abuse-related symptoms, using indirect means rather
than a straightforward expression of concern.
Test-Taking Strategy: Use your knowledge of therapeutic
communication techniques, focusing on the subject of the
question. Note the relationship of the words “assessment of
abuse-related symptoms” and the words in the correct option.
Review: assessment techniques for possible abuse .
Reference: Stuart, G. (2009). Principles & practice of psychiatric
nursing (9th ed., pp. 27-31, 717). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Mental Health
Giddens Concepts: Communication, Sexuality
HESI Concepts: Communication, Sexuality/Reproduction
Question 5 1 / 1 ptsBailiff, Yanaira's Quiz History: Module 3 Exam 2/7/21, 1:31 PM
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The husband of a terminally ill client says to the nurse, “My company
went bankrupt, my son is a drug addict, my daughter is an alcoholic,
and now this! My doctor wants me to try some stress reduction because
my blood pressure is up. Whose wouldn’t be? I’ve tried music and
relaxation, but they don’t work.” Which statement by the nurse would be
therapeutic?
“You have a lot of problems. How long does your wife have to live, and
what is her relationship with your children?”
Correct! Correct! “Let’s talk more about what has been helpful to you in the past.”
“Can you afford to pay for therapy sessions? I see that your benefits are
pretty much maxed out, and I’d hate to ask you to take on any additional
burden.”
“Before we talk about stress management, let’s discuss your children.”
Rationale: The client is specifically asking the nurse to help him
choose stress-management techniques and has already
identified two that are not effective for him. Although the nurse
will explore the client’s stressors, the problem that is directly
harming the client physically is his blood pressure, so the nurse
focuses on this first and determines what stress-management
strategies have been effective in the past. By stating, “Before we
talk about stress management, let’s discuss your children,” the
nurse changes the subject, a nontherapeutic communication. By
stating, “You have a lot of problems. How long does your wife
have to live, and what is her relationship to your children?” theBailiff, Yanaira's Quiz History: Module 3 Exam 2/7/21, 1:31 PM
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have to live, and what is her relationship to your children?” the
nurse changes the subject and engages in probing, both of
which are nontherapeutic actions. “Can you afford to pay for
therapy sessions? I see that your benefits are pretty much
maxed out, and I’d hate to ask you to take on any additional
burden?” is an inappropriately timed and somewhat probing
question that changes the subject.
Test-Taking Strategy: Eliminate the options that are comparable
or alike and change the subject of the client’s concern. Next,
note the relationship of the words “I’ve tried music and
relaxation, but they don’t work” in the question and the correct
option. Review: therapeutic communication techniques and
stress management techniques .
Reference: Stuart, G. (2009). Principles & practice of psychiatric
nursing (9th ed., pp. 27-31, 253). St. Louis: Mosby.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric
mental health nursing: A communication approach to evidencebased care (p. 40). St. Louis: Saunders.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Mental Health
Giddens Concepts: Clinical Judgment, Coping
HESI Concepts: Clinical Decision-Making/Clinical Judgment,
Stress and Coping
Question 6 1 / 1 ptsBailiff, Yanaira's Quiz History: Module 3 Exam 2/7/21, 1:31 PM
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The nurse is reading the medical record of a client who has a diagnosis
of moderate anxiety and notes that the health care provider has
documented that the client exhibits eustress. Based on this information,
which finding would the nurse expect to encounter while assessing the
client?
The client complains of feeling anxious.
The client complains of feeling drained.
The client complains of fatigue.
Correct! Correct! The client engages in purposeful movement [Show Less]