A nurse is planning a peer group discussion about the DSM-5. Which of the following is
appropriate to include in the discussion? (select all that
... [Show More] apply)
• The DSM-5 is used to identify mental health disorders
• The DSM-5 establishes diagnostic criteria
• The DSM-5 indicates expected assessment findings
• The DSM-5 assists nurses in planning care for client's who have mental health disorders.
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should
identify that which of the following clients requires a temporary emergency admission?
• A client who has bordering personality disorder and assaulted a homeless man with a
metal rod
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the
unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions
are an example of which of the following torts?
• False Imprisonment
A client tells a nurse "Don't tell anyone, but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always yelling at me and threatening me." Which of
the following actions should the nurse take?
• Tell the Client that this must be reported to the health care team because it concerns the
health and safety of the client and others
A Nurse is caring for a client who isin mechanical restraints. Which of the following statements
should the nurse include in the documentation?
• "Client was offered 8oz of water every hour"
• "Clientshouted obscenities at assistive personnel"
• "Client received chlorpromazine 15 mg by mouth at 1000."
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
• Tell the nurse to stop discussing the behavior
A charge nurse is conducting a class on therapeutic communication to a group of newly licensed
nurses. Which of the following aspects of communication should the nurse identify as a
component of verbal communication?
• Intonation
A nurse in an acute mental health facility is communicating with a client. 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?
• Restating
A nurse is communicating with a client who wasjust admitted for treatment of a substance use
disorder. Which of the following communication techniques should the nurse identify as a
barrier to therapeutic communication?
• Offering advice
A nurse caring for a client who has anorexia nervosa. Which of the following examples
demonstrates the nurse's use of interpersonal communication?
• The nurse asksthe client about her body image perception.
A nurse is caring for the parents of a child who has demonstrated recent changes in behavior
and mood. When the mother of the child asks the nurse for reassurance about her son's
condition, which of the following responses should the nurse make?
• "I understand you're concerned. Let's discuss what concerns you specifically."
A nurse is caring for a client who smokes and haslung cancer. The client reports, "I'm coughing
because I have that cold that everyone has been getting." The nurse should identify that the
client is using which of the following defense mechanisms?
• Denial
A nurse is providing preoperative teaching for a client who was just informed that she requires
emergency surgery. The client, has a respiratory rate 30/min, and says, "This is difficult to
comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing
which of the following levels of anxiety?
• Moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following
actions should the nurse take when trying to give necessary information to the client? (Select all
that apply.) ... [Show Less]