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The nurse is working with a client who is striving to meet the goal of psychiatric
rehabilitation. The nurse knows the client is most likely to meet goals when:
1. Strengths and needs are acknowledged.
2. The nurse takes care of all the client's needs.
3. The client states he wants to go home.
4. The client wants family involved in recovery.
Answer:
When working with suicidal clients, the nurse must be compassionate enough to:
1. Be able to form an effective link with suicidal clients without being overwhelmed by
the client's pain.
2. Communicate effectively to solve the client's problems.
3. Avoid asking the client difficult questions in order to prevent an escalation in
symptoms.
4. Ask the right questions in order to stop the client from getting angry.
Answer:
A nurse is teaching a client how selective serotonin reuptake inhibitor medications
work. The client states "I am depressed, why I should learn about serotonin is beyond
me." The nurse should explain that:
1. Decreased serotonin will increase the client's energy levels.
2. Serotonin will help the client think more clearly.
3. Serotonin is associated with alterations in mood.
4. Increased serotonin will assist with sleep patterns.
Answer:
A client with chronic paranoid schizophrenia was recently referred to a psychosocial
rehabilitation "clubhouse" program following discharge from the inpatient psychiatric
unit. Which of the following client goals is most appropriate for this situation?
1. The client will attend recreational and educational group activities on a daily basis.
2. The client will obtain food, clothing, and transportation services.
3. The client will obtain a sponsor and attend weekly AA meetings.
4. The client will identify career goals and develop a resume of job experiences.
Answer:
In an effort to prevent suicide, an important advocacy strategy for all nurses to
implement is to:
1. Increase nurses' pay.
2. Increase cultural and spiritual diversity.
3. Reduce barriers to health care.
4. Reduce financial burden for all patients through charities.
Answer:
A client with an eating disorder is in the demographic group that represents those at
highest risk for developing an eating disorder. The client is a/an:
1. Male.
2. Older adult.
3. Child.
4. Female.
Answer:
A client with a diagnosis of bipolar disorder lives with his family and discontinues
taking medication when he begins feeling his symptoms are under control. Family
members express their concern to the client's therapist whenever they realize the client
is "off his meds." The therapist understands that within the client's family, each person's
behavior is contingent on and:
1. Reflects the characteristics of the client's family.
2. Affects the behavior of others.
3. Is affected by the functionality of the group.
4. Is reflective of the client's mental illness.
Answer:
Some clients are at increased risk of being dually diagnosed with a mental health
disorder and a substance abuse disorder. The client with a mental health disorder that is
more likely to exhibit substance abuse in an attempt to avoid traumatic memories is the
client with:
1. PTSD.
2. Dissociative fugue.
3. OCD.
4. Generalized anxiety disorder.
Answer:
Lower relapse rates in schizophrenia have been found to be effective with which of the
following treatment approaches?
Standard Text: Select all that apply.
1. Psychosocial treatment only
2. Recognizing schizophrenia as an acute illness
3. Antipsychotic medication exclusively
4. Early intervention
5. The combined use of antipsychotic medication and psychosocial treatment
Answer:
A nurse working with clients affected by a disaster event must be conscious not only of
the clients' responses, but also the nurse's own responses. Which of the following would
not be a common experience?
1. Not wanting to leave the scene until work is finished
2. Denying the need for rest and recovery time
3. Inability to engage in problem solving
4. Profound sadness, grief, and anger toward an abnormal event
Answer:
Which of the following biopsychosocial theories of aging is the nurse using when
taking a small group of older adults out in the community to a local restaurant for
dinner and dancing?
1. Wear-and-tear theory
2. Activity theory
3. Nutritional theory
4. Environmental theory
Answer:
A client is proud of a recent breakthrough in his ability to control his anger when
another client had criticized his behavior. The nurse shakes the client's hand and praises
him on his accomplishment. How should this nurse's behavior be interpreted?
1. This gesture is inappropriate because it could seem condescending to the client.
2. This gesture is appropriately timed and suitable in this situation.
3. The use of touch is inappropriate with any client no matter the reason.
4. The use of touch may be perceived as a sexual overture in this situation.
Answer:
Clients with chronic persistent mental illness have been attending a creative activities
group which focuses on expression of feelings through poetry, music, and art. What
client behaviors would be expected?
1. Increased paranoid delusions
2. Increased physical activity
3. Increased auditory hallucinations
4. Increased social interaction and self-esteem
Answer:
Which of the following clients should be assessed as demonstrating aggression? The
client who:
1. Tells the nurse, "I don"t need that medication and no one can make me take it."
2. Walks into the group room and says to another client, "You stole my seat. That is
where I always sit. You had better move!"
3. Paces back and forth in the hall singing loudly to the music the client is listening to
with headphones.
4. Bursts into tears when the doctor says, "I don"t think you are ready for discharge
today."
Answer:
The nursing student taking care of a client in the mental health clinic learns through
assessment that the client's wife insisted he admit himself into the clinic even though
his wife is the one with a documented history of mental illness. The client states, "I just
want her to be happy." The nursing student suspects that the client's relationship with
his wife may be:
1. Enmeshed.
2. Disengaged.
3. Hostile.
4. Skewed.
Answer:
A client is admitted to the psychiatric unit exhibiting behaviors indicating a high level
of anxiety following a personal crisis. Which of the following communication skills
should the nurse utilize when interacting with this client?
1. Closed-ended questions
2. Providing reassurance
3. Open-ended questions
4. Providing the client with advice
Answer:
Which of the following behaviors should the nurse anticipate in the client with anorexia
nervosa?
1. Positive self-image
2. Constant over-eating
3. Obsessive rituals
4. Little anxiety regarding food
Answer:
The nurse is working with a male client who is approximately the same age as the
nurse's father. The client is a substance abuser who has relapsed for the third time this
year. The nurse's father is also a substance abuser. The client asks the nurse a question
and the nurse "snaps" at him in response. Which of the following characteristics that
contribute to a positive outcome of rehabilitation is the nurse having issues with
concerning this client?
1. Empathy
2. Autonomy
3. Intuition
4. Patience
Answer:
Which of the following statements made by an abusive family member in a counseling
session indicates that the individual has learned positive coping skills?
1. "I feel more prepared to care for my father now that I know where to go for
assistance."
2. "I am so sorry I lost control; it will never happen again."
3. "From now on I will make sure that my father's needs are met."
4. "Now that I realize I treated my father unfairly, I will change my ways."
Answer:
The new stepfather of a child diagnosed with a conduct disorder wants to know the
reason for including him in family therapy sessions. The nurse explains that the goal of
family therapy is to:
1. Increase the probability that the child's mental health will improve.
2. Help the child relive past events and related feelings.
3. Provide an opportunity for the parents to interact with their child in a safe
environment.
4. Speak for the child so the parents can become more aware of the child's potential.
Answer:
