Mental Health Exam 1

The end of the relationship- discharge-

Unconsciously retreating to an earlier level of development.

A client is concerned that information given the nurse remains confidential. Which is the best response regarding this?

What situation would qualify for an involuntary mental health admission?

To address the cultural needs of the client, which of the following nursing actions would be most appropriate?

Evaluating if there is a suicide or homicidal risk is a priority concern in a crisis

Which of the following nursing actions would performed to ensure client safety?

Identify the main assessment tool used in psychiatric nursing.

Which nursing behavior is consistent with therapeutic communication?

A client becomes agitated and shouts at the nurse, "if you come any closer, I will hit you". What do you say to the pt?

The healthcare provider is required to not harm the client (intentional or unintentional).

Which statement about mental health illness is accurate?

Examining one’s feelings- (think about getting report and evaluating your response to the type of client)

Which nursing actions demonstrates the ethical principles of autonomy?

The client sates his assigned nurse reminds him of his very stem aunt. What is this an example of?

The primary reason the client should be included in their treatment plan, would be for which of the following purpose?

Transfer feeling from one target to another that is considered less threat.

This refers to one’s duty to always be honest.

Which communication techniques demonstrates the persistent questioning of a client?

The clients are to be treated equally regardless of race, sex, marital status, medical diagnosis, social & religion

Introduction- walking rounds during report- introduction to each other and activities of the day

Rechanneling drives on impulses that are unacceptable into constructive activities.

The main purpose of seclusion is to increase stimuli.

While working with a client in crisis. The nurse understands the which of the following would be a priority?

This emphasizes the healthcare workers loyalty and faithfulness to the client.

A client says she is returning to school next week & has some concerns. What would be considered the most therapeutic?

During a nurse-client interaction. Which of the following would represent the use of a non-therapeutic response?

Promoting insight and problem solving, being aware of transference and countertransference

A client asks the nurse about the purpose of group therapy. Which is the best response by the nurse?

A nurse is preparing to give haldol 75mg IM per week. Available is haloperidol 100mg/ml for injection. What is the dose?

Which statement by the nurse reflects empathy for the client?

The client is showing signs of extreme anxiety & is pacing rapidly about the unit. What is the best action by the nurse?

Which statement by the nurse demonstrate an understanding of non-verbal communications?

Which of the following terms could be used to describe and document a client’s mood on a mental health assessment.

The nurse is preparing the client for ECT, which of following teaching would you provide?

The nurse is caring for a client who has difficulty hearing. What should the nurse do to facilitate communication?

During the orientation phase of the nurse client relationship, which of the following will occur?

A female client ask about her male nurse’s girlfriend & social activities. What is the best response by the RN?

If a nurse fails to report a threat of harm, and the person follows through- what could the nurse be charged with?

The clients right to make his/her own decision.

After receiving a low grade on an exam, Phil slams the door as he is leaving the classroom. Which defense mechanism?

Which tasks are included during the working phase of the nurse client relationship ?

Refusing to acknowledge the real situation or feelings associated with it.

What is the most significant trigger for the development of a nurse focused countertransference situation ?

Refers to one’s duty to benefit or promote the good of others. The nurse is always the client advocate.

A client tries to embarrass a nurse by making sexually explicit comment. Which would be the best response by the nurse?

Which of the following behavior suggest a breach of professional boundaries?

What is the situation in which the health insurance portability and accountability Act (HIPAA) rule can be reached?

Involuntary blocking unpleasant feelings and experiences from one’s awareness.

Individual experience causing an inability to function, different for others, there is a specific identifiable event

An adult client in grieving about the loss of his spouse. Which statement by the client would need intervention?

Client’s lose the right to leave, the right to privacy, and their right to belongings.

Which response by the nurse indicate an understanding of "giving a broad opening"?

Attributing feelings or impulses unacceptable to one’s self to another person.

Demonstrating the opposite behavior of what is felt.