Mental Health 2020 B NGN Questions with Complete Solutions +Rationale \/ Assured 2023\/2024 Study Guide<\/p>\n\n\n\n
Mental Health B NGN
1
Mental Health 2020 B NGN Questions
with Complete Solutions +Rationale \/
Assured 2023\/2024 Study Guide
A nurse is caring for a client who recently lost their child in a motor-vehicle crash.
The client is expressing feelings of hopelessness. Which of the following questions
is the most important for the nurse to ask?
A. “Are there times when you feel more upset than others?”
B. “Have you had any thoughts of harming yourself?”
C. “What type of support system do you currently have?”
D. “During difficult times in the past, what did you do to cope?”
(Correct Ans: – B. “Have you had any thoughts of harming yourself?”
The greatest risk to this client is self-injury due to suicide. Asking whether or not
the client has plans to hurt themselves is the most important question for the nurse
to ask at this time because a positive response can alert the nurse to the need for
suicide precautions and intervention.
A nurse on a mental health unit is reinforcing teaching about informed consent
with a newly licensed nurse. Which of the following statement indicates an
understanding of the teaching?
A. “The consent form should be written at a seventh-grade reading level.”
B. “If the consent form is signed, I can send a client for a procedure even if they
have questions.”
C. “I should explain everything to the client about the procedure before the client
signs the consent form.”
D. “The consent form should have the name of the provider who is performing the
procedure on the form.”
(Correct Ans: – D. “The consent form should have the name of the provider who is
performing the procedure on the form.”
The consent form should include the name of the provider who will be performing
the procedure. This should be present on the form before the client signs it.<\/p>\n\n\n\n
Mental Health B NGN
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A nurse is contributing to the plan of care for a client who has antisocial
personality disorder. Which of the following short-term goals should the nurse
recommend be included in the plan?
A. The client will participate in assertiveness training.
B. The client will discuss feelings that cause hostility.
C. The client will describe an activity they found enjoyable.
D. The client will dress in a manner appropriate for the setting and temperature.
(Correct Ans: – B. The client will discuss feelings that cause hostility.
Clients who have antisocial personality disorder are frequently aggressive and are
at risk for injuring themselves or others. A short-term goal for these clients should
be to discuss feelings that precipitate aggression or hostility.
A nurse is caring for a client who has depressive disorder and declines ECT despite
the providers recommendation. Which of the following ethical principles is the
nurse demonstrating by supporting the clients decision?
A. Autonomy
B. Nonmaleficence
C. Fidelity
D. Justice
(Correct Ans: – A. Autonomy
The nurse is demonstrating the principle of autonomy by respecting and
supporting the client’s right to make decisions about their treatment.
A nurse is participating in group therapy for clients who have major depressive
disorder. Which of the following topics should the nurse include in the orientation
phase of group therapy?
A. Confidentiality
B. Developing goals
C. Problem solving<\/p>\n\n\n\n
Mental Health B NGN
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D. Identifying the roles of group members
(Correct Ans: – A. Confidentiality
The nurse should establish the expectations of confidentiality during the
orientation phase of group therapy.
A nurse is collecting data from a client who has major depressive disorder and is
taking phenelzine. Which of the following findings should the nurse identify as an
adverse effect of this medication?
A. Weight gain
B. Diarrhea
C. Proteinuria
D. Bleeding gums
(Correct Ans: – A. Weight gain
Weight gain, insomnia, and muscle cramps are adverse effects of phenelzine.
A nurse in an inpatient mental health unit is supervising a group of clients in the
unit’s day room. The nurse fails to respond to the escalating, aggressive behavior of
a client who eventually becomes violent and injures another client. For which of the
following is the nurse liable?
A. Battery
B. Nonmaleficence
C. Negligence
D. Boundary violation
(Correct Ans: – C. Negligence
The nurse is liable for negligence by failing to respond to the client’s escalating,
aggressive behavior and prevent harm to others.
A nurse is attempting to resolve an ethical dilemma that involves a client’s medical
decisions and their own personal beliefs. After collecting data and identifying the
problem, which of the following actions should the nurse take next?
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