Exam 1 Mental Health NCLEX questions

Exam 1 Mental Health NCLEX questions Leave the first rating Students also studied Terms in this set (39) Save Ontario Mental Health Act Forms N...18 terms maryam_abdinur Preview Psychiatric Mental Health Nursing N...54 terms emarentzPreview Suicide NCLEX Questions from LW...12 terms dparis7Preview The Me 27 terms Cha

• A patient shows no facial expression when engaging in

a game with peers during an outing at a park. The nurse uses which of the following terms when documenting the patient's affect?

• Blunt affect
• Restricted affect
• Broad affect
• Flat affect

D

• The nurse is teaching a 70-year-old man about his

depression. Which of the following statements by the client would indicate that teaching has been effective?

• "All old people get depressed at times."
• "I'm glad I'll feel better in 2 or 3 days."
• "I never knew depression could just happen for no

specific reason."

• "When I reduce the stress in my life, the depression will

go away." C

• A patient has a history of suicidal ideation. The nurse

understands that the patient is at highest risk for self-harm at which of the following times?

• Immediately after a family visit
• On the anniversary of significant life events in the

patient's life

• During the first few days after admission
• Approximately 2 weeks after starting antidepressant

medication D

• A client who just went through an upsetting divorce is

threatening to commit suicide with a handgun. The client is involuntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?

• Hopelessness related to recent divorce
• Ineffective coping related to inadequate stress

management

• Spiritual distress related to conflicting thoughts about

suicide and sin

• Risk for suicide related to highly lethal plan

D 15.Which of the following individuals is at the highest risk for suicide?

• Nancy, age 22, Asian American, Catholic, middle

socioeconomic group, alcoholic

• John, age 72, white, Methodist, low socioeconomic

group, diagnosis of metastatic cancer of the pancreas

• Carol, age 15, African American, Baptist, high

socioeconomic group, no physical or mental health problems

• Mike, age 55, Jewish, middle socioeconomic group,

suffered myocardial infarction a year ago B

• Theresa, age 27, was admitted to the psychiatric unit

from the medial intensive care unit where she was treated for taking a deliberate overdose of her antidepressant medication, trazodone (desyrel). She says to the nurse, "My boyfriend broke up with me. We had been together for 6 years. I love him so much. I know I'll never get over him." Which is the best response by the nurse?

• You'll get over him in time, Theresa.
• Forget him. There are other fish in the sea.
• You must be feeling very sad about your loss.

D Why do you think he broke up with you, Theresa?C

• Theresa is hospitalized following a suicide attempt

after breaking up with her boyfriend. Theresa says to the nurse, "When I get out of here, I'm going to try this again, and next time I'll choose a no-fail method." Which is the best response by the nurse?

• You are safe here. We will make sure nothing happens

to you.

• You're just lucky your roommate came home when she

did.

• What exactly do you plan to do?
• I don't understand. You have so much to live for.

C

• In determining degree of suicidal risk with a suicidal

client, the nurse assess the following behavioral

manifestations: severely depressed, withdrawn,

statements of worthlessness, difficulty accomplishing activities of daily living, no close support systems. The

nurse identifies the client's risk for suicide as:

• low
• moderate
• high

D unable to determine C

• Theresa, who has been hospitalized following a suicide

attempt, is placed on suicide precautions on the psychiatric unit. She admits that she is still feeling suicidal.Which of the following interventions is the most appropriate in this instance?

• Obtain an order from the physician to place Theresa in

restraints to prevent any attempts to harm herself.

• Check on Theresa every 15 minutes or assign a staff

person to stay with her on a one-to-one basis.

• Obtain an order from the physician to give Theresa a

sedative to calm her and reduce suicide ideas.

• Do not allow Theresa to participate in any unit activities

while she is on suicide precautions.B

• Which of the following interventions are appropriate

for a client of suicide precautions? (Select ALL that apply).

• Remove all sharp objects, belts, and other potentially

dangerous articles from the client's environment.

• Accompany the client to off-unit activities
• Obtain a promise from the client that she will not do

anything to harm herself.

• Put all of the client's possessions in storage and

explain to her that she may have them back when she is off suicide precautions.A,B

• When a client is admitted to an inpatient mental health

unit with the diagnosis of anorexia nervosa, a cognitive behavioral approach is used as part of the treatment plan. The nurse understands that which is the purpose of this approach?a.Providing a supportive environment b.Examining intrapsychic conflicts and past issues c.Emphasizing social interaction with clients who withdraw d.Helping the client to examine dysfunctional thoughts and beliefs D

• A terminal CA client states to the nurse, "I wish my

family would stop hoping for a cure. I know I am going to die and I wish they would stop." The nurse's best response

is:

• "We can't control our family's feelings."
• "It sounds as though you are feeling angry your family

is still hoping for a cure."

• "I can tell you are in acceptance."
• "I will tell the team to arrange a family meeting."

B

• A client on the psychiatric unit states, "I feel like a

bird." The best response for the nurse to make is:

• "You are a patient not a bird."
• "Birds can fly, can you?"
• "That must be distressing for you, you don't look

different to me."

• "What you say indicates to me the reason you are in

the hospital." C

• A client with generalized anxiety disorder is referred

to outpatient mental health for cognitive behavioral therapy. CBT includes which interventions and strategies?Select all that apply.

• Desensitization to a specific stimulus or situation
• Discussing the interpersonal difficulties that have led to

the client's psychological problems

• Helping the client develop insight into the

psychological causes of the disorder

• Relaxation techniques
• Self-observation and monitoring
• Teaching new coping skills and techniques to reframe

thinking

A,D,E,F

• A female patient with depression reports feeling

overwhelmed by her mood and environment. An adult psychiatric and mental health clinical nurse specialist uses

a cognitive-behavioral approach, which is designed to:

• Increase the patient's self-understanding and provide

repeated reassurance.

• Modify the patient's behavior and improve her social

skills.

• Modify the patient's thoughts and increase her sense of

control and self-esteem.

• Redirect the patient from self-preoccupation to

creating change.C

• A client is diagnosed with dysthymic disorder. Which

should a nurse classify as an affective symptom of this disorder?

• Social isolation with a focus on self
• Low energy level
• Difficulty concentrating
• Gloomy and pessimistic outlook on life

D