LGBQT/Mental Health
Deficits
Children
Leadership and teams
Conflict and Harm
100

LGBTQ2 clients are less likely to share their sexual orientation to healthcare workers due to the fear of judgement or discrimination.

True

100

People with developmental disabilities will not be able to communicate verbally, so a Speech Language Pathologist should always be part of their care team.

False

100

It is important that we treat children like little adults.

False

100

What is a typical barrier to teamwork

  • Different levels of responsibility
  • Lack of clear roles
  • Different start times
  • All of the above

Lack of clear roles

100

If a client becomes verbally abusive the nurse may use “I” statements to express how they are feeling.

True

200

What is one of the more important considerations when caring for a client with LGBQ2S?

1. Know your own values

2. Assessing the client for childhood abuse

3. As part of Initial Assessment question the client about their sexual orientation

4. Discuss your views on LGBQ2S

Know your own values

200

What should the nurse do when caring for the client with macular degeneration?

  • Face the client directly
  • Stand to the client’s side
  • Hold the client’s arm when walking
  • Refrain from touching the client

Stand to the client’s side

200

Which of the following is true of children in the preoperational period?

  • They ask numerous questions to clarify a message
  • They can process auditory information quickly
  • They can clearly distinguish between fantasy and reality
  • They may misunderstand messages quite easily

They may misunderstand messages quite easily

200

What is the most effective problem-solving style for resolution that creates a win-win situation?

  • Accommodation
  • Avoidance
  • Competition
  • Collaboration

Collaboration

200

A client is admitted to a psychiatric unit with severe depression and thoughts of suicide. The client is placed on suicide precautions. The nurse recognizes which of the following to be true?

  • People who talk about harming themselves are at less risk.
  • Clients who verbalize or behaviourally demonstrate "a weight being lifted off the shoulders" are no longer at risk.
  • Once the acute crisis has subsided, the client is no longer at risk.
  • A major goal in evaluating suicidal risk is to assess for imminent danger of doing harm to self.

A major goal in evaluating suicidal risk is to assess for imminent danger of doing harm to self. 

300

A client on a psychiatric unit is found pacing the halls and angrily punching at the wall. What is the primary goal of the nurse?

  • Assertively tell the client to stop the behaviour
  • Suggest that the client write in a journal to help relieve anxiety
  • Speak in a loud voice in order to alert other staff members
  • Maintain safety while helping the client

Maintain safety while helping the client

300

Which of these is important to consider when caring for a client with Developmental disabilities:

  • Speak clearly, do not shout. Check the Clients understanding using concrete language
  • Pause frequently so they are not overwhelmed
  • Tell and show before doing a procedure.
  • All of the above

All of the above

300

When assessing a child's reaction to illness, it is important for the nurse to do which of the following?

  • Observe the interaction between parent and child
  • Recognize that chronological age will match cognitive level
  • Realize that children are more comfortable with female health care providers
  • Recognize that the child's behaviour will be age appropriate

Observe the interaction between parent and child

300

A physician writes an order to withhold life-saving treatment from a terminally ill client. The nurse personally disagrees with this order and believes that treatment should continue. What type of conflict is the nurse experiencing?

  • Covert conflict
  • Overt conflict
  • Interpersonal conflict
  • Intrapersonal conflict

Intrapersonal Conflict

300

A client with a history of violence is admitted to a psychiatric unit. The nurse observes the client pacing the halls and speaking to other clients in a menacing way. The nurse is concerned that the client will become physically violent. What should the nurse do initially?

  • Encourage the client to stop pacing and sit down
  • Increase environmental stimuli by promoting more sensory input
  • When speaking to the  client use a low, calm tone of voice
  • Prepare a PRN sedative immediately

When speaking to the  client use a low, calm tone of voice 

400

When communicating with a client diagnosed with a serious mental disorder, it is important for the nurse to recognize which of the following?

  • Clients with mental disorders never have intact sensory channels
  • Clients with a 'flat affect' are easier to understand
  • Clients with mental disorders are always very talkative
  • Clients with mental disorders may suffer from social isolation and impaired coping 

Clients with mental disorders may suffer from social isolation and impaired coping

400

Which of the following is true in relation to communication deficits?

  • Communication deficits occur only as a result of physical disabilities
  • Communication deficits can arise from sensory deprivation
  • Individuals who are equally impaired are equally disabled
  • The primary nursing goal is to minimize the client's independence

Communication deficits can arise from sensory deprivation

400

The nurse is conducting a family assessment in which alcoholism by the parents is suspected. When assessing the children within this family for symptoms of stress, the nurse recognizes that which of the following is true?

  • The children will most likely verbalize their feelings about the stressor
  • The children will demonstrate the ability to sort out the meaning of the illness
  • Signs of distress can include academic decline, gastric distress, and headaches
  • Physical complaints by the children can only be related to a physiological factors

Signs of distress can include academic decline, gastric distress, and headaches

400

When establishing guidelines for behaviour in facility it is important that consequences are applied in a matter-of-fact manner. True or False?

True 

400

The nurse is performing an initial assessment on a mental health client in the emergency department. The client is uncooperative, and the nurse recognizes the client's behaviour is escalating. What is the most appropriate response from the nurse?

  • Use a vulnerable stance
  • Maintain constant eye contact
  • Move quickly with hands hidden behind back
  • Ignore provocative statements

Ignore provocative statements

500

When communicating with a preschooler who is admitted to the hospital for a fractured arm, which is the best method for the nurse to describe the preschooler's impending surgery?

  • Encourage the preschooler to put a bandage on a teddy bear's arm
  • Explain what surgery will be like, using abstract terminology
  • Explain to the preschooler how long the surgery will take and that it will be done by noon
  • Inform the preschooler that fixing the fractured arm will make it possible to play sports in the future

Encourage the preschooler to put a bandage on a teddy bear's arm

500

A client is admitted to a psychiatric unit for crisis intervention. Which of the following is true concerning crisis intervention?

  • It is a long-term treatment to improve coping skills
  • It is a system for focusing on future problem-solving skills
  • It is an intervention designed to return the client to a state of functioning that is higher than their pre-crisis state
  • It is a time-limited treatment focused on the immediate problem and return to a stable state

It is a time-limited treatment focused on the immediate problem and return to a stable state

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