Mental Health Nursing - 4

Suicide

100

A nurse assesses a client at a community mental facility using the SAD PERSONS tool. This tool provides data related to a client's. _______________________________________________________________________________ A. current anxiety level _______________________________________________________________________________ B. problem-solving ability _______________________________________________________________________________ C. suicide potential _______________________________________________________________________________ D. mood disturbance _______________________________________________________________________________

C. suicide potential

200

A client who previously made a suicide plan develop a no-suicide contract with the nurse. The most appropriate wording for this written contract is: _______________________________________________________________________________ A. "I will not make a suicide attempt for the next week" _______________________________________________________________________________ B. "I will not kill myself until I call you" _______________________________________________________________________________ C. "I will not harm myself during the next 24 hours." _______________________________________________________________________________ D. "During the next 24 hours I will not, for any reason, accidentally, or on purpose, try to kill myself." _______________________________________________________________________________

D. "During the next 24 hours I will not, for any reason, accidentally, or on purpose, try to kill myself."

300

A client states that she has a plan to commit suicide. The priority assessment at this time is the. _______________________________________________________________________________ A. client's educational and economic background. _______________________________________________________________________________ B. lethality of method and availability of means. _______________________________________________________________________________ C. quality of the client's social support. _______________________________________________________________________________ D. client's insight into the reasons decision.

B. lethality of method and availability of means.

400

When admitting a client to a mental health facility on suicide precautions, what items would check for and limit access.(choose all that apply) _______________________________________________________________________________ A. Shoe laces _______________________________________________________________________________ B. A bible _______________________________________________________________________________ C. A belt _______________________________________________________________________________ D. Plastic bags

A. shoe laces _______________________________________________________________________________ C. A belt _______________________________________________________________________________ D. Plastic bags

500

______ is an example of a protective factor when assessing a client who was involuntarily admitted on suicide watch for previous mental health issues and suicide attempts. _______________________________________________________________________________ A. single, young adult male _______________________________________________________________________________ B. religious background _______________________________________________________________________________ C. Hx of bipolar disorder and recent substance abuse _______________________________________________________________________________ D. Previous suicide attempts

B. religious background

Anxiety & Defense Mechanisms

100

This behavior best describes the following defense mechanism: _______________________________________________________________________________ A child is punished by his mother and sent to his room where he begins to kick and break apart a favorite toy. _______________________________________________________________________________ A. Reaction formation _______________________________________________________________________________ B. Displacement _______________________________________________________________________________ C. Rationalization _______________________________________________________________________________ D. Sublimation _______________________________________________________________________________

B. Displacement

200

This behavior best describes the following defense mechanism: _______________________________________________________________________________ A husband feels very angry with his wife, so he goes outside and begins energetically cutting up firewood with an axe. _______________________________________________________________________________ A. Reaction formation _______________________________________________________________________________ B. Displacement _______________________________________________________________________________ C. Rationalization _______________________________________________________________________________ D. Sublimation _______________________________________________________________________________

D. Sublimation

300

This behavior best describes the following defense mechanism: _______________________________________________________________________________ A woman who just lost her job, because she frequently was late for work, tells friends that it will be much better for her family if she stays home every day. _______________________________________________________________________________ A. Reaction formation _______________________________________________________________________________ B. Displacement _______________________________________________________________________________ C. Rationalization _______________________________________________________________________________ D. Sublimation _______________________________________________________________________________

C. Rationalization

400

This behavior best describes the following defense mechanism: _______________________________________________________________________________ A heavy smoker diagnosed with lung cancer says, "I'm coughing because I have that cold that everyone has been getting." _______________________________________________________________________________ A. Denial _______________________________________________________________________________ B. Reaction formation _______________________________________________________________________________ C. Rationalization _______________________________________________________________________________ D. Displacement _______________________________________________________________________________

A. Denial

500

A client complains of a choking sensation in his throat, a racing heart, dizziness, and fearfulness. Which condition could cause these symptoms? _______________________________________________________________________________ A. Substance abuse _______________________________________________________________________________ B. Panic disorder _______________________________________________________________________________ C. Phobia _______________________________________________________________________________ D. Huntington's chorea

B. Panic disorder

Potpourri

100

True or false: A course of anticonvulsant medication is typically prescribed for a client several days prior to an ECT treatment?

False

200

During an assessment, a client tells the nurse that she removes her old makeup and reapplies new makeup every hour or so, because she is sure that she looks horrible. This behavior is consistent with _______________________________________________________________________________ A. generalized anxiety disorder _______________________________________________________________________________ B. panic disorder _______________________________________________________________________________ C. obsessive-compulsive disorder _______________________________________________________________________________ D. post traumatic stress disorder (PTSD)

C. obsessive-compulsive disorder (OCD)

300

When discharging a client with home oxygen, which of the following is most important for the nurse to teach? _______________________________________________________________________________ A. smoking cessation _______________________________________________________________________________ B. Equipment maintenance _______________________________________________________________________________ C. Incorporating rest into ADL's _______________________________________________________________________________ D. anger management

A. smoking cessation

400

Even though the client's right to privacy is protected by HIPA, it is the nurse's responsibility to report all of the following except: _______________________________________________________________________________ A. Intention to harm a third party _______________________________________________________________________________ B. child abuse _______________________________________________________________________________ C. negative thoughts towards society _______________________________________________________________________________ D. elder abuse

C. negative thoughts towards society

500

True or false: A patient who is involuntarily committed must comply with the treatment regimen.

False

General Law /Ethics

100

A client undergoing a bronchoscopy needs to sign an informed consent form before the procedure. Which statement about informed consent is true? _______________________________________________________________________________ A. the client can't refuse the procedure after the consent is signed. _______________________________________________________________________________ B. If the client refuses to sign the consent form, another family member can sign for him. _______________________________________________________________________________ C. If the client refuses to sign the consent form, other treatment will be withdrawn. _______________________________________________________________________________ D. Informed consent should include an explanation of alternative treatments or procedures.

D. Informed consent should include an explanation of alternative treatments or procedures.

200

A nurse working at a busy hospital takes steps to challenge an assignment that may not be within the practice limits for nurses in the stater where she works. Which law defines the limits of each state's nursing practice? _______________________________________________________________________________ A. Contract law _______________________________________________________________________________ B. Nurse Practice Act _______________________________________________________________________________ C. National Labor Relations Act _______________________________________________________________________________ D. Food, Drug, and Cosmetic Act

B. Nurse Practice Act

300

A client is admitted to the hospital with a closed head injury. He's unconscious and requires mechanical ventilation. Which document will most likely be used to make a medical decision for the client? _______________________________________________________________________________ A. Durable power of attorney for health care _______________________________________________________________________________ B. Power of attorney _______________________________________________________________________________ C. Advanced directive _______________________________________________________________________________ D. Living will

A. Durable power of attorney for health care

400

A Jehovah's Witness is admitted to the hospital with upper GI bleeding. The physician orders two units of packed red blood cells administered over 2 hours each. When the nurse tells the client about the order, the client refuses the transfusion. How should the nurse proceed? _______________________________________________________________________________ A. Follow the physician's order and administer the transfusion. _______________________________________________________________________________ B. Tell the client that she's being ridiculous because she'll die without the transfusion. _______________________________________________________________________________ C. Refuse to care for the client because you don't agree with her religious beliefs. _______________________________________________________________________________ D. Tell her you understand her religious concerns and notify the physician.

D. Tell her you understand her religious concerns and notify the physician.

500

After a medication error is made on her unit, a nurse-manager should expect to receive _______________________________________________________________________________ A. an incident report _______________________________________________________________________________ B. an oral report from the nurse _______________________________________________________________________________ C. a copy of the medication Kardex _______________________________________________________________________________ D. an order change signed by the physician.

A. an incident report

Anger Management

100

Which of the following statements made by a client is an example of aggressive communication? _______________________________________________________________________________ A. "I wish you would not make me angry." _______________________________________________________________________________ B. "I feel angry when you leave me." _______________________________________________________________________________ C. "It makes me angry when you interrupt me." _______________________________________________________________________________ D. "You'd better listen to me."

D. "You'd better listen to me."

200

Which of the following is true about anger? _______________________________________________________________________________ A. Suppressing anger is a sign of maturity. _______________________________________________________________________________ B. Anger is a negative feeling. _______________________________________________________________________________ C. Anger can result from hurt feelings or frustration. _______________________________________________________________________________ D. Anger always leads to arguments.

C. Anger can result from hurt feelings or frustration.

300

In approaching a client who is speaking in a loud voice with clenched fists, the nurse should remember that _______________________________________________________________________________ A. clients who verbalize their anger will not act on it. _______________________________________________________________________________ B. the staff should be made aware of the situation as the nurse intervenes. _______________________________________________________________________________ C. there needs to be six staff members present if the client is delusional. _______________________________________________________________________________ D. verbally aggressive clients will calm down on their own if they are left alone.

B. The staff should be made aware of the situation as the nurse intervenes.

400

Providing safe care of a client who is acting out includes _______________________________________________________________________________ A. moving others away from the client. _______________________________________________________________________________ B. getting medication ready to inject. _______________________________________________________________________________ C. avoiding talking to the client. _______________________________________________________________________________ D. keeping the client in a seclusion room.

A. moving others away from the client.

500

Which of the following nursing actions is most appropriate after an episode of explosive anger during which a client throws a chair and is moved to a quiet room with a staff member for an hour? _______________________________________________________________________________ A. move client to another unit. _______________________________________________________________________________ B. Increase the dose of sedative medication for the client. _______________________________________________________________________________ C. Determine a punishment for the client. _______________________________________________________________________________ D. Evaluate the incident with both the client and staff.

D. Evaluate the incident with both the client and staff.