Exam 7: Mental Health

The nurse plans care for a client diagnosed with anorexia nervosa who is being admitted after failure of outpatient treatment.  Which client outcome will the nurse prioritize?

The nurse makes a home visit to a client with Alzheimer disease.  While reviewing the client's home care needs, the client's spouse states, "It's hard to see my spouse worsen each day.  I'm not sure I can keep doing this alone anymore."  Which response by the nurse is best?

A 12-year-old with moderate intellectual disability and an intelligent quotient of 45 is hospitalized.  What will the nurse recommend as the best recreational activity for this child?

The nurse cares for a client who has a do-not-resuscitate prescription, and notes extensive skin mottling and vital signs consistent with impending death.  The client's spouse states, "I hope my spouse can hang on a little longer; our anniversary is in 2 days."  What response by the nurse is appropriate?

Which statement by a client with a diagnosis of dependent personality disorder would the nurse recognize as progress toward a positive therapeutic outcome?

After a daily weigh-in, a client with anorexia nervosa realizes a 2-lb weight gain.  The client says to the nurse in a distressed voice, "This is terrible.  I'm so fat."  What is the best response by the nurse?

The nurse on the mental health unit received report on 4 clients.  Which client should the nurse see first?

The emergency department nurse cares for a client whose college roommate reports recent changes in the client's behavior.  Which behaviors and clinical data meet the criteria for involuntary admission to the mental health unit?  Select all that apply.

The nurse is caring for a client with bulimia nervosa.  Which is the most important time for the nurse to monitor the client's behavior?

The nurse at a mental health clinic is performing a suicide risk screening on four clients experiencing depression.  Which client does the nurse recognize as being most at risk for suicide?

The mental health nurse is planning care for a client newly admitted with dissociative identity disorder.  Which interventions will the nurse include?  Select all that apply.

A recently widowed client becomes tearful at a routine clinic visit and states, "I just can't get over my spouse's death."  Which of the following responses by the nurse are appropriate?  Select all that apply.

The nurse is planning care for an 11-year-old admitted for surgical treatment of a fractured femur.  The child also has attention-deficit hyperactivity disorder, predominantly inattentive type.  What is the priority nursing action?

The nurse is caring for a client with schizophrenia who has been experiencing visual hallucinations.  The client says in a trembling voice, "There's a bad man standing over there in the corner of my room."  What is the bestresponse by the nurse?

The nurse is managing the care of a client diagnosed with chronic anxiety.  Which behavior demonstrates to the nurse that the client possesses resilience?

A client with schizophrenia is hospitalized.  After 2 weeks of treatment, the frequency of the client's hallucinations seems to be diminishing.  When first hospitalized, the client refused to leave the room.  Now the client spends time in the dayroom, sitting in a corner watching television, but does not initiate conversation or social interaction with other clients or staff.  What is the most appropriate activity for the client?

The nurse cares for a client newly diagnosed with acute stress disorder following a traumatic event.  Which of the following communications by the nurse are appropriate?  Select all that apply.

A client with schizophrenia says to the nurse, "The world turns as the world turns on a ball at the beach.  But all the world's a stagecoach and I took the bus home."  The nurse recognizes this statement as an example of which of the following?

The clinic nurse reinforces education about intimate partner violence for a group of graduate nurses.  Which of the following are appropriate for the nurse to include?  Select all that apply.

A client with borderline personality disorder says to the nurse, "You're the only one I trust around here.  The others don't know what they are doing and they don't care about anyone except themselves.  I only want to talk with you."  What is the priority action for the client's nursing care plan?