Exam 7: Mental Health

A client with a history of obsessive-compulsive personality disorder (OCPD) is seeking treatment for a gastrointestinal disorder and is scheduled for a colonoscopy at 10:00 AM.  Due to a computer glitch, the procedure is postponed to 3:00 PM.  Which response would be characteristic of an individual with OCPD?

The nurse is caring for a dying child on a palliative unit.  Which statement by the nurse is most important to make to the parents immediately following the death of their child?

The nurse is conducting a follow-up interview with a client who is being treated for depression and suicidal ideation.  Which factor best indicates the client is not currently at risk for suicide?

The nurse is educating a client in preparation for discharge from the hospital when the client breaks down crying, saying that the health care provider thinks she is crazy because he diagnosed her with a functional disorder.  Which statement would be the best reply to this client?

The nurse is providing care to a client experiencing posttraumatic stress disorder following a terrorist attack at the client's place of worship.  What is the priority nursing action?

The registered nurse is leading a support group for partners of military veterans suffering from posttraumatic stress disorder (PTSD).  A participant asks the nurse how to identify the typical symptoms of PTSD.  The nurse responds that most individuals with PTSD report which symptoms?

A client who is diagnosed with breast cancer asks the nurse, "Am I going to die?"  Which statement by the nurse promotes a therapeutic relationship?

A client on a medical unit recently received a diagnosis of end-stage renal disease and was told of the need to go on dialysis.  This morning the client was found in the bathroom trying to commit suicide by hanging using hospital gown ties.  The client was stabilized and transferred to the psychiatric unit.  Which of the following is the highest priority nursing action for this client?

A 60-year-old client wanders away during halftime at a football game and is found 48 hours later sleeping on a park bench, 100 miles from home.  The client is brought to the emergency department by the police.  The client can state the name and address but has no recollection of the past 2 days.  What is the priority nursing action?

A client with Alzheimer disease is admitted to the hospital for a urinary tract infection.  The daughter says to the nurse, "I really want to take my mother home and continue care there.  However, lately, my mother has become agitated and restless at night.  I'm awake most of the night, feel exhausted, and do not know what to do."  What is the best response by the nurse?

A client, who has been hospitalized for 3 days with major depressive disorder, has stayed in the room and not gotten out of bed except for toileting.  The nurse enters the room to remind the client that breakfast will be served in the dining room in 20 minutes.  The client says, "I'm not hungry and I don't feel like doing anything."  What is the best response by the nurse?

An 87-year-old client has been admitted to the hospital with signs and symptoms of a urinary tract infection along with agitation, confusion, and disorientation to time and place.  What is the most important nursing action?

A client with a 20-year history of schizophrenia is hospitalized.  The client appears visibly upset, approaches the nurse, and says in a shaky voice, "I can't find my headband.  I can't find my headband.  The oil is going to leak out of the crack in my head."  What is the best response by the nurse?

An adolescent client is brought to the emergency department by the parents after being found making superficial cuts along the side of an arm with a razor blade.  There are several minor cuts in various stages of healing on the client's forearms.  Which statements are appropriate for the nurse to make to the client's parents?  Select all that apply.

The nurse is caring for a new mother whose infant has been diagnosed with Down syndrome.  The client says to the nurse, "I'm so worried.  My husband is so devastated that he won't even look at the baby."  What is the best response by the nurse?

A client on the locked unit of an inpatient psychiatric hospital says to a nurse on the evening shift, "During the day they let me out to go to the gift shop.  You're my favorite nurse; I know you'll be a good sport and give me a pass."  What is the best response by the nurse?

A client with obesity reports several failed attempts at weight loss.  Which client statement best indicates that the client is ready and motivated for successful weight loss?

The nurse is admitting a client with malnutrition related to anorexia nervosa.  Which of the following actions are appropriate to include in the care of this client?  Select all that apply.

The spouse brings a client to the emergency department due to erratic behavior and expressions of despair.  The emergency department is extremely busy with many clients.  When the triage nurse asks if the client feels suicidal now, the client shrugs the shoulders.  What initial action should the triage nurse take?

The nurse on the mental health unit receives report about a client diagnosed with schizophrenia who is experiencing a delusion of reference.  Which client statement supports this symptom?