NR 326 Mental Health EXAM 1 Question AND Correct Answers
- A nurse on an inpatient psychiatric unit implements care by scheduling client activities, interacting with clients, and maintaining a safe therapeutic environment. These actions reflect which role of the nurse?
Health Educator
Psychotherapist
Milieu
Manager Case
Manager
- A client diagnosed with schizophrenia refuses to take medication, citing the right of autonomy. Under which circumstance would a nurse have the right to medicate the client against the client’s wishes?
When the client makes inappropriate sexual comments to a staff member
When the client refuses to bathe or perform hygienic activities
When the client physically attacks another client after being confronted in group therapy
When the client constantly demands inappropriate attention from the nurse
- Which client statement alerts the nurse that the client may be maladaptively responding to stress? (Select all that apply)
“Avoiding contact with others helps me cope.”
“I really enjoy journaling; it’s my private time.”
“I signed up for a yoga class this week.”
“I made an appointment to meet with a therapist.”
“I like to have a martini after a stressful day at work.”
- The nurse has provided discharge instructions to a client who is prescribed lorazepam. Which statement by the client indicates that the discharge instructions were understood?
“I should not drive to work after taking this medication.”
“I will feel better in 4-6 weeks when the medication takes full effect.”
“I will stop the medication once I feel better.”
“I should limit my alcohol use while taking this medication.”
- The nurse administers Lithium to the client, 6 hours later, the client reports nausea, feeling very tired and unable to recall the date/time. Which nursing action is a priority?
Withhold next dose and notify the provider
Administer next dose and check Lithium level
Educate the client this is an expected side effect
Administer an emetic to alert client
- The nurse is caring for a client with Generalized Anxiety Disorder who attempted suicide prior to admission. Which observation(s) indicate that the client’s symptoms are worsening? (Select all that apply)
The client appears to have a sudden improved mood.
The client attends groups with minimal participation.
The client is talking about her traumatic childhood in group therapy.
The client reports sleeping 8 hours at night. The client is isolative most of the day.
- A client with Bipolar Disorder developed a rash all over their back. Which medication does the nurse identify as a contributing factor?
Carbamazepine
Lithium
Lamotrigine
Valproic Acid
- A client with major depressive disorder attended cognitive behavioral therapy (CBT) group yesterday and states “I don’t think that group is helpful.” Which statement by the nurse would be most appropriate? (Select all that apply)
“CBT can help with your negative thinking which may improve your mood.”
“CBT is not for everyone; I can understand why you are frustrated
“CBT can help your medications work more effectively.”
“CBT is mostly for patients with a cognitive impairment.”
“CBT helps reframe distorted thinking to help with unhealthy behavior.”
- Which are appropriate nursing interventions for a client experiencing acute mania? (Select all that apply)
Monitor sleep, fluid intake, and nutrition
Set firm, consistent limits
Avoid power struggles
Seclude client for safety
Reinforce manipulative behaviors
- A nurse working on an acute mental health unit is caring for a client who has post-traumatic stress disorder. Which findings should the nurse expect? (Select all that apply)
Difficulty concentrating on tasks
Obsessive need to talk about the event
Negative self-image
Recurring nightmares
Diminished reflexes
Solution for NR 326 Mental Health EXAM 1
- A nurse on an inpatient psychiatric unit implements care by scheduling client activities, interacting with clients, and maintaining a safe therapeutic environment. These actions reflect which role of the nurse?
Health Educator
Psychotherapist
Milieu
Manager Case
Manager
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