Week 1 Quiz Mental Health Nursing
787. 1. A client with a diagnosis of depression who has attempted suicide says to the
nurse, “I should have died. I’ve always been a failure. Nothing ever goes
right for me.” Which response by the nurse demonstrates therapeutic
communication?
1. “You have everything to live for.”
2. “Why do you see yourself as a failure?”
3. “Feeling like this is all part of being depressed.”
4. “You’ve been feeling like a failure for a while?”
788. 2. The nurse visits a client at home. The client states, “I haven’t slept at all the
last couple of nights.” Which response by the nurse demonstrates therapeutic
communication?
1. “I see.”
2. “Really?”
3. “You’re having difficulty sleeping?”
4. “Sometimes I have trouble sleeping too.”
789. 3. A client experiencing disturbed thought processes believes that his food is
being poisoned. Which communication technique should the nurse use to
encourage the client to eat?
1. Using open-ended questions and silence
2. Sharing personal preference regarding food choices
3. Documenting reasons why the client does not want to eat
4. Offering opinions about the necessity of adequate nutrition
791. 4. A client diagnosed with terminal cancer says to the nurse, “I’m going to die,
and I wish my family would stop hoping for a cure! I get so angry when they
carry on like this. After all, I’m the one who’s dying.” Which response by the
nurse is therapeutic?
1. “Have you shared your feelings with your family?”
2. “I think we should talk more about your anger with your family.”
3. “You’re feeling angry that your family continues to hope for you
to be cured?”
4. “You are probably very depressed, which is understandable with
such a diagnosis.”
792. 5. On review of the client’s record, the nurse notes that the admission was
voluntary. Based on this information, the nurse plans care anticipating which
client behavior?
1. Fearfulness regarding treatment measures
2. Anger and aggressiveness directed toward others
3. An understanding of the pathology and symptoms of the
diagnosis
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1. Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is:
a. Psychotherapy
b. Alcoholics anonymous (A.A.)
c. Total abstinence
d. Aversion Therapy
2. Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as:
a. Hallucinations
b. Delusions
c. Loose associations
d. Neologisms
3. Nurse Monet is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should...
a. Give her privacy
b. Allow her to urinate
c. Open the window and allow her to get some fresh air
d. Observe her
4. Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?
a. Provide privacy during meals
b. Set-up a strict eating plan for the client
c. Encourage client to exercise to reduce anxiety
d. Restrict visits with the family
5. A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
a. Turning on the television
b. Leaving the client alone
c. Staying with the client and speaking in short sentences
d. Ask the client to play with other clients
6. A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
a. Being Killed
b. Highly famous and important
c. Responsible for evil world
d. Connected to client unrelated to oneself
7. A 20 year old client was diagnosed with dependent personality disorder. Which behavior is not most likely to be evidence of ineffective individual coping?
a. Recurrent self-destructive behavior
b. Avoiding relationship
c. Showing interest in solitary activities
d. Inability to make choices and decision without advise
8.A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?
a. Paranoid thoughts
b. Emotional affect
c. Independence need
d. Aggressive behavior
9. Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?