Elsa is being treated in a chemical dependency unit. She tells the nurse that she only uses drugs when under stress and therefore does not have a substance problem. Which defense mechanism is the client using? A. Compensation B. Denial C. Suppression D. Undoing Correct Answer: B.… Read More »
A client with a diagnosis of major depression, recurrent with psychotic features is admitted to the mental health unit. To create a safe environment for the client, the nurse most importantly devises a plan of care that deals specifically with the client’s: A. Disturbed thought processes B. Imbalanced nutrition C. Self-care deficit D.… Read More »
A depressed client is ready for discharge. The nurse feels comfortable that the client has a good understanding of the disease process when the client states: A. “I’ll never let this happen to me again. I won’t let my boss or my job or my family get to me!” B. “It’s important for… Read More »
The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. The symptom presented by the client that requires the nurse’s immediate intervention is the client’s: A. Outlandish behaviors and inappropriate dress. B. Grandiose delusions of being a royal descendant of King Arthur. C. Nonstop physical activity and poor… Read More »
The nurse reviews the activity schedule for the day and plans which activity for the manic client? A. Brown-bag luncheon and book review B. Tetherball C. Paint-by-number activity D. Deep breathing and progressive relaxation group Correct Answer: B. Tetherball A person who is experiencing mania is overactive… Read More »
A hospitalized client is being considered for ECT. The client appears calm, but the family is anxious. The client’s mother begins to cry and states “My son’s brain will be destroyed. How can the doctor do this to him?” The nurse’s best response is: A. “It sounds as though you need to speak with the psychiatrist”… Read More »
The manic client announces to everyone in the dayroom that a stripper is coming to perform this evening. When the nurse firmly states that this will not happen, the manic client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, the nurse determines that the most appropriate action would… Read More »
Which of the following nursing interventions is applicable for a hospitalized client with mania who is exhibiting manipulative behavior. Select all that apply. A. Communicate expected behaviors to the client. B. Enforce rules and inform the client that he or she will not be allowed to attend group therapy sessions. C. Ensure that… Read More »
A woman comes into the ER in a severe state of anxiety following a car accident. The most appropriate nursing intervention is to: A. Remain with the client. B. Put the client in a quiet room. C. Teach the client deep breathing. D. Encourage the client to talk about their feelings and concerns.… Read More »
When planning the discharge of a client with chronic anxiety, the nurse directs the goals at promoting a safe environment at home. The most appropriate maintenance goal should focus on which of the following? A. Continued contact with a crisis counselor. B. Identifying anxiety-producing situations. C. Ignoring feelings of anxiety. D. Eliminating all… Read More »