Question 1

An adult female inpatient client with a diagnosis of paranoid schizophrenia will not take her medications from the nurse.She states,"I know you are poisoning that medicine." Which nursing action is most appropriate?

Accepted Answer

A)  Promise the client that the staff would not do anything to harm her.
B)  Let the client watch the medication preparation process.
C)  Administer medications to the client in unit dose packages so that she can open the packages herself.
D)  Allow the client to retrieve the medications out of the medication cart with supervision.E) B) and D)
F) C) and D)

Question 2

Which is an accepted criterion for inpatient admission to a mental health facility?

Accepted Answer

A)  The client likes the security and comfort of the mental health facility.
B)  The client feels that he is no longer able to cope with life stressors or maintain control of his behavior.
C)  A client's behavior becomes unusual.
D)  The client suffers from depression.E) C) and D)
F) All of the above B

Question 3

A male client is in the process of being admitted to a mental health facility.He is sure that the nurse is the administrator of the hospital,despite the nurse's insistence that he is a staff nurse on the unit.This client is experiencing:

Accepted Answer

A)  Acute confusion
B)  Visual hallucinations
C)  Delusions
D)  Auditory hallucinationsE) B) and C)
F) A) and B)

Question 4

A male inpatient client who is experiencing depression has no interest in eating.He skips meals frequently and has been losing weight.What is the best nursing action in this situation?

Accepted Answer

A)  Ask the client to "Please eat one meal for me."
B)  Leave food with the client at mealtime and offer snacks frequently.
C)  Give the client information on the benefits of good nutrition.
D)  Remove client privileges every time the client doesn't eat.E) All of the above
F) B) and C)

Question 5

Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis;it usually lasts for:

Accepted Answer

A)  1 to 2 days
B)  2 to 4 days
C)  4 to 6 days
D)  6 to 8 daysE) A) and B)
F) C) and D) A

Question 6

A female client on the mental health unit experiences periods of psychosis at intervals.She often asks what day she came to the facility and what day it is now,and she seems never to be aware of the time.Which nursing intervention would help this client the most?

Accepted Answer

A)  Remind her of the time of day every time she asks.
B)  Assist her to keep a written schedule,including her day of admission,on a calendar posted in her room and a clock beside the calendar.
C)  Tell her it doesn't really matter what day she came to the facility;what matters is what day and time it is now.
D)  Instruct the staff to not answer her repetitive questions because she has been told numerous times her day of admission,and there is a clock on the wall.E) A) and B)
F) None of the above

Question 7

The use of therapeutic touch as a relaxation technique in the mental health setting is beneficial for clients displaying which symptoms?

Accepted Answer

A)  Aggression
B)  Paranoia
C)  Depression
D)  AnxietyE) None of the above
F) A) and B) C

Question 8

The nurse can assist a client best in meeting his or her needs for self-esteem and/or self-actualization by:

Accepted Answer

A)  Setting rules and regulations
B)  Allowing the client to set rules and regulations for the inpatient unit
C)  Informing the client what the treatment team has decided regarding the plan of care
D)  Allowing the client to make choices involving his or her care when appropriateE) A) and B)
F) C) and D)

Question 9

The nurse is aware that during the admission process to a mental health facility,the anxious client:

Accepted Answer

A)  Is acutely aware of his or her surroundings
B)  Often forgets some of what is said in the unfamiliar surroundings
C)  Has a keen memory in his or her heightened state of awareness
D)  Frequently has no recollection of what is said by the staff during admissionE) None of the above
F) A) and D)

Question 10

When establishing a client's level of consciousness,the nurse is aware that this is determined by assessing the client's:

Accepted Answer

A)  Level of awareness
B)  Ability to tell the nurse where he or she is at any given time
C)  Accuracy in expressing the current month,date,or year
D)  Capability to explain why he or she is in the facilityE) C) and D)
F) None of the above

Question 11

Inpatient services provide care mainly for mental health clients who are experiencing which conditions? (Select all that apply. )

Accepted Answer

A)  Acute mental or emotional problems
B)  Chronic mental or emotional problems
C)  Depression
D)  Crisis
E)  Bipolar disorderF) A) and E)
G) A) and D)

Question 12

A 16-year-old client is in the lounge with other clients on the inpatient unit when he suddenly becomes agitated.Which action by the nurse would be most appropriate in this situation?

Accepted Answer

A)  Turn up the volume on the television to distract the client
B)  Bring him to sit at the nurses' station while the staff is doing shift report
C)  Keep him in the lounge and attempt to converse with him
D)  Accompany him to a room where soft music is playingE) B) and D)
F) A) and C)

Question 13

__________ refers to the process of achieving one's full potential in life.

Accepted Answer

Self-actualization
Self actualization
In...

Question 14

Admission to an inpatient mental health unit is often a stressful event.Which actions on the part of the health care provider will help to decrease the anxiety of the client? (Select all that apply. )

Accepted Answer

A)  Conduct the admission interview with a team of health care providers
B)  Answer any questions the client may have
C)  Support the client in being oriented to the unit
D)  Provide simple,clear instructions and repeat if needed
E)  Communicate concern for the clientF) B) and C)
G) A) and B)

Question 15

Bright colors in the environment of the client are often:

Accepted Answer

A)  Depressing
B)  Stimulating
C)  Calming
D)  FrighteningE) B) and D)
F) C) and D)

Question 16

Which are common causes for client noncompliance in the plan of care? (Select all that apply. )

Accepted Answer

A)  Financial concerns
B)  Lack of support by family
C)  Staff dislike of a client
D)  Inability to understand the treatment plan
E)  Lack of access to treatment servicesF) B) and E)
G) A) and E)

Question 17

With regard to the environment,it is important for the nurse to be aware of lighting for some clients.Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger:

Accepted Answer

A)  Overstimulation
B)  Hallucinations
C)  Aggressive behaviors
D)  PhotophobiaE) B) and C)
F) B) and D)

Question 18

The nurse should monitor the temperature of the environment of a client who becomes easily agitated,with awareness that increased temperatures sometimes may cause the client to become:

Accepted Answer

A)  Calm
B)  Confused
C)  Cooperative
D)  More distressedE) All of the above
F) B) and D)

Question 19

__________ describes the setting or environment in which mental health care is provided.

Accepted Answer

Milieu
Milieu descri...

Question 20

A 22-year-old woman is brought to the inpatient unit for attempting suicide.Her clothes are clean and her general appearance is neat and well groomed.She appears to be well nourished.In considering Maslow's hierarchy of needs,which is a priority for this client?

Accepted Answer

A)  Physiologic
B)  Love and belonging
C)  Self-actualization
D)  Safety and securityE) B) and C)
F) B) and D)

Exam 12: The Therapeutic Environment

An adult female inpatient client with a diagnosis of paranoid schizophrenia will not take her medications from the nurse.She states,"I know you are poisoning that medicine." Which nursing action is most appropriate?

Correct AnswerverifiedShow Answer

Which is an accepted criterion for inpatient admission to a mental health facility?

Correct AnswerverifiedB

A male client is in the process of being admitted to a mental health facility.He is sure that the nurse is the administrator of the hospital,despite the nurse's insistence that he is a staff nurse on the unit.This client is experiencing:

Correct AnswerverifiedShow Answer

A male inpatient client who is experiencing depression has no interest in eating.He skips meals frequently and has been losing weight.What is the best nursing action in this situation?

Correct AnswerverifiedShow Answer

Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis;it usually lasts for:

Correct AnswerverifiedA

A female client on the mental health unit experiences periods of psychosis at intervals.She often asks what day she came to the facility and what day it is now,and she seems never to be aware of the time.Which nursing intervention would help this client the most?

Correct AnswerverifiedShow Answer

The use of therapeutic touch as a relaxation technique in the mental health setting is beneficial for clients displaying which symptoms?

Correct AnswerverifiedC

The nurse can assist a client best in meeting his or her needs for self-esteem and/or self-actualization by:

Correct AnswerverifiedShow Answer

The nurse is aware that during the admission process to a mental health facility,the anxious client:

Correct AnswerverifiedShow Answer

When establishing a client's level of consciousness,the nurse is aware that this is determined by assessing the client's:

Correct AnswerverifiedShow Answer

Inpatient services provide care mainly for mental health clients who are experiencing which conditions? (Select all that apply. )

Correct AnswerverifiedShow Answer

A 16-year-old client is in the lounge with other clients on the inpatient unit when he suddenly becomes agitated.Which action by the nurse would be most appropriate in this situation?

Correct AnswerverifiedShow Answer

__________ refers to the process of achieving one's full potential in life.

Correct AnswerverifiedSelf-actualizationSelf actualizationIn...View AnswerShow Answer

Admission to an inpatient mental health unit is often a stressful event.Which actions on the part of the health care provider will help to decrease the anxiety of the client? (Select all that apply. )

Correct AnswerverifiedShow Answer

Bright colors in the environment of the client are often:

Correct AnswerverifiedShow Answer

Which are common causes for client noncompliance in the plan of care? (Select all that apply. )

Correct AnswerverifiedShow Answer

With regard to the environment,it is important for the nurse to be aware of lighting for some clients.Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger:

Correct AnswerverifiedShow Answer

The nurse should monitor the temperature of the environment of a client who becomes easily agitated,with awareness that increased temperatures sometimes may cause the client to become:

Correct AnswerverifiedShow Answer

__________ describes the setting or environment in which mental health care is provided.

Correct AnswerverifiedMilieuMilieu descri...View AnswerShow Answer

A 22-year-old woman is brought to the inpatient unit for attempting suicide.Her clothes are clean and her general appearance is neat and well groomed.She appears to be well nourished.In considering Maslow's hierarchy of needs,which is a priority for this client?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
Self-actualization
Self actualization
In...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
Milieu
Milieu descri...
View Answer

Correct Answer
verified