Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
35 Cards in this Set
- Front
- Back
|
A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. To assess cognitive ability, I should ask the client to count backwards by sevens B. To assess affect, I should observe the client’s facial expression. C. To assess language ability, I should instruct the client to write a sentence. D. To assess remote memory, I should have the client repeat a list of objects. E. To assess the clients abstract thinking, I should ask the client to identify our most recent presidents. |
A, B, C |
|
|
A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy. B. Teach the client appropriate coping mechanisms C. Assess the client for comorbid health conditions D. Monitor the client for adverse affects of medications |
D |
|
|
A nurse in a outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as as the priority? A. Coordinate holistic care with social services B. Identify the clients perception of their mental health status C. Include the clients family in the interview D. Teach the client about their current mental health disorder |
B |
|
|
Uses the clients exact words? |
Restating |
|
|
Directs the focus back to the client in order for the client to examine his feelings? |
Reflecting |
|
|
Restates the clients feelings and thoughts for the client to confirm what has been communicated? |
Paraphrasing |
|
|
Allows nurse to gather more information regarding important topics mentioned by the client? |
Exploring |
|
|
This technique helps the client to concentrate on what is important? |
Focusing |
|
|
Use of this technique demonstrates a willingness to spend time with the client. Indicates to the client that the nurse has genuine concern? |
Offering self |
|
|
If appropriate, therapeutic ________ communicates caring and can provide comfort to the client? |
Touch |
|
|
A charge nurse is conducting a class on therapeutic communication with a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? A. Personal space B. Posture C. Eye contact D. Intonation |
D |
|
|
A nurse in an acute mental health facility is communicating with a client. The client states, I can’t sleep. I stay up all night. The nurse responds, you are having difficulty sleeping? Which of the following therapeutic communication techniques is the nurse demonstrating? A. Offering general leads B. Summarizing C. Focusing D. Restating |
D |
|
|
A nurse is communicating with a client who was admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? A. Offering advice B. Reflecting C. Listening attentively D. Giving information |
A |
|
|
A nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse’s use of interpersonal communication? A. The nurse discusses the clients weight loss during a health care team meeting B. The nurse examines their own personal feelings about clients who have anorexia nervosa C. The nurse asks the client about personal body image perception D. The nurse presents an educational session about anorexia nervosa to a large group of adolescents |
C |
|
|
A nurse is talking with the caregiver of a child who has demonstrated recent changes in behavior and mood. When the caregiver of the child asks the nurse for reassurance about their child’s condition, which of the following responses should the nurse make? A. I think your child is getting better. What have you noticed? B. I’m sure everything will be ok. It just takes time to heal. C. I’m not sure what’s wrong. Have you asked the doctor about your concerns? D. I understand your concerned. Let’s discuss what concerns you specifically |
D |
|
|
3 phases of therapeutic relationship? |
Orientation, working, termination |
|
|
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? Select all that apply A. The needs of both participants are met B. An emotional commitment exists between the participants C. It is goal-directed D. Behavioral change is encouraged E. A termination date is established |
C, D, E |
|
|
A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? A. The client asks the nurse if they will go out to dinner together B. The client accuses the nurse of being controlling just like an ex partner C. The client reminds the nurse of a friend who died from substance toxicity D. The client becomes angry and threatens to engage in self harm |
B |
|
|
A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? A. Discussing ways to use new behaviors B. Practicing new problem solving skills C. Developing goals D. Establishing boundaries |
A |
|
|
Spontaneous, uncensored verbalization of whatever comes to a clients mind? |
Free association |
|
|
Client receives positive rewards for positive behavior (positive reinforcement) |
Operant conditioning |
|
|
A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting when alcohol is consumed. Which of the following types of treatment is this method an example of? A. Aversion therapy B. Flooding C. Biofeedback D. Dialectical behavior therapy |
A |
|
|
A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? Select all that apply A. Priority restructuring B. Monitoring thoughts C. Diaphragmatic breathing D. Journal keeping E. Meditation |
A, B, D |
|
|
Believes their actions or thoughts are able to control a situation or affect others, such as wearing a certain hat makes them invisible to others? |
Magical thinking |
|
|
Made up words that have meaning only to the client |
Neologisms |
|
|
The client repeats words spoken to him |
Echolalia |
|
|
The voice instructs the client to perform an action (to hurt self or others) |
Command hallucinations |
|
|
Hearing voices or sounds |
Auditory hallucinations |
|
|
Seeing persons or things |
Visual hallucinations |
|
|
Smelling odors |
Olfactory hallucinations |
|
|
Experiencing tastes |
Gustatory hallucinations |
|
|
Feeling bodily sensations |
Tactile hallucinations |
|
|
4 first generation/conventional antipsychotics |
Haloperidol, loxapine, chlorpromazine, fluphenazine Monitor for extrapyramidal effects including: dystonia, Akathisia, pseudoparkinsonism, and tardive dyskinesia a |
|
|
A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? A. Auditory hallucinations B. Lack of motivation C. Use of clang associations D. Delusion of persecution E. Constantly waving arms F. Flat affect |
A, C, D, E |
|
|
A nurse is providing teaching to a client who has schizophrenia and is taking quetiapine fumarate. Which of the following blood tests should be performed periodically? A) potassium B) uric acid C) glucose D) calcium |
C) glucose |
