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1. The DSM-IV is a tool utilized for diagnosis I mental health settings. This multi-axial system includes:
a. Nursing and medical diagnosis
b. Frameworks of specific theories
c. Assessments for several areas of functioning
2. The nurse meets with the client daily. The client stays mostly in his room and speaks only when addressed, answering briefly and abruptly while keeping his eyes on the floor. In this stage of their relationship, the nurse focuses on the client\u2019s ability to
a. Increase her self-esteem
b. Write her negative feelings in a daily journal
c. Verbalize her work-related accomplishments.
d. Verbalize three things she likes about herself
4. The most important assessment data for the nurse to gather from the client in crisis would be:
a. The client\u2019s work habits
b. Any significant physical health data
A nursing action that may help the client to feel more at ease includes:
a. Telling her that everything is all right
b. Giving her a copy of hospital regulations
c. Orienting her to the environment and unit personnel
d. Reassuring her that staff will be available if she becomes upset
6. On arrival for admission to a voluntary unit, a female client loudly announces: \u201cEveryone kneel, you are in the presence of
the Queen of England.\u201d This is:
7. A client refuses to eat food sent up on individual trays from the hospital kitchen. The client shouts, \u201cYou want to kill me.\u201d The client has lost 8 pounds in 4 days. In discussion of this problem, with the assigned staff member, which statement by the nurse indicates an accurate interpretation of this client\u2019s needs?
the nurse would be best?
a. \u201cIt must make you think important to talk with God.\u201d
b. \u201cI don\u2019t hear a voice, but I know it\u2019s real to you.\u201d
c. \u201cWhy do you think you\u2019re hearing a voice?\u201d
d. \u201cWhat could be God\u2019s reason for talking to you?\u201d
of these responses by the nurse would be therapeutic?
a. \u201cYou shouldn\u2019t have been given that privilege.\u201d
b. \u201cEveryone is required to go to bed, now.\u201d
c. \u201cYou can stay up for one more hour.\u201d
d.\u201cDirect his focus away from his symptoms.\u201d
13. A patient tells a nurse, \u201cI really don\u2019t want to have these shock treatments but my doctor insists.\u201d Which of the following
responses by the nurse would be therapeutic?
a. \u201cWe should cancel the procedure until you feel better.\u201d
b. \u201cHave you talked to your doctor about your fears?\u201d
c. \u201cIt\u2019s normal to every patient who experienced dissatisfaction with this procedure.\u201d
d. \u201cThis procedure is the best treatment for your condition.\u201d
didn\u2019t kill him. You know the truth; tell that policeman. Please help me!\u201d The nurse should :
a. Sit there quietly and not respond at all to the client\u2019s statements
b. Respond to the client by asking, \u201cWhom are they saying you killed?\u201d
c. Respond by saying, \u201cI want to help you and I realize you must be very frightened.\u201d
d. Saying. \u201cDo not become so upset. No one is talking to you; the accusing voices are part of your illness.
15. A client on the unit believes another client has stolen his watch, and they want to discuss this with the nurse. What is the
nurse\u2019s best response?
other people here?\u201d Which reply by the nurse would be best?\u201d
a. \u201cI\u2019m assigned to care for you today, if you\u2019ll let me.\u201d
b. \u201cYou have a lot of potential, and I\u2019d like to help you.\u201d
c. \u201cWhy shouldn\u2019t I want to talk to you, as well as the others?\u201d
d. \u201cYou\u2019re wondering why I\u2019m interested in you, and not in others?\u201d
statements by a group member would be most therapeutic for the client?
a. \u201cTell us about what you did on your job?\u201d
b. \u201cIt must have been very upsetting for you.\u201d
c. With your skills, finding another job would be easy.\u201d
d. \u201cThe company must have had some reason for letting you go.
would provide best intervention?
a. \u201cYou can do anything you out your mind to.\u201d
b. \u201cTry to think more positively about yourself.\u201d
c. \u201cLet\u2019s talk about your plans for the weekend.\u201d
d. \u201cYou were able to write a letter to your friend today.\u201d
my job.\u201d Which of the following statements by the nurse would be most helpful?
a. \u201cYou\u2019ll do well. You have an excellent work record.\u201d
b. \u201cI wouldn\u2019t worry about it. The main thing to remember is that you can work.\u201d
c. \u201cYou might need extra breaks at first until you feel better.\u201d
d. \u201cYou sound concerned. I want to hear more about how you are feeling.\u201d
able to work without me.\u201d This is characteristic of:
a. A histrionic personality disorder
b. An antisocial personality disorder
c. A narcissistic personality disorder
d. A multiple personality disorder
24. An appropriate nursing diagnosis of a client with a major depression is:
a. Alteration in activity
b. Alteration in perceptions
c. Alteration in affect
d. Alteration in social activity
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