 Show PROFESSIONAL ENHANCEMENT 2 PSYCHIATRIC NURSING PART 2 SUBJECT/SUBJECT CODE/ SCHEDULE MULTIPLE CHOICE: CHOOSE THE APPROPRIATE ANSWER 1. Nurse Tony should first discuss terminating the nurse client relationship with a client during the: a. Termination phase when discharge plans are being made. b. Working phase when the client shows some progress. c. Orientation phase when a contract is established. d. Working phase when the client brings it up. 2. Malou is diagnosed with major depression spends majority of the day lying in bed with the sheet pulled over his head. Which of the following approaches by the nurse would be the most therapeutic? a.Question the client until he responds b. Initiate contact with the client frequently c. Sit outside the clients room d. Wait for the client to begin the conversation 3. Joe who is very depressed exhibits psychomotor retardation, a flat affect and apathy. The nurse in charge observes Joe to be in need of grooming and hygiene. Which of the following nursing actions would be most appropriate? a. Waiting until the client’s family can participatein the client’s care b. Asking the client if he is ready to take shower c. Explaining the importance of hygiene to the client d. Stating to the client that it’s time for him to take a shower 4. When teaching Mario with a typical depression about foods to avoid while taking phenelzine (Nardil), which of the following would the nurse in charge include? a. Roasted chicken b. Fresh fish c. Salami d. Hamburger 5. When assessing a female client who is receiving tricyclic antidepressant therapy, which of the following would alert the nurse to the possibility that the client is experiencing anticholinergic effects? a. Urine retention and blurred vision b. Respiratory depression and convulsion c. Delirium and Sedation d. Tremors and cardiac arrhythmias 6. For a male client with dysthymic disorder, which of the following approaches would the nurse expect to implement? a. ECT b. Psychotherapeutic approach c. Psychoanalysis d. Antidepressant therapy 7. Danny who is diagnosed with bipolar disorder and acute mania, states the nurse, “Where is my daughter? I love Louis. Rain, rain go away. Dogs eat dirt.” The nurse interprets these statements as indicating which of the following? a. Echolalia b. Neologism c. Clang associations d. Flight of ideas 8. Terry with mania is skipping up and down the hallway practically running into other clients. Which of the following activities would the nurse in charge expect to include in Terry’s plan of care? a. Watching TV b. Cleaning dayroom tables c. Leading group activity d. Reading a book 9. When assessing a male client for suicidal risk, which of the following methods of suicide would the nurse identify as most lethal? a. Wrist cutting b. Head banging c. Use of gun d. Aspirin overdose During which phase will the nurse first discuss terminating the therapeutic nurse client relationship?Termination/ Resolution stage
the nurse terminates the relationship when the mutually agreed goals are met, the patient is discharged or transferred or the rotation is finished.
Which action is the priority when the nurse is establishing a therapeutic environment for a client quizlet?What is the priority when the nurse is establishing a therapeutic environment for a client? Safety is the priority before any other intervention is provided.
What is it imperative for a mental health nurse to prevent clients from doing?What is it imperative for a mental health nurse to prevent clients from doing? 3. The physical safety of the client and others is the priority. Although it is important for clients to avoid breaking contracts, it is not imperative and cannot always be prevented.
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Nurse Tony should first discuss terminating the nurse-client relationship with a client during the
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