NURS 3311 RN Evidence-Based Practice in Mental Health Nursing Assessment, Exams of Nursing

Download NURS 3311 RN Evidence-Based Practice in Mental Health Nursing Assessment and more Exams Nursing in PDF only on Docsity! NURS 3311 RN evidence-Based Practice in Mental Health Nursing Assessment Questions With Complete Solutions A nurse is teaching a group of adolescents about the effects of adverse childhood experiences (ACEs). Which of the following statements should the nurse include? "There can be issues with brain development." "There is concern regarding medication adverse effects" "There is concern about the ability to understand the meaning of ACEs" "There are generally no effects from ACEs" "There can be issues with brain development." A nurse is caring for a client who has been sexually assaulted. Which of the following actions should the nurse take first to develop a therapeutic relationship with the client? Orient the client to the unit schedule Maintain a safe milieu. Review the client's past mental health history. Assist the client in choosing goals for their facility stay. Maintain a safe milieu. A nurse in a mental health clinic is reviewing clients' medical records. Which of the following clients should the nurse recognize as having a serious mental illness (SMI)? A client who has schizophrenia A client who has anxiety A client who has a fear of public speaking A client who was arrested for a DUI A client who has schizophrenia A nurse is caring for a client who has a mental illness. The client also vapes and has a history of tachycardia and high blood pressure. The nurse should teach health promotion on which of the following topics? (Select all that apply.) Tobacco/vaping Cardiovascular diet A study looking at thoughts and feelings from clients who received IM medications for aggression A study reporting a reduction in the use of IM medication for client aggression. A nurse on an Inpatient mental health unit is is providing care to clients. Which of the following actions by the nurse is within the scope of practice for an RN on this unit? Psychotherapy Coordination of care Consultation Biological therapies Coordination of care A nurse is assessing a client who has schizophrenia with an exacerbation of auditory hallucinations. The client is from a culture that stigmatizes mental health concerns. Which of the following responses should the nurse expect when they ask about the nature and frequency of the hallucinations? The client will be silent and give no eye contact. The client will smile and give a detailed explanation of the hallucinations. The client will give an angry look and yell that they do not have hallucinations. The client will give eye contact and cry out saying they hear voices now. The client will be silent and give no eye contact. A nurse on a mental health unit administered an antipsychotic medication to a combative client. The nurse goes to assess the client 30 min later and finds the client sleeping in their room. Which of the following Standards of Practice is the nurse demonstrating? Standard 1 Assessment Standard 3 Outcomes Identification Standard 4 Planning Standard 6 Evaluation Standard 6 Evaluation A nurse is reviewing the medical record of a client on a chemical dependency unit and notes the provider refers to the recovery and the rehabilitation models. The nurse should identify that which of the following goals are similar in both models? Promotion of frequent hospitalizations to adjust medications Promotion of dependence on family members Promotion of reliance on medication Promotion of independence Promotion of independence A nurse is teaching the concept of recovery to the family of a client who has a serious mental Illness (SMI). Which of the following statements should the nurse include in the teaching? "Recovery means that the client will be symptom-free." "Recovery means the same as it does for a client who has a medical diagnosis." "Recovery means that the client pursues life goals within the context of their mental illness." "Recovery means that the client is completely independent." Available recreational activities Length of time since the diagnosis of the SMI Scheduled counseling appointments The degree of freedom the client will have to make decisions The degree of freedom the client will have to make decisions A nurse is developing a client-centered plan of care for a client. Which of the following actions should the nurse include in the plan? Contact the client's family to build the client's schedule for the day Have the client select their nurse for each shift. Have the client select a therapy session time from the available slots. Consult with the charge nurse on which nursing interventions to include in the plan of care. Have the client select a therapy session time from the available slots. A nurse on a mental health unit is teaching a newly licensed nurse about the social ecological (SE) model when caring for clients who have a serious mental illness and need housing. Which of the following are factors of the SE model that the nurse should include? (Select all that apply.) Religion Organizational Individual Physical Policy Community Interpersonal Organizational Individual Policy Community Interpersonal A nurse in the emergency department (ED) is caring for a client. Which of the following statements by the nurse should initiate a therapeutic relationship with the client? "You know that you should take the medication offered to you in the ED, if you want your symptoms to go away." "Would you be willing to spend some time talking with me about your thoughts on treatment for your concerns today?" "I need to get your blood pressure and pulse first. I will be back to talk with you later, as I have another client who I need to see first." "I understand you were not willing to work with the nurses in the ED today who were trying to help you. Why are you here?" "Would you be willing to spend some time talking with me about your thoughts on treatment for your concerns today?" A nurse is caring for an adolescent who has a history of being physically abused. Which of the following statements should the nurse make regarding the adolescent's risk for abuse in the future? "We have talked with your parent, and you should not Compassionate care for clients Advanced skills in medication administration Emotional balance Assertiveness in facing life's challenges Goal-directed Compassionate care for clients A nurse in a pediatric provider's clinic is caring for four adolescents. Which of the following adolescents should the nurse identify as having a risk of sustaining an adverse childhood experience (ACE)? A 15-year-old adolescent who states their partner broke up with them after 1 month of dating A 12-year-old adolescent who states they are struggling with understanding their math homework A 17-year-old adolescent who states their parent has alcohol use disorder A 16-year-old adolescent who states one of their parents often has to travel for work A 17-year-old adolescent who states their parent has alcohol use disorder A nurse is talking with a client who has been diagnosed with a phobia. The nurse states, "Tell me more about your fear of elevators." Which of the following therapeutic communication techniques is the nurse demonstrating? Exploring Clarification Restating Paraphrasing Exploring