WGU Mental Health Test Taking Questions D449 With 100% accurate solutions
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What should the nurse do when a client with obsessive-compulsive disorder feels anxious before bed?
Sit and talk with the client.
What is the priority intervention for a client with paralysis after emotional trauma?
Check the client for physiologic causes of the paralysis.
What is the priority intervention for a client with obsessive-compulsive disorder and severe anxiety?
Establish a trusting and therapeutic nurse-client relationship.
What outcome should the nurse plan for a client with dementia who has difficulty with activities of daily living?
Client will feed self with cueing within 24 hours.
What is the priority need for a client experiencing delusions of being poisoned?
Safety and security.
What characterizes obsessive-compulsive disorder?
Obsessions or compulsions that interfere with normal routine.
What is a conversion disorder?
A somatoform disorder characterized by loss of physical function without physiologic impairment.
What is the first step in providing therapeutic care for a client?
Establish a trusting and therapeutic relationship.
What are activities of daily living?
Activities performed during a normal day, such as bathing, dressing, and eating.
What is the priority concept when caring for clients with delusions?
Maintaining safety.
What should the nurse encourage for a client with paralysis before ruling out physiologic causes?
Do not encourage the client to use the arm.
What is the role of therapeutic communication in nursing?
To address the client's feelings and alleviate anxiety.
What is the significance of Maslow's Hierarchy of Needs in nursing?
It helps prioritize physiologic needs as the first priority.
What is the importance of establishing a nurse-client relationship?
It facilitates communication and trust.
What should be monitored in a client with obsessive-compulsive disorder?
Repetitive behavior.
What is an appropriate intervention for a client with severe anxiety?
Encourage active participation in care.
What is the expected outcome for a client with dementia regarding self-feeding?
Client will feed self with cueing within 24 hours.
What is the priority when a client shows no evidence of dehydration and malnutrition?
Focus on safety and security needs.
What cognitive skill is important for nursing interventions?
Clinical judgment.
What should the nurse do if a client expresses anxiety?
Address the client's feelings immediately.
What is a key characteristic of anxiety disorders?
They involve excessive worry and fear.
What is the goal of nursing interventions for clients with mental health issues?
To promote psychosocial integrity and functional ability.
What is the role of group therapy for clients with emotional trauma?
It can be beneficial but is not always the priority intervention.
What is a common misconception about clients with conversion disorders?
They are faking their symptoms.
What is the relationship between anxiety and obsessive-compulsive disorder?
OCD is classified as an anxiety disorder.
What should the nurse consider when developing a care plan for a client with dementia?
Focus on the client's ability to perform activities of daily living.
What is the impact of emotional trauma on physical health?
It can lead to symptoms like paralysis without physiologic causes.
What is a delusion?
A false belief that is firmly maintained by a client even though it is not shared by others.
What should a nurse do first when caring for a client victimized by physical abuse?
Support the client and facilitate access to a safe environment.
What is the appropriate response to a client afraid of electroconvulsive therapy (ECT)?
Tell me what you understand about the procedure.
When is seclusion used for a client with schizophrenia?
When less restrictive methods are insufficient.
What is the rationale for prioritizing safety in nursing care?
Safety takes precedence if a physiological need does not exist.
What is the role of the nurse in assisting a client with depression regarding hygiene?
The nurses will assist the client in meeting hygiene needs until the client can resume self-care.
What is the importance of therapeutic communication with clients?
It explores the client's feelings and encourages them to share their concerns.
What must be assessed in a client experiencing depression?
The potential for suicidal behavior.
What is the definition of psychomotor retardation?
A decrease in physical movement and energy often seen in depression.
What is Maslow's Hierarchy of Needs theory?
A theory that prioritizes physiological needs before psychological needs.
What should a nurse avoid when discussing a client's delusion?
Attempting to obtain a logical explanation for the delusion.
What is the nurse's responsibility regarding suspected abuse?
Report abuse to legal authorities if suspected or occurs.
What is the significance of a written prescription for seclusion?
Seclusion requires a psychiatrist's written prescription and must be reviewed regularly.
What is the first action a nurse should take for a client with physical injuries from abuse?
Treat any physical injuries sustained.
What is the primary focus when addressing a client's fears about ECT?
Address the client's feelings and concerns.
What does the term 'psychosocial integrity' refer to in nursing?
The need to support clients' emotional and social well-being.
What is a common misconception about hygiene in clients with depression?
That hygiene is not important to those who are depressed.
What is the role of peer pressure in a psychiatric unit?
It can encourage clients to attend to their hygiene needs.
What is the goal of nursing actions in a safe and effective care environment?
To ensure the client's safety and well-being.
What is the importance of understanding a client's perspective in nursing care?
It fosters trust and enhances therapeutic relationships.
What should a nurse do if a client expresses fears about a treatment?
Listen and validate the client's feelings.
What is the impact of physical abuse on a client's mental health?
It can lead to trauma and require sensitive nursing interventions.
What is the significance of prioritizing hypotheses in clinical judgment?
It helps in making informed decisions about patient care.
What is the expected outcome of effective nursing interventions for clients with depression?
Improved self-care and emotional stability.
What is the role of the nurse when a client is in seclusion?
To monitor the client's safety and well-being.
What is the importance of client education regarding ECT?
To alleviate fears and enhance understanding of the procedure.
What should a nurse emphasize when discussing the care of clients with schizophrenia?
The need for a safe and supportive environment.
What is the relationship between mental health and physical health in nursing?
Both aspects are interconnected and vital for overall well-being.
What is the purpose of using Maslow's Hierarchy of Needs in nursing?
To prioritize patient needs effectively.
What is the significance of emotional support for clients experiencing abuse?
It helps in their recovery and promotes trust in the caregiver.
What are the nursing measures for clients in restraint or seclusion?
Document behavior leading to restraint; ensure a prescription is in place; provide one-to-one supervision; assess physical, safety, and comfort needs every 15 to 30 minutes.
What is seclusion in mental health treatment?
Seclusion is a treatment measure where the client is placed alone in a specially designed room for protection and close supervision, used as a last resort.
What are physical restraints?
Physical restraints include any manual method or mechanical device that inhibits free movement.
What are chemical restraints?
Chemical restraints are medications administered specifically to inhibit a behavior or movement.
What is a therapeutic statement a nurse can make to an angry client?
"You seem quite upset."
What is the first priority intervention for a suicidal client after an admission interview?
Communicate the client's risk for suicide to all team members.
What should a nurse do first after a client receives electroconvulsive therapy (ECT)?
Monitor the client's vital signs.
What initial activity should a nurse provide for a manic client experiencing disturbed thoughts?
Painting.
What is the definition of mania?
Mania is characterized by an elevated, expansive, or irritable mood, often seen in bipolar disorder.
What is the importance of therapeutic communication techniques?
They promote and encourage the client to share feelings and communicate effectively.
What should a nurse remember about suicidal ideation?
All suicidal behavior is serious and requires immediate attention and highest-priority care.
What is the role of the nurse in managing a client with suicidal ideation?
The nurse must ensure the client is placed on one-to-one supervision.
What is the significance of monitoring vital signs after ECT?
Monitoring vital signs is crucial because the client has been anesthetized and experienced a seizure.
What activities should be avoided for a manic client?
Competitive games, as they can stimulate aggression and increase psychomotor activity.
What is the rationale for choosing solitary activities for a manic client?
Solitary activities minimize stimuli and help release tension constructively.
What should a nurse do to assist a client who has been raped?
Provide immediate emotional support and ensure the client feels safe.
What is the correct response to a client discussing an argument with their child?
Acknowledge their feelings without taking sides.
What is the goal of documenting behavior leading to restraint?
To ensure proper justification and monitoring of the client's condition.
Why is it important to assess a client in restraints every 15 to 30 minutes?
To ensure their physical, safety, and comfort needs are being met.
What is the last resort treatment for managing a client's behavior?
Seclusion.
What should the nurse do if a client is experiencing suicidal ideation?
Communicate the risk to the healthcare team immediately.
What is the first action a nurse should take after ECT?
Monitor vital signs to ensure the client's safety.
What is a key characteristic of disturbed thoughts in a manic client?
They often exhibit pressured speech and distractibility.
What is the priority concept when caring for a client with suicidal ideation?
Safety.
What does the nursing process involve in the context of mental health?
Assessment, diagnosis, planning, implementation, and evaluation.
What is the most important observation for a nurse to consider when planning immediate care for a rape victim?
The victim states that the rapist knows where they live and that 'they will kill me if I tell anyone about the rape.'
What is a common phenomenon in rape cases regarding the relationship between the victim and the rapist?
The victim often knows the rapist.
What therapeutic technique is used when a nurse responds with, 'Your life has no meaning?'
Restating
What is a nontherapeutic response when a nurse says, 'Most people who lose a loved one feel empty.'?
It generalizes and does not focus on the client.
What is the appropriate nursing response when a client expresses feelings of emptiness after losing a spouse?
'Your life has no meaning?'
What therapeutic technique is demonstrated when the nurse responds, 'In other words, you seem to be saying that you try to do better than your fellow employees.'?
Paraphrasing
What should a nurse avoid when responding to a client about their competitiveness?
Using the word 'why,' which can make the client feel defensive.
What is the best nursing response to a client who takes frustrations out on their children?
'Let's talk about some other ways that you can handle your frustrations.'
Why is it important for a nurse to involve the client in decision-making about their plan of care?
It is a therapeutic action.
What is a key consideration for the nurse when a client feels put down as a custodial worker?
To explore the client's feelings about their role.
What should a nurse say to encourage a client to express feelings?
What would you like to discuss?
What is a therapeutic way to ask about a client's feelings?
Can you describe your feelings?
What question can a nurse ask to explore a client's experiences with hallucinations?
Can you tell me what the voices are saying?
What is the most appropriate nursing statement to initiate a conversation with a new client?
What would you like to discuss?
What is a nontherapeutic response to a client's concerns?
I would not worry about that.
What is a nontherapeutic way to reassure a client?
You'll do just fine. You'll see.
What should a nurse avoid saying to a client to maintain therapeutic communication?
Let's not talk about that now, and let's focus on some other issues.
What is an appropriate nursing statement for a client suspected of being abused?
Did anyone hit you?