Question 1

When working with a client who has exhibited a pattern of violent outbursts followed by remorse, a nurse's plan of care should focus on:

Accepted Answer

The nurse's plan of care should focus on developing effective anger management techniques to help the client control their emotions and reduce the risk of violent outbursts. While decreasing stressors and identifying strengths may be beneficial, they do not directly address the issue of managing anger. Offering family counseling may also be helpful, but it is not the top priority in this situation.

Question 2

Nurses are among the front-line workers that provide health care to an increasing numbers of people with HIV/AIDS. As part of the caregiving team, nurses:

Accepted Answer

The answer of Nurses are among the front-line workers that...

Question 3

An AIDS client from the clinic passed away four months ago. The nurses and doctors visit the family's home once a week in an effort to:

Accepted Answer

Visiting the family's home once a week demonstrates concern for survivor well-being, as the family may still be grieving and in need of support after their loved one's passing. It is important for healthcare professionals to provide compassionate care even after a patient has passed away. The other options (A, B, C) are not appropriate or ethical reasons for visiting the family's home.

Question 4

Nurses working with HIV/AIDS clients are always interested in being inclusive of various therapies in their practices. There is widespread support for the use of holistic nursing practices and treatment approaches for HIV clients in an effort to:

Accepted Answer

The answer of Nurses working with HIV/AIDS clients are always...

Question 5

Nurses caring for and comforting mental health clients with AIDS and their families must also remember to:

Accepted Answer

Nurses caring for mental health clients with AIDS and their families must also take care of their own mental and physical health. These nurses may experience fear or anxiety due to their exposure to the illness and should have adequate support systems to cope with their own personal issues.

Question 6

The newly admitted client the student nurse as been assigned to care for is an HIV-infected individual. The student is uneasy about working with the client, fearing contagion. The clinical instructor explains that:

Accepted Answer

The incidence of exposure to blood or body fluids is extremely low, especially when following proper infection prevention protocols. It is important for the student nurse to understand this to provide appropriate care for the client and to ease their own discomfort. Fear-based reactions can also make the client uncomfortable and feel stigmatized.

Question 7

A client admitted with personality disorder contracted HIV from a former sexual partner. The nurse knows to provide a safe, structured environment with open communication because:

Accepted Answer

Clients with both HIV and psychiatric disorders may face stigma and discrimination, leading to a decreased quality of care. It is important to ensure open communication with health care professionals to provide optimal care and support. A safe, structured environment is also important for clients with personality disorders, but this is not specifically related to the client's HIV status. The former partner's history of violence is also not directly relevant to the client's care needs in this situation. There is no mention of the psychologist being prejudiced, so this is not a factor to consider in this scenario.

Question 8

Millions of people will experience AIDS-related bereavements. There are groups of people to whom the psychiatric-mental health nurse can provide bereavement support, including:

Accepted Answer

The psychiatric-mental health nurse can provide bereavement support to all these groups as they are all affected by AIDS-related bereavements, including friends, sex partners, persons with AIDS, health care providers, and family members.

Question 9

The nurse knows when teaching students about HIV/AIDS that the mental health populations most commonly affected are individuals with:
Select all that apply.

Accepted Answer

The answer of The nurse knows when teaching students about...

Question 10

A nurse caring for a child is concerned about remaining therapeutic when working with a child with anger management issues. To remain therapeutic, the nurse must avoid which of the following?

Accepted Answer

To remain therapeutic, the nurse must avoid projecting his/her feelings onto the child. This means that the nurse should not let his/her biases, feelings or emotions influence how he/she interacts with the child. Instead, the nurse should remain objective and try to understand the child's perspective. Examining personal feelings about the child can also help the nurse to remain therapeutic, by identifying any biases that may exist. Sharing concerns with peers and colleagues and reflecting back on a situation can also be helpful, as long as they do not lead to projecting feelings onto the child.

Question 11

The nurse administering a lithium carbonate (Lithobid) to a child with mental retardation monitors the child for which of the following therapeutic effects?

Accepted Answer

Lithium carbonate is commonly used to treat bipolar disorder and can help stabilize mood, decrease agitation, and reduce impulsivity. Weight gain or weight loss are not specific therapeutic effects of lithium. Elevated mood is a side effect of lithium and can indicate toxicity. It is important for the nurse to monitor the child for signs and symptoms of lithium toxicity such as nausea, vomiting, tremors, and changes in mental status.

Question 12

The nurse is meeting for the first time with a child who was brought to the clinic with a mental health concern. When planning care for a child with a mental health problem, the nurse must understand both the child's mental health problems and the child's:

Accepted Answer

When planning care for a child with a mental health problem, it is important for the nurse to understand the child's life experiences, including family dynamics, school experiences, and any traumatic events that may have led to the child's mental health concerns. Understanding these factors helps the nurse develop a comprehensive plan of care that takes into account the child's unique situation and addresses both the mental health concern and any contributing factors. Physiological health problems, previous hospitalizations, and artistic ability may be relevant to the child's care, but they are not as essential to understanding the child's mental health concerns as their life experiences.

Question 13

The charge nurse is assigned a "float" nurse to help on the children's unit. The nurse normally works with adults and says she feels "out of place" working with the children. In making the assignments, which of the following activities would the charge nurse NOT assign to the "float" nurse?
Select all that apply.

Accepted Answer

The float nurse, who is not familiar with pediatric care, should not be assigned tasks that require specialized knowledge of children's mental health needs, such as making rounds with the psychiatrist, monitoring children under close observation, or administering medications, which require understanding of pediatric dosages and responses. Obtaining vital signs is a basic skill applicable to all age groups.

Question 14

Observing adolescents in a setting different from the inpatient psychiatric-mental health unit enables the nurse to:

Accepted Answer

Observing adolescents in a different setting from the inpatient psychiatric-mental health unit allows the nurse to observe them engaging in the normal activities of daily living. This can provide insight into their behaviors, social interactions, and ability to function outside of the controlled hospital environment. The other choices (providing group activities without therapeutic effect, applying theories of psychosocial development, and discussing healthy lifestyle behavior) may be important for the adolescent's overall care, but they are not specific benefits of observing them in a different setting.

Question 15

During an admission assessment of an adolescent client, the nurse inquires about friends or peer groups. The adolescent smiles and jokingly tells the nurse that "I consider myself a loner and I don't need any friends." The nurse's next action is to:

Accepted Answer

The answer of During an admission assessment of an adolescent...

Question 16

Which nurse is most at risk for being manipulated by an adolescent client? The nurse who:

Accepted Answer

Adolescents often test limits and push boundaries, and may use manipulation to get what they want. A nurse who maintains an all-accepting attitude may be more vulnerable to this manipulation than a nurse who consistently enforces the rules or avoids power struggles. However, it is still important for the nurse to set appropriate limits and boundaries for the adolescent's safety and well-being. Rewarding appropriate behavior can also be effective in promoting positive behavior change.

Question 17

An adolescent client is attempting to manipulate the nurse into giving a special privilege. The nurse recognizes the manipulation and responds by saying:

Accepted Answer

The response "All the clients must follow the rules" sets a clear boundary and emphasizes the importance of fairness and consistency without personalizing the issue or making it about the nurse's own consequences.

Question 18

The nurse plans to use a group approach when conducting a teaching session for adolescents about dealing with stress. A group approach works well with adolescents because:

Accepted Answer

A group approach works well with adolescents because they value peer support and the opinions of their peers. Adolescents are more likely to listen and engage in discussions with peers rather than just an authority figure. Also, confidentiality is an important aspect when discussing sensitive topics with adolescents, and group settings allow for trust and confidentiality to be emphasized. Lastly, problem-solving can be more effective in groups as different perspectives and approaches can be shared and discussed.

Question 19

An adolescent female client who had lived on the street for at least a year dresses provocatively, wears heavy make-up, and is flirtatious in her interactions with adults. The nurse:

Accepted Answer

The behavior exhibited by the client may be an indication that she is acting out her life script. As such, the nurse should recognize this and explore this possibility further. This can help the nurse understand the underlying psychological and emotional factors that may be driving the client's behavior. This will enable the nurse to develop an intervention plan that is tailored specifically to the client's needs. Therefore, restricting the client to her room or encouraging her to seek spiritual guidance may not be the most appropriate interventions in this situation. Similarly, directing her to wash her face and put on appropriate clothing may not address the underlying issues that are contributing to her behavior.

Question 20

The nurse is teaching a group of older adults about changes in sleep patterns due to the aging process. Which statement by older adults indicates understanding of the nurse's teaching regarding the use of nonpharmacologic therapies for sleep?

Accepted Answer

Option A is incorrect because although melatonin is a natural hormone, it is still considered a medication and may have adverse effects. Option B is incorrect because napping for long periods during the day can disrupt the normal sleep-wake cycle. Option D is incorrect because regular use of sleeping pills can lead to dependence and adverse effects. Option C is correct because avoiding caffeinated drinks in the evening can help prevent insomnia and improve sleep quality.

Quiz 3: Clients With Mental Disorders, and Vulnerable Populations