Question 1

The nurse learns that a client with a mental health condition has an 8-year-old child. What action should the nurse take?&#10;A) Arrange for another family member to care for the child.&#10;B) Complete a family-centered assessment of the child's needs.&#10;C) Discuss placing the client in a treatment center to protect the child.&#10;D) Identify medication that might help the child to be more helpful to the client.&#10;

Accepted Answer

Completing a family-centered assessment of the child's needs would be the best action for the nurse to take. This would help the nurse to evaluate the child's needs and identify appropriate resources or interventions to support the child and promote their well-being. It would also allow the nurse to involve the client in the assessment process and to collaborate with them in identifying goals and strategies for supporting their child. Arranging for another family member to care for the child may not be possible or may not be in the best interest of the child, particularly if their parent is still able to provide some level of care and support. Placing the client in a treatment center to protect the child may not be necessary if there are other options available that can support the client in providing a safe and nurturing environment for their child. Identifying medication for the child would not be appropriate without a thorough assessment of the child's needs and consultation with a qualified healthcare provider.

Question 2

A client with a major depressive disorder is prescribed a serotonin reuptake inhibitor. What should the nurse instruct the family to do in order to prevent this client from developing serotonin syndrome?

A) Do not provide any herbal supplements.
B) Ignore mild fevers as they commonly occur with this medication.
C) Stop the medication if excessive sleeping occurs.
D) Double the dosage of the medication if diarrhea occurs.

Do not provide any herbal supplements.

Accepted Answer

Patients taking SSRIs should avoid any herbal supplements as they can potentially interact with the medication and cause serotonin syndrome. This syndrome can also occur if the dose of the medication is too high, so the family should not double the dosage if diarrhea occurs. Mild fevers may be a side effect of the medication but should not be ignored as high fevers can also be a symptom of serotonin syndrome. Excessive sleeping may also be a side effect of the medication but stopping the medication completely should only be done under the guidance of a healthcare provider.

Question 3

A spouse plans to provide care at home to a client with a mental health condition. Which common tasks should the nurse instruct the spouse to expect to perform when providing care? Select all that apply.

A) Providing companionship
B) Offering emotional support
C) Performing behavioral therapy
D) Monitoring symptoms
E) Attending group therapy

Providing companionship
Offering emotional support
Monitoring symptoms

Accepted Answer

Providing companionship, offering emotional support, and monitoring symptoms are common tasks that a spouse or caregiver can expect to perform when providing care at home to a client with a mental health condition. These tasks help in creating a supportive environment for the client. Performing behavioral therapy and attending group therapy, on the other hand, typically require professional training and are usually conducted by healthcare professionals or in a group setting, not by untrained family members at home.

Question 4

A client taking olanzapine for schizophrenia is diagnosed with metabolic syndrome. In order to reduce the hazards of this health problem, what should the nurse instruct the family? Select all that apply.

A) Encourage exercise
B) Provide healthy foods
C) Monitor blood pressure
D) Wean off the olanzapine
E) Take anticholesterol medication as prescribed

Accepted Answer

Encouraging exercise, providing healthy foods, monitoring blood pressure, and taking anticholesterol medication as prescribed are all appropriate interventions for reducing the hazards of metabolic syndrome. Weaning off olanzapine should not be done without consulting a healthcare provider as abrupt discontinuation may result in withdrawal symptoms or worsening of psychotic symptoms.

Question 5

A child with attention deficit-hyperactivity disorder is prescribed a stimulant. What about this medication should the nurse instruct the family? Select all that apply.&#10;A) It can lead to slow bone growth.&#10;B) A long-acting form is available.&#10;C) Regular health checkups are required.&#10;D) This medication will cure the disorder.&#10;E) Impulsive behaviors will be eliminated.&#10;

Accepted Answer

The answer of A child with attention deficit-hyperactivity disorder is...

Question 6

The family is concerned because a member with schizophrenia frequently has violent outbursts. What should the nurse suggest that this family include in their crisis plan? Select all that apply.&#10;A) Safe location&#10;B) Dose of a sedative&#10;C) Insurance information&#10;D) Suicide hotline telephone numbers&#10;E) List of providers and telephone numbers&#10;

Accepted Answer

The answer of The family is concerned because a member...

Question 7

The nurse provides care to a client with dementia. How should the nurse communicate with this client when assisting with mealtime?&#10;A) &#34;Let me help you, honey.&#34;&#10;B) &#34;How can I help you, Mrs. Smith?&#34;&#10;C) &#34;Oh my! You made a messy!&#34;&#10;D) &#34;Let me feed you so you don't dirty your clothes.&#34;&#10;

Accepted Answer

Using the client's name and asking how the nurse can assist her with mealtime is respectful and person-centered, while still allowing for clear communication and assistance. Using terms like "honey" or "let me feed you" can be seen as infantilizing and disrespectful to the client. Saying "you made a messy" can also be perceived as condescending or rude.

Question 8

The health care provider suggests that a family participate in psychoeducation. What should the nurse instruct the family to expect when participating in this type of instruction? Select all that apply.

A) Social support
B) Family education
C) Home care support
D) Training in coping skills
E) Behavioral therapy techniques

Accepted Answer

Psychoeducation typically involves providing social support, educating the family about mental health conditions, and training in coping skills to better manage the condition.

Question 9

A client is recovering from major depression. On which areas should the nurse focus when helping this client maintain a life in recovery? Select all that apply.&#10;A) Home&#10;B) Health&#10;C) Purpose&#10;D) Community&#10;E) Employment&#10;

Accepted Answer

The answer of A client is recovering from major depression....

Question 10

A client is diagnosed with depression. For which comorbid condition should the nurse assess this client?&#10;A) Social phobia&#10;B) Panic disorder&#10;C) Bulimia nervosa&#10;D) Post-traumatic stress disorder&#10;

Accepted Answer

The answer of A client is diagnosed with depression. For...

Question 11

Which approach describes a growing trend in the care of individuals with a mental health condition?&#10;A) Use of family members as caregivers&#10;B) Implementation of wraparound services in all communities&#10;C) Practice of multigenerational assessments in all settings&#10;D) Decreased use of psychotropic medications in the treatment&#10;

Accepted Answer

The answer of Which approach describes a growing trend in...

Question 12

The nurse learns that a family is providing care to a client with bipolar disorder. What should the nurse do to support this family? Select all that apply.&#10;A) Offer support&#10;B) Be noncritical&#10;C) Remain nonjudgmental&#10;D) Assure that cures are available&#10;E) Provide honest information&#10;

Accepted Answer

The answer of The nurse learns that a family is...

Deck 16: Family Mental Health Nursing