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Q:
A 15-year-old client who has been diagnosed with conduct disorder has been prescribed medication to control aggressive behavior. For which medication is the nurse likely to be providing client education?1. Methylphenidate (Ritalin)2. Amitriptyline (Elavil)3. Lithium carbonate (Lithobid)4. Buspirone (BuSpar)
Q:
A manic client is pacing the halls of the inpatient unit and making disruptive comments to the other clients. The nurse overhears the client say, "I know people, so you better treat me with respect!" Which of the following therapeutic nursing interventions would the nurse implement first?1. Notify security that this client is escalating out of control and the client needs to be escorted to the client's room.2. Tell the client that the nurse would like to give a PRN injection because the behavior is disrupting others.3. Approach the client and say in firm voice, "That was inappropriate. Go to your room immediately."4. Address the client and say in a calm voice, "The staff will work hard to make sure you receive proper respect here. Let's go over here and talk."
Q:
A client is being admitted to the inpatient psychiatric unit. Which actions would be appropriate for the nurse to assess the client's risk of violence?Standard Text: Select all that apply.1. Wait to assess the client's risk of violence once the psychiatric symptoms have stabilized.2. Assess history of psychotic illness as this is the most important predictor of violence potential.3. Ask the client, "What is the most violent thing you have ever done?"4. Review the client's past records and get information from the client's family.5. Avoid discussing the client's past history of violence as this could provoke the client.
Q:
A client who is a construction supervisor has a history of becoming violent when the client's workers do not complete their work within the established deadline. Police have been called to the worksite multiple times for behaviors including loud shouting and destruction of property. The most appropriate expected outcome related to resolving this problem would be for the client to:1. Identify personal needs.2. Refrain from impulsive behavior.3. Refrain from self-injury and from injuring others.4. Identify alternative methods for expressing anger.
Q:
A psychiatric hospital was recently purchased by a large healthcare system. The new administration's business motto is "leaner and meaner," consequently, the staff mix has been adjusted by replacing some of the highly experienced nurses with robust male mental health technicians who cost less and are able to provide physical interventions. The change that is likely to increase the risk for violence in this hospital is the:1. Change in hospital ownership.2. Advanced age of nursing staff.3. Adjustment in staff mix.4. Motto that implies staff will be mean.
Q:
A client is being admitted to the inpatient unit for stabilization of psychoses. The client's mother found the client trying to drown a cat in the bathtub. The client believed it was possessed by the devil. The mother reports that the father also suffered from a mental illness and was physically abusive. Based on this information the priority nursing diagnosis is:1. Post-Trauma Syndrome.2. Disturbed Thought Processes.3. Risk for Injury.4. Risk for Violence: Other-Directed.
Q:
The client on the inpatient unit who should be assessed as being at highest risk for directing violent behavior toward others is which of the following?1. A veteran who has a diagnosis of post-traumatic stress disorder who was admitted for severe sleep disturbance secondary to nightmares2. A middle-aged woman who has completed alcohol withdrawal and is participating in a rehabilitation program3. An adolescent who was admitted for suicidal ideation and was suspended from school for getting into a fight with a classmate4. A male client in his twenties who has bipolar disorder with delusions of grandeur
Q:
The nurse suspects that a male client may become violent. Which verbal cue might have indicated this? The client:1. Receives news that his wife is filing for divorce and begins sobbing inconsolably.2. Demands, "Give me my medicine now or you"ll be sorry."3. Begins pacing the hall exhibiting clenched jaw and fists.4. States, "I don"t know why people seem afraid of me."
Q:
Which of the following clients should be assessed as demonstrating aggression? The client who:1. Tells the nurse, "I don"t need that medication and no one can make me take it."2. Walks into the group room and says to another client, "You stole my seat. That is where I always sit. You had better move!"3. Paces back and forth in the hall singing loudly to the music the client is listening to with headphones.4. Bursts into tears when the doctor says, "I don"t think you are ready for discharge today."
Q:
A client was brought in to the hospital by police after verbally threatening the staff at a homeless shelter when they turned the client away. Which would be the most appropriate response by the nurse to the client's statement, "You all better let me stay here, or the next time, I'll use a gun."1. "Do you have a gun? Are you threatening to kill someone?"2. "Sounds like you are trying to manipulate the system. We only treat people with real problems here."3. "It sounds like you are very concerned about having somewhere to stay. Can you tell me more about what you would do if you couldn"t stay here?"4. "We cannot let you stay here unless you promise not to hurt anyone."
Q:
A 22-year-old client with schizophrenia was just admitted to the inpatient unit. While assessing the client, the nurse notes that the client is staring at a staff member intensely with a flat affect. The client is mumbling and the client's limbs are in constant motion (bouncing knee up and down and tapping fingers). Without further data, which observation is most indicative of the client's potential for violence?1. Intense stare2. Mumbling3. Flat affect4. Constant motion
Q:
A 13-year-old client was admitted for giving a younger sister a black eye and throwing the cat out the window. Which areas of the brain could have abnormalities associated with this behavior?Standard Text: Select all that apply.1. Amygdala2. Occipital lobe3. Frontal lobe4. Hypothalamus5. Hippocampus
Q:
An aspiring actor was brought in by police for psychiatric evaluation. After learning that the client did not get a callback for the role the client wanted, the client got drunk and physically attacked the director. The client has no previous history of violent behavior. Which theory best explains this client's behavior?1. Humanistic2. Psychoanalytic3. Social-interpersonal4. Behavioral
Q:
A client with a history of epilepsy has recently experienced more frequent seizures, often followed immediately by episodes of aggressive behavior. Which biological abnormality is likely to be present in this client?1. A mutation on the genes that encode components of the serotonin system2. Serum toxicity resulting from chronic exposure to lead3. A deficit of gamma-aminobutyric acid4. A problem with the amygdala/temporal lobe
Q:
A 13-year-old client was admitted for giving a younger sister a black eye and throwing a cat out the window. Which neurotransmitter imbalance is not likely to be associated with this behavior?1. Dopamine excess2. Serotonin deficit3. Gamma-aminobutyric acid (GABA) deficit4. Acetylcholine excess
Q:
An 83-year-old male client, who was recently admitted for a dementia workup, has been striking out at nursing staff. His wife, who is terribly upset by his recent behavior, states, "I just don"t understand what has gotten into him, he used to be so kind and gentle." The nurse's best response for explaining the etiology of violent behavior is which of the following?1. The disease process associated with dementia causes a person to become violent.2. Scientists have linked violent behavior to the genetic mutation of a specific Y chromosome.3. The renowned psychoanalyst Freud says that it is instinctive for humans to express depression in aggressive ways.4. There is no simple explanation for aggressive behavior, but research suggests it is caused by a combination of biologic and psychosocial factors.
Q:
A nurse is effective in crisis work when the nurse:Standard Text: Select all that apply.1. Collaborates with other health professionals.2. Stays in control of clients.3. Has realistic expectations.4. Respects clients.5. Develops own outlets for stress.
Q:
The nurse working in disaster situations should also attend to his/her own self-care. To maintain positive self-care, the nurse should avoid:1. Utilizing healthy coping mechanisms.2. Monitoring one's own reactions.3. Keeping a journal to write thoughts and feelings.4. Focusing on improving interventions for the next crisis.
Q:
Identify which of the following would be detrimental for the nurse desiring to manage stress when working with a client/family in crisis.1. Drink plenty of water and eat a balanced and healthy diet2. Participate in memorials and rituals3. Talk about your emotions4. Maintain a consistent work assignment
Q:
A nurse working with clients affected by a disaster event must be conscious not only of the clients' responses, but also the nurse's own responses. Which of the following would not be a common experience?1. Not wanting to leave the scene until work is finished2. Denying the need for rest and recovery time3. Inability to engage in problem solving4. Profound sadness, grief, and anger toward an abnormal event
Q:
The caregiving team may also need support to process traumatic events in the community or in the care setting. Critical Incident Stress Debriefing (CISD) is a model of effective group crisis intervention. This group intervention:Standard Text: Select all that apply.1. Includes a several-phase group discussion.2. Includes psychological and psychoeducational elements.3. Includes guidelines similar to AA.4. Is most effective in emergency settings.
Q:
Clients require stress management when they are easily frustrated, feel hopeless, cry easily, and are reluctant to leave home. An action that would not lead to a healthy decrease in the stress is to:1. Utilize all familiar coping strategies.2. Spend time with family and friends.3. Not hold themselves directly responsible.4. Maintain a daily routine.
Q:
The nurse is working with a family that has just survived a tornado. As part of the intervention, the nurse is reviewing emotions they may be experiencing which are considered normal reactions to a traumatic event, including:Standard Text: Select all that apply.1. Each family member talks to the nurse openly and freely.2. Each member of the family has different ways of coping.3. Some family members have difficulty accepting help.4. Anxiety about self and family's safety.5. All family members will process the experience at about the same pace.
Q:
Communication intervention strategies are significant for the nurse to utilize. These techniques include:Standard Text: Select all that apply.1. Personal revelations about the nurse's feelings to "break the ice."2. Reflecting statements that encourage the client to express feelings.3. Paraphrasing client statements using clinical terms.4. Statements that promote expression of the client's emotions.5. Clarifying statements the client has made.
Q:
The nurse is conducting training for crisis counselors. The nurse would include the intervention strategies of safety and security, ventilate and validate, predict and prepare which are:1. A way to identify when the crisis is maturational.2. Best used before a crisis.3. Applied when the clients are unable to progress.4. Referred to as the ABCs of crisis counseling.
Q:
The first step in crisis intervention is to achieve contact. When initiating contact with a client after a crisis, the nurse should not:1. Collect information regarding health conditions.2. Provide for emotional and physical safety of client.3. Discuss the nurse's personal experiences with crises.4. Identify feelings, reactions, and perceptions of client.
Q:
Which statement by a client would suggest that the ABCs of crisis counseling have been met?1. "I am really glad we did this counseling."2. "I will call you if I need you."3. "I now know some better ways of coping."4. "I will miss working with you."
Q:
Which of the following reflects the concepts of crisis intervention?Standard Text: Select all that apply.1. Includes interdisciplinary treatment2. Restoring the individual to a sense of equilibrium3. Used when client is unable to overcome the effects of a crisis4. Utilized when client becomes suicidal5. Short-term, action-oriented assistance, focused on problem-solving
Q:
A client is participating in therapy that explores the effects of unrealistic thought patterns on daily life. Which type of therapy is the client likely engaging in?1. Family therapy to explore dynamics2. Cognitive therapy techniques3. Alternate-Nostril Breathing4. Repetitive Transcranial Magnetic Stimulation
Q:
The nurse has observed a number of behaviors in the client that indicate that stress management is needed. The behavior the nurse did not observe was:1. Increased tendency to feel frustrated.2. Verbalization of feelings.3. Loss of objectivity.4. Unnecessary risk-taking.
Q:
A client is brought to the emergency department after being in a house fire. After determining the client is stable physically, what is the first phase of crisis intervention?1. Assess the impact this experience has had on the client2. Confront the reality of the crisis3. Reassure client and family4. Teach coping skills to client
Q:
The nurse working with a client who is a survivor of a four-car accident knows that there are risk factors that influence this client's response to the traumatic experience. The risk factors are:Standard Text: Select all that apply.1. Prior history of crises.2. Believing that receiving help is a sign of weakness.3. Cultural expectations that prohibit asking others for help.4. Feelings of loss.5. Pre-existing psychiatric symptoms and diagnosis.
Q:
The nurse is working with a client whose brother had recently died as a result of a brain aneurism. The client reports spending the days crying or sleeping. The nurse intervenes in this situation to:1. Encourage the client to stay busy.2. Help the client focus on other aspects of life.3. Provide respite from a painful reality.4. Restore the client to pre-trauma level of functioning.
Q:
A client describes being depressed, out of control, and unable to make decisions. Upon assessment, the nurse determines that the client has recently experienced a fire at home in which many important files as well as family mementos were destroyed. Many things that were not totally burned were water damaged. The nurse knows that identifying the origin of the crisis:1. Motivates the client and family to take significant action in relationships.2. Promotes an increased opportunity for interventions to be effective.3. Decreases communication with significant others.4. Assists with identifying the level of grief.
Q:
Which of the following are risk factors that may continue to promote disequilibrium?1. Sudden experience, no warning signs2. Poverty, abuse, pre-existing psychiatric disorder3. Coping skills, strong self-esteem4. Communication with others
Q:
Balancing factors that help clients after a crisis would not include:1. Degree of threat to life.2. Realistic perception of the event.3. Decreased or limited communication.4. Adequate coping mechanisms.
Q:
Which statement should include communication strategies when a client has had a situational crisis?1. "I am sorry this happened to you."2. "I know just how you feel."3. "It's best to stay busy."4. "It could have been worse."
Q:
Effective planning for a client's crisis intervention is:1. Organized with follow-up.2. Developed prior to meeting with the client.3. Based on complete assessment.4. Focused on long-term problems.
Q:
The nursing diagnosis that would not be made for a client having experienced a situational crisis is:1. Risk for Loneliness.2. Risk for Self-directed Violence.3. Spiritual Distress.4. Impaired Social Interaction.
Q:
Crisis situations are turning points in a client's life. This can result in:Standard Text: Select all that apply.1. Something close to a pre-crisis state of functioning.2. A realistic perception of the event.3. Dysfunctional personal coping.4. Anticipatory guidance assistance.5. A more negative or positive state.
Q:
Which of the following statements by a client would reflect a turning point?1. "This was difficult for me, but I have learned how to manage myself in my new job."2. "If only they would give me another chance, I know I could do better."3. "I will get them for this."4. "I guess I deserved this. I was not a great employee."
Q:
A client, divorced for one year, has recently had crisis counseling. The client has begun to take classes at the community college and has enrolled the children in day care. These new actions could be referred to as:1. A response to stress.2. A situational crisis.3. A turning point in life.4. A maturational crisis.
Q:
Different types of crises arise from different causes. Maturational crises can involve:Standard Text: Select all that apply.1. Transition from student to worker.2. Normal transitions of human development.3. Life cycle changes.4. Changes such as marriage or retirement.5. Life changes from a flood.
Q:
A client who has been divorced for six months has recently been lying in bed most days, unable to care for the children. This is referred to as:1. A situational crisis.2. A stressful situation.3. Lack of resilience.4. Regression.
Q:
One of the following statements regarding crises is incorrect. Identify the incorrect statement.1. A maturational crisis involves life cycle changes or transitions of human development.2. A situational crisis can originate from material, environmental, or personal sources.3. Experiencing a crisis always develops into post-traumatic stress disorder.4. A crisis is an acute time-limited state of disequilibrium.
Q:
A client who is nearing high school graduation is unable to finish out the year, cries at night, has difficulty sleeping, and does not want to attend classes. Which type of crisis does the nurse identify?1. Trauma from previous crisis2. Situational crisis3. Recoil response4. Maturational crisis
Q:
NCCAM has identified five major domains of complementary and alternative therapies. The fifth domain of energy therapies does not include:1. Healing touch.2. Reiki.3. Bioelectromagnetic-based therapies.4. Ayurveda.
Q:
Which of the following statements by a nursing student indicates the need for further training on the use of CAM techniques?1. "I should practice deep breathing exercises before trying to teach a client how to use them."2. "Massage therapy can help alleviate pain for clients with cancer."3. "It is important to assess the client's motivation to participate in treatment before beginning."4. "These techniques should be used for all clients."
Q:
Nurses who wish to use hypnosis in their practice:1. Recognize that hypnosis is an advanced intervention that requires specialized training in hypnotherapy.2. Are qualified to do so if they can effectively use guided meditation.3. Do not need special training in hypnosis.4. Do not need to be concerned with whether or not hypnosis is within the scope of nursing practice.
Q:
In order to improve diet, an eager mental health client bought a juicing machine. The nurse knows that grapefruit juice may interfere with some psychotropic medications. Upon checking the client's medical records, the nurse finds the client's medication should not cause a problem with including grapefruit juice in the client's diet. The client is probably taking:1. Antidepressants.2. Anticonvulsants.3. Atypical antipsychotics.4. Benzodiazepines.
Q:
A client is taking lithium for treatment of a mood disorder. Which of the following herbal products is contraindicated for this client?1. American ginseng2. Evening primrose oil3. Yohimbe4. Caffeine
Q:
A client taking fluoxetine (Prozac) asks about adding herbal therapy to the treatment. The nurse advises that select serotonin reuptake inhibitors should not be taken with:Standard Text: Select all that apply.1. Grapefruit juice.2. St. John's wort.3. Melatonin.4. Sage.5. SAMe.
Q:
Knowing that the nurse is familiar with CAM modalities, a colleague asks the nurse for advice on dealing with the symptoms of the colleague's mother's recent diagnosis of early-stage Alzheimer's disease. The nurse discusses the potential for the use of certain dietary supplements and suggests that the mother's diet include:1. Kava.2. Thiamine.3. Omega-3 fatty acids.4. Ginkgo leaf extract.
Q:
A client is taking fluoxetine (Prozac) and wonders if adding St. John's wort would help. Knowing that St. John's wort acts similar to selective serotonin reuptake inhibitors (SSRIs), the nurse is concerned that by taking both, the client may develop:1. Nothing since these substances do not interact.2. Serotonin syndrome.3. Mania.4. Depression.
Q:
A client taking central nervous system (CNS) depressants asks the nurse what natural medicines would be safe to use. The nurse suggests that there is no contraindication for taking CNS depressants with:1. Melatonin.2. Lavender.3. Hawthorn.4. Stinging nettle.
Q:
Massage with aromatherapy is useful for persons diagnosed with:1. Alzheimer's disease.2. Mania.3. Acute psychosis.4. Dementia.
Q:
A client asks the nurse for help in learning to relax. The client claims to know about meditation and understands it is supposed to help a person relax but every time the client tries to meditate, the client is easily distracted. Considering the four major requirements that facilitate successful meditation practice, the nurse advises the client to:Standard Text: Select all that apply.1. Focus on one word, object, or symbol to look at or think about if the client finds it helpful.2. Find a position that will be comfortable to hold for a while.3. Find a quiet place away from distractions.4. Have a religious belief in order for meditation to be successful.5. Pay attention to "how well the client is doing at meditating."
Q:
Meditation, with or without cognitive behavioral therapy (CBT):Standard Text: Select all that apply.1. Increases levels of dopamine.2. Increases mood disturbance.3. May reduce cognitive decline associated with aging.4. Is equivalent to a state of rest.5. Is a difficult technique to master.
Q:
There are several ways to encourage clients and their families to become educated consumers of CAM practices and products by gathering information about advantages, disadvantages, or risks related to CAM. Such information might be gained through:Standard Text: Select all that apply.1. Contacting their state licensing board.2. Personal testimonials from friends.3. Reading the latest research.4. Websites that report guides to fraud or quackery.5. Nothing since there is no specific thing they can do to gain enough information to be an educated consumer.
Q:
Introspective or meditative techniques may be useful for clients who:1. Are highly anxious.2. Have multiple problems.3. Are severely depressed, delusional, or hallucinating.4. Are mentally and emotionally healthy.
Q:
Nurses are particularly suited to helping clients become informed consumers of CAM products and practices. One valid and reliable internet website to which nurses might refer clients or their family members is:1. EMedicine.2. Medscape.3. Science Daily.4. NCCAM.
Q:
The psychiatric"mental health nurse is assessing a new client recently diagnosed with an anxiety disorder and high blood pressure. The nurse knows to closely monitor vital signs and review this client's medication list for:Standard Text: Select all that apply.1. Haloperidol (Haldol).2. Acetaminophen (Tylenol).3. Aspirin.4. Olanzapine (Zyprexa).5. Thioridazine (Mellaril).
Q:
The nurse's friend is taking a benzodiazepine to help with anxiety. The friend tells the nurse about reading that kava is good for anxiety too, and says, "I bought some at the local health store. After all, it's "natural". I"d rather use natural products than a medication to help my anxiety."The nurse's response should be which of the following?1. "It's a medicine too and should not be mixed with your other meds."2. "Have you told your doctor about this? Benzo's can be addictive."3. "That's great, I"m glad you"re going natural."4. "Kava is harmless. Good for you to take such initiative."
Q:
Taking into consideration the client's level of motivation and ability to manage complex instructions, a nurse counsels a client seen for repeated episodes of anxiety to consider adding the use of complementary and/or alternative modalities to help manage the anxiety. The nurse may suggest which of the following CAM modalities?1. Kudzu2. Running3. Acupressure4. Ginkgo
Q:
The nurse working in a clinic specializing in treating addiction knows that, in addition to Alcoholics Anonymous and other support groups, a complementary way in which someone might deal with alcohol abuse is to:Standard Text: Select all that apply.1. Drink chamomile tea.2. Do nothing since there are no CAM practices that support AA recovery.3. Drink kudzu tea.4. Receive auricular acupuncture.5. Practice yoga.
Q:
A client has come to a nurse practitioner with concerns about health care costs. The client, who had one myocardial infarction and later suffered from severe anxiety, asks for a plan of care that includes appropriate complementary and alternative therapies. Which of the following CAM modalities is not appropriate for someone with a history of cardiac problems?1. Massage2. Moderate exercise3. Active progressive relaxation4. Finger-holds for general well-being
Q:
Which statement would have the best potential to obtain assessment data from a client about possible use of complementary and alternative practices or products?1. "Tell me everything you takeprescription medicines, over-the-counter medicines, vitamins, dietary supplements, herbs, as well as how much coffee, tea, and soda you drink daily and any recreational drugs you use."2. "Tell me about the medicines the doctor prescribed and the amounts prescribed."3. "What things do you do for yourself to maintain or improve your health?"4. "Do you take dietary supplements and herbs on top of the medicines the doctor prescribes for you?"
Q:
A variety of techniques available to clients, their families, and healthcare professionals serve to alleviate muscle tension, anxiety, fatigue, headaches, and more. The technique that is specifically identified as adjunctive treatment for sinus headaches is:1. Passive progressive relaxation.2. Tai chi.3. Alternate-nostril breathing.4. Guided imagery.
Q:
A nurse is asked to provide a brief presentation comparing and contrasting the modalities within one category of complementary and alternative therapies, as identified by NCCAM. The nurse chooses to speak about whole medical systems; therefore, the presentation would include:Standard Text: Select all that apply.1. Traditional Chinese medicine.2. Herbal products.3. Naturopathic medicine.4. Homeopathic medicine.5. Ayurveda.
Q:
Eye movement desensitization and reprocessing (EMDR) mimics rapid eye movement (REM) sleep. The nurse working with injured soldiers knows that EMDR is an intervention suggested for the treatment of:1. Bipolar I.2. Childhood-onset trauma victims.3. Dissociative identity disorder.4. Depression.
Q:
The nurse is caring for an older client with depression who has begun having trouble sleeping. In addition to antidepressants, a safe, nonpharmacologic and potentially effective adjunctive treatment for insomnia in persons with a diagnosis of depression is:1. Medical meditation.2. Watching TV.3. Progressive relaxation.4. Alternate-nostril breathing.
Q:
A client who has hallucinations is no longer benefiting from medication. The client's wife has heard that repetitive transcranial magnetic stimulation (rTMS) might be helpful. The nurse knows that rTMS may be promising for this client because it:1. Acts more quickly than electroconvulsive therapy (ECT).2. Does not cause pain and, therefore, does not require anesthesia.3. Acts more quickly than antipsychotic medications.4. Has been around longer than ECT and has more research evidence for its use.
Q:
The nurse refers a client for acupuncture. Stimulating acupuncture points has been shown to be a promising treatment for:Standard Text: Select all that apply.1. Mood-related mental disorders.2. Headache.3. Posttraumatic stress syndrome.4. Alcohol withdrawal.5. Schizophrenia.
Q:
After explaining active progressive relaxation to the client as a potentially useful technique to help manage anxiety, a nurse guides a client through the experience of "active progressive relaxation." The nurse tells the client that:1. This relaxation technique can be used by anyone at any time.2. This relaxation technique is useful for postoperative clients.3. Muscles of the neck and back should not be excessively tightened.4. This is a safe process and nothing bad can happen.
Q:
A client with high blood pressure is concerned about medication side effects and wants to try "natural" strategies to treat it. The nurse suggests:1. Using a combination of visual imagery and music.2. Doing nothing.3. Sleeping.4. Receiving massage.
Q:
A client with a high level of anxiety asks the nurse for suggestions to decrease stress. The nurse suggests which of the following successful stress management strategies?Standard Text: Select all that apply.1. Passive progressive relaxation2. Playing preferred music3. Body scanning4. Eye movement desensitization reprocessing (EMDR)5. Racing nonstop throughout the day
Q:
Which of the following statements made by the nurse displays a positive attitude about client autonomy and self-determination?1. "I comfortable with clients deciding what the programs, schedule, activities, or rules will be."2. "Clients should not be permitted to decide their own treatment goals."3. "Clients should not be permitted to comment on each other's behaviors or treatment goals while in group."4. "I am sad when a client does not choose my plan of care."
Q:
The nurse is working with a male client who is approximately the same age as the nurse's father. The client is a substance abuser who has relapsed for the third time this year. The nurse's father is also a substance abuser. The client asks the nurse a question and the nurse "snaps" at him in response. Which of the following characteristics that contribute to a positive outcome of rehabilitation is the nurse having issues with concerning this client?1. Empathy2. Autonomy3. Intuition4. Patience
Q:
The nurse knows that working with clients through rehabilitation and recovery may cause a conflict in value systems. Which of the following circumstances may cause your personal values to influence your effectiveness when working with a client?1. An insurance company that approves your plan of care for the client2. A client who chooses a different plan of care than you have mapped out3. A family that works closely with the treatment team4. A client who agrees with your opinion on the plan of care
Q:
The nurse is caring for a client with a personality disorder. The client feels as if she is not accomplishing any of her goals. Which of the following is the most appropriate response by the nurse?1. "Would you like to increase your therapy visits?"2. "Let's look at the plan of care together."3. "Who told you that you weren"t accomplishing your goals?"4. "I will discuss your feelings with the doctor."