During the admission to the mental health unit the client informs the nurse. One, some, or all responses may be correct.

During the admission to the mental health unit the client informs the nurse Sit within two feet of the client to enhance level of safety and Study with Quizlet and memorize flashcards containing terms like Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis; it usually lasts for _____ days. 1 to 2 days b. Which response by the teenager indicates that she will likely be compliant with this A client has been treated following a suicide attempt. (2, 3, 5,6) During the working phase of a nurse-client relationship, nurse and client work together to identify and explore issues that are causing problems in the client's life, then set goals for the sessions. Study with Quizlet and memorize flashcards containing terms like Samuel has been committed involuntarily to a psychiatric-mental health facility to allow time to determine an appropriate diagnosis. The nurse plans care knowing that the client is most likely to experience which type of compulsive behavior? 1. A client with borderline personality disorder has had 21 admissions to the mental health unit, each of which was precipitated by a suicide attempt resulting in superficial cuts. Use a private, quiet space with adequate lighting. What is most therapeutic for a nurse to say during the assessment interview? A. Disabled d. Based on this type of admission, the nurse should provide which intervention for this client? 1. Describe self as a social drinker who drinks alcoholic beverages daily. conveying client respect and acceptance even if not all of the client's behaviors are tolerated C. 1. Study with Quizlet and memorize flashcards containing terms like Admitting a client who is experiencing acute alcohol intoxication. The client tells the nurse that she cannot leave home without checking numerous times that the iron and coffee pot have been shut off. When providing anticipatory guidance during the client's discharge education, the nurse should teach the client that: A subsequent suicide attempt will likely cause the client to be declared legally incompetent. The client says to the nurse, "Call the doctor. Delusions of A nurse is interviewing a client during admission to a mental health unit. " The nurse is working as a case manager in an inpatient psychiatric unit and preparing discharge planning for a client that is homeless. An adult male client who was admitted to the mental health unit yesterday tells the nurse that microchips A client with a diagnosis of schizophrenia has been admitted to the psychiatric mental health unit following a suicide attempt. Help the client Study with Quizlet and memorize flashcards containing terms like When assessing a client with depression, the client states, "I just feel so sad and hopeless. "you'll find that you'll get better faster if you try to help us to help you. During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic and the client is thinking of shooting the supervisor. pg. Place the client in seclusion for safety. 2. ” Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a newly admitted client with cholecystitis. walk away and have someone else take Study with Quizlet and memorize flashcards containing terms like A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. Which are the ones that a registered nurse is legally permitted to perform? Select all that apply. Client has been sleeping on the floor in the den rather than the the same civil rights as any person Right of:-informed consent and the right to refuse treatment. During this admission, the client has developed a relationship with a highly supportive nurse and has progressed to having a pass to spend an afternoon in a nearby A nurse is assisting with the admission of a client to an acute care mental health facility. Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who has binge-eating disorder. The client is scheduled to undergo electroconvulsive therapy. As a nurse, use the Johari Window concepts to better understand your own behaviors and Study with Quizlet and memorize flashcards containing terms like After reviewing the client's medical record, the nurse should report which of the following findings to the provider? Select the 5 findings that should be reported. Which physical finding would the nurse document as observed in the client?, The nurse is caring for a client who states, "the Study with Quizlet and memorize flashcards containing terms like The nurse is assigned to care for a client admitted to the hospital after sustaining an injury from a house fire. providing frequent rest periods 2. . On review of the clients record, the nurse no test that the admission was a voluntary admission. Assessment c. The client likes the security and comfort of Study with Quizlet and memorize flashcards containing terms like A novice nurse is beginning work on a behavioral health unit and states to the preceptor, "What if I encounter a client that is sexually aggressive?" Which is the appropriate response by the preceptor? A. what is the most therapeutic for a nurse to say during the assessment interview? 1. The The nurse is reviewing the assessment data of a client admitted to the mental health unit. The client recently started taking rivastigmine tartrate (Exelon). I know everyone is looking at me and making fun of me. A nurse working on a psychiatric unit receives a telephone call from a client's employer. The RN plans to delegate part of the nursing process to a licensed practical nurse (LPN). The nurse in the mental health unit reviews the therapeutic and nontherapeutic communication techniques with a nursing student. Tell the client that therapy cannot take place while she is intoxicated. Study with Quizlet and memorize flashcards containing terms like A client in the mental health clinic has a phobia about closed spaces. What is the most important therapeutic response for a nurse to say during the assessment interview?, a depressed older client has not been eating well since During the admission of a male client to the mental health unit, the client tells the nurse that he had a panic attack today and ran out of the physician's office. Encourage group participation. A client with diabetes and hypertension b. Which question is Study with Quizlet and memorize flashcards containing terms like Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis; it usually lasts for: a. Remain with the client to provide The nurse in a psychiatric unit is assigned to care for a client admitted to the unit 2 days ago. For which of the following findings should the nurse withhold the client's Study with Quizlet and memorize flashcards containing terms like A nurse is assigned to care for a regressed college student who has been talking to unseen people and refusing to get out of bed, go to class, or get involved in daily grooming activities. Inform the primary healthcare provider that the client wishes to leave. 4 to 6 days d. Providing a supportive environment 2. , A manic client announces to everyone in the dayroom that a stripper is coming to perform that evening. ", The nurse is caring for a group of clients in a behavioral health unit. Misinterpretation of common events 4 . During review of the client's record, the nurse notes that the client was admitted 2 days ago for the treatment of an anxiety disorder and that the admission was a voluntary one. The nurse is engaging in which part of the nursing process? Planning Assessment Evaluation Diagnosis, During a conversation, the client states, "It's Study with Quizlet and memorize flashcards containing terms like A client diagnosed with major depressive disorder is admitted to the psychiatric mental-health unit. Which nursing action is best? Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the discharge plan with a female teenager with anorexia nervosa and reinforces the importance that the teenager attends a meeting of the local chapter of Anorexia Nervosa and Associated Disorders. "C. Which action should the nurse implement first? A. Before the client is admitted to the unit, the nursing team will determine the location of their bed. which of the following actions is priority? a nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurses station at Study with Quizlet and memorize flashcards containing terms like An OB nurse is floated to the behavioral health unit to assist the staff with an overflow of newly admitted clients. Assess the client for suicide risk. c. " B. An unreasonable fear of something 2. Which question is most During the admission of a mail client to the mental health unit, the client tells the nurse that he had a panic attack today and ran out of the physician’s office. "B. " When discussing standards for involuntary admission to a mental health facility, which factor is related to safety? A, b, d. you'll find that you'll get better faster if you try to help us to help you 2. The client is likely to experience stigma around the suicide attempt from some When reviewing the admission assessment, the nurse notes that a patient was admitted to the mental health unit involuntarily. The client points to a pair of slippers on the floor and informs the nurse that "there is a rat on the floor" which response is appropriate when assessing this client? The nurse on the behavioral health unit negotiates a behavior a Rationale: The nurse manager's role is most involved in representing the nursing unit service and the organization to staff, other departments, professional disciplines, and the community, according to Gardner's Leadership model. Based on this type of admission, the nurse should provide The graduate nurse asks the nurse preceptor to observe them during a new client admission assessment to the inpatient mental health unit. A client with paranoid schizophrenia states, "Those aliens are sending messages through my brain, and I have to protect myself. -Basic Needs. "Tell me about your alcohol use. Defense Mechanism: Fantasy. Based on this type of admission, the nurse would expect which statement is an aspect of the client's care? Study with Quizlet and memorize flashcards containing terms like The nurse completes an emergency admission of a male client with schizophrenia who has not been taking his antipsychotic medications. Unit staff nurses represent the nursing profession and the organization to clients and their families, and nurse executives represent the organization During orientation the newly hired nurse is told, "People with mental health emergencies shall be triaged within 5 minutes of entering the emergency department. During review of the client's record, the nurse notes that the admission was a voluntary one. The nurse on the mental health unit is caring for a client with a history of alcoholism. treatment of dementia experienced Study with Quizlet and memorize flashcards containing terms like A client diagnosed with schizophrenia is experiencing an acute dystonic reaction. The The home health nurse visits a client at home and determines that the client is dependent on drugs. Based on this type of admission, the nurse should provide which intervention for this patient? A. Based on this type of admission, which would the nurse expect to note? The nurse in the mental health unit reviews the therapeutic and nontherapeutic Study with Quizlet and memorize flashcards containing terms like Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis; it usually lasts for: a. The nurse informs the client that if they do not stop screaming, they will be given a sedative and placed on restraints. A client who is in the manic phase of bipolar disorder was admitted to the psychiatric unit two days ago. During the assessment, which actions would the nurse take to plan appropriate nursing care? a. Two days after being admitted, the client has more energy and appears happy. After receiving the information, the nurse should examine the patient's daily routine in more detail to find out what type of essential oils and acupuncture the patient is using and should convey the information obtained to the doctor. Study with Quizlet and memorize flashcards containing terms like A 20-year-old son of a client who was diagnosed with schizophrenia at the age of 25 is concerned that he may also develop the disorder. The client is pacing, is extremely irritable, and has a blood pressure of 146/96. For each finding, click to specify whether the finding indicates a potential improvement in or a potential worsening of the client's condition. Evaluate the medication Study with Quizlet and memorize flashcards containing terms like A male client in the mental health unit is guarded and vaguely answers the nurse's questions. What is this type of involuntary commitment known as? Emergency Observational Extended Outpatient, A nurse is performing an intake assessment for a client admitted to the A client is admitted into the mental health unit involuntarily. On a scale of 1 to 10 how do you rate your anxiety level? B. This action is an example of which phase of the nursing process? a. Which measure should the care team prioritize in the client's immediate care?, A client has just been admitted to the inpatient psychiatry unit following a suicide attempt. What is the nurse's initial effort toward helping this client? 1. You tell the client that OTC sleep medications may have adverse effects when used with anticholinergic drugs and central nervous system depressants. The student nurse understands the nursing process Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the discharge plan with a female teenager with anorexia nervosa and reinforces the importance that the teenager attends a meeting of the local chapter of Anorexia Nervosa and Associated Disorders. Which intervention should the nurse implement initially?, The nurse is caring for a client who was recently admitted to the inpatient unit of a psychiatric hospital with a diagnosis of delusions. Remain calm Study with Quizlet and memorize flashcards containing terms like A client on the inpatient psychiatric-mental health unit was discovered attempting to asphyxiate himself or herself using a blanket. "Where do you drink?" c. Efforts to cut down, annoyance with questions, guilt, drinking as an "Eye-opener". the client likes the security and comfort of Study with Quizlet and memorize flashcards containing terms like The nurse is helping a client deal with personal issues and painful feelings. The nurse plans care for the client determining that this type of crisis could be caused by which event? a. The nurse reviews the routine admission lab and medication prescriptions, and notes that the client will resume the fluphenazine decanoate (Prolixin). Psychiatric-mental health nurses can offer clients psychosocial support through the nurse’s own self-awareness. During review of the clients record, the nurse notes that the admission was a voluntary one. The nurse plans care for the client, determining that this type of crisis could be caused by which event? 1 Study with Quizlet and memorize flashcards containing terms like a client who is being admitted to the mental health unit with bipolar disorder is depressed, avoids eye contact, responds in a very low voice, and is tearful. Which client is the priority for admission to the inpatient care unit? - A client with confusion and disorientation - A client with a need for medication changes - A client that is at risk for harm to self or others - A client experiencing drug or The nurse is reviewing the assessment data of a client admitted to the mental health unit. Assist in completing an application for admission. Which of the following findings should the nurse expect?, A nurse on a mental health unit is caring for a client who Study with Quizlet and memorize flashcards containing terms like The daughter of a female client diagnosed with Alzheimer's disease reports to the nurse that her mother has recently lost her appetite and refuses to eat. the nurse asks the client about personal body image perception D. Discuss the legal rights of a client who is involuntarily committed to an inpatient mental health facility. Monitor closely for harm to self and others 2. " Which modification to the treatment plan should occur based on the behavioral cues of the client? During an admission assessment, the nurse notes that the client's diagnosis is documented as obsessive-compulsive disorder. Remind the client to allow others in the group a chance to talk. How would you describe your mood right now? C. the nurse discusses the client's weight loss during a health care team meeting B. - The response "I need to get well enough by then so I can leave, too" shows an inability to relate to other staff members involved with the client's care. reaction-Agree with a Client perception and emotions to encourage free expression-Allow the client meet with the The client can't seem to settle down. , The nurse is caring for an adult male client Study with Quizlet and memorize flashcards containing terms like A nurse and client are engaged in a discussion. Which is the nursing care priority Study with Quizlet and memorize flashcards containing terms like A client who is being admitted to the mental health unit with bipolar disorder is depressed, avoids eye contact, responds in a very low voice, and is tearful. The client is being placed on an antidepressant and the nurse is providing medication teaching. When performing the admission assessment, which statement by the client is an indicator of optimal mental health?A. Which statement regarding schizophrenia and genetics is true?, The client has been diagnosed with schizophrenia and is showing the following symptoms: immobility, rigidity, and Study with Quizlet and memorize flashcards containing terms like Which data-gathering technique is employed during the assessment phase of the nursing process? A. d. The HCP admits the client to the mental health unit because his mental status impairs his ability to meet his basic needs and remain safe in the community. HESI Mental Health RN Questions and Answers from V1-V3 Test Banks and Actual Exams (Latest Update 2020) Rated A+. The nurse is working in a behavioral health unit with a variety of clients with mental health disorders. I'm finally cured. A. Which of the following strategies should the nurse use? Select all that apply a. This injury required a brief stay in the hospital's burn unit prior to transfer to your psychiatric unit. When the PRN medication is offered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. Which nursing diagnosis is most applicable at this time?, On admission to the mental health unit, a client tells the nurse she's afraid to leave the house for fear of criticism. The client says, "No one cares about me anymore. Which interventions should the licensed practical nurse (LPN) initiate? Select all that apply. You are the only true friend I have. The client says, "I feel really close to you. the nurse examines their own personal feelings about clients who have anorexia nervosa C. Which behaviors and clinical data meet the criteria for involuntary admission to the mental health unit? Select all that apply. The primary healthcare provider (PHP) informs a client that cancer was identified in the large intestine, and surgery should be scheduled An alert, older adult has been deemed to be in imminent danger of harm to self and is being held on the mental health unit for 72 hours. What is the priority nursing action?, A young adult female client with panic disorder During a meeting with nurse managers from the crisis intake unit, acute mental health unit, and mental health long-term care unit, the hospital risk manager says, "Approximately 57% of our client safety problems can be directly attributed to poor handoffs. What nursing intervention should the RN implement first?, A client is During the admission interview to an inpatient psychiatric unit, the practical nurse (PN) asks a male client who is admitted with depression about recent life events that precipitated his admission. C. Which is the most effective way for the nurse to approach this subject with the client?, The novice nurse is working in a behavioral health unit and must assess a clients sexuality and self-harm behaviors during the admission process. ) and believes she is fat. Based on this type of admission, the During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. Meet the needs and specific desires of the client. " What nursing response is appropriate in A client is admitted to the psychiatric-mental health unit for severe depression. Which of the following statements by the RN indicates appropriate delegation to the LPN? A. What is the nurse's priority intervention with the client? a. After the clients family leaves the client tells the nurse, “I signed the papers because my husband told me I will be deported if my depression is not cured. The nurse plans care for the client, determining that this type of crisis could be caused by which event? 1. the client stands up and begins clenching her fists and arguing with the nurse. b. Which environmental setting facilitates the best outcome of the interview? A. Which of the following aspects of care should the nurse consider the first priority for this client? a) Identify the client's nutritional status. Which response by the teenager indicates that she will likely be compliant with this Study with Quizlet and memorize flashcards containing terms like A client diagnosed with delirium becomes disoriented and confused at night. Which actions by the client before A nurse is performing an assessment on a client admitted to the mental health unit. Witnessing a murder b. Offer oral fluids. Vital signs are: temperature, 100° F, pulse 100, and BP 142/100. During voluntary commitment to a mental health facility the patient or patient’s relative chooses admission to obtain treatment. The client is pacing, is a. Talk to the client outside the group about his behavior during group meetings. Intervention d. Health promotion 3. " Which response is best for the nurse to make?, A 30-year-old sales manager tells the nurse, "I am thinking about a job change. ) ask the client why they started taking illegal drugs b. Study with Quizlet and memorize flashcards containing terms like A client with borderline personality disorder has been admitted to the inpatient unit after being found in the client's parents' bedroom, burning the client's arm with an iron. What intervention is most important for the RN to implement during the admission Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lbs. "Do you overuse alcohol?" b. A client is admitted to the behavioral health facility involuntarily. Visual hallucinations. He isolates in his room and sometimes opens the door to peek into the hall. Please make sure that you complete your morning routine, such as using the restroom, bathing, and eating breakfast, before you come for the sessions. Which findings are indicative of anorexia nervosa?, The licensed practical nurse is assisting in the admittance of a client who has been involuntarily committed to the behavioral health unit. The benztropine (Cogentin) has not been prescribed. The client begins to scream and demand they be discharged now. Make arrangements for a commitment hearing, as soon as possible. She informs the nurse, "My nose is so big. Wealthy b. Low-income, Mental health care is available under the universal health care system in Britain, which is funded primarily by: a. Which desensitization method should the nurse expect to be used successfully with this client?, What Study with Quizlet and memorize flashcards containing terms like A 38-year-old client has been diagnosed with major depressive disorder. m. Asking the client to verbalize understanding of previously explained unit rules C. The client discusses moving to Hawaii instead of returning to rebuild her house. The client has a history of alcohol dependency and admits that he was drinking alcohol 12 hours ago. Repetitive actions to manage anxiety 3. A nurse employed in a mental health unit is assigned to care for a client admitted to the unit 2 days ago. Based on this type of admission, which would the nurse expect to note? 1. Hair is still damp from a shower with which the mother said she had to assist. Notify the registered nurse (RN). Dim the lights in the room to help the patient feel calm. One, some, or all responses may be correct. Which is the priority action by the OB nurse?, Which mental health service is an advanced-level Applying the Johari Window in Nursing Practice. 3. Which will be the primary goal of the case manager when coordinating the discharge care of this client? A client comes to the community mental health center for a visit. " Which response by the nurse would be most therapeutic?, The graduate nurse asks the nurse preceptor to observe them during a new client admission assessment to the inpatient mental When a nurse says, "I work with a mobile mental health unit," what assumption can a client accurately make about the care being provided? A) The patients who are convicted criminals sentenced to home confinement. Depending on need and availability, the client may be admitted into a single or shared room. Which question is most important for the nurse to ask this client? A. During the admission procedure, the client looks up and states, "No, it's not MY fault. Study with Quizlet and memorize flashcards containing terms like A mother who is notified that her child was killed in a tragic car accident states, "I can't bear to go on with my life. , Within several days 2 Wishing the nurse a safe trip and offering thanks for the help received demonstrates the client's acceptance of the professional role of the nurse, as well as the ability to end dependent relationships. Which actions by the staff of a mental health unit During an admission interview, a client informs you that she has been taking an over-the-counter sleeping pill. Explanation: The client may be using fantasy as a way to escape from the painful reality of her situation. Upon assessment, the client states, "You locked me up and threw away the key. Monitor airway. the nurse presents an A nurse on an acute mental health unit forms a group to focus on self Admission to the mental health unit was sought by Joseph 3. Establish rapport in each phase of the nurse-client The home health nurse assesses the client with acquired immunodeficiency syndrome (AIDS) for which signs of altered mental health function associated with AIDS? Select all that apply. C) Care is provided by a preferred provider for a large HMO. Eight days later the nurse notes that the client is neatly dressed and well groomed. What intervention is most important for the RN to implement during the admission During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client discloses to the nurse that the client often has thoughts about killing a neighbor. When assisting with an admission, a client becomes agitated and physically aggressive with another nurse. “Can you help me evaluate whether my verbal and nonverbal behavior is congruent?” During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. Excessive motor activity. Study with Quizlet and memorize flashcards containing terms like The nurse is collecting data on a client with the diagnosis of anorexia nervosa. " What is the most therapeutic response made by the nurse to the client?, A client diagnosed with a mental illness asks the nurse, "Does mental illness run in your Find step-by-step Health solutions and the answer to the textbook question During the admission of a male client to the mental health unit, the client tells the nurse that he had a panic attack today and ran out of the physician's office. Which action should the nurse take to enable the client to work through the meaning of the A moderately depressed client who was admitted to the mental health unit 2 days ago suddenly begins smiling and reporting that the crisis is over. Tell the client that you are going to report to the director of the unit B. Aversion conditioning has been chosen as the treatment for this client Study with Quizlet and memorize flashcards containing terms like A nurse is participating in group therapy for clients who have major depressive disorder. The nurse in a psychiatric unit is assigned to care for a client admitted to the unit 2 days ago. Study with Quizlet and memorize flashcards containing terms like Because mental health care is not covered in Australia under the basic health plan, which citizens are more likely to receive mental health care? a. It has been determined that the client is not suicidal. Assist in completing an application for admission 3. 1 Delusions 2 Memory loss 3 Hopelessness 4 Hyperactivity 5 Paranoid thinking A nurse is performing an assessment on a client admitted to the mental health unit. , Which is an accepted criterion for inpatient admission to a mental health facility?, A male client with a diagnosis of schizophrenia refuses to take his medication because of his Study with Quizlet and memorize flashcards containing terms like When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a cognitive behavioral approach is used as part of the treatment plan. This is an When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. ) ask the client about the amount of drug use and its effect c. Before the client arrives the nurse should check to see that the room is in order and that all the necessary items are available. Case management 4. "I don't need anyone in my life, I manage well on my own. I just don't care anymore. The nurse notes that the admission nurse documented the client is experiencing anxiety as a result of a situational crisis. Study with Quizlet and memorize flashcards containing terms like A 30-year-old sales manager tells the nurse, "I am thinking about a job change. The client states "I just don't know if I should be here. During the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client on an inpatient mental health unit of a hospital. Which of the following findings should the nurse expect?, A nurse is caring for a client with anorexia nervousa who has light skin. Study with Quizlet and memorize flashcards containing terms like A psychiatric-mental health nurse working in a community mental health center is reviewing information about issues facing those individuals receiving care at the center. Which goal of therapeutic communication will the nurse prioritize? Study with Quizlet and memorize flashcards containing terms like The nurse asks the client a series of questions upon entry into a mental health care system. Involuntary admission is inappropriate because the client does not meet the necessary criteria. -confidentiality-a written plan of care/tx Participation in care plan Communication with family, attourneys, and other health care professionals Interpretative services as needed Freedom from harm related to physical or pharmacological restraint, seclusion, and abuse/neglect A Study with Quizlet and memorize flashcards containing terms like Which patient right may clients with mental health disorders lose during treatment?, The rights of the care provider include the right to:, The nurse's code of ethics includes the main concepts of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a terminally ill pediatric client. Have the client admitted to the inpatient psychiatric unit. Please make sure that you complete your morning routine, such as using the restroom, bathing, and eating breakfast, before you come Room preparation. a nurse is assisting in the admission process for a client who has a history of violent behavior. Evaluate ECT effectiveness. ) a. All the people I loved are dead. Study with Quizlet and memorize flashcards containing terms like A primary healthcare provider prescribes an antidepressant for a hospitalized client who has been severely depressed. The client is observed moving slowly while walking and completing activities of daily living. Reducing environmental Stimuli 3 C. Which of the following topics should the nurse include in the orientation phase of group therapy?, a Nurse is caring for a client who was admitted with major depressive disorder and States they do not want to attend Group Therapy Study with Quizlet and memorize flashcards containing terms like The nurse is conducting an admission interview with a psychiatric-mental health client. "I practice yoga regularly since it helps manage any stress I am feeling. Asking the client to describe any thoughts of self-harm D. The nurse notes that the client's hands are red and chapped. Study with Quizlet and memorize flashcards containing terms like A nurse working on a unit in a psychiatric hospital is responsible for performing a variety of functions. Evaluation b. B. -Safety and Security. On admission to the mental health unit, a client tells the nurse she's afraid to leave the house for fear of criticism. Which of the following statements should the manager include in the discussion? "Clients who are involuntarily admitted have the right to informed consent. The client is wearing leggings and an oversized t-shirt. After that, she should discuss with the doctor the effects of this routine and its potential interactions with the patient's treatment. ) ask the client how long they thought they could take drugs without The nurse is meeting a client on the mental health unit. The client remains silent, looks at the floor, and does not answer any of the PN's questions. Witnessing a murder 2. The nurse informs Study with Quizlet and memorize flashcards containing terms like A client was admitted to the psychiatric-mental health unit 2 days ago. Which course of action should the nurse take to prevent legal complications? a) Document that the client is a danger to themselves or others b) Keep the client under supervision to prevent suicide attempts c) File with the court a commitment for evaluation within 96 hours of the client's initial detention d) Detain the client for The nurse has an admission interview with a client receiving counseling. The client smiles at the nurse and says, "Things sure look better today. During the interview, the client Study with Quizlet and memorize flashcards containing terms like The emergency department nurse cares for a client whose college roommate reports recent changes in the client's behavior. " What solution might the nurse managers implement to improve these statistics? A. Based on this type of admission, which will the nurse expect to note? The nurse in the mental health unit reviews the therapeutic and nontherapeutic A nurse is caring for a client on an inpatient mental health unit of a hospital. Asking the client to rate mood after administering an antidepressant B. Examining intrapsychic conflicts and Study with Quizlet and memorize flashcards containing terms like The nurse completes an emergency admission of a male client with schizophrenia who has not been taking his antipsychotic medications. I don't feel like I amliving up to my potential. Which problem can the RN anticipate? A. ) in the past three months. A male client is admitted to the mental health unit because he was feeling depressed about the loss of his wife and job. Which client would be documented as having a dual disorder? a. What does the nurse identify as a crucial goal of therapeutic communication? Acommunicating empathy through gentle touch B. When beginning a therapeutic relationship, which nursing actions are appropriate? Select all that apply. Monitor closely for harm to self or others 2. , Which action is most important for the nurse to implement during the initial interview for a client who is admitted to the mental health unit? A. " A client has been on the mental health unit for three days and is requesting to leave against medical advice (AMA). During the admission procedure the initial statement by the nurse most helpful to this client is: and more. The mental health technician escorts the client to the unit, where the RN team leader completes the admit assessment and PN primary nurse orients the client to the unit and his room. Discussing moving to a place like Hawaii, which may represent an idealized and stress-free environment, suggests a desire to avoid confronting the challenges Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who received the first-time electroconvulsive therapy (ECT) a half hour ago. I don't even enjoy doing the crossword puzzles like I used to. The client weighs 40 kg (88 lbs. Which statement reflects the orientation phase of the nurse-client relationship? The nurse is performing an admission assessment for a client on the behavioral health unit with depression and anxiety. (Cutting down, annoyance, guilt and eye-opener drinking are represented with the acronym of Study with Quizlet and memorize flashcards containing terms like The nurse on the mental health unit is collecting data on a client diagnosed with obsessive-compulsive disorder (OCD). In a follow-up visit to the mental health clinic, the client complains of lethargy, apathy, irritability, and anxiety. The client attempted to save a neighbor involved in the fire, but despite the client's efforts, the neighbor died. Which action by the nurse displays the role of client advocate? A) Respecting the parents' decision B) Telling the parents they are making the right decision C) Asking to be assigned to Study with Quizlet and memorize flashcards containing terms like A client who has been admitted to the psychiatric unit tells the nurse, "My problems are so bad that noone can help me. She asks you if the pill will interact with any medications. The nurse tells the client, "You are scheduled to attend therapy sessions every morning at 9:00 a. -Loving and Belonging. Planning, A nurse administers antidepressant medication to a client in an assisted-living facility. " A nurse documents this finding as indicative of what condition?, A parent of four small children lost a spouse in an automobile The nurse is working in the ED and has clients with mental health disorders awaiting admission. 6 to 8 days, Which is an accepted criterion for inpatient admission to a mental health facility? a. " Which nursing statement conveys empathy?, A nursing instructor asks a student to describe the nursing process when initiating care of a client. 142. The nurse admits a client with depression to the mental health unit. Which of the following approaches should the nurse take?, A client reports a state an increasing anxiety and the inability to sleep and concentrate, which of the following is an appropriate response from the nurse?, A nurse is contributing to Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse is reviewing the client's medical record at 0830 on day 2 of admission. Which are some therapeutic communication A. The nurse expects to note which behavioral characteristics of OCD? Select all that apply. An RN on a behavioral health unit is assessing a client. What should be the nurse's first response?, A psychiatric-mental health nurse is gathering psychosocial assessment data from a client Study with Quizlet and memorize flashcards containing terms like a client who is being admitted to the mental health unit with bipolar disorder is depressed, avoids eye contact, responds in a very low voice, and is tearful. Since admission, the client has been overly active, dressing bizarrely and sleeping very little. The client states that this activity makes her late for many functions and that she misses engagements on occasion because of it. Which intervention is best for the PN to implement? *A A female client with severe depression is given information about the risks, benefits, alternatives, and expected outcomes of electroconvulsive therapy (ECT) and signs the informed consent for treatment. "hold my Study with Quizlet and memorize flashcards containing terms like On admission to the mental health unit, a client tells the nurse she's afraid to leave the house for fear of criticism. The nurse notes the client has new superficial Study with Quizlet and memorize flashcards containing terms like During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. " Which of Maslow's developmental stages is the sales manager attempting to achieve? -Self-Actualization. " Which response by the nurse is therapeutic?, A mother of a teenage client with an anxiety disorder is concerned about her daughter's progress during Explain the difference between voluntary and involuntary commitment to a mental health facility. Shortly after admission, the client has agreed to a commitment to treatment statement (CTS). 2 to 4 days c. Study with Quizlet and memorise flashcards containing terms like A client is admitted into the mental health unit involuntarily. The nurse uses observational skills to identify that the client has a flat affect. Which client does the nurse identify will require the nurse and the health care team to warn a third party? A. Instruct the family that they must leave during the interview. Homeless c. mutual sharing A nurse is talking with the client about his admission to a mental health unit. The nurse is seeing a client for counselling in a mental health clinic. hold my Study with Quizlet and memorize flashcards containing terms like A RN is preparing the physical environment to interview a new client for admission to the mental health unit. The client reports difficulty concentrating, has lost 10 pounds in 2 weeks, and is sleeping 12 hours a day. Psychotherapy 2. , A nurse is reviewing the medical record of a female client who has schizophrenia. On admission, a depressed client tells the A nurse is performing an assessment on a client admitted to the mental health unit. What should the nurse do? 1. What intervention is most important for the RN to implement during the admission process? A. Which would be appropriate information to provide to the client?, A client with mania is in the dining room at lunchtime and is observed taking food A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Bob is admitted to the mental health unit for 96 hours. Which question is most When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Which course of action should the nurse take to prevent legal complications?, Which primary purpose does the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) serve?, Which interventions will assist in creating and The Nurse in a psychiatric unit is assigned to care for a client admitted to the unit 2 days ago. Which of the following activities should the nurse plan for the working phase of the therapeutic relationship? A) Define the specific responsibilities of the client and of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for an older adult client who has recently lost her husband. Which issues would the nurse likely identify as emerging over the recent years? (Select all that apply. D. I had plastic surgery and it still looks awful!" These symptoms are an indication of which disorder? 1. Auditory hallucinations. The nurse should begin the general survey at which point in the admission process? a) As soon as any visitors have left the room b) When the demographic data has been documented c) Upon meeting the client and family members d) After the physical examination is completed When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. The nurse plans care based on which purpose of this approach? 1. A client with depression and substance abuse c. What instructions are important for the nurse to provide the client's daughter?, Which assessment Study with Quizlet and memorize flashcards containing terms like B. The nurse plans to educate the client on the dangers of mixing medicine with alcohol. The client asks the nurse not to reveal this the nurse is performing an admission interview on a client being admitted to the mental health unit and discovers that the client experienced a severe emotional trauma one month ago and is During a particularly busy time in the psychiatric unit, the nurse is asked to identify a location to conduct an interview with a psychiatric-mental During the admission of a male client to the mental health unit, the client tells the nurse that he had a panic attack today and ran out of the physician's office. Treating human responses, The Study with Quizlet and memorize flashcards containing terms like A young female adult client is accompanied to a mental health assessment center for evaluation by her parents. B) Care is provided to clients in unconventional settings. 4. Assist the client in developing alternative coping skills. " Which of Maslow's A mental health nurse on the eve shift is receiving report about a client who was admitted to the nursing unit. The nurse notes that the admission nurse documented that the client is experiencing anxiety as a result of a situational crisis. Monitor closely for harm to self or others. "Please verify with the client which of the following medications they are taking. During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. Stand or sit at the client's level to conduct the interview. Prescribing medication 5. Complete a full head-to-toe assessment on the client. The client asks the nurse not to reveal this to anyone else. On a scale of 1 to 10 how do you rate your anxiety level? Study with Quizlet and memorize flashcards containing terms like A nurse is seeing a client for a weekly therapeutic session in an outpatient psychiatric clinic. The nurse is told that the client was admitted by involuntary status. I don't feel like I am living up to my potential. The client will be angry and will refuse care. The parents have decided to remove their child from life support. During the admission of a male client to the mental health unit, the client tells the nurse that he had a panic attack today and ran out of the physician's office. It is also a time for data-gathering and identifying and promoting the The nurse assesses a client newly admitted to a mental health unit with a history of hallucinations. When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. , Alcohol patient, cut down, annoyed, guilty, eye opener, D. "How much do you drink?" d. Monitor vital signs. b) Request a The nurse is admitting a client to the surgical unit. jsuhx ndfyb jcmfbgn dblwqt zzucxq caey jhbj jlvc iotln urjjx