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Ch 9 Morrison-Valfre
Terms in this set (18)
The nurse asks the client a series of questions upon entry into a mental health care system. This action is an example of which phase of the nursing process?
A nurse administers antidepressant medication to a client in an assisted-living facility. This is an example of which phase of the nursing process?
Following completion of a male client's series of group therapy sessions, the nurse periodically talks with the client to determine whether he has any signs of relapse of his previous problems. This action by the nurse is an example of
During a session with a female client with a diagnosis of social phobia, she talks about how proud she is of herself because she was finally able to shop at the grocery store. The nurse documents the events and knows that this would be considered which phase of the nursing process?
The treatment team meets with a client for the first time and determines, with the client's input, a nursing diagnosis, goal, and steps to reach this goal. In addition to a nursing diagnosis, the treatment team has completed which phase of the nursing process?
Without assessment of six specific aspects of an individual's being, the mental health nurse's scope of care is narrow and limited in effectiveness. These aspects include social, physical, cultural, intellectual, emotional, and spiritual areas of a person's life, known as a ______________ assessment.
The nurse is reviewing information regarding a female client that was obtained with the psychiatric assessment tool. The client's ability to provide food and shelter for herself is included in which area of the assessment?
coping responses, discharge planning needs
During an interview with a 15-year-old female client admitted for depression, the nurse is disappointed to learn that the client recently became pregnant and had an abortion. The nurse is contradicting the effective interview guideline of
avoiding one's personal values that may cloud professional judgment
A male client with a history of schizophrenia was admitted to the mental health facility after he was found on the street confused and uncooperative when approached by the police. One of the final assessments that should be performed on this client upon admission is a
During the mental status examination, the nurse observes that the client rapidly changes from one idea to another related thought. Which disordered thinking process is the client displaying?
flight of ideas
When reviewing the nursing notes from the previous shift, the nurse notices notations indicating that the client was experiencing a somnolent level of consciousness. The client's behavior would be described as
"falling asleep easily and only awakening with strong verbal stimuli"
During the mental status assessment, the nurse hands the client a piece of paper that reads, "please raise your left hand." If the client follows the command, the nurse has just asses which ability of the client?
A nurse educates a male client on medication side effects and verbal feedback of understanding is given by the client. Which phase of the nursing process is being described?
Components of the sociocultural assessment include a history interview for the purpose of obtaining information about a client's background and
observing the client's appearance, behaviors, and attitudes
A client with a history of delusions demonstrates which of the following behaviors?
insists the government is out to harm him
A client complains to the nurse that he has been fired from his fourth job in 10 months because his bosses and co-workers "didn't understand him." While he once had a few close friends, he no longer associates with them for the same reason. His level of functioning on the Global Assessment of Functioning Scale would be
41-50; serious symptoms
The nurse suspects the client is experiencing a manic episode based on which of the following observations?
clothing is very colorful and mismatched, and client cannot sit in chair during interview
A client is seen in the emergency department is noted to be stuporous. Which of the following assessment findings would be of the most concern?
painting furniture in a windowless room
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