Senior Seminar - Module 3: Mental Health Concepts Questions And Answers 2022

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Senior Seminar - Module 3: Mental Health Concepts Questions And Answers 2022 A young adult client says to the nurse, "All my friends are married and have children. I can't seem to meet anyone, ... and I know I'll never be happy until I meet someone I can care about enough to marry." Which statement by the nurse would assist the client in reframing the situation? - Correct Answer- D "You can't seem to meet someone that you care about? You can still find enjoyment in friendships, work, books, and other things as well." Rationale: Focus on the subject, reframing. Recalling that reframing is a positive response in which the client redefines the situation to view both its positive and negative sides will direct you to the correct option. Review this coping behavior if you had difficulty with this question. A client who has been admitted to a surgical unit with a diagnosis of cancer is scheduled for surgery in the morning. When the nurse enters the room and begins the surgical preparation, the client states, "I'm not having surgery — you must have the wrong person! My test results were negative. I'll be going home tomorrow." The nurse recognizes that the client is engaging in the defense mechanism of: - Correct Answer- A Denial Rationale: Defense mechanisms protect us against anxiety. Denial is the defense mechanism used to block out painful or anxiety-inducing events or feelings. In this case, the client cannot deal with the upcoming cancer surgery and therefore denies that he or she is ill. Psychosis and delusions are not defense mechanisms. Displacement is acting out in anger or frustration with people who did not arouse the feelings. A client who delivered a baby 4 weeks ago says, "I'm feeling as if I'm hanging on by a thread to keep my wits about me." Which statement by the nurse would be therapeutic? - Correct Answer- C "Can you share with me more specifically how you feel that you're hanging on by a thread? Are you having thoughts of hurting yourself?" Rationale: The correct option is therapeutic because the client is asked to clarify her feelings. A client says to the nurse at the mental health clinic, "My husband and sister-in-law both have terminal illnesses, and my family thinks that because I'm a nurse I should be able to handle everything." Which nursing response would be therapeutic? - Correct Answer- D "You've seen your loved ones dealing with some troubling events recently. Sounds as if you feel that your family expects more from you than from others in the family because you're a nurse." Rationale: The therapeutic response is the one in which the nurse makes observations and then clarifies his or her perception of what the client has said. The wife of a client who is dying says to the nurse, "I am able to take off the 6 months from work our doctor feels that my husband will live, but what if he lives beyond that time?" Which therapeutic response should the nurse make? - Correct Answer- C "Are there other options for you in taking work leave? Perhaps you could simply reduce your work hours at first so that you can extend your compassionate leave." Rationale: In end-of-life nursing care, the caregiver is often asked, "How long?" or "What should I do?" by family members and the dying clients themselves. The nurse can convey information and make limited but realistic predictions, such as presenting the client's stable or deteriorating physiological condition. Discussing options and alternative solutions with the family that can be added to the process of decisionmaking can be helpful. Simple alternatives can be used as examples if the family or client seems unable to begin to problem-solve. A 56-year-old client says to the nurse, "I'm a guidance counselor at the middle school, and the kids like to come to see me for help, but I just found out from my wife that my 22-year-old daughter is a lesbian, and now I'm the one who needs advice. How am I supposed to accept that? She was the boy we didn't have, and I made a tomboy of her by taking her to baseball games with me. Is that why she's gay?" Which statement by the nurse would be therapeutic? - Correct Answer- D "It sounds like you and your daughter were very close but she kept her sexual orientation from you." Rationale: The therapeutic response is the one that reflects the client's thinking back to the client and makes observations for the client to organize, reflect on, and validate or discount. This will help place the information that the client's daughter is a lesbian into perspective. The parents of an adopted child schedule an appointment at a psychiatric clinic, and when they arrive the nurse conducts an initial assessment. One of the parents says to the nurse, "We need to speak to a psychiatrist about our adopted daughter. Could you please get one for us?" Which of the following interventions by the nurse would be therapeutic? - Correct Answer- D "The doctors here feel that clients are best served when I conduct the initial assessment, after which the psychiatrist will see you with complete information." The therapeutic intervention is the one that explains the clinic's procedure to the parents and moves on from there. The wife of a victim of a gas explosion says, "It's not bad enough that I've been left alone to care for two children — now the company is denying our claim for compensation and we have to join a class action suit to get my husband's pension." Which of the following statements by the nurse would be therapeutic? - Correct Answer- C "You're saying that being left a widow with children is difficult enough, but now you've got to fight for your benefits."..... [Show More]

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