N322 Exam 2 Mental Health Practice Questions

A nurse in the outpatient mental health clinic is interviewing a client with schizophrenia who appears to be experiencing auditory hallucinations. Which of the following should be the nurse’s initial action?

a. teach the client strategies to decrease the hallucinations
b. check that the client is on antipsychotic meds
c. establish rapport with the client
d. explore what the voices are saying to the client

c. establish rapport with the client

Four days after admission, a client who is taking haloperidol (Haldol) is pacing up and down the hallway. The nurse observes and assesses further by asking how the client feels. The client replies “I am very restless and can’t seem to sit still.” The nurse should understand that the client is experiencing which of the following extrapyramidal side effects?

a. dystonia
b. parkinsonism
c. tardive dyskinesia
d. akathisia

d. akathisia

Which of the following is the best approach for a nurse to take initially with a client who is experiencing severe anxiety?

a. Move the client to a calm, nonstimulating environment.
b. Encourage expression of feelings.
c. Lower the client’s level of anxiety by offering medication.
d. Suggest the client engage in some automatic behavior, such as pacing, to reduce anxiety levels.

a. Move the client to a calm, nonstimulating environment.

A nurse is administering the neuroleptic medication thioridazine hydrochloride (Mellaril) 150 mg four times a day. The client reports hand tremors, drooling, and restlessness. Which of the following is an appropriate nursing action?

a. Chart observations and reassure the client that these manifestations are normal.
b. Administer diazepam (Valium) 5 mg PO (ordered PRN).
c. Encourage deep breathing and relaxation.
d. Administer benztropine Mesylate (Cogentin) 1 mg PO (ordered PRN).

d. Administer benztropine Mesylate (Cogentin) 1 mg PO (ordered PRN).

A client with a history of psychosis is prescribed quetiapine fumarate (Seroquel) 150 mg four times a day. Which of the following statements should the nurse include when providing the client education about this medication?

a. “You will need to be careful of exposure to the sun and wear a sunscreen when outdoors.”
b. “While you are taking Seroquel, you will need to have weekly blood counts.”
c. “Weight gain is less common with Seroquel than with other atypical antipsychotics.”
d. “Seroquel is effective in managing rapid-cycling manic episodes.”

c. “Weight gain is less common with Seroquel than with other atypical antipsychotics.”

A nurse should understand that clients who are diagnosed with agoraphobia display which defense mechanism?

a. displacement
b. isolation
c. denial
d. undoing

a. displacement

A nurse is caring for a client who has been diagnosed with bipolar disorder. The client is pregnant. Which of the following medications is appropriate for this client to take?

a. Carbamazepine (Tegretol)
b. Valproic acid (Depakote)
c. Paroxetine (Paxil)
d. Lithium (Lithane)

c. Paroxetine (Paxil)

A nurse is planning care for a client with panic disorder who is taking alprazolam (Xanax) 0.25 mg t.i.d.. Which of the following instructions should the nurse give the client?

a. “You should increase your fluid intake to prevent dry mouth.”
b. “You should take this medication with food to prevent GI upset.”
c. “You will need to watch your caloric intake to prevent weight gain.”
d. “You will have to read food labels careful to eliminate tyramine from your diet.”

a. “You should increase your fluid intake to prevent dry mouth.”

The admitting nurse asks a client what factors, such as recent life changes, have contributed to the need for hospitalization. The client replies, “Change…change the range, manage the change.” The nurse should recognizes this response as an example of which of the following?

a. Flight of ideas
b. Echolalia
c. Perseveration
d. Clanging

d. Clanging

An eyewitness to a violent crime is unable to give police an account of the crime and complains of blindness and a severe headache when asked to view “mug shots.” Which of the following defense mechanisms is the client using?

a. Rationalization
b. Denial
c. Conversion
d. Regression

c. Conversion

Which of the following defense mechanisms does a client with obsessive compulsive disorder exhibit when performing rituals?

a. projection
b. undoing
c. rationalization
d. sublimation

b. undoing

What information about diet should a nurse give all clients taking lithium?

a. Sodium and fluid intake should be increased.
b. Fluid intake should not exceed 1000 mL per day.
c. Sodium intake should be restricted to 1200 mg per day.
d. An adequate daily intake of sodium and fluids should be maintained.

d. An adequate daily intake of sodium and fluids should be maintained.

A client is hospitalized for an obsessive compulsive disorder with recurring thoughts of mouth odors that are offensive to others. The client also has mouth care rituals that occupy a good deal of the client’s waking hours and caused him to be fired from his last job. The nurse understands that these manifestations most likely represent which of the following?

a. Method of reducing anxiety
b. Form of manipulation to avoid work
c. Strategy to get attention
d. Rationalization for avoiding social contact

a. Method of reducing anxiety

An emergency room nurse is admitting a client who is complaining of chest pain and dyspnea. The client is also flushed and perspiring profusely, screaming, “I am going to die! This is it! I am having a heart attack!” The medical exam and lab work are negative. The client is diagnosed with anxiety. The nurse should assess the client’s level of anxiety to be which of the following?

a. moderate
b. panic
c. severe
d. mild

b. panic

The nurse discovers that a client who is depressed is an expert at crewel embroidery. After gathering some embroidery materials, the client is asked to teach the nurse this skill. Which of the following is the best rationale for this nursing intervention?

a. Assess the client’s ability to communicate clearly.
b. Discourage the client from focusing on personal problems.
c. Reinforce the client’s identity as a homemaker.
d. Use the client’s personal strengths to build self-esteem.

d. Use the client’s personal strengths to build self-esteem.

A nurse is caring for a client in the day treatment program who is diagnosed with hypochondriasis. The client constantly reports physical problems, and the other clients in the unit are beginning to avoid the client. Which of the following should be the nurse’s primary intervention to decrease social isolation?

a. Ask other clients to be more sympathetic of the complaining client.
b. Encourage the client to participate in group diversional activities.
c. Ask the client to stop talking about physical complaints.
d. Encourage the client to rest alone when upset.

b. Encourage the client to participate in group diversional activities.

A nurse is planning a menu for a client with bipolar disorder who was admitted for an acute manic episode. Which of the following is an appropriate meal for this client?

a. Spaghetti and meat balls, salad, banana
b. Beef and vegetable stew, bread, vanilla pudding
c. Chicken nuggets, ear of corn, apple
d. Fish fillets, stewed tomatoes, cake

c. Chicken nuggets, ear of corn, apple

A nurse is providing discharge teaching for a client who takes lithium (Lithane). The nurse should inform the client that which of the following could precipitate lithium toxicity?

a. Increasing sodium intake
b. Mild exercise
c. Fasting
d. Carbamazepine (Tegretol) therapy

c. Fasting

A nurse is providing medication teaching to a client who is prescribed the monoamine oxidase inhibitor (MAOI) Phenelzine (Nardil). The nurse should caution the client against concurrent use of which of the following over the counter medications?

a. Acetaminophen (Tylenol)
b. Ranitidine (Zantac)
c. Benztropine (Cogentin)
d. Pseudoephedrine (Sudafed)

d. Pseudoephedrine (Sudafed)

A client is admitted with a diagnosis of acute schizophrenia. The client is started on chlorpromazine (Thorazine) 100 mg 3 times a day for agitation. When the client is calmer, the nurse begins client teaching about the medication. The nurse knows it is appropriate to state which of the following?

a. “Thorazine is an antipsychotic that can cure your disorder.”
b. “Thorazine is a sedative that helps to calm you down.”
c. “Thorazine will help to control the symptoms of your illness.”
d. “Thorazine controls the side effects of antipsychotic drugs.”

c. “Thorazine will help to control the symptoms of your illness.”

A nurse should understand that a common side effect of benzodiazepine antianxiety medications is which of the following?

a. Seizures
b. Dizziness
c. Flatulence
d. Insomnia

b. Dizziness

A nurse plans to teach important information about the anxiolytic agent diazepam (Valium) to a client for whom it has just been prescribed. The nurse should include in the teaching plan which of the following?

a. Side effects include insomnia and seizures.
b. Valium can be habit forming.
c. This medication is administered solely by mouth.
d. It takes 2 to 3 weeks to reach full therapeutic effect.

b. Valium can be habit forming.

A nurse is caring for a client who is taking a tricyclic antidepressant. Which of the following side effects should the nurse report promptly to the client’s provider?

a. Fine hand tremor
b. Constipation
c. Drowsiness
d. Urinary retention

d. Urinary retention

An emergency room nurse is assessing a client for cocaine intoxication. The nurse should know that which of the following is associated with cocaine intoxication?

a. Pinpoint pupils
b. Drowsiness
c. Nystagmus
d. Paranoia

d. Paranoia

A client is receiving lorazepam (Ativan) for anxiety. In reviewing the client’s discharge plans, the nurse should emphasize that lorazepam

a. should not be taken during pregnancy.
b. must be discontinued by gradual tapering over time.
c. is contraindicated for clients with asthma.
d. is a safe medication with no known adverse effects.

b. must be discontinued by gradual tapering over time.

A client has been taking an antipsychotic medication for 6 years, and his provider has begun tapering off the dosage. During this process, the nurse should watch for which of the following early manifestations of tardive dyskinesia?

a. Jerky, choreiform movements of the upper extremities
b. Slow, involuntary athetoid movements of the arms and legs
c. Involuntary grimacing, lip smacking, and tongue protrusion
d. Tonic contractions of the neck and back

c. Involuntary grimacing, lip smacking, and tongue protrusion

A nurse is caring for a client diagnosed with schizophrenia. The client spends a great deal time repeating rhyming syllables such as, “Me, see, bee, tree.” The nurse should recognize that the client is demonstrating use of which of the following?

a. Clang association
b. Echolalia
c. Pressured speech
d. Word salad

a. Clang association

A client is admitted for the third time to a psychiatric hospital with a diagnosis of schizophrenia. During the admission procedure, the nurse notices that the client’s appearance is unkempt, and the client seems to be actively hallucinating. Which of the following should be the nurse’s priority nursing assessment?

a. Perception of reality
b. Ability to follow directions
c. Physical needs
d. Mental status

c. Physical needs

An client taking a tricyclic antidepressant is seen at the clinic. The client reports experiencing several side effects from the medication. Which of the following is the most common side effect associated with tricyclic antidepressants?

a. Skin rashes
b. Excessive sweating
c. Drowsiness
d. Muscle breakdown

c. Drowsiness

A manic client tells the nurse that his latest computer project is revolutionizing the industry. He also states, “IBM and Apple are both going under because their products cannot compete with mine.” In choosing how to respond, the nurse is best guided by the knowledge that this statement represents which of the following?

a. An illusion
b. Paranoia
c. Confabulation
d. Grandiose delusion

d. Grandiose delusion

A female client is seen in the emergency room with ecchymosis of the trunk and face. Upon direct questioning by the nurse, the client admits to having been struck by her spouse. When offered information about shelters for battered women, the client declines stating, “I could never leave my husband because of my kids.” Which of the following is an appropriate nursing response?

a. Aren’t you worried about the safety of your children?”
b. “Can you identify the situations that provoke your husband?”
c. “I am concerned about your safety.”
d. “I wouldn’t put up with this if I were you.”

c. “I am concerned about your safety.”

A client with hallucinations is admitted to the psychiatric unit. In the initial phase of establishing a therapeutic nurse client relationship, it would be appropriate for the nurse to explore which of the following?

a. Perception of the presenting problem
b. Description of hallucinations
c. Feelings about hospitalization
d. Relationship with the family

a. Perception of the presenting problem

As a nurse approaches a client with schizophrenia, the client looks at the nurse and says, “Back off. Leave me alone.” The client appears tense and is pacing rapidly. Which of the following is an appropriate nursing response?

a. “I can’t leave you alone when you are this upset. Sit down, and try to relax.”
b. “Let’s go to your room, and you can tell me what is bothering you.”
c. “I will give you space as long as you control yourself. I’d like to know what is causing you to feel so tense.”
d. “I will leave you alone for a few minutes while you try to compose yourself.”

c. “I will give you space as long as you control yourself. I’d like to know what is causing you to feel so tense.”

A client in a long term care facility asks the nurse to telephone her husband and ask him if he remembered to pick up his suit at the cleaners. The nurse knows the client’s husband died five years before. Which of the following is an appropriate nursing response?

a. “How long were you married to your husband?”
b. “Remember? Your husband died five years ago.”
c. “You’ve forgotten that your husband is dead, haven’t you?”
d. “You miss your husband a lot, don’t you? “

d. “You miss your husband a lot, don’t you? “

The nurse asks a client who is suicidal to make a safety contract. The client states to the nurse, “I cannot make a safety contract, because I can’t promise that I will not harm myself.” In the nurse’s plan of care, which of the following initial actions is best to ensure this client’s safety when implementing the plan of care?

a. Lock the doors to the unit and secure all windows so they cannot be opened.
b. Remove belts, glass objects, and sharp instruments from the client’s environment.
c. Have a staff member stay with the client at all times.
d. Provide a relaxed and accepting environment to develop trust.

c. Have a staff member stay with the client at all times.

The spouse of a chronic alcoholic client says to the nurse, “I told my husband I would leave if he did not get into treatment. Now that he is here, I feel differently. What can I do to help him?” Which of the following is a therapeutic nursing response?

a. “You should attend an Al-Anon meeting. The group can teach you how best to help him stay sober.”
b. “You have already done a great deal by getting him here. Now, it is up to him.”
c. “Are you feeling some responsibility for his drinking?”
d. “Tell me more about the kind of help you feel you are able to provide at this time.”

d. “Tell me more about the kind of help you feel you are able to provide at this time.”

A nurse is admitting an adolescent female to the psychiatric unit for observation related to clinical depression. After completing the admission assessment, the nurse should give greatest priority to which of the following finding?

a. The client frequently argues with her parents.
b. The client is getting C’s in school because she is absent a lot.
c. The client smokes half a pack of cigarettes per day.
d. The client gave her favorite necklace to her best friend.

d. The client gave her favorite necklace to her best friend.

A nurse is caring for a client admitted for depression 1 week ago who was started on paroxetine (Paxil) at the time of admission. The client states to the nurse, “My family would be better off without me.” Which of the following is an appropriate therapeutic response by the nurse?

a. “I do not feel that you really believe that.”
b. “Everyone feels this way when depressed.”
c. “You sound upset. Are you thinking of hurting yourself?”
d. “You’ll feel better once your medications start working.”

c. “You sound upset. Are you thinking of hurting yourself?”

A client was admitted to the psychiatric unit with a diagnosis of bipolar disorder. At 3:00 AM, the client runs to the nurse’s station and demands to see the therapist immediately. Which of the following responses by the nurse is appropriate?

a. “You are being unreasonable, and I will not call your therapist at 3:00 in the morning.”
b. “Why do you need to see your therapist tonight?”
c. “Calm down, go back to your room, and I’ll try to get in touch with your therapist right away.”
d. “You must be very upset about something to want to see your therapist in the middle of the night.”

d. “You must be very upset about something to want to see your therapist in the middle of the night.”

A client who is bipolar states to the psychiatric nurse in the mental health outreach clinic, “I no longer take my medication because I like to feel manic.” Which of the following is an appropriate therapeutic nursing response?

a. “You may feel good now, but what about when you get depressed?”
b. “What do you like about being manic?”
c. “You feel better when you don’t take your medication?”
d. “You really should follow your provider’s orders if you want to be well.”

c. “You feel better when you don’t take your medication?”

A client is admitted to the psychiatric unit for depression. The nurse observes an improvement in the client’s grooming when the client comes to breakfast freshly bathed wearing clean clothes and with combed hair. Which of the following is an appropriate therapeutic response by the nurse?

a. “You must be getting better. You look great!”
b. “Let’s go put some make-up on to make you look even better.”
c. Why did you get all dressed up today? Is it a special occasion?
d. “You look nice after your bath and shampoo.”

d. “You look nice after your bath and shampoo.”

A client is admitted to the psychiatric unit following treatment in the emergency room for an intentional overdose ingestion. As the nurse performs the admission assessment, the client says, “Why would you want to waste your time on a worthless person like me?” Which of the following is a therapeutic nursing response?

a. “Let’s discuss your feelings more after we finish admitting you.”
b. “I don’t think talking to you is a waste of time.”
c. “Why do you feel the way you do?”
d. “I think you are worthwhile, and I want to talk to you.”

d. “I think you are worthwhile, and I want to talk to you.”

The nurse working with a depressed client notes that the client has not come to breakfast and finds the client still in bed in a nightshirt. The client tells the nurse, “I’m too sick to bother. Leave me alone and go help someone else who is worth your time.” Which of the following is an appropriate response by the nurse?

a. “Everyone feels that way when they first start treatment.”
b. “You sound very discouraged and hopeless today.”
c. “You’ll feel so much better once you get up and into your own clothes.”
d. “Why do you say that you are too sick to bother?”

b. “You sound very discouraged and hopeless today.”

A nurse should assess that the client with the highest potential for suicide is the depressed client who states which of the following?

a. “At breakfast today everyone was talking about me. They were all staring at me.”
b. “I don’t feel like going to group therapy today. I don’t want to be with other people.”
c. “I have it all figured out. Everything is going to be okay now.”
c. “I don’t feel like showering or eating. I’d rather just stay in bed today.”

c. “I have it all figured out. Everything is going to be okay now.”

A nurse receives a call on a crisis intervention hotline from a client who threatens to commit suicide. Which would be the most important question for the nurse to ask?

a. “Have you attempted suicide before?”
b. “What happened to make you so desperate?”
c. “How will you carry out your plan?”
d. “What will you accomplish by taking your life?”

c. “How will you carry out your plan?”

A client is hospitalized with schizophrenia. During a conversation with the nurse, the client seems relaxed initially, but then becomes restless and begins wringing his hands. The nurse states that the client seems tense, and the client agrees. Which statement by the nurse would be appropriate at this time?

a. “Did I say something wrong that made you feel tense?”
b. “Do you often feel tense when you are talking to a health care provider?”
c. “What were we discussing when you began to feel uncomfortable?”
d. “I sometimes feel tense, too, when I am talking to a stranger.”

c. “What were we discussing when you began to feel uncomfortable?”

A client diagnosed with schizophrenia says to the nurse, “They lied about me and are trying to poison my food.” Which of the following is a therapeutic nursing response?

a. “Tell me who would do such things to you?”
b. “You are mistaken. Nobody has told lies about you or tried to poison you.”
c. “Tell me more about your concerns about being poisoned.”
d. “You’re having very frightening thoughts.”

d. “You’re having very frightening thoughts.”

A patient became severely depressed when the last of six children moved out of the home 4 months ago. The patient repeatedly says, “No one cares about me. I’m not worth anything.” Which response by the nurse would be the most helpful?

a. “Things will look brighter soon. Everyone feels down once in a while.”
b. “The staff here cares about you and wants to try to help you get better.”
c. “It is difficult for others to care about you when you repeatedly say negative things about yourself.”
d. “I’ll sit with you for 10 minutes now and return for 10 minutes at lunchtime and again at 2:30 this afternoon.”

d. “I’ll sit with you for 10 minutes now and return for 10 minutes at lunchtime and again at 2:30 this afternoon.”

A patient says to the nurse, “My life does not have any happiness in it anymore. I once enjoyed holidays, but now they’re just another day.” How would the nurse document the complaint?

a. Vegetative
b. Anhedonia
c. Euphoria
d. Anergia

b. Anhedonia

A patient diagnosed with major depressive disorder is taking a tricyclic antidepressant. The patient says, “I don’t think I can keep taking these pills. They make me so dizzy, especially when I stand up.” The nurse should:

a. explain how to manage postural hypotension, and educate the patient that side effects go away after several weeks.
b. tell the patient that the side effects are a minor inconvenience compared with the feelings of depression.
c. withhold the drug, force oral fluids, and notify the health care provider to examine the patient.
d. teach the patient how to use pursed-lip breathing.

a. explain how to manage postural hypotension, and educate the patient that side effects go away after several weeks.

A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to:

a. avoid exposure to bright sunlight.
b. report increased suicidal thoughts.
c. restrict sodium intake to 1 g daily.
d. maintain a tyramine-free diet.

b. report increased suicidal thoughts.

A nurse provided medication education for a patient who takes phenelzine (Nardil) for depression. Which behavior indicates effective learning? The patient:

a. monitors sodium intake and weight daily.
b. wears support stockings and elevates the legs when sitting.
c. consults the pharmacist when selecting over-the-counter medications.
d. can identify foods with high selenium content, which should be avoided.

c. consults the pharmacist when selecting over-the-counter medications.

A patient being treated for major depressive disorder has taken 300 mg amitriptyline (Elavil) daily for a year. The patient calls the case manager at the clinic and says, “I stopped taking my antidepressant 2 days ago. Now I am having cold sweats, nausea, a rapid heartbeat, and nightmares.” The nurse should advise the patient:

a. “Go to the nearest emergency department immediately.”
b. “Do not to be alarmed. Take two aspirin and drink plenty of fluids.”
c. “Take one dose of the antidepressant. Come to the clinic to see the health care provider.”
d. “Resume taking the antidepressant for 2 more weeks, and then discontinue it again.”

c. “Take one dose of the antidepressant. Come to the clinic to see the health care provider.”

A nurse instructs a patient taking a drug that inhibits the action of monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of:

a. hypotensive shock
b. hypertensive crisis.
c. cardiac dysrhythmia.
d. cardiogenic shock.

b. hypertensive crisis.

A patient diagnosed with bipolar disorder commands other patients, “Get me a book. Take this stuff out of here,” and other similar demands. The nurse wants to interrupt this behavior without entering into a power struggle. Select the best initial approach by the nurse.

a. Distraction: “Let’s go to the dining room for a snack.”
b. Humor: “How much are you paying servants these days?”
c. Limit setting: “You must stop ordering other patients around.”
d. Honest feedback: “Your controlling behavior is annoying others.”

a. Distraction: “Let’s go to the dining room for a snack.”

A nurse receives this laboratory result for a patient diagnosed with bipolar disorder: lithium level 1 mEq/L. This result is:

a. within therapeutic limits.
b. below therapeutic limits.
c. above therapeutic limits.
d. likely to be inaccurate.

a. within therapeutic limits.

Consider these three drugs: divalproex (Depakote), carbamazepine (Tegretol), and gabapentin (Neurontin). Which drug also belongs to this group?

a. Clonazepam (Klonopin)
b. Risperidone (Risperdal)
c. Lamotrigine (Lamictal)
d. Aripiprazole (Abilify)

c. Lamotrigine (Lamictal)

When a hyperactive patient experiencing acute mania is hospitalized, what initial nursing intervention is a priority?

a. Allow the patient to act out his or her feelings.
b. Set limits on the patient’s behavior as necessary.
c. Provide verbal instructions to the patient to remain calm.
d. Restrain the patient to reduce hyperactivity and aggression.

b. Set limits on the patient’s behavior as necessary.

A patient diagnosed with bipolar disorder is being treated on an outpatient basis with lithium carbonate 300 mg three times daily. The patient complains of nausea. To reduce the nausea, the nurse can suggest that the lithium be taken with:

a. meals.
b. an antacid.
c. a large glass of juice.
d. an antiemetic medication.

a. meals.

A health teaching plan for a patient taking lithium should include instructions to:

a. maintain normal salt and fluids in the diet.
b. drink twice the usual daily amount of fluids.
c. double the lithium dose if diarrhea or vomiting occurs.
d. avoid eating aged cheese, processed meats, and red wine.

a. maintain normal salt and fluids in the diet.

After hospital discharge, what is the priority intervention for a patient diagnosed with bipolar disorder who is taking anti-manic medication, as well as for the patient’s family?

a. Decreasing physical activity
b. Increasing food and fluids
c. Meeting self-care needs
d. Psychoeducation

d. Psychoeducation

A patient receiving lithium should be assessed for which evidence of complications?

a. Pharyngitis, mydriasis, and dystonia

b. Alopecia, purpura, and drowsiness

c. Diaphoresis, weakness, and nausea

d. Ascites, dyspnea, and edema

c. Diaphoresis, weakness, and nausea

a client with delirium becomes agitated and confused at night. The best initial intervention by the nurse is to: 1.move the client next to the nurse’s station 2.use a night light and turn off the television 3.keep up the television …

b 1. J has been admitted to the psychiatric hospital for assessment and evaluation. What behavior might indicate that J has a mental illness? a. She is able to see the difference between the “as if” and the “for real.” …

A nurse in a mental health facility observes a client who is experiencing panic level of anxiety. Which of the following actions should the nurse take first? Accompany the client to a quiet room. A nurse is obtaining a history …

The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable? A) The client spends more time by himself B) The client doesn’t engage in delusional thinking C) The client doesn’t harm himself …

A patient’s nursing diagnosis is sleep-pattern disturbance. The desired outcomes is: Patient will sleep for a minimum of 5 hours nightly by October 31. On November 1, review of sleep data for 6 days show the patient slept an average …

1. A patient with a diagnosis of major depression who has attenpted suicide says to the nurse, “I should have died. I’ve always been a failure. Nothing ever goes right for me.” Which response demonstrates therapeutic communication? a. “You have …

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