After establishing a no-harm contract with the client, the nurse should:

continue to maintain close observation.

begin treatment with antidepressants.

begin to assess client risk factors.

decrease observation activity to allow client autonomy.

Answer and Explanation

The Correct Answer is A

A.   A no-harm contract is a useful tool. However, it's essential to remember that it's not a guarantee against self-harm. Close observation remains crucial, as suicidal ideation can fluctuate.
B.   Antidepressants can be part of the treatment plan but they are not an immediate solution and require careful monitoring. The priority is ensuring the client's safety.
C.   This assessment should have already been conducted before establishing the no-harm contract. Ongoing assessment is important, but immediate observation takes precedence.
D.   Reducing observation could put the client at risk. Continuous monitoring is necessary to prevent self- harm.

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Correct Answer is A

Explanation

A. This is the core focus of mental health promotion programs. They aim to equip people with the knowledge, skills, and resources to enhance their mental health and resilience.
B. This is completely opposite to the goals of mental health promotion.
C. This is the focus of mental health treatment, not promotion.
D. While this is important for the overall mental health system, it's not the primary focus of mental health promotion programs, which target individuals and communities.

A. A surgical procedure that drills holes in the front of the skull to drain fluid. B. A surgical procedure that severs the frontal lobes of the brain from the thalamus. C. A procedure that delivers an electrical stimulus to the frontal lobes of the brain. D. A surgical procedure that inserts implants into the frontal lobes of the brain.

Correct Answer is A

Explanation

A. Drilling holes in the skull to drain fluid is more aligned with procedures for treating conditions like hydrocephalus (accumulation of cerebrospinal fluid in the brain) rather than a lobotomy. A lobotomy involves more invasive alterations to brain tissue.
B. In a prefrontal lobotomy, the surgeon would sever the connections between the frontal lobes and other parts of the brain, including the thalamus, to disrupt neural pathways. This was done in an attempt to alter behavior and mood. The procedure aimed to modify the function of the frontal lobes to reduce symptoms of severe mental disorders, but it often had significant and detrimental side effects.
C. This description refers to electroconvulsive therapy (ECT), not a lobotomy. ECT involves applying electrical currents to the brain to induce controlled seizures and is used to treat severe depression and other mental health conditions. It is different from the surgical approach of a lobotomy.
D. This description does not accurately describe a lobotomy. The lobotomy procedure involved cutting or damaging brain tissue rather than inserting implants. The insertion of implants into the brain is not characteristic of lobotomy and is not a common practice in the historical context of this procedure.

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After establishing a no-harm contract with the client, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary focus of mental health promotion programs?

Correct Answer is A

Explanation

In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors. Which descriptions procedure is accurate?

Correct Answer is A

Explanation

Select the correct statement regarding adipose tissue.

A client who usually is very active in her therapy group tells the nurse that she really does "not feel well today" and would "rather not attend the group therapy session. Which is the nurse's most appropriate response?

A nurse in an acute care mental health facility is caring for a client who begins to have a panic attack. Which of the following actions should the nurse take first?

When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills?

Which client would be a candidate for Electroconvulsive Therapy (ECT)?

A client is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless which of t responses should the nurse make?

The majority of people function in a relatively healthy manner. What can most strongly diminish their functional capacity?