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RN Ati Capstone mental health assessment proctored exam
Total Questions : 47
Showing 10 questions, Sign in for moreA nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?
A nurse is caring for a client who has bipolar disorder. The client says to the nurse, "Give me your pen to cut the pain out of my chest." The nurse should identify that the client is at risk for which of the following?
A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?
6 months ago:
A client presents to the outpatient psychiatrist's office due to concerns about worsening claustrophobia. The client states that a few months ago, they were trapped in an elevator at work for about 30 min, and ever since that time, they have been unable to take the elevator at work. The client states, "this is inconvenient because I work on the 8th floor! I wanted to see if there was a medication or something so that I can start using the elevator again."
Today:
The client returns for a follow-up visit and states, "It's getting worse and worse." The client reports that their symptoms have worsened since they were last seen. Now, the client can no longer be in the shower, or any enclosed space, without having palpitations, shortness of breath, and sweating. The client has been utilizing coping strategies discussed at the previous visit without success.
Today:
Blood pressure: 125/69 mm Hg
Heart rate: 80/min
Respiratory rate: 17/min
Temperature: 37 °C (98.6 °F)
6 months ago:
Start sertraline 50 mg PO daily
Client educated on anxiety-reduction strategies including physical activity, abdominal breathing, and positive self-talk
Today:
Increase sertraline 100 mg PO daily
Initiate exposure therapy
A nurse is caring for a client in the outpatient mental health facility.
Drag words from the choices below to fill in each blank in the following sentence.
The nurse should include in the teaching to the client that behavioral therapy will
Explanation
Rationale for Correct Choices
• Encourage the client to face their fears in a safe environment: Exposure therapy gradually helps clients confront anxiety-provoking situations without avoidance. By facing the feared environment under controlled conditions, the client learns that the perceived danger does not occur, reducing fear responses over time.
• Involve incremental exposure while using relaxation techniques: This therapy introduces the feared stimulus in small, manageable steps while teaching the client to use relaxation methods such as deep breathing or mindfulness. The gradual exposure combined with relaxation promotes desensitization and helps the client gain control over anxiety symptoms.
Rationale for Incorrect Choices
• Involves increasing their interpersonal effectiveness: This goal is part of dialectical behavior therapy (DBT), used primarily for clients with borderline personality disorder, not specific phobia or claustrophobia. It focuses on communication and relationship skills rather than fear reduction.
• Help the client to practice the new skill in a role-playing situation: Role-playing is a technique used in cognitive-behavioral therapy (CBT) for social or communication anxiety, not for specific phobias like claustrophobia, which require direct exposure to the feared stimulus.
• Target behavior with a negative stimulus to extinguish undesirable: This describes aversion therapy, where unpleasant stimuli discourage unwanted behaviors, such as substance use. It is not appropriate for phobia management, which uses graded exposure and relaxation instead of punishment.
Client has a history of substance use disorder. Preferred substance of use is bourbon. Client reports consuming a fifth (750 mL) of bourbon every two days and a half gallon (1.75 L) over the weekend. Client reports starting to drink at the age of 12. Both parents had substance use disorder.
Client reports recently losing their driver's license because of multiple arrests for driving while intoxicated. Treatment is prescribed by the court.
6/11/xx: Client is pleasant with an engaged affect that makes ready eye contact throughout the counseling session. Discussion held regarding client's substance use history. support system which includes a partner and friends, and professional work as a laborer. When discussing the client's current situation with the law and the loss of the ability to drive, the client stated, "I just had a stretch of bad luck, and the police stopped me on bad days. I don't really have a drinking problem."
6/14/xx: Client reports feeling angry today about their current situation. Discussion held regarding the events leading up to the present and how alcohol has played a role. Client shakes head and replies, "I know it's wrong to drink and drive. If only that judge would give me one more chance. "When asked about what the client would do with another chance, they replied, "I would cut down on my drinking and give someone the keys to my car. I can manage it all if I just cut down on the drinking."
6/20/xx: Client is quiet today and rarely makes eye contact. Sits forward on chair and leans forward with their forearms on their thighs. Sighs frequently. When asked about how they think drinking alcohol has impacted their life, client states, "I rather not think about it. I've quit drinking plenty of times before; I don't want to give it up for good."
6/27/xx: Client reports that they talked with their partner last evening and the conversation was tense. The partner has moved out of their home and told the client that it was becoming too difficult to manage their relationship because of the drinking. Discussed the client's emotions about the partner's statement and actions. Client was silent for a long time and then stated, "I haven't had a drink now in 2 weeks. I just don't feel like myself and I don't know who this new person is. I'm not sure I can manage staying sober."
12/19/xx: Client reports having a difficult weekend. A friend had a birthday party and alcohol was available. Client states, "There was a lot of pressure to have a drink and I finally gave in and accepted a bottle of beer. "The client quickly stated they didn't consume the drink but were very tempted and ended up leaving the party. Discussed the emotions the client experienced throughout the night and how they were feeling about things now. Client states, "I was angry at my friends for putting me in that situation, but I called my sponsor." Discussed personal responsibility for actions and how the client was able to leave the party rather than drink. Client states, "Yeah, I guess I'm making some progress after all."
A nurse is providing counseling to a client who has substance use disorder.
The nurse is discussing the client's concerns regarding relapse. Which of the following client statements indicates the client is adhering to the relapse prevention plan? (Select all that apply)
A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?
A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)
A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?
A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?
A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal. Which of the following resources should the nurse recommend to the client?
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