The nurse’s ability to use therapeutic communication eﬀectively in the mental health setting depends on:

How well the client communicates.

The nurse’s understanding of mental health disorders.

The nurse’s ability to listen and observe the clients verbal and non-verbal messages.

The nurse’s relationship with the client.

Answer and Explanation

The Correct Answer is C

The nurse’s ability to listen and observe the client’s verbal and non-verbal messages. Eﬀective communication in the mental health setting requires the nurse to actively listen to the client and to pay close attention to their verbal and non-verbal cues. By doing so, the nurse can better understand the client’s needs and concerns and can provide appropriate support and guidance.

While the nurse’s understanding of mental health disorders (b) and their relationship with the client (d) can also play a role in eﬀective communication, the ability to listen and observe is a fundamental skill that is essential for eﬀective therapeutic communication. The client’s ability to communicate (a) is also important, but it is ultimately the nurse’s responsibility to use eﬀective communication techniques to facilitate the therapeutic process.

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Correct Answer is A

Explanation

The first and most important step that the nurse should take is to report the medication error immediately to the nurse manager or supervisor. Medication errors can have serious consequences for patients and it is important to take immediate action to address the situation. Reporting the error to the supervisor will allow for a timely assessment of the patient's condition and any necessary interventions.

Telling the patient or a co-worker about the error is not the first step the nurse should take. It is important to first ensure that the error is reported to the appropriate person who can take action to address the situation. If there is no adverse eﬀect on the patient, it is still important to report the error to prevent any potential harm in the future. Ignoring the error or not reporting it is not an appropriate response and can have serious consequences for the patient's safety.

A. Whether the client is unable to make arrangements to stay with someone. B. Whether the client is financially incapable of paying for medications. C. Whether the client is in danger of harming herself or others. D. Whether the client is unwilling to accept that treatment is needed.

Correct Answer is C

Explanation

Involuntary admission to a mental health unit is done when an individual poses a threat to themselves or others due to a mental health condition. The initial hold is usually for 72 hours, during which the client's condition is assessed and an appropriate treatment plan is developed. If the client is still deemed to be a danger to themselves or others after the initial hold, the healthcare provider may request an extension of the hold or seek a court order to continue treatment.

In order to keep the client in the hospital, it must be determined that they continue to pose a threat to themselves or others.

Factors such as the client's ability to make arrangements to stay with someone or financial capability to pay for medications are not relevant to the decision of whether to continue the hold.

Similarly, unwillingness to accept treatment is not the determining factor, as involuntary treatment can be provided to clients who do not recognize their need for treatment if they are deemed to be a danger to themselves or others.

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The nurse’s ability to use therapeutic communication eﬀectively in the mental health setting depends on:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse just realized that a medication error just occurred. What should the nurse do first?

Correct Answer is A

Explanation

A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

Correct Answer is C

Explanation

The act of developing a clean environment is a factor in providing eﬀective health care as demonstrated by:

The nursing student is assigned a client to interview and is asked to practice the therapeutic communication techniques of stating the implied and making and observation about their behavior. Which statement by the student nurse best describes the technique?

During a client nurse interaction, which nursing statement may give the client false reassurance?

A nurse is caring for a young adult client who has ulcerative colitis and is scheduled for surgery to create an ileostomy. After speaking with the provider, the client says, “how will I ever be able to have a normal life after this?” Which of the following responses should the nurse make?

The set of rules designed to protect patients who are described as vulnerable are known as?

You find a patient on the ﬂoor at shift change. She is awake and alert. She is confused now and was not controlled before being found on the ﬂoor. What is your first step in the nursing process in this situation?

Order reads Zyprexa 15 mg PO at HS for psychosis. The nurse has Zyprexa 7.5 mg tablets in med drawer. How many tablets will the nurse administer? Enter answer as a number only.

A nurse is interacting with a client who is expressing her feelings about her child’s insensitive behavior. Which statement made by the nurse indicates the nurse is empathizing with the client? Choose the best answer.