The termination stage begins with the initial group meeting. Members’ feelings about their accomplishments are explored in the working stage. During the working stage, members may be unclear about the purpose of the group. Group roles and responsibilities are established in the working stage of group therapy.
The nurse is in the dayroom of the psychiatric unit observing the clients. Which client behavior would the nurse interpret as exhibiting inadequate coping?
A client is sitting in a chair coloring in a coloring book. A client is arguing about a TV program with another client. A client is playing a new card game with a group for the first time. A client is in the corner alone, rocking and pulling out her eyelashes.
A client suffering from visual hallucinations calls the nurse to her room and says, “You need to hurry up and kill all these bugs on the wall before they get on me.” Which response by the nurse is most appropriate?
“Why don’t you lay down and take a nap?” “I don’t see them. Can you show me where they are?” “I will call maintenance and have them come take care of this right away.” “I know the bugs seem real to you, but I don’t see anything on the walls.”
The nurse is caring for a client with schizophrenia who is having active hallucinations. The nurse implements which actions to manage the client during the episode?
administers medications as ordered uses gentle touch to reassure the client tells the client that others see or hear what he does distracts the client by placing him in the dayroom with others asks the client if he hears voices telling him to harm himself or others goes along with what the client says to…
The nurse is caring for a client whose family brought him to the hospital because they were worried about his personal safety. Which of the following statements by the client during the admission assessment indicates the need for immediate intervention by the nurse?
“Things are so bad that sometimes I don’t know what to do make them better.” “My family normally supports my goals and helps me when I have a difficult time.” “I wish that everyone would leave me alone and quit trying to give me advice all the time.” “I keep a gun in my nightstand…
The nurse is caring for a client in the psychiatric unit who has issues with coping and defense mechanisms. The nurse understands that which is true regarding coping and defense mechanisms?
Coping mechanisms are destructive ways to avoid dealing with reality. Physical symptoms, general irritability, and self-destructive behaviors are some of the signs of inadequate coping. Criticizing ineffective defense mechanisms will guide the client toward better coping techniques. Ineffective coping mechanisms allow anxiety to increase, triggering the client to utilize defense mechanisms in order to protect…
The nurse is seeing a client in the clinic with her 18-month-old daughter. The client asks the nurse when her child should start going to the dentist. Which response by the nurse is correct?
“She should go by her first birthday.” “She should start receiving oral exams at 2 years of age.” “She should go to a dentist once a year beginning at age 3.” “You don’t need to worry about it until she starts kindergarten.”
The nurse is caring for a teenage client diagnosed with anorexia nervosa. The client’s mother asks the nurse about eating disorders in general. Which information would the nurse provide?
Anorexia nervosa is more common than bulimia. Clients with bulimia may have erosion of the tooth enamel. Binging and purging can occur in both anorexia nervosa and bulimia. Extreme exercising and calorie restriction is common with anorexia nervosa. Clients with eating disorders may develop the disorders because of issues of power and control. Clients with…
The nurse is caring for an elderly female client who presents as being alert and oriented. In the late afternoon, the client becomes extremely agitated and confused. Which of the following responses by the nurse is most appropriate?
call a family member to come and stay with the client call the health care provider and ask for an order for Xanax reorient the client and offer distraction and reassurance in a soft voice tell the client that if she does not cooperate, she will be placed in restraints
The nurse in a mental health facility is teaching a group of student nurses about schizophrenia. Which is true regarding the phases of schizophrenia?
The average length of the prodromal phase in most clients is from 2 to 5 years. Clients in the premorbid phase tend to do well in school and have more outgoing personalities early in the disorder. In the active phase of schizophrenia, physiological causes such as drug abuse or a medical condition must be considered…