Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary.
For which of the following interventions should the nurse confirm that the client has given informed consent?.
A. Attending a cognitive behavioral therapy class.
A rationale: Attending a cognitive behavioral therapy class does not require informed consent as it is a non-invasive form of treatment.
B. Taking an experimental medication.
B rationale: Informed consent is necessary when taking an experimental medication to ensure the client understands the potential risks and benefits.
C. Receiving light therapy.
C rationale: Light therapy is a non-invasive treatment and does not typically require informed consent.
D. Participating in a group exercise program.
D rationale: Participating in a group exercise program is a non-invasive form of treatment and does not require informed consent.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Mental health DEC 2023 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Attending a cognitive behavioral therapy class does not require informed consent as it is a non-invasive form of treatment.
Choice B rationale:
Informed consent is necessary when taking an experimental medication to ensure the client understands the potential risks and benefits.
Choice C rationale:
Light therapy is a non-invasive treatment and does not typically require informed consent.
Choice D rationale:
Participating in a group exercise program is a non-invasive form of treatment and does not require informed consent.
Similar Questions
A nurse is caring for a client who has an anxiety disorder.
The client transforms their anxiety into physical manifestations.
The nurse should recognize that the client is ing which of the following manifestations?.
A. Reaction formation.
A rationale: Reaction formation is a defense mechanism where a person behaves in a way opposite to their true feelings.
B. Somatization.
B rationale: Somatization is the process of experiencing mental or emotional distress as physical symptoms.
C. Intellectualization.
C rationale: Intellectualization is a defense mechanism where a person uses reasoning to block out emotional stress.
D. Sublimation.
D rationale: Sublimation is a defense mechanism where a person transforms unacceptable impulses into socially acceptable behaviors.
Full Explanation
Choice A rationale:
Reaction formation is a defense mechanism where a person behaves in a way opposite to their true feelings.
Choice B rationale:
Somatization is the process of experiencing mental or emotional distress as physical symptoms.
Choice C rationale:
Intellectualization is a defense mechanism where a person uses reasoning to block out emotional stress.
Choice D rationale:
Sublimation is a defense mechanism where a person transforms unacceptable impulses into socially acceptable behaviors.
A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?.
A. "The PSDA becomes applicable when a client reaches 65 years of age.”.
The PSDA applies to all adults, not just those who are 65 years of age or older.
B. "Advance directives do not apply to clients receiving mental health care.”.
Advance directives apply to all clients, including those receiving mental health care.
C. "A witness is legally required to sign a client's living will.”.
A witness is not legally required to sign a client’s living will.
D. "A client can verbally designate a durable power of attorney.”. . . . . . .
A client can verbally designate a durable power of attorney, which is part of the PSDA.
A nurse is contributing to the plan of care for a client who has acute delirium.
Which of the following interventions should the nurse include in the plan of care? .
A. Discourage visitation from the client's family
A rationale: Discouraging visitation from the client’s family could increase feelings of isolation and confusion, which could exacerbate delirium.
B. Provide a high-stimulation environment for the client.
B rationale: A high-stimulation environment could overstimulate the client and worsen delirium.
C. Limit the client's need to make decisions.
C rationale: Limiting the client’s need to make decisions can reduce stress and confusion, which can help manage delirium.
D. Keep the client's room dark at night.
D rationale: Keeping the client’s room dark at night could disrupt the client’s sleep-wake cycle and potentially worsen delirium.
Full Explanation
Choice A rationale:
Discouraging visitation from the client’s family could increase feelings of isolation and confusion, which could exacerbate delirium.
Choice B rationale:
A high-stimulation environment could overstimulate the client and worsen delirium.
Choice C rationale:
Limiting the client’s need to make decisions can reduce stress and confusion, which can help manage delirium.
Choice D rationale:
Keeping the client’s room dark at night could disrupt the client’s sleep-wake cycle and potentially worsen delirium.