Mental Health Nclex questions

The client asked the nurse about Milieu therapy. The nurse responds knowing that the primary focus of milieu therapy can best be described as ?
1. Form of behavior modification therapy
2. A cognitive approach to changing behavior
3. A living learning or working environment
4. A behavioral approach to changing behavior

The client with an eating disorder is planning to attend group meetings with overeating anonymous and the nurse describes this group to the client. The nurse determines that the client needs additional information if the client states which of the following about the self-help group?
1. The leader is a nurse or psychiatrist
2. Members provide support to each other
3. People who have a similar problem are able to help others
4. It is designed to serve people who have a common problem

An 18-year-old woman is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa. A cognitive behavioral approach is used as part of her treatment plan. The nurse understands that the purpose of this approach is to?
1. Provide a supportive environment
2. Examine intra-psychic conflict and past issues
3. Emphasize social interaction with client to withdraw
4. Help the client identify and examine dysfunctional thoughts and beliefs.

The client is preparing to attend a gamblers anonymous meeting for the first time. The Proto type used by this group it's a 12 step program developed by Alcoholics Anonymous. The nurse tells a client that the first step in a 12 step program is which of the following?
1. Admitting to having a problem
2. Substituting other activities for gambling
3. Stating that the gambling will be stopped
4. Discontinuing relationships with a friend who are gamblers

Nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for withdrawal delirium.
1. Hypotension , ataxia and hunger
2. Stupor, agitation, muscular rigidity
3. Hypotension, course hand tremors, agitation
4. Hypertension, changes in level of consciousness, hallucinations

The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse "I should get out of this bad situation". The most helpful response by the nurse would be?
1. Why don't you tell your husband about this?
2. What do you find difficult about the situation?
3. This is not the best time to make that decision
5. I agree with you. You should get out of the situation.

Home health nurse visit a client at home determined that the client is dependent on drugs. Which of the following assessment questions would assistant nurse to provide appropriate nursing care?
1. Why did you get started on these drugs?
2. How much do you use and what effect does it have on you?
3. How long did you think you could take these drugs without someone finding out?
4. The nurse does not ask any questions for fear that the client is in denial and also the nurse out of the home.

Female client with anorexia nervosa is a member of a pre-discharge support group. The client verbalizes that she would like to buy some new clothes but her finances are limited. Group members have brought some use close to the client to replace the clients own clothes. The client believes that the new clothes were much to tight and is reduced her calorie intake to 800 cal daily. The nurse analyzes this behavior as?
1. Normal behavior
2. Evidence of the clients disturbed body image
3. Regression as a client is moving toward the community
4. Indicated above the clients ambivalence. About hospital discharge

The nurse determined that the wife of an alcoholic client is benefiting from attending an alcoholics Anonymous Group when the nurse hears the wife say?
1. I no longer feel that I deserve the beating my husband Inflicts on me
2. My attendance at the meeting has helped me to see that I provoke my husband violence.
3. I enjoy attending the meetings because they get me out of the house and away from my husband
4. I can tolerate my husband's destructive behaviors now that I know they're common with alcoholics

A hospitalized client with a history of alcohol abuse tells the nurse "I am leaving now. I have to go. I don't want any more treatment. I have things that I have to do right away." The client has not been discharged. In fact the client is scheduled for an important diagnostic test to be performed in one hour. after the nurse discusses the clients concerns with the client the client dresses and begins to walk out of the hospital. The appropriate nursing action is to?
1. Call the nursing supervisor
2. Call security to block all exit areas
3. Restrain the client until the physician can be reached
4. Tell the client that the client cannot return to this hospital again if the client leaves now

A nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa, and nursing student will be observing the nurse. The nurse asked the student about the expected assessment findings and determined that the student needs to research the disorder further if the students dates that which of the following is a characteristic findings?
1. Dental decay
2. Loss of tooth enamel
3. Electrolyte imbalances
4. Bodyweight well below I deal range

The nurses caring for a female client who was admitted to the mental health unit recently for anorexia nervous. The nurse enters the clients room and notes that the client is engaging in rigorous push-ups. Which nursing action is appropriate?
1. Interrupt a client and weigh her immediately
2. Interrupt the client and offer to take her for a short walk
3. Allow client to complete her exercise program
4. Tell the client that she is not allowed to exercise rigorously

The nurses caring for a client with anorexia nervosa. The nurse is monitoring the behavior of the client and understand that the client with anorexia nervosa manages anxiety by?
1. Engaging and immoral acts
2. Always reinforcing self approval
3. Observing rigid rules and regulations
4. Having then he always to make the right decision

The client with a diagnosis of anorexia nervosa is in a state of starvation is in a two-bed room. Newly admitted client will be assigned to this client's room. Which of the following client would be an appropriate choice as this client roommate?
1. A client with pneumonia
2. A client receiving diagnostic test
3. A client who thrives on managing others
4. A client who could benefit from the client assistant at mealtime