The nurse best assesses a patient's memory by asking which of the following questions?

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Behavioral Questions for Nurse Questions

Question 1 of 5

The nurse best assesses a patient's memory by asking which of the following questions?

Correct Answer: D

Rationale: The nurse directly assesses memory, both recent and remote, by asking questions with verifiable answers such as 'What is the name of the current president?' The nurse may not be able to verify the accuracy of the client's responses to questions such as 'Do you have any memory problems?' or 'What did you do yesterday?' Orientation refers to the client's recognition of person, place, and time.

Question 2 of 5

Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for nurses to deal with this discomfort includes

Correct Answer: A

Rationale: Two areas that may be uncomfortable or difficult for the nurse to assess are sexuality and self-harm behaviors. The beginning nurse may feel uncomfortable, as if prying into personal matters, when asking questions about a client's intimate relationships and behavior and any self-harm behaviors or thoughts of suicide. Asking such questions, however, is essential to obtaining a thorough and complete assessment. The nurse needs to remember that it may be uncomfortable for the client to discuss these topics as well.

Question 3 of 5

A client who had agreed to be hospitalized for depression problems has decided that now she wants to leave the hospital. The mental health staff caring for her realizes that at present she can legally

Correct Answer: C

Rationale: In this scenario, option C is the correct answer because in most jurisdictions, individuals have the right to leave a hospital voluntarily if they provide written notice of their intent to do so. This right is based on principles of autonomy and informed consent, which are fundamental in healthcare. By providing written notice, the client is exercising their right to make decisions about their own treatment and care. Option A is incorrect because administrative hearings are not typically required for a client to be discharged from a hospital voluntarily. Option B is incorrect as retaining a client against their will would violate their autonomy and legal rights unless specific criteria for involuntary commitment are met, which is not indicated in the scenario. Option D is incorrect because leaving without discussing the situation with anyone may result in potential risks to the client's well-being and safety. Educationally, understanding a client's rights regarding hospitalization and discharge is crucial for nurses and healthcare professionals working in mental health settings. It is essential to be aware of the legal and ethical principles that govern patient autonomy and informed consent to provide safe and patient-centered care. This knowledge ensures that clients are treated with respect and dignity while receiving appropriate care for their mental health needs.

Question 4 of 5

Placing a client in restraints before using other methods of intervention violates which of the client's rights?

Correct Answer: D

Rationale: The least restrictive environment means that the client must be free of restraint or seclusion unless it is necessary. Less restrictive treatments must be tried and found to be ineffective before more restrictive measures can be used. It is not necessary for the client to provide informed consent for restraints to be used when appropriate. A client may not refuse restraints if they are to be used when appropriate.

Question 5 of 5

Which statement shows a nurse has empathy for a patient who made a suicide attempt?

Correct Answer: A

Rationale: Empathy involves understanding and reflecting the patient’s perspective and feelings. Option A acknowledges the patient’s emotional state without judgment or shifting focus to the nurse’s feelings. Option B centers the nurse’s emotions, Option C assumes a problem-solving role rather than empathizing, and Option D minimizes the patient’s experience, which is non-therapeutic.

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