Author Question: The psychiatric mental health nurse in the mental health clinic sees a client whose auditory ... (Read 156 times)

luvbio · **on:** Jul 19, 2018

The psychiatric mental health nurse in the mental health clinic sees a client whose auditory
hallucinations have worsened since his landlord told him he was being evicted.

The nurse explores
possible alternative living arrangements with the client and offers a 36-hour hospitalization while
arrangements are being made. The phenomena in which the nurse is intervening is
a. self-concept change.
b. difficulty relating to others.
c. problems related to loneliness.
d. environmental events affecting client well-being.

Question 2

The nurse interviewing an adolescent client should plan to use the HEADSSS interview topics to

a. establish rapport.
b. identify risk factors.
c. identify treatment objectives.
d. assess level of current cognitive functioning.

Gabe · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Being evicted is an example of a situational crisis. The nurse is performing crisis intervention in
response to an environmental circumstance that affects the emotional well-being of the client.
Option A: The scenario does not describe self-concept change on the part of the client. Option B:
The scenario does not specifically refer to client difficulty relating to others. Option C: The scenario
does not describe the client problem of loneliness or other emotions.

Answer to Question 2

ANS: B
HEADSSS structures the interview to gather data useful in assessing risk factors. HEADSSS refers
to home environment; education; activities; drug, alcohol, tobacco use; sexuality; suicide risk; and
savagery (violence/abuse in the environment). Option A: Rapport would be difficult to establish if
only the HEADSSS interview is used. Option C: Direct questions might better identify treatment
objectives. Option D: The mental status examination would be preferable.