Mental Health Practice Exam study guide, Most
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During an annual physical by the occupational RN working
in a corporate clinic, a male employee tells the RN that is
high-stress job is causing trouble in his personal life. He
further explains that he often gets so angry while driving to
and from work that he has considered "getting even" with
other drivers. How should the RN respond?
A. "Anger is contagious and could result in major
confrontation."
B. "Try not to let your anger cause you to act impulsively."
C. "Expressing your anger to a stranger could result in an
unsafe situation."
D. "It sounds as if there are many situations that make you
feel angry." - Answers-D
A client who has agoraphobia (a fear of crowds) is
beginning desensitization with the therapist, and the RN is
reinforcing the process. Which intervention has the highest
priority for this client's plan of care?
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A. Encourage substitution of positive thoughts and
negative ones.
B. Establish trust by providing a calm, safe environment.
C. Progressively expose the client to larger crowds.
D. Encourage deep breathing when anxiety escalates in a
crowd. - Answers-B
Which nursing actions are likely to help promote the self-
esteem of a male client with modern depression?
A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition.
C. Include the client in determining treatment protocol.
D. Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his
concerns. - Answers-A D E
A male client is admitted to the psychiatric unit for
recurrent negative symptoms of chronic schizophrenia and
medication adjustment of Risperidone (Risperdal). When
the client walks to the nurse's station in a laterally
contracted position, he states that something has made
his body contort into a monster. What action should the
RN take?
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A. Medicate the client with the prescribed antipsychotic
thioridazine (Mellaril).
B. Offer the client a prescribed physical therapy hot pack
for muscle spasms.
C. Direct client to occupational therapy to distract him from
somatic complaints.
D. Administer the prescribed anticholinergic benztropine
(Cogentin) for dystonia. - Answers-D
A mental health worker is caring for a client with escalating
aggressive behavior. Which action by the MHW warrant
immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loid voice to talk to the client.
D. Remains at a distance of 4 feet from the client. -
Answers-A
A client on the mental health unit is becoming more
agitated, shouting at the staff, and pacing in the hallway.
When the PRN medication is offered, the client refuses the
medication and defiantly sits on the floor in the middle of
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the unit hallway. What nursing intervention should the RN
implement first?
A. Transport of the client to the seclusion room.
B. Quietly approach the client with additional staff
members.
C. Take other clients in the area to the client lounge.
D. Administer medication to chemically restrain the patient.
- Answers-C
While interviewing a client, the nurse takes notes to assist
with accurate documentation later. Which statement is
most accurate regarding note-taking during an interview?
A. The nurse' ability to directly observe the client's
nonverbal communication is limited
with note taking.
B. Taking notes during an interview is a legal obligation of
the examining nurse.
C. The client's comfort level is increased when the nurse
breaks eye contact to take note to take note.
D. The interview process is enhanced with note taking and
allows the client speak at normal pace. - Answers-A
An adolescent male receives a prescription for an
antidepressant drug because he is exhibiting a depressed