Mental Health Midterm Review Exam
QUESTIONS AND CORRECT ANSWERS
A client has been admitted to the inpatient psychiatric unit because the client has displayed
violent behavior and is at risk for potentially harming others. Which of the following should
the nurse avoid doing when caring for this client?
a. Admitting the client to a room near the nurses' station
b. Closing the door to the client's room when giving care to the client
c. Arranging for a security officer to be available in the general area
d. Facing the client while speaking and providing nursing care - CORRECT
ANSWER b. Closing the door to the client's room when giving care to the client
Correct
A client hates her mother because of childhood neglect.The nurse determines which client
statement represents the use of the use of the defense mechanism of reaction formation?
Select one:
a. "My mother hates me."
b. "I don't like to talk about my relationship with my mother."
c. "I have a very wonderful mother whom I love very much."
d. "My mom always loved my sister more than she loved me." - CORRECT
ANSWER c. "I have a very wonderful mother whom I love very much."
The nurse is talking with a male client who is actively hallucinating. The client is fearful that
the voices he hears will direct him to kill himself or will hurt him directly. Which of the
following nursing statements would be therapeutic at this time?
Select one:
a. "I can hear the voices too, but they are telling you to go to bed now."
b. "I don't hear them, but it must be frightening to hear voices that others can't hear."
, c. "I know you believe they are going to cause you harm, but it's not true."
d. "I know whose voices you are hearing and told them not to hurt you." - CORRECT
ANSWER b. "I don't hear them, but it must be frightening to hear voices that others
can't hear."
Which nursing diagnosis is written correctly?
Select one:
a. Low self-esteem related to major depressive disorder evidenced by childhood abuse.
b. Imbalanced nutrition: less than body requirements related to suspiciousness evidenced by
20 lbs. weight loss.
c. Conduct disorder related to childhood sexual abuse evidenced by hostile and aggressive
behaviors.
d. Risk for social isolation related to low self-esteem evidenced by staying in room during
the day. - CORRECT ANSWER b. Imbalanced nutrition: less than body requirements
related to suspiciousness evidenced by 20 lbs. weight loss.
A client admitted to the inpatient unit is being considered for electroconvulsive therapy
(ECT). The client is calm, but the client's daughter is hypervigilant and anxious. The daughter
says to the nurse, "My mother's brain will be shocked with electricity. How can the doctor
even think about doing this to her?" Which of the following responses by the nurse would be
therapeutic?
Select one:
a. "I think you need to speak directly to the psychiatrist."
b. "It sounds as though you are very concerned about the procedure. Let's discuss the
procedure."
c. "Your mother has decided to have this treatment. You should support her."
d. "Maybe you'll feel better if you see the ECT room and speak to the staff." - CORRECT
ANSWER b. "It sounds as though you are very concerned about the procedure. Let's
discuss the procedure."
QUESTIONS AND CORRECT ANSWERS
A client has been admitted to the inpatient psychiatric unit because the client has displayed
violent behavior and is at risk for potentially harming others. Which of the following should
the nurse avoid doing when caring for this client?
a. Admitting the client to a room near the nurses' station
b. Closing the door to the client's room when giving care to the client
c. Arranging for a security officer to be available in the general area
d. Facing the client while speaking and providing nursing care - CORRECT
ANSWER b. Closing the door to the client's room when giving care to the client
Correct
A client hates her mother because of childhood neglect.The nurse determines which client
statement represents the use of the use of the defense mechanism of reaction formation?
Select one:
a. "My mother hates me."
b. "I don't like to talk about my relationship with my mother."
c. "I have a very wonderful mother whom I love very much."
d. "My mom always loved my sister more than she loved me." - CORRECT
ANSWER c. "I have a very wonderful mother whom I love very much."
The nurse is talking with a male client who is actively hallucinating. The client is fearful that
the voices he hears will direct him to kill himself or will hurt him directly. Which of the
following nursing statements would be therapeutic at this time?
Select one:
a. "I can hear the voices too, but they are telling you to go to bed now."
b. "I don't hear them, but it must be frightening to hear voices that others can't hear."
, c. "I know you believe they are going to cause you harm, but it's not true."
d. "I know whose voices you are hearing and told them not to hurt you." - CORRECT
ANSWER b. "I don't hear them, but it must be frightening to hear voices that others
can't hear."
Which nursing diagnosis is written correctly?
Select one:
a. Low self-esteem related to major depressive disorder evidenced by childhood abuse.
b. Imbalanced nutrition: less than body requirements related to suspiciousness evidenced by
20 lbs. weight loss.
c. Conduct disorder related to childhood sexual abuse evidenced by hostile and aggressive
behaviors.
d. Risk for social isolation related to low self-esteem evidenced by staying in room during
the day. - CORRECT ANSWER b. Imbalanced nutrition: less than body requirements
related to suspiciousness evidenced by 20 lbs. weight loss.
A client admitted to the inpatient unit is being considered for electroconvulsive therapy
(ECT). The client is calm, but the client's daughter is hypervigilant and anxious. The daughter
says to the nurse, "My mother's brain will be shocked with electricity. How can the doctor
even think about doing this to her?" Which of the following responses by the nurse would be
therapeutic?
Select one:
a. "I think you need to speak directly to the psychiatrist."
b. "It sounds as though you are very concerned about the procedure. Let's discuss the
procedure."
c. "Your mother has decided to have this treatment. You should support her."
d. "Maybe you'll feel better if you see the ECT room and speak to the staff." - CORRECT
ANSWER b. "It sounds as though you are very concerned about the procedure. Let's
discuss the procedure."
