NUR190 QUIZ 1/ CHAPT1 BASIC MENTAL HEALTH &
CHAP 2 LEGAL AND ETHICAL ISSUES 91 QUESTIONS
WITH VERIFIED ANSWERS
"To check cognitive ability, I should ask the client to count backward by sevens."
" To check affect, I should observe the client's facial expression."
"To check language ability, I should instruct the client to write a sentence." -
CORRECT ANSWER A nurse is discussing mental status examinations with a newly
licensed nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
Monitor the client for adverse effects of medications - CORRECT ANSWER A nurse
is contributing to the plan of care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a psychological
intervention?
Identify the client's perception of their mental status - CORRECT ANSWER A nurse
in an outpatient mental clinic is preparing to assist with an initial client interview.
When conducting the interview, which of the following actions should the nurse
identify as the priority?
The DSM-5 establishes diagnostic criteria for individual mental health disorders.
The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
The DSM-5 indicates expected data collection findings of mental health disorders.
- CORRECT ANSWER A nurse is assisting with a peer group discussion about the
,diagnostic and statistical manual of mental disorders, 5th edition (DSM-5). Which
of the following information should the nurse include in the discussion?
A client who has borderline personality disorder and assaulted a homeless man
with a metal rod. - CORRECT ANSWER A nurse in an emergency mental health
facility is caring for a group of clients. The nurse should identify that which of the
following clients requires a temporary emergency admission?
False imprisonment - CORRECT ANSWER A nurse decides to put client who has a
psychotic disorder in seclusion over night because the unit is very short staffed,
and the client frequently fights with other clients. The nurse's actions are an
example of which of the following torts?
Tell the client that this must be reported to the health care team because it
concerns the health and safety of the client and others. - CORRECT ANSWER A
client tells a nurse, "don't tell anyone, but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always threatening me."
Which of the following actions should the nurse take?
"Client was offered 8oz of water every hr."
"Client shouted obscenities at assistive personnel."
"Client received chlorpromazine 15mg by mouth at 1000." - CORRECT ANSWER A
nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation?
Tell the nurse to stop discussing the behavior - CORRECT ANSWER A nurse hears a
newly licensed nurse discussing a clients hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
, Level of consciousness, physical appearance, behavior, cognitive and intellectual
abilities - CORRECT ANSWER Mental status examination (MSE)
Alert
Lethargic: client can open eyes and respond but is drowsy and falls asleep quickly
Stuporous: client requires vigorous and painful stimuli to elicit brief response
Comatose: unconscious- abnormal posturing includes decorticating rigidity and
decerebrate rigidity - CORRECT ANSWER Level of consciousness
Mood: emotion that he/she is feeling
Affect: objective expression of mood, such as flat affect or lack of facial expression
- CORRECT ANSWER Behavior
Orientation, memory, knowledge, calculation, perception of illness, judgement,
speech
Immediate memory
Recent memory: visitors from the current day, purpose of current appt
Remote memory: fact from past, DOB, mothers name - CORRECT ANSWER
Cognitive and intellectual abilities
Mini mental state examination (MMSE): orientation, attention span and count
backward by seven, objects, language (naming, commands writing)
Glasgow coma scale: baseline LOC- highest score is 15 (awake, alert) or 7 (coma) -
CORRECT ANSWER Standardized screening tools
CHAP 2 LEGAL AND ETHICAL ISSUES 91 QUESTIONS
WITH VERIFIED ANSWERS
"To check cognitive ability, I should ask the client to count backward by sevens."
" To check affect, I should observe the client's facial expression."
"To check language ability, I should instruct the client to write a sentence." -
CORRECT ANSWER A nurse is discussing mental status examinations with a newly
licensed nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
Monitor the client for adverse effects of medications - CORRECT ANSWER A nurse
is contributing to the plan of care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a psychological
intervention?
Identify the client's perception of their mental status - CORRECT ANSWER A nurse
in an outpatient mental clinic is preparing to assist with an initial client interview.
When conducting the interview, which of the following actions should the nurse
identify as the priority?
The DSM-5 establishes diagnostic criteria for individual mental health disorders.
The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
The DSM-5 indicates expected data collection findings of mental health disorders.
- CORRECT ANSWER A nurse is assisting with a peer group discussion about the
,diagnostic and statistical manual of mental disorders, 5th edition (DSM-5). Which
of the following information should the nurse include in the discussion?
A client who has borderline personality disorder and assaulted a homeless man
with a metal rod. - CORRECT ANSWER A nurse in an emergency mental health
facility is caring for a group of clients. The nurse should identify that which of the
following clients requires a temporary emergency admission?
False imprisonment - CORRECT ANSWER A nurse decides to put client who has a
psychotic disorder in seclusion over night because the unit is very short staffed,
and the client frequently fights with other clients. The nurse's actions are an
example of which of the following torts?
Tell the client that this must be reported to the health care team because it
concerns the health and safety of the client and others. - CORRECT ANSWER A
client tells a nurse, "don't tell anyone, but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always threatening me."
Which of the following actions should the nurse take?
"Client was offered 8oz of water every hr."
"Client shouted obscenities at assistive personnel."
"Client received chlorpromazine 15mg by mouth at 1000." - CORRECT ANSWER A
nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation?
Tell the nurse to stop discussing the behavior - CORRECT ANSWER A nurse hears a
newly licensed nurse discussing a clients hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
, Level of consciousness, physical appearance, behavior, cognitive and intellectual
abilities - CORRECT ANSWER Mental status examination (MSE)
Alert
Lethargic: client can open eyes and respond but is drowsy and falls asleep quickly
Stuporous: client requires vigorous and painful stimuli to elicit brief response
Comatose: unconscious- abnormal posturing includes decorticating rigidity and
decerebrate rigidity - CORRECT ANSWER Level of consciousness
Mood: emotion that he/she is feeling
Affect: objective expression of mood, such as flat affect or lack of facial expression
- CORRECT ANSWER Behavior
Orientation, memory, knowledge, calculation, perception of illness, judgement,
speech
Immediate memory
Recent memory: visitors from the current day, purpose of current appt
Remote memory: fact from past, DOB, mothers name - CORRECT ANSWER
Cognitive and intellectual abilities
Mini mental state examination (MMSE): orientation, attention span and count
backward by seven, objects, language (naming, commands writing)
Glasgow coma scale: baseline LOC- highest score is 15 (awake, alert) or 7 (coma) -
CORRECT ANSWER Standardized screening tools
