Openstax Psychiatric MH Nursing Exam
Openstax Psychiatric MH Nursing Exam
LATEST UPDATE COMPLETE QUESTIONS
AND CORRECT ANSWERS with DETAILED
RATIONALES GRADED A+ GUARANTEED
PASS- ACE YOUR EXAM
A male adolescent is admitted with bipolar disorder after being released from jail for assault with a
deadly weapon. When the nurse asks the teen to identify his reason for the assault, he replies,
"Because he made me mad!" Which goal is best for the nurse to include in the client's plan of care?
o Teach the client to outline methods for managing anger.
o Suggest actions to control impulsive responses toward self and others.
o Encourage client to verbalize feelings when anger occurs.
A+ TEST BANK 1
, Openstax Psychiatric MH Nursing Exam
o Discuss recognizing consequences for behaviors exhibited.
o Suggest actions to control impulsive responses toward self and others.
· Those with bipolar disorder often exhibit poor impulse control, and the most important goal for this
client at this time is to learn to control impulsive behavior so that he can avert the social consequences
related to such behaviors. The other goals do not address the acute issue of impulse control, which is
necessary to minimize the likelihood of self harm and harm to others.
The nurse is leading a "current events group" with client who have chronic psychiatric illnesses. One
group member states, "Clara Barton was my nurse during my last hospitalization. She was a very mean
nurse and wasn't nice to me." Which response is best for the nurse to make?
o Clara Barton was not your nurse.
o What did she do to you that was so mean?
o I didn't know that Clara Barton was a nurse.
o Clara Barton started the American Red Cross.
o Clara Barton started the American Red Cross.
· The historical fact that Clara Barton was a nurse during the Civil War is referencing the concept of
universality in this group therapy discussion. Stating the original role of Clara Barton in nursing should be
presented, which is the reality in nursing and the American culture. The other responses are not
indicated.
The community health nurse talks to a male client who has bipolar disorder. The client explains that he
sleeps 4 to 5 hours a night and is working with his partner to start two new businesses and build an
empire. The client stopped taking his medications several days ago. What nursing problem has the
highest priority?
o Excessive work activity.
o Decreased need for sleep.
A+ TEST BANK 2
, Openstax Psychiatric MH Nursing Exam
o Medication management.
o Inflated self-esteem.
o Medication management.
· The most important nursing problem is medication management to help prevent hospitalization. The
other behaviors are evidence of noncompliance with medication management.
The nurse is assessing the parents of a nuclear family who are attending a support group for parents
of adolescents. According to Erikson, these parents who are adapting to middle adulthood should
exhibit which characteristic?
o Loss of independence.
o Increased self-understanding.
o Isolation from society.
o Development of intimate relationships.
o Increased self-understanding.
· Middle adulthood is characterized by self-reflection, understanding, acceptance, and generativity or
guidance of children. The other developmental tasks are not specific to middle adulthood.
A child is brought to the emergency room with a broken arm. Because of other injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child an injection, the
child's mother becomes very loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt
my child!" What is the best behavioral interpretation of the mother's statements?
o Regressing to an earlier behavior pattern.
o Sublimating anger.
o Projecting feelings onto the nurse.
A+ TEST BANK 3
, Openstax Psychiatric MH Nursing Exam
o Suppressing fear.
o Projecting feelings onto the nurse.
· Projection is attributing one's own thoughts, impulses, or behaviors onto another--it may be the mother
who might be harming the child and she is attributing her actions to the nurse. The other evaluations are
not the most likely based on the child's history of previous injuries.
An adult female client has been increasingly restless, and the nurse finds her trying to leave the
psychiatric unit. She tells the nurse, "Please let me go! I must leave because the secret police are after
me." Which response is best for the nurse to make?
o No one is after you, you're safe here.
o You'll feel better after you have rested.
o I know you must feel lonely and frightened.
o Come with me to your room and I will sit with you.
o Come with me to your room and I will sit with you.
· The best response offers support without judgment or demands. The other responses are not
therapeutic communication for a client who is hallucinating or experiencing a delusion, which are
perceive by this client as a crisis.
At a support meeting for parents of a teenager with polysubstance dependency, a parent states,
"Each time my son tries to quit taking drugs, he gets so depressed that I'm afraid he will commit
suicide." The nurse's response should be based on which information?
o Addiction is a chronic, incurable disease.
o Tolerance to the effects of drugs causes feelings of depression.
o Feelings of depression frequently lead to drug abuse and addiction.
A+ TEST BANK 4
Openstax Psychiatric MH Nursing Exam
LATEST UPDATE COMPLETE QUESTIONS
AND CORRECT ANSWERS with DETAILED
RATIONALES GRADED A+ GUARANTEED
PASS- ACE YOUR EXAM
A male adolescent is admitted with bipolar disorder after being released from jail for assault with a
deadly weapon. When the nurse asks the teen to identify his reason for the assault, he replies,
"Because he made me mad!" Which goal is best for the nurse to include in the client's plan of care?
o Teach the client to outline methods for managing anger.
o Suggest actions to control impulsive responses toward self and others.
o Encourage client to verbalize feelings when anger occurs.
A+ TEST BANK 1
, Openstax Psychiatric MH Nursing Exam
o Discuss recognizing consequences for behaviors exhibited.
o Suggest actions to control impulsive responses toward self and others.
· Those with bipolar disorder often exhibit poor impulse control, and the most important goal for this
client at this time is to learn to control impulsive behavior so that he can avert the social consequences
related to such behaviors. The other goals do not address the acute issue of impulse control, which is
necessary to minimize the likelihood of self harm and harm to others.
The nurse is leading a "current events group" with client who have chronic psychiatric illnesses. One
group member states, "Clara Barton was my nurse during my last hospitalization. She was a very mean
nurse and wasn't nice to me." Which response is best for the nurse to make?
o Clara Barton was not your nurse.
o What did she do to you that was so mean?
o I didn't know that Clara Barton was a nurse.
o Clara Barton started the American Red Cross.
o Clara Barton started the American Red Cross.
· The historical fact that Clara Barton was a nurse during the Civil War is referencing the concept of
universality in this group therapy discussion. Stating the original role of Clara Barton in nursing should be
presented, which is the reality in nursing and the American culture. The other responses are not
indicated.
The community health nurse talks to a male client who has bipolar disorder. The client explains that he
sleeps 4 to 5 hours a night and is working with his partner to start two new businesses and build an
empire. The client stopped taking his medications several days ago. What nursing problem has the
highest priority?
o Excessive work activity.
o Decreased need for sleep.
A+ TEST BANK 2
, Openstax Psychiatric MH Nursing Exam
o Medication management.
o Inflated self-esteem.
o Medication management.
· The most important nursing problem is medication management to help prevent hospitalization. The
other behaviors are evidence of noncompliance with medication management.
The nurse is assessing the parents of a nuclear family who are attending a support group for parents
of adolescents. According to Erikson, these parents who are adapting to middle adulthood should
exhibit which characteristic?
o Loss of independence.
o Increased self-understanding.
o Isolation from society.
o Development of intimate relationships.
o Increased self-understanding.
· Middle adulthood is characterized by self-reflection, understanding, acceptance, and generativity or
guidance of children. The other developmental tasks are not specific to middle adulthood.
A child is brought to the emergency room with a broken arm. Because of other injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child an injection, the
child's mother becomes very loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt
my child!" What is the best behavioral interpretation of the mother's statements?
o Regressing to an earlier behavior pattern.
o Sublimating anger.
o Projecting feelings onto the nurse.
A+ TEST BANK 3
, Openstax Psychiatric MH Nursing Exam
o Suppressing fear.
o Projecting feelings onto the nurse.
· Projection is attributing one's own thoughts, impulses, or behaviors onto another--it may be the mother
who might be harming the child and she is attributing her actions to the nurse. The other evaluations are
not the most likely based on the child's history of previous injuries.
An adult female client has been increasingly restless, and the nurse finds her trying to leave the
psychiatric unit. She tells the nurse, "Please let me go! I must leave because the secret police are after
me." Which response is best for the nurse to make?
o No one is after you, you're safe here.
o You'll feel better after you have rested.
o I know you must feel lonely and frightened.
o Come with me to your room and I will sit with you.
o Come with me to your room and I will sit with you.
· The best response offers support without judgment or demands. The other responses are not
therapeutic communication for a client who is hallucinating or experiencing a delusion, which are
perceive by this client as a crisis.
At a support meeting for parents of a teenager with polysubstance dependency, a parent states,
"Each time my son tries to quit taking drugs, he gets so depressed that I'm afraid he will commit
suicide." The nurse's response should be based on which information?
o Addiction is a chronic, incurable disease.
o Tolerance to the effects of drugs causes feelings of depression.
o Feelings of depression frequently lead to drug abuse and addiction.
A+ TEST BANK 4
