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1. A charge nurse is discussing mental status exams with A, B, C
a newly licensed nurse. Which of the following state-
ments by the newly licensed nurse indicates an under-
standing of the teaching? (Select all that apply)
A) To assess cognitive ability, I should ask the client to
count backward by sevens.
B) To assess affect, I should observe the client's facial
expression
C) To assess language ability, I should instruct the
client to write a sentence.
D) To assess remote memory, I should have the client
repeat a list of objects.
E) To assess the client's abstract thinking, I should ask
the client to identify our most recent presidents.
2. A nurse is planning care for a client who has a mental D
health disorder. Which of the following actions should
the nurse include as a psychobiological intervention?
A) Assist the client with systematic desensitization
therapy.
B) Teach the client appropriate coping mechanisms.
C) Assess the client for comorbid health conditions.
D) Monitor the client for adverse effects of the medica-
tions.
3. A nurse in an outpatient mental health clinic is prepar- B
ing to conduct an initial client interview. When con-
ducting the interview, which of the following actions
should the nurse identify as the priority?
A) Coordinate holistic care with social services.
B) Identify the client's perception of her mental health
status.
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C) Include the client's family in the interview.
D) Teach the client about her current mental health
disorder
4. A nurse is told during change of shift report that a A
client is stuporous. When assessing the client, which
of the following findings should the nurse expect?
A) The client arouses briefly in response to a sternal
rub.
B) The client has a glasgow coma scale score less than
7.
C) The client exhibits decorticate rigidity.
D) The client is alert but disoriented to time and place.
5. A nurse is planning a peer group about the DSM-5. B, D, E
Which of the following information is appropriate to
include in the discussion? (Select all that apply).
A) The DSM-5 includes client education handouts for
mental health disorders.
B) The DSM-5 establishes diagnostic criteria for indi-
vidual mental health disorders.
C) The DSM-5 indicates recommended pharmacologi-
cal treatment for mental health disorders.
D) The DSM-5 assists nurses in planning care for
client's who have mental health disorders.
E) The DSM-5 indicates expected assessment findings
of mental health disorders.
6. A nurse in an emergency mental health facility is caring C
for a group of clients. The nurse should identify that
which of the following clients requires a temporary
emergency admission?
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A) A client who has schizophrenia with delusions of
grandeur
B) A client who has manifestations of depression and
attempted suicide a year ago.
C) A client who has borderline personality disorder and
assaulted a homeless man with a metal rod.
D) A client who has bipolar disorder and paces quickly
around the room while talking to himself.
7. A nurse decides to put a client who has a psychotic B
disorder in seclusion overnight because the unit is very
short-staffed, and the client frequently fights with oth-
er clients. The nurse's actions are an example of which
of the following torts?
A) Invasion of privacy
B) False imprisonment
C) Assault
D) Battery
8. A client tells a nurse, "Don't tell anyone but I hid a D
sharp knife under my mattress in order to protect my-
self from my roommate, who is always yelling at me
and threatening me." Which of the following actions
should the nurse take?
A) Keep the client's communication confidential, but
talk to the client daily, using therapeutic communica-
tion to convince him to admit to hiding the knife.
B) Keep the client's communication confidential, but
watch the client and his roommate closely.
C) Tell the client that this must be reported to the
healthcare team because it concerns the health and
safety of the client and others.