Mental Health Concepts (NU 160): NU 160 Exam 4 - questions and answers_ Latest 2025/26 100% scored - Galen College of Nursing

Mental Health Concepts (NU 160): NU 160 Exam 4 - questions and answers_ Latest 2025/26 100% scored - Galen College of Nursing The nurse is providing support to the family of a recently deceased client. A family member states, “My father took me fishing all the time. He can’t physically take me anymore, but he will be watching over me. | really miss him, “The nurse recognizes the family member is experiencing A. Mouming S(p0D B. Anticipatory grief C. Disenfreanchised grief D. Bereavement The nurse educator is providing an in—service to nursing staff on a unit that has recently experienced and increase in client deaths. The nurse educator knows that a priority recommendation for nurses who are struggling to cope with all the loss is A. Creating sustainable practice of self-care and balance p % 6 (Qa B. Working additional shifts to provide support for each other C. Volunteering on days off to stay busy and make a positive difference D. Temporarily transferring to another unit with fewer terminal diagnosis The nurse is caring for a client whose spouse of 52 years suddenly died. Which of the following statements by the nurse is most therapeutic. A. “Your loved on is no longer in pain: you should be happy for that.” B. “You can be grateful for the time you had together” C. “Your loved one was very special and will not be replaceable” 5(0’2. 30 L“ D. “I know how you feel: | have had many family members pass away” The nurse is caring for a client who is dying and in severe pain. Which of the following interventions should the nurse consider as the priority? A. Teach the client the end stages of grief. B. Enhance the client’s quality of life. 6 5 C. Encourage the client to speak to a grief counselor. D. Support the clients family in grieving. The nurse is caring for a terminally ill client. Which of the following statements by the nurse best demonstrates the art of presence? A. “Would you like to talk about what this experience is like for you?” (Jq 5 5 q" B. “lam going to sit here and read a book, just pretend | am not here.” C. “lam going to the other room so you can be alone and reflect on your life; please call out if you need me.” D. “Are you feeling guilty about leaving your wife and kids behind?” The home health nurse is caring for a client who is dying from acquired immune deficiency syndrome (AIDS). The client is incompetent and asks the nurse to help with assisted suicide. The nurse tell the client they will not assist with the request. Which of the following ethical liberties is the nurse demonstrating? A. Autonomy B. Nonmaleficence &5 5( p C. Individual liberty D. Beneficence A nurse is caring for a client in hospice who is in the dying process. The family wants to put in a feeding tube because the client is refusing to eat. Which of the following statements by the nurse is appropriate therapeutic communication?14, 15. 16. Clients experi Clients : should be Opiate-fr - ex o ion Within withi 2 wesks A B. [C). Clients . may report increased ee activity for 10 days before initiation The Clients nurse isshould preparin take 1 pill sublingual every 12 hours 435 health unit. The nurs instance of gto ?dmit a client from the emergency department (ED) to the mental @ reviews the information in the chart below and recognizes the may be an A. Intoxication B. Withdrawal 4[_ C. Overdose D. Panic ”?e nurse is caring for a 17-year-old female client who is being discharged from inpatient care with a diagnosis of anorexia. The family askes the nurse what type of therapy will be recommended. The correct response by the nurse is A. “Electroconvulsive therapy (ECT) is the most effective therapy.” B. “Thereare no therapies that are recommended for clients with anorexia.” C. “Your daughter is cured, but we recommended a few social groups.” D. "A combination of group and individualized therapy is recommended. 5361 The new nurse is precepting on the mental health unit and tells the nurse preceptor there is an error in a client’s chart. The chart says history of anorexia, but the client’s reason for admission is bulimia. “Which of the following responses should the nurse preceptor tell the new nurse? “Let’s notify the charge nurse so she can follow-up on this error.” “We will leave a note for the admitting nurse to correct it next shift.” “It is possible for a client to have a history of both.” fQ 64?) D. “l am sure it's a mistake, lets cross out bulimia and document anorexia instead.” 17. The nurse is developing a resource document about eating disorders for new nurses on the unit. 18. 19. The nurse includes that anorexia commonly occurs in clients who also have A. Dissociative disorder B. Anxiety disorders 6% C. Narcissistic disorder D. Schizotypal disorder The nurse is caring for a client who is diagnosed with bulimia and recently prescribed fluoxetine. Which of the following information should the nurse teach the client about this medication? A. Itisadministered at a higher dose for bulimia than for depression 5 B. Itisapproved for the treatment of bulimia and anorexia C. Itis1 of several medications approved by FDA for the treatment of bulimia D. Itisa benzodiazepine The nurse is caring for a client who was recently admitted with binge-purge bulimia. Which of the following actions is a priority for the nurse the perform? A. Complete the clients electrocardiogram (ECG) B. Determine the client’s perception of the problem C. Obtain the client’s daily weight D. Monitor daily food and fluid intake ’b“‘fll 3%620. ABopn school nurse €15| teaching ' high school students about the dangers of inhalant abuse. Which of Ing should the nurse include in the teaching? A. : lln:alant abuse may cause a coma to occur : . Inhaalant abuse Initially Initi causes a heightened sense of awareness D. Inhalant abuse treatment involves taking naltrexone : Inhalant abuse may cause severe anemia 1. The nurse is caring for a client who is being seen for a well check-up visit. The client tells the nurse they have remained sober for the last 12 months and attended support meetings routinely. The nurse recognized that the client is in which of the following stages of change? A. Maintenance stage a 6 '5 B. Maturation stage C. Preparation stage D. Precontemplation stage 22. The nurse educator is providing a community education session about primary prevention of abuse. Which actions from the box should the nurse manager include in the teaching? 1.Reduce stress 2. Increase coping skills 6()0 3. Join a legal advocacy program for victims 4. Complete a screening questionnaire 5. Reduce the influence of risk factors A.1,2,5 B.1,4,5 C.345 D.245 23. The nurse is caring for a postsurgical client who has a history of heavy alcohol intake and just returned to the nursing unit. The nurse should immediately notify the primary health care provider (PHCP) if the client states A. “1am feeling so afraid that I might fall at night.” B. “Iam feeling diaphoretic and short of breath.” C. “1don’t want to drink because | am nauseated and can't keep anything down.” D. “1am having trouble sleeping at night because | am so hot all the time,” 24. The nurse preceptor is reviewing the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DMS-5) with a newly hired nurse. It requires follow-up by the nurse preceptor if the newly hired nurse identifies which of the following substances as a pshychoactive? A. Beta-blockers B. Tobacco C. Caffeine D. Sedatives25, The nurse is carin : . : very nurse interested to make? 'ng in hypnosis. for a client : Whiwho ch of is trying the follo to wing stop ing is smoking. i the mostTheappropriate client itells response the nurse for they the are A "H p n ® ’ . yPnosis may work for some people, but it is not considered a real treatment’ llD ’ . j ; "T:n t Waste your money on things like hypnosis, medication is your best bet.” D- d €re Is no research to support that hypnosis works for quitting smoking.” - Hypnosis can be successful, is this something you would like to consider? The nurse manager is teaching nursing staff about identifying opioid intoxication. Which symptoms from the box should be include in the teaching? 1. Tachycardia wiWwdvow al 2. Hypotension © 3. Slurred speech © 4. Anxiety y; MadviunraA 2 l 5 . 5. Rhinorrhea wtwdva.,ot 6. Sedation @ B. 1,2,3,5 .. 2345 D. 145 27. The nurse is preparing to discharge assigned clients who have completed the detoxification process for alcohol addiction and to make referrals to AA. Which of the following clients is appropriate for the referral? A. The client who is recently separated from their spouse B. The client who had developed secondary liver complications C. The client who lost a job 4 months ago due to drinking D. The client who askes for help to refrain from alcohol 28. The nurse is teaching a client who is being discharged after several weeks of inpatient hospitalization to treat opioid use disorder. The nurse determines client teaching has been effective when the client states A. “Ihave oral surgery next week and will tell the dentist to refrain from prescribing a narcotic to manage my pain.” B. “I'have found a social group that wants to try to help each other quit and plan to hang out with them for a while.” C. “Iwill get my methadone prescription filled once a month.” D. “Thank you so much for curing me.” 29. The nurse has attended a staff development conference about family violence. Which of the following statements by the nurse demonstrates a correct understanding about family violence? A. Family violence in the most common form is neglect. a B. Family violence is the highest in the Hispanic population C. Family violence is decreased if children are the result of unwanted pregnancies D. Family violence occurs most frequently in children over the age of 12. 30. The nurse is caring for a client who has apparent facial and body bruising. The nurse should first Asking the client how the bruises occurred f’;ius on which of the following to meet the clients needs?Establishing trus tand builg; 6 Documentip 8 the clients Kt injuriese 6 exual abyse examiner (SANE) - The € nurse ny js conductmg an interview wi in the ED. Which of the % Nurse? : Youa: did :oku d0 to your partner to make this occur? €em like you are defendin . ou C. Howdo you a nd your partner resglve S di D. Iwas abyseg b ve disagreements? 52 S 32. The new n " 9MEONe, 50 | understand how you feel. : pssigy S::;:::Zgnr;et:te? emical _ restraint urs € assisted nurse iWas administereq. preceptor other staff informs members After the obtaining tonew physically nurse the that primary hold which down health ofa the combative care following providers client should (PHCP whilebe) 3 A. Lead B. Asse C. Coll the debriefing : with the client since the new nurse witnessed some of the events ss the client and document this information ect statements from other clients who witnessed the incident D. Notify the client’s relative listed in the chart of the restraint use 33. The nurse is admitting a client for an ageressive behavior increases the cli A. High cholesterol B. Hyperkalemia C. Myocardial infarction (MI) 506 D. Hypotension ger and aggressive behaviors. The nurse undertstands that ent’s risk factor for 34. The nurse is examining a client who is believed to have been room. The nurse knows that which of the followin are abusive? A. They often suffer from ineffective coping skills 56% 5 % O B. The abuse is often caused by good relationships with others C. Their behavior is caused by the actions of the abused D. Their behavior is often accidental and a byproduct of being stressed 35. The nurse is discharging a client who was a victim of domestic abuse for several years. The client asks the nurse about group therapy. The appropriate response by the nurse is A Group therapy can be effective, lets find some options for you so you can start right awa5-51} Individual therapy will help you have more alone time, lets start with that % C. Group therapy is a great idea, but | would wait a few months before going so D. Let me ask your PCP about that because | do not think it's the best idea 36. The nurse is admitting an elderly client to the unit for a fractured hip. The nurse notices the client has a minor burn on the back and the client states that it is from a heating pad left on the area for too long. Which of the following interventions should the nurse preform? A. Gotothe waiting area to bring the clients family member to the room B. Putina referral to wound care C. Ask the client if someone close to them caused the injury 6&(@ 607 ,2-2 3 3 D. Educate the client on proper heating pad use abused, and the spouse is in the g information is correct regarding people who you are up to it38. 39. 40, 41. 42. ginthe Ep e the nurse, “what are ks ters a ro0m to help with a rape kit assessment. The client asks A. A detailed physical exifl']n.g tlo 30? The appropriate explanation by the nurse is , INCluding a genital . " are going to do step by step EL €xam, and we will communicate everything we - First, ‘ we will perform a brief i genital examinati : : : mination to get it ov [ C. We will go really fast so 4 er with quickly finished you do not feel vulnerable and you can ask questions when we are iD. The nursecis PCP wul‘l will beo ;in shortly and we wi| explain everything to you; just relax ~2ring for a client who is velling, pacing, and has clenched fists. Some of the other Which of the following is an appropriate intervention by the nurse? rclients from the area 0 help restrain the client seclusion D. Attempt to confront the client The nurse manager working in the ED is assis clients dppear afraid. A. Remove the othe B. Call for Security t C. Putthe client in vy ting with evidence collection for a sexual assault victim. After consent is signed the nurse begins to collect evidence. The client states, “I don’t want any photographs taken.” Which of the following should the nurse preform next? A. Notify the authorities of the clients decision B. Refrain from taking photographs per the client’s request 6 L; ‘-— C. Tell the client they already signed informed consent D. Encourage the client to allow photographs or the perpetrator might get away with the crime The nurse is providing care to multiple clients on a mental health unit. The nurse is aware of which of the following scenarios is associated with the greatest risk for violence directed at others? A. The client who has major depression and is experiencing feelings of hopelessness B, The client who has borderline personality disorder and is wanting attention The client who has dissociative amnesia and is making intense eye contact with the staff The client who has bipolar disorder in the manic phase and is swinging a fork in the air The nurse is teaching a group of parents about child abuse. The nurse included characteristics of abusive perpetrators in the presentation. Which of the following characteristics should the nurse include in the presentation? ' A. High impulse control B. Realistic expectations of childs behavior C. Family authoritarianism PR ¥ OX oX - D. Elevated feelings of worth The nurse Is assisting a client who has experienced intimate partner abuse to develop a safety plan, including a list of items to take if the client leaves the abusing partner. Which of the following items identified by the client requires follow-up teaching? A. Personal hygiene items 5@ l Q) D‘( &CG 5 B. Medications C. Birth certificate D. Change of clothing43. The nurse educator s pre about client aggressive b quality care tp Clients wi ari i : e‘; r‘g and in-service for nurses working on the mental health unit , The nurse educator knows an important factor for delivering A. Ngrses stage in orientation tha hlstory of aggressive behavior is the B. Clients length of stay C. Clients medications D. Nurses self awareness 6 O" The ' nursing 8 5~9dent st asks the clinical e instructor the explain the concept of the hospice team. The nstructor advises the nursing student 44, A. Hospi ‘ B. H Sp‘ce teams are not used anymore; now it is just an autonomous nurse role C. OSpice teams are specialized medical professionals for cancer clients only Hospice teams work together to provide curative treatment options for clients D. Hospice teams are multidisciplinary and help to care for a dying client and their family55 L{ 45. The nurseis listening to a client caregiver who is tired and irritable. Which of the following nursing interventions is the priority? A. Teach the family how to give physical care more effectively and efficiently 8. Secure additional resources for the clients evening and night care C. Teach the caregiver about the effects of sundowners syndrome. D. Support the caregiver to grieve the loss of the clients cognitive abilities 46. The nurse preceptor is educating a group of new nurses about assessing the effectiveness of | ,7 treatment for victims of sexual assault. The nurse preceptor advises that when victims report ' sleeping well with few episodes of nightmares, the victims are A. Inneed of sleep medication B. Usually providing fzlse reports to avoid treatment Ready for group therapy instead of individualized therapy Considered in recovery and may need less frequent follow-up care p@ qu 47. The nurse manager is providing an in-service to nursing staff regarding palliative care for clients who have dementia. It demonstrates effective teaching if a staff member states 4. A review and discontinuation of all medication is necessary B. We should try to anticipate the clients needs to keep them calm C. The client should have good pain control while in palliative care without the use of opioids x We will instruct the family in choosing the best treatment options that sure dementia 48. The nurse is caring for a client who is experiencing complicated grief. Which of the following interventions should the nurse perform to assist the client to resolve their grief? A. Inform the client that they should have dealt with their grief already B. Encourage the client to get a plant to assist with any loneliness C. Help the client talk about the good and bad aspects of the deceased 6 0 2_ D. Suggest the client attend social gatherings to see how to live again 49. The nurse preceptor is observing a newly hired nurse providing care for a client in hospice who is experiencing severe pain. It requires immediate intervention if the preceptor observes the newly hired nurse A. Offering spiritual support by offering to pray with the client 8. Offering different options for nutrition and allowing the client to choose C. Expressing concern about giving the client more pain medication