Review Module Questions and Correct
Answers
A nurse is an outpatient mental health clinic is preparing to conduct an initial
interview. When conducting the interview, what action should the nurse identify
as the priority?
Identify the client's perception of their mental health status
A charge nurse is discussing mental status examinations with a newly licensed
nurse. What statement by the newly licensed nurse indicates an understanding
of the teaching?
To assess cognitive ability, I should ask the client to count backwards by sevens, to
assess affect, I should observe the client's facial expression, to assess language
ability, I should instruct the client to write a sentence
A nurse is planning a peer group discussion about the Diagnostic and Statistical
Manual of Mental Disorders 5th Edition, Text Revision (DSM-5-TR, 2022) What
information is appropriate to include in the discussion?
DSM-5-TR establishes diagnostic criteria for mental health disorders. Nurses use
DSM-5-TR to plan, implement, and evaluate care for clients who have mental
,health disorders. DSM-5-TR identifies expected findings for mental health
disorders
A nurse is planning care for a client who has a mental health disorder. What
action should the nurse include as a psychobiological intervention
Monitor the client for adverse effects of the medications.
A nurse hears a newly licensed nurse discussing a client's hallucinations in the
hallway with another nurse. Which action should the nurse take first?
Tell the nurse to stop discussing the behavior.
A nurse in an emergency mental health facility is caring for a group of clients.
The nurse should identify that which client requires a temporary emergency
admission?
A client who has borderline personality disorder and assaulted a homeless man
with a metal rod
A nurse is caring for a client who is in mechanical restraints. What statement
should the nurse include in the documentation? Select all that apply
Client was offered 8 oz of water every hr, shouted obscenities at assistive
personnel, client received chlorpromazine 15 mg by mouth at 1000
,A nurse decides to put a client who has a psychotic disorder in seclusion
overnight because the unit is very short-staffed, and the client frequently fights
with other clients. The nurse's actions are an example of which tort?
False imprisonment
A charge nurse is conducting a class on therapeutic communication with a group
of newly licensed nurses. Which aspect of communication should the nurse
identify as a component of verbal communication?
Intonation
A nurse in a mental health practitioner's office is communicating with a client.
The client states, "I can't sleep. I stay up all night." The nurse respond, "You are
having difficulty sleeping?" Which therapeutic communication technique is the
nurse demonstrating?
Restating
A nurse is talking with the caregiver of a child who has demonstrated recent
changes in behavior and mood. When the caregiver of the child asks the nurse
for reassurance about their child's condition, which response should the nurse
make?
"I understand you're concerned. Let's discuss what concerns you specifically."
, A nurse is communicating with a client who was admitted for treatment of a
substance use disorder. Which communication technique should the nurse
identify as a barrier to therapeutic communication?
Offering advice
A nurse is caring for a client who smokes and has lung cancer. The client reports,
"I'm coughing because I have that cold that everyone has been getting." The
nurse should identify that the client is using which defense mechanism?
Denial
A nurse is reinforcing preoperative teaching with a client who was informed of
the need for emergency surgery. The client has a respiratory rate 30/min, and
says, "This is difficult to comprehend. I feel shaky and nervous." The nurse
should identify that the client is experiencing which level of anxiety?
Moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the
following actions should the nurse take when trying to reinforce necessary
information to the client?
Discuss prior use of coping mechanisms with the client, Demonstrate a calm
manner while using simple and clear directions.