Mental Health Exam Review
A nurse is caring for a young adult who has acute schizophrenia disorder and tells the nurse,
"Yester noon the sun moon went over the rover to see the lawnmower." Which of the
following manifestations is the client exhibiting?
• Associative looseness
A nurse in a mental health clinic is conducting a staff education session on schizophrenia.
Which of the following manifestations should the nurse identify as negative symptoms?
(SATA)
• Anhedonia
• Blunt affect
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate.
Which of the following instructions should the nurse give the client about the use of this
med?
• Liver function tests must be monitored.
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and
will be discharged with a prescription for lithium. The nurse's discharge teaching should
include information cautioning against which of the fallowing factors that may cause lithium
toxicity?
• Experiencing diarrhea
A nurse is performing an admission assessment for a client who has schizophrenia. Which of
the following findings should the nurse identify as a negative symptom?
• affective flattening
A nurse is developing a plan of care for a newly admitted client who has schizophrenia and
experiences frequent hallucinations and paranoid delusions. Which of the following should
the nurse plan to take?
• Limit the number of questions during assessments
A nurse is reading the medical record for a client who has schizophrenia which indicates that
the client exhibits depersonalization. Which of the following statements by the client
confirms that she is experiencing depersonalization?
• My hands and feet are much smaller than they used to be
, A school nurse is talking with a 13-year-old female at her annual health screening visit. Which
of the following comments made by the adolescent should be the nurses' priority to address?
• "None of the kids at this school like me, and I don't like them either."
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which
of the following actions should the nurse identify as the priority?
• Assign a staff member to stay with the client at all times.
A nurse is providing discharge teaching to a client who has bipolar disorder and will be
discharged with a prescription for lithium. The nurse should teach the client that which of the
following factors puts her at risk for lithium toxicity?
• The client runs 4 miles outdoors every afternoon.
A client who has major depressive disorder states to the nurse that he and his family would
be better off if he were gone. Which of the following is the nurse's priority response?
• "Are you thinking of harming yourself?"
A nurse is discussing postpartum depression with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of this
condition
• “Postpartum depression is more likely to occur in women who have a history of
depression
A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client
says he is bored. Which of the following activities is appropriate for the nurse to suggest to
this client?
• Walking with the nurse in the courtyard
A nurse is admitting a client who is exhibiting manic behavior. The client reports recent
personal stressors including the loss of her mother and a divorce. Which of the following is
the priority nursing action?
• Preventing self-directed violence.
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which
of the following actions should the nurse identify as the priority?
• Assign a staff member to stay with the client at all times.
A nurse is caring for a young adult who has acute schizophrenia disorder and tells the nurse,
"Yester noon the sun moon went over the rover to see the lawnmower." Which of the
following manifestations is the client exhibiting?
• Associative looseness
A nurse in a mental health clinic is conducting a staff education session on schizophrenia.
Which of the following manifestations should the nurse identify as negative symptoms?
(SATA)
• Anhedonia
• Blunt affect
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate.
Which of the following instructions should the nurse give the client about the use of this
med?
• Liver function tests must be monitored.
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and
will be discharged with a prescription for lithium. The nurse's discharge teaching should
include information cautioning against which of the fallowing factors that may cause lithium
toxicity?
• Experiencing diarrhea
A nurse is performing an admission assessment for a client who has schizophrenia. Which of
the following findings should the nurse identify as a negative symptom?
• affective flattening
A nurse is developing a plan of care for a newly admitted client who has schizophrenia and
experiences frequent hallucinations and paranoid delusions. Which of the following should
the nurse plan to take?
• Limit the number of questions during assessments
A nurse is reading the medical record for a client who has schizophrenia which indicates that
the client exhibits depersonalization. Which of the following statements by the client
confirms that she is experiencing depersonalization?
• My hands and feet are much smaller than they used to be
, A school nurse is talking with a 13-year-old female at her annual health screening visit. Which
of the following comments made by the adolescent should be the nurses' priority to address?
• "None of the kids at this school like me, and I don't like them either."
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which
of the following actions should the nurse identify as the priority?
• Assign a staff member to stay with the client at all times.
A nurse is providing discharge teaching to a client who has bipolar disorder and will be
discharged with a prescription for lithium. The nurse should teach the client that which of the
following factors puts her at risk for lithium toxicity?
• The client runs 4 miles outdoors every afternoon.
A client who has major depressive disorder states to the nurse that he and his family would
be better off if he were gone. Which of the following is the nurse's priority response?
• "Are you thinking of harming yourself?"
A nurse is discussing postpartum depression with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of this
condition
• “Postpartum depression is more likely to occur in women who have a history of
depression
A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client
says he is bored. Which of the following activities is appropriate for the nurse to suggest to
this client?
• Walking with the nurse in the courtyard
A nurse is admitting a client who is exhibiting manic behavior. The client reports recent
personal stressors including the loss of her mother and a divorce. Which of the following is
the priority nursing action?
• Preventing self-directed violence.
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which
of the following actions should the nurse identify as the priority?
• Assign a staff member to stay with the client at all times.
