REVIEW QUESTIONS AND VERIFIED
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A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following st
atements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply).
- correct answer--To assess cognitive ability, I should ask the client to count backward 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 care for a client who has a mental health disorder. Which of the following actions sh
ould the nurse include as a psychobiological intervention? - correct answer-
Monitor the client for adverse effects of the medications.
A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When con
ducting the interview, which of the following actions should the nurse identify as the priority? -
correct answer-Identify the client's perception of her mental health status.
A nurse is told during change of shift report that a client is stuporous. When assessing the client, which o
f the following findings should the nurse expect? - correct answer-
The client arouses briefly in response to a sternal rub.
A nurse is planning a peer group discussion about the DSM-
5. Which of the following information is appropriate to include in the discussion? (Select all that apply) -
correct answer-The DSM-5 establishes diagnostic criteria for individual mental health disorders.
-The DSM-5 assists nurses in planning care for client's who have mental health disorders.
-The DSM-5 indicates expected assessment findings of mental health disorders.
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify
that which of the following clients requires a temporary emergency admission? - correct answer-
A client who has borderline personality disorder and assaulted a homeless man with a metal rod
,A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is ve
ry short-
staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of
the following torts? - correct answer-False imprisonment
A client tells a nurse, "Don't tell anyone but I hid a 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 action
s should the nurse take? - correct answer-
Report the incident to the health care team, but do not inform the client of the intention to do so.
A nurse is caring for a client who is in mechanical restraints. Which of the following statements should t
he nurse include in the documentation? (Select all that apply) - correct answer--
Client was offeredx8xozxofxwaterxeveryxhr."
-Clientxshoutedxobscenitiesxatxassistivex personnel."
-Clientxreceivedxchlorpromazinex 15xmgxbyxmouthxatx 1000.
Axnursexhearsxaxnewlyxlicensedxnursexdiscussingxaxclient'sxhallucinationsxinxthex hallwayxwithxanotherx n
urs
e.xWhichxofxthexfollowingxactionsxshouldxthex nursextakex first?x-x correctxanswer-
Tellx thexnursextox stopxdiscussingxthexbehavior
Axnursexisxcaringxforxthexparentsxofxaxchildxwhoxhasxdemonstratedxchangesxinxbehaviorxandxmood.xWhe
nx t
hexmotherxofxthexchildxasksxthexnursexforxreassurancexaboutxherxson'sx condition,xwhichxofxthexfollowing
xIxre
understandxyou'rexconcerned.x Let'sxdiscussx whatxconcernsx youxspecifically."
sponsesxshouldxthexnursexmake?x -xcorrectxanswer-
Axnursexisxcaringxforxaxclientx whoxsmokesxandxhasxlungx cancer.x Thexclientxreports,x"I'mxcoughingxbeca
use
Ixhavexthatxcoldxthatxeveryonex hasxbeenxgetting."xThexnursexshouldxidentifyxthatxthexclientxisxusingxwhi
ch
ofxthexfollowingxdefensexmechanisms?x -xcorrectx answer-Denial
Axnursexisxprovidingxpreoperativexteachingxforxaxclientxwhoxwasxjustxinformedxthatx shexrequiresxemerge
nc
yxsurgery.xThexclientxhasxaxrespiratoryxratex30/minxandxsays,x"Thisxisxdifficultxtoxcomprehend.xIxfeelxsha
ky
andxnervous."xThexnursexshouldxidentifyxthatxthexclientxisxexperiencingxwhichxofxthexfollowingxlevelsxof
xa
nxiety?x-xcorrectxanswer-Moderate
Axnursexisxcaringxforxaxclientx whoxisxexperiencingxmoderatexanxiety.xWhichxofxthex followingxactionsxsh
ou
ldxthexnursextakexwhenxtryingx tox givexnecessaryxinformationxtoxthexclient?x(Selectx allxthatx apply.)x -
correctxanswer--Discussx priorxusex ofxcopingxmechanismsxwithxthexclient.
,x
-Demonstratex axcalmxmannerx whilex usingx simplexandxclearx directions.
Axnursexisxtalkingxwithxaxclientx whoxisx atxriskxforxsuicidex followingxthexdeathxofxhisxspouse.xWhichxof
x the
followingxstatementsxshouldx thexnursexmake?x-xcorrectxanswer--
Losingxsomeonexclosextoxyouxmustx bex veryxupsetting."
Axchargex nursexisxdiscussingx thexcharacteristicsxofxaxnurse-
clientxrelationshipxwithxaxnewlyxlicensedxnurse.xWhichxofxthexfollowingxcharacteristicsxshouldxthex nurse
xi
ncludexinxthexdiscussion?x(Selectxallxthatxapply)x-xcorrectxanswer--Itxisxgoal-directed.
-Behavioralxchangexisxencouraged.
-Axterminationxdatexisxestablished.
Axnursexisxinxthexworkingxphasexofxaxtherapeuticxrelationshipxwithxaxclientx whoxhasxmethamphetaminexu
se
disorder.xWhichxofxthexfollowingxactionsxindicatesxtransferencexbehavior?x-xcorrectxanswer-
Thexclientxaccusesxthex nursesx ofxtellingxhimxwhatxtox doxjustxlikexhisxex-girlfriend.
Axnursexisxplanningxcarexforxthexterminationxphasexofxaxnurse-
clientxrelationship.xWhichxofxthexfollowingxactionsxshouldxthexnursexincludexinxthex planxofxcare?
x-
correctxanswer-Discussingxwaysxtoxusexnewxbehaviors
Axnursexisxorientingxaxnewxclientxtox axmentalx healthxunit.xWhenxexplainingxthexunit'sxcommunityxmeetin
gs
, whichxofxthexfollowingxstatementsxshouldxthexnursexmake?x -
x correct
You answer-
x andxxthe xotherx clientsxwillx meetx withx staffx toxdiscussx commonxproblem
s.
Axnursexisxcaringxseveralxclientsx whox arexattendingx community-
basedxmentalxhealthxprograms.xWhichxofxthexfollowingxclientsxshouldxthexnursexplanxtoxvisitxfirst?x-
correctxanswer-
Axclientxwhox saysxhexisxhearingxaxvoicex thatxtellsxhimxhexisxnotx worthxlivingxanymore.
Axcommunityx mentalxhealthx nursexisx planningxcarextoxaddressxthexissuexofxdepressionxamongxolderxadul
tx c
lientsxinxthexcommunity.xWhichxofxthexfollowingxinterventionsxshouldxthexnursexplanx asxaxmethodxofxter
tia
ryxprevention?x-xcorrectx answer-
Establishingxrehabilitationxprogramsxtoxdecreasexthexeffectsxofxdepression
Axnursexisxworkingxinxaxcommunityx mentalxhealthxfacility.xWhichxofxthexfollowingxservicesxdoesxthisxty
pe
ofxprogramxprovide?x(Selectxallxthatxapply)x-xcorrectxanswer--Educationalxgroups
-Medicationxdispensingxprograms