NUR 214 (Mental Health - Test 5) NCLEX STYLE
PRACTICE QUESTIONS RATED A+
After a mammogram, a client is told that she needs a fine needle aspirate of a
breast mass. Which action by the client demonstrates engagement in a primary
appraisal of the stressful situation?
A) Holding her breath while the nurse is talking
B) Sitting in the dressing room crying
C) Asking the nurse if she has cancer
D) Scheduling the procedure in 6 weeks, which is the earliest possible
appointment
**P-31** - ANSWER C
(Asking the nurse if she has cancer)
A client worries every day about personal health and states, "I may not have
enough medication if the weather takes a turn for the worse." This client is
exhibiting a sign of which alteration in stress and coping?
A) Generalized anxiety disorder
B) Phobia
C) Obsessive-compulsive disorder
D) Panic disorder
**P-31** - ANSWER A
(Generalized anxiety disorder)
A client states to the nurse that learning how to use the blood glucose machine
will have to wait until holiday events are planned. Which cognitive indication of
stress is the client demonstrating?
A) Problem solving
B) Suppression
C) Self-control
D) Cognitive structuring
**P-31** - ANSWER B
(Suppression)
,Which assessment findings indicate to the nurse that a client is experiencing
stress? (Select all that apply)
A) Chewing on a fingernail
B) Checking cellular phone
C) Reading a magazine
D) Talking with others
E) Tapping foot
**P-31** - ANSWER A & E
(Chewing on a fingernail)
(Tapping foot)
A client complains about the stress of having to work long hours and missing
daily exercise routines. Which response by the nurse is appropriate?
A) "There are other ways to reduce stress, such as meditation."
B) "Exercise helps reduce the impact of stress on the body and would be a good
thing."
C) "Drinking a small glass of wine each day does help reduce stress."
D) "Maybe exercising, with all of the work, would be too much for your body
anyway."
**P-31** - ANSWER B
("Exercise helps reduce the impact of stress on the body and would be a good
thing.")
Which intervention would help a client who is demonstrating stress about being
hospitalized who is concerned about the needs of the children at home?
A) Ask the client if there is anything that is needed once discharged to home
B) Ask the client if there is anyone who would be able to help with the family
needs at home during recuperation
C) Find out if the children can be sent to a grandparent's home until the client
fully recovers
D) Suggest the client be transferred to a long-term care facility to ensure a full
recovery
**P-31** - ANSWER B
(Ask the client if there is anyone who would be able to help with the family needs
at home during recuperation)
,Which instruction by the nurse to a client prescribed diazepam (Valium) for
anxiety and stress is appropriate?
A) "This medication will be good to take for a long time."
B) "Take this medication every time feelings of stress become overwhelming."
C) "This medication works best if taken with a meal."
D) "This medication is good to use for the short term only."
**P-31** - ANSWER D
("This medication is good to use for the short term only.")
A client is recently prescribed risperidone (Risperdal) by the healthcare
provider. Which would be a priority nursing consideration for this client?
A) Assess blood pressure and heart rate
B) Monitor for increased agitation
C) Assess for drowsiness
D) Monitor for neuroleptic malignant syndrome
**P-31** - ANSWER D
(Monitor for neuroleptic malignant syndrome)
A nurse on the behavioral health unit is caring for a client diagnosed with
depression who just lost a spouse in a motor vehicle crash. The client states to
the nurse, "My wife would not have wanted to live if she were disabled." Based
on this statement, which defense mechanism is the client using?
A) Identification
B) Denial
C) Intellectualization
D) Displacement
**P-31** - ANSWER C
(Intellectualization)
Which hormone is one of the primary mediators of stress?
A) Glucagon
B) Cortisol
C) Serotonin
D) Somatostatin
, **P-31** - ANSWER B
(Cortisol)
Occupation-specific stressors that are ongoing and unmanaged can lead to
what extreme form of stress?
A) Distress
B) Eustress
C) Allostasis
D) Burnout
**P-31** - ANSWER D
(Burnout)
Which intervention can the nurse implement independently when caring for a
client with alterations in stress and coping?
A) Therapeutic communication
B) Cognitive-behavioral therapy
C) Psychotherapy
D) Administration of medications
**P-31** - ANSWER A
(Therapeutic communication)
Which child would the nurse recognize as being at the highest risk of
experiencing toxic stress?
A) A 15-year-old adolescent who is slightly overweight and didn't make the
football team; he regularly gets teased for his weight at school
B) A 2-week-old infant who was born at 31 weeks' gestation and has been in the
neonatal intensive care unit (NICU) for the entire 2 weeks; the child's parents
are at the hospital as often as possible
C) A 12-year-old child whose father recently died and whose mother works three
part-time jobs; this child is expected to care for two younger siblings after
school
D) A 4-year-old child who attends preschool or daycare each day while the
parents work; the child displays signs of mild separation anxiety
**P-31** - ANSWER C
PRACTICE QUESTIONS RATED A+
After a mammogram, a client is told that she needs a fine needle aspirate of a
breast mass. Which action by the client demonstrates engagement in a primary
appraisal of the stressful situation?
A) Holding her breath while the nurse is talking
B) Sitting in the dressing room crying
C) Asking the nurse if she has cancer
D) Scheduling the procedure in 6 weeks, which is the earliest possible
appointment
**P-31** - ANSWER C
(Asking the nurse if she has cancer)
A client worries every day about personal health and states, "I may not have
enough medication if the weather takes a turn for the worse." This client is
exhibiting a sign of which alteration in stress and coping?
A) Generalized anxiety disorder
B) Phobia
C) Obsessive-compulsive disorder
D) Panic disorder
**P-31** - ANSWER A
(Generalized anxiety disorder)
A client states to the nurse that learning how to use the blood glucose machine
will have to wait until holiday events are planned. Which cognitive indication of
stress is the client demonstrating?
A) Problem solving
B) Suppression
C) Self-control
D) Cognitive structuring
**P-31** - ANSWER B
(Suppression)
,Which assessment findings indicate to the nurse that a client is experiencing
stress? (Select all that apply)
A) Chewing on a fingernail
B) Checking cellular phone
C) Reading a magazine
D) Talking with others
E) Tapping foot
**P-31** - ANSWER A & E
(Chewing on a fingernail)
(Tapping foot)
A client complains about the stress of having to work long hours and missing
daily exercise routines. Which response by the nurse is appropriate?
A) "There are other ways to reduce stress, such as meditation."
B) "Exercise helps reduce the impact of stress on the body and would be a good
thing."
C) "Drinking a small glass of wine each day does help reduce stress."
D) "Maybe exercising, with all of the work, would be too much for your body
anyway."
**P-31** - ANSWER B
("Exercise helps reduce the impact of stress on the body and would be a good
thing.")
Which intervention would help a client who is demonstrating stress about being
hospitalized who is concerned about the needs of the children at home?
A) Ask the client if there is anything that is needed once discharged to home
B) Ask the client if there is anyone who would be able to help with the family
needs at home during recuperation
C) Find out if the children can be sent to a grandparent's home until the client
fully recovers
D) Suggest the client be transferred to a long-term care facility to ensure a full
recovery
**P-31** - ANSWER B
(Ask the client if there is anyone who would be able to help with the family needs
at home during recuperation)
,Which instruction by the nurse to a client prescribed diazepam (Valium) for
anxiety and stress is appropriate?
A) "This medication will be good to take for a long time."
B) "Take this medication every time feelings of stress become overwhelming."
C) "This medication works best if taken with a meal."
D) "This medication is good to use for the short term only."
**P-31** - ANSWER D
("This medication is good to use for the short term only.")
A client is recently prescribed risperidone (Risperdal) by the healthcare
provider. Which would be a priority nursing consideration for this client?
A) Assess blood pressure and heart rate
B) Monitor for increased agitation
C) Assess for drowsiness
D) Monitor for neuroleptic malignant syndrome
**P-31** - ANSWER D
(Monitor for neuroleptic malignant syndrome)
A nurse on the behavioral health unit is caring for a client diagnosed with
depression who just lost a spouse in a motor vehicle crash. The client states to
the nurse, "My wife would not have wanted to live if she were disabled." Based
on this statement, which defense mechanism is the client using?
A) Identification
B) Denial
C) Intellectualization
D) Displacement
**P-31** - ANSWER C
(Intellectualization)
Which hormone is one of the primary mediators of stress?
A) Glucagon
B) Cortisol
C) Serotonin
D) Somatostatin
, **P-31** - ANSWER B
(Cortisol)
Occupation-specific stressors that are ongoing and unmanaged can lead to
what extreme form of stress?
A) Distress
B) Eustress
C) Allostasis
D) Burnout
**P-31** - ANSWER D
(Burnout)
Which intervention can the nurse implement independently when caring for a
client with alterations in stress and coping?
A) Therapeutic communication
B) Cognitive-behavioral therapy
C) Psychotherapy
D) Administration of medications
**P-31** - ANSWER A
(Therapeutic communication)
Which child would the nurse recognize as being at the highest risk of
experiencing toxic stress?
A) A 15-year-old adolescent who is slightly overweight and didn't make the
football team; he regularly gets teased for his weight at school
B) A 2-week-old infant who was born at 31 weeks' gestation and has been in the
neonatal intensive care unit (NICU) for the entire 2 weeks; the child's parents
are at the hospital as often as possible
C) A 12-year-old child whose father recently died and whose mother works three
part-time jobs; this child is expected to care for two younger siblings after
school
D) A 4-year-old child who attends preschool or daycare each day while the
parents work; the child displays signs of mild separation anxiety
**P-31** - ANSWER C
