Practice Assessment; RN Mental Health Online Practice
2019 A
1. A nurse is assessing a client who recently used cocaine. Which of the following ndings should the
nurse expect?
Hypertension
Polyphagia
Decreased temperature
Depressed mood
2. A nurse is caring for a group of clients. Which of the following ndings should the nurse report?
A client who is taking clozapine and has a WBC count of 7,500/mm3
A client who is taking lamotrigine and has developed a rash
A client who is taking valproate and has a platelet count of 150,000/mm3
A client who is taking lithium and has a lithium level of 1.2 mEq/L
3. A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear
voices telling me what to do." Which of the following actions should the nurse take?
Tell the client that the voices do not really exist.
Touch the client to help reduce feelings of anxiety.
Instruct the client to go to a quiet room when the voices start talking.
Ask the client what the voices are saying
4. A nurse is communicating with a client in an inpatient mental health facility. Which of the
following actions by the nurse demonstrates the use of active listening?
Oering self
Use of silence
Attention to body language •
body language
Reection of feelings
5. A client who has paranoid schizophrenia is attending a treatment planning conference with a
family member. During the discussion of the medication adherence portion of the plan, a nurse
notices that the family member seems distracted. Which of the following actions should the
nurse take?
Call the family member to the side to inquire if they have questions or concerns about the
treatment plan.
Advise the family member that this treatment plan has been developed specically for the client
to follow
Ask the family member if they have any thoughts or questions about the treatment plan.
Document that the family member does not support the medication treatment plan.
, 6. A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse
should identify that which of the following founding’s indicates a potential psychiatric
emergency?
The client is exhibiting echolalia.
The client reports command hallucinations.
The client reports loss of motivation
The client is exhibiting blunted affect
7. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following
medications should the nurse administer first? (Click on the "Exhibit" button below for additional
client information. There are three tabs that contain separate categories of data.)
Diazepam 5 mg IV bolus
Clonidine 0.1 mg transdermal patch
Naltrexone 380 mg IM
Bupropion 150 mg PO
8. A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings is the priority for the nurse to notify the provider?
The client's chart indicates a 1.36-kg (3-lb) weight gain in 1 month
The client reports an inability to breathe easily
The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL.
The client reports having recently started smoking cigarettes.
9. A nurse in a community health center is counseling a family of two parents and two children.
Which of the following statements by a family member indicates manipulative behavior?
"If you do my homework for me, I won't bother you for the rest of the day."
"Mom is always upset."
"It's not the children's fault. It's mine."
"It's your fault that we're having problems as a family."
10. A nurse is caring for a client who has schizophrenia and began taking a conventional
antipsychotic medication yesterday. Which of the following findings indicates the nurse should
administer benztropine 2 mg IM?
Shuing gait
Hypotension
Decreased WBC count
Blurred vision
11. A nurse is delegating client care tasks to a licensed practical nurse (LPN) and assistive personnel.
Which of the following tasks should the nurse assign to the LPN?
Obtain the weight of a client who has bipolar disorder and is experiencing mania.
2019 A
1. A nurse is assessing a client who recently used cocaine. Which of the following ndings should the
nurse expect?
Hypertension
Polyphagia
Decreased temperature
Depressed mood
2. A nurse is caring for a group of clients. Which of the following ndings should the nurse report?
A client who is taking clozapine and has a WBC count of 7,500/mm3
A client who is taking lamotrigine and has developed a rash
A client who is taking valproate and has a platelet count of 150,000/mm3
A client who is taking lithium and has a lithium level of 1.2 mEq/L
3. A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear
voices telling me what to do." Which of the following actions should the nurse take?
Tell the client that the voices do not really exist.
Touch the client to help reduce feelings of anxiety.
Instruct the client to go to a quiet room when the voices start talking.
Ask the client what the voices are saying
4. A nurse is communicating with a client in an inpatient mental health facility. Which of the
following actions by the nurse demonstrates the use of active listening?
Oering self
Use of silence
Attention to body language •
body language
Reection of feelings
5. A client who has paranoid schizophrenia is attending a treatment planning conference with a
family member. During the discussion of the medication adherence portion of the plan, a nurse
notices that the family member seems distracted. Which of the following actions should the
nurse take?
Call the family member to the side to inquire if they have questions or concerns about the
treatment plan.
Advise the family member that this treatment plan has been developed specically for the client
to follow
Ask the family member if they have any thoughts or questions about the treatment plan.
Document that the family member does not support the medication treatment plan.
, 6. A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse
should identify that which of the following founding’s indicates a potential psychiatric
emergency?
The client is exhibiting echolalia.
The client reports command hallucinations.
The client reports loss of motivation
The client is exhibiting blunted affect
7. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following
medications should the nurse administer first? (Click on the "Exhibit" button below for additional
client information. There are three tabs that contain separate categories of data.)
Diazepam 5 mg IV bolus
Clonidine 0.1 mg transdermal patch
Naltrexone 380 mg IM
Bupropion 150 mg PO
8. A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings is the priority for the nurse to notify the provider?
The client's chart indicates a 1.36-kg (3-lb) weight gain in 1 month
The client reports an inability to breathe easily
The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL.
The client reports having recently started smoking cigarettes.
9. A nurse in a community health center is counseling a family of two parents and two children.
Which of the following statements by a family member indicates manipulative behavior?
"If you do my homework for me, I won't bother you for the rest of the day."
"Mom is always upset."
"It's not the children's fault. It's mine."
"It's your fault that we're having problems as a family."
10. A nurse is caring for a client who has schizophrenia and began taking a conventional
antipsychotic medication yesterday. Which of the following findings indicates the nurse should
administer benztropine 2 mg IM?
Shuing gait
Hypotension
Decreased WBC count
Blurred vision
11. A nurse is delegating client care tasks to a licensed practical nurse (LPN) and assistive personnel.
Which of the following tasks should the nurse assign to the LPN?
Obtain the weight of a client who has bipolar disorder and is experiencing mania.
