MGMT 342attachment_1 (79)
Mental health
1. What are the symptoms of heroin intoxication? (select all that apply)
A. Dilated pupils
B. Pinpoint pupils
C. Disorientation
D. Hyperactivity (double check answers)
E. Yawning
2. The client is prescribed phenelzine and is on a tyramine-free diet what food cannot be
eaten? (select all that apply)
A. Chicken and mashed potatoes
B. A pepperoni and cheese pizza
C. Smoked turkey and beans
D. Bananas and iced coffee
E. Plain ground beef patty with an apple
3. A nurse is teaching a group of clients regarding the use of naltrexone in
treating alcoholism. What would she teach about the effectiveness of the drug?
A. It prevents withdrawal symptoms
B. It reduces the craving for alcohol
C. It is useful in managing heightened anxiety
D. It treats depressive symptoms
4. You have received a report on a male client diagnosed with the schizoaffective
disorder the nurse informs you that his verbal communication includes
circumstantiality what intervention is the most therapeutic when caring for this client?
A. Allow him to continue the conversation at this own pace
B. Redirect the conversation to assist him in focusing on the topic
C. Stop him and tell him how his conversation sounds to others
D. Used the communication technique of reflection (double check answers)
5. A newly admitted client has a diagnosis of schizoaffective disorder used on this diagnosis
the nurse would expect to find which of the following symptoms?
A. Delusional thinking and mood changes
B. Waxy flexibility and catatonic excitement
C. Bizarre manana and hostility
D. Agitation and ideas of reference
6. A client is admitted to the hospital for alcohol intoxication. The family reports that he is a
heavy drinker and has been admitted several times for alcohol detoxication. When can
the nurse expect to observe the first symptoms of withdrawal?
A. Within 24
hours B. Within 8
hours
C. Within 48 hours
D. Within 72 hours
7. A client diagnosed with bipolar I disorder in a manic state. Rushing about the unit and
talking regularly with loose associations. Which is the most therapeutic intervention?
A. Have the client go to his room until calm
,MGMT 342attachment_1 (79)
B. Politely ask the client to stop talking
C. Speak slowly and in a quiet voice to help the client focus
D. Encourage the client to talk more so you can determine what he is thinking
8. Which assessment finding by the nurse would indicate the client diagnosed with
schizophrenia is not tolerating the stimulation on the unit?
A. Increase in demands for attention
B. An increase in pacing and hallucination
C. Creating a disorganized project in the art group
D. Using confabulation when asked a question
9. A client diagnosed major depressive disorder (MDD) takes propranolol for hypertension
and imipramine for depression given the side effects of these drugs what would be the
essential teaching by the nurse?
A. Rise slowly when you change from lying to sitting to standing
B. Wear sunscreen and avoid mid-day sun
C. Report eps symptoms
D. Taking both of these drugs may cause increased agitation.
10. A client schizophrenia has begun a new prescription of clozapine the nurse should assess
the results of which laboratory study to monitor for advise effect?
A. Kidney function studies
B. Red blood cell count
C. Liver function studies
D. White blood cell count
11. . A female client is experiencing delusions of grandeur and is highly suspicions of other
what is the most therapeutic approach to use?
A. Reassure her and let her know others care
B. Provide an activity in which she can
excel C. Recognize her feelings and present
reality
D. Use approving communication technique
12. A client who has suicidal is beginning in respond to the anti-depressant and reports
improved appetite and sleep which nursing intervention is most important at this time?
A. Encourage the client to become more active in the unit
B. Recognize the client suicidal potential has decreased
C. Discontinue suicidal risk assessment
D. Continue vigilance regarding client’s suicidal precaution.
13. What are the possible physiological changes in the brain of a client diagnosed with
Alzheimer’s disease? (select all that apply)
A. Brain atrophy
B. Overabundance of plaques (amyloid beta)
C. Overabundance of tangles (tau protein)
D. Enlargement of the hippocampus
E. Enlarged cerebral cortex
14. 6.
, MGMT 342attachment_1 (79)
15. Which symptom will not be included when the nurse teaches the client regarding
negative symptoms in group therapy?
A. Alogia
B. Anhedonia
C. Avolition
D. ataxia
16. Which of the following symptoms might the nurse identify in a client who is a chronic
cocaine user? (select all that apply)
A. euphoria
B. Rhinorrhea
C. Poor appetite
D. Calm demeaner
17. A nurse is providing discharge teaching to a client who has bipolar disorder and will be
discharged with a prescription for lithium. What information should be included in the
teaching?
A. Do not participate in strenuous activity in the heat
B. Drink 1500 ml of water per day
C. Ensure 4 grams of sodium per day
D. Routine bloodwork is not required
18. The nurse is admitting a client with a dual diagnosis of major depressive disorder
and alcohol abuse. What is the primary intervention?
A. Administer thiamine (IM)
B. Assist the client with personal hygiene needs
C. Place the client on continuous observation
D. Explain the milieu therapy
19. What intervention is a priority when the client is experiencing auditory hallucination?
A. Determine what precipitates these hallucination
B. Distract the client when having hallucination
C. Determine the content of the hallucination
D. Let the client know do not hear the voices
20. After assessing a client and determining the impact on of his alcohol addiction on the
family members the nurse suggest family therapy. The client states, “my son doesn’t
need to attend. He is only 13. He has never seen me drunk.” What is the nurse’s best
response?
A. “I’m sure your son knows you are an alcoholic.”
B. “you know your son has seen you drinking.”
C. “It is important that all family members who could be impacted are present.”
D. “It is good that you have these concerns for your son.”
21. What are symptoms of neuroleptic malignant syndrome (NMS)?
Muscle rigidity and hyperpyrexia
Orthostatic hypotension and drowsiness
Bizarre facial and tongue movements
Mental health
1. What are the symptoms of heroin intoxication? (select all that apply)
A. Dilated pupils
B. Pinpoint pupils
C. Disorientation
D. Hyperactivity (double check answers)
E. Yawning
2. The client is prescribed phenelzine and is on a tyramine-free diet what food cannot be
eaten? (select all that apply)
A. Chicken and mashed potatoes
B. A pepperoni and cheese pizza
C. Smoked turkey and beans
D. Bananas and iced coffee
E. Plain ground beef patty with an apple
3. A nurse is teaching a group of clients regarding the use of naltrexone in
treating alcoholism. What would she teach about the effectiveness of the drug?
A. It prevents withdrawal symptoms
B. It reduces the craving for alcohol
C. It is useful in managing heightened anxiety
D. It treats depressive symptoms
4. You have received a report on a male client diagnosed with the schizoaffective
disorder the nurse informs you that his verbal communication includes
circumstantiality what intervention is the most therapeutic when caring for this client?
A. Allow him to continue the conversation at this own pace
B. Redirect the conversation to assist him in focusing on the topic
C. Stop him and tell him how his conversation sounds to others
D. Used the communication technique of reflection (double check answers)
5. A newly admitted client has a diagnosis of schizoaffective disorder used on this diagnosis
the nurse would expect to find which of the following symptoms?
A. Delusional thinking and mood changes
B. Waxy flexibility and catatonic excitement
C. Bizarre manana and hostility
D. Agitation and ideas of reference
6. A client is admitted to the hospital for alcohol intoxication. The family reports that he is a
heavy drinker and has been admitted several times for alcohol detoxication. When can
the nurse expect to observe the first symptoms of withdrawal?
A. Within 24
hours B. Within 8
hours
C. Within 48 hours
D. Within 72 hours
7. A client diagnosed with bipolar I disorder in a manic state. Rushing about the unit and
talking regularly with loose associations. Which is the most therapeutic intervention?
A. Have the client go to his room until calm
,MGMT 342attachment_1 (79)
B. Politely ask the client to stop talking
C. Speak slowly and in a quiet voice to help the client focus
D. Encourage the client to talk more so you can determine what he is thinking
8. Which assessment finding by the nurse would indicate the client diagnosed with
schizophrenia is not tolerating the stimulation on the unit?
A. Increase in demands for attention
B. An increase in pacing and hallucination
C. Creating a disorganized project in the art group
D. Using confabulation when asked a question
9. A client diagnosed major depressive disorder (MDD) takes propranolol for hypertension
and imipramine for depression given the side effects of these drugs what would be the
essential teaching by the nurse?
A. Rise slowly when you change from lying to sitting to standing
B. Wear sunscreen and avoid mid-day sun
C. Report eps symptoms
D. Taking both of these drugs may cause increased agitation.
10. A client schizophrenia has begun a new prescription of clozapine the nurse should assess
the results of which laboratory study to monitor for advise effect?
A. Kidney function studies
B. Red blood cell count
C. Liver function studies
D. White blood cell count
11. . A female client is experiencing delusions of grandeur and is highly suspicions of other
what is the most therapeutic approach to use?
A. Reassure her and let her know others care
B. Provide an activity in which she can
excel C. Recognize her feelings and present
reality
D. Use approving communication technique
12. A client who has suicidal is beginning in respond to the anti-depressant and reports
improved appetite and sleep which nursing intervention is most important at this time?
A. Encourage the client to become more active in the unit
B. Recognize the client suicidal potential has decreased
C. Discontinue suicidal risk assessment
D. Continue vigilance regarding client’s suicidal precaution.
13. What are the possible physiological changes in the brain of a client diagnosed with
Alzheimer’s disease? (select all that apply)
A. Brain atrophy
B. Overabundance of plaques (amyloid beta)
C. Overabundance of tangles (tau protein)
D. Enlargement of the hippocampus
E. Enlarged cerebral cortex
14. 6.
, MGMT 342attachment_1 (79)
15. Which symptom will not be included when the nurse teaches the client regarding
negative symptoms in group therapy?
A. Alogia
B. Anhedonia
C. Avolition
D. ataxia
16. Which of the following symptoms might the nurse identify in a client who is a chronic
cocaine user? (select all that apply)
A. euphoria
B. Rhinorrhea
C. Poor appetite
D. Calm demeaner
17. A nurse is providing discharge teaching to a client who has bipolar disorder and will be
discharged with a prescription for lithium. What information should be included in the
teaching?
A. Do not participate in strenuous activity in the heat
B. Drink 1500 ml of water per day
C. Ensure 4 grams of sodium per day
D. Routine bloodwork is not required
18. The nurse is admitting a client with a dual diagnosis of major depressive disorder
and alcohol abuse. What is the primary intervention?
A. Administer thiamine (IM)
B. Assist the client with personal hygiene needs
C. Place the client on continuous observation
D. Explain the milieu therapy
19. What intervention is a priority when the client is experiencing auditory hallucination?
A. Determine what precipitates these hallucination
B. Distract the client when having hallucination
C. Determine the content of the hallucination
D. Let the client know do not hear the voices
20. After assessing a client and determining the impact on of his alcohol addiction on the
family members the nurse suggest family therapy. The client states, “my son doesn’t
need to attend. He is only 13. He has never seen me drunk.” What is the nurse’s best
response?
A. “I’m sure your son knows you are an alcoholic.”
B. “you know your son has seen you drinking.”
C. “It is important that all family members who could be impacted are present.”
D. “It is good that you have these concerns for your son.”
21. What are symptoms of neuroleptic malignant syndrome (NMS)?
Muscle rigidity and hyperpyrexia
Orthostatic hypotension and drowsiness
Bizarre facial and tongue movements
