PRACTICE ASSESSMENT: RN MENTAL HEALTH ONLINE PRACTICE 2020 B
1. A nurse is talking with a group of parents who have recently experienced the death of a child
which of the following actions should the nurse take?
Encourage the parents to avoid discussing the death of their other children to protect
their feelings
Recommend each parent grieve in a private to avoid hindering each other’s healing
Suggest forming a weekly support group for parents who have experienced the death of
a child.
Advise the parents to begin counseling if they are still grieving in a few months
2. A nurse in a community Health Center is working with a group of clients who have post-
traumatic stress disorder. Which of the following interventions should the nurse include to
reduce anxiety among the group members?
Response prevention
Guided imagery
Aversion therapy
Light therapy
3. A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of
the following actions should the nurse include in the plan?
Administer phenytoin 30 min prior to procedure
Instruct the client to expect a headache following the procedure
Place the client in a four-point restraint prior to the procedure
Monitor the client’s cardiac rhythm during the procedure
4. A nurse is planning prevention strategies for partner violence in the community. Which of the
following strategies should the nurse include as a method of secondary prevention?
Provide teaching about the use of positive coping mechanisms
Establish screening programs to identify at risk clients
Refer survivors to intimate partner abuse to a legal advocacy program
Organize rehabilitation therapy for clients who have experienced intimate partner abuse
5. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the
following findings places the client at a greater risk for self-directed injury or injuring others?
Inability to communicate with others
Feelings of absence of self-worth
Lack of motivation to perform daily tasks
Command hallucinations
, 6. A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child
for which of the following findings as an adverse effect of methylphenidate?
Weight gain
Tinnitus
Tachycardia
Increased salivation
7. A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the
following statements should the nurse make?
“It appears as though you would like to open the door.”
“You will feel more comfortable after you've been here for a while.”
“It is ok to not want to be here.”
“You really shouldn't be pushing on the door.”
8. A nurse is assisting a client who has a terminal illness adjust to progressive loss of
independence. Which of the following statements by the client indicates acceptance of her
illness?
“I am going to order a wheelchair for when I'm unable to walk.”
“I am going to stop paying my bills since I won't be around much longer.”
“I wish you would go take care of somebody who actually needs you.”
“I am sure I'm going to be able to continue to care for myself without help.”
9. A nurse is preparing to participate in an interdisciplinary conference or client who has bipolar
disorder. Which of the following behaviors is the priority for the nurse to report to the
treatment team?
Calling family members
Spending time alone
Giving away possessions
Excessive crying
10. A nurse is teaching the partner of a client who has bipolar disorder how to identify
manifestations of acute mania. Which of the following findings should the clients partner report
to the provider?
Obsessive attention to detail
Inability to sleep
Reports of fatigue
Isolation from others
1. A nurse is talking with a group of parents who have recently experienced the death of a child
which of the following actions should the nurse take?
Encourage the parents to avoid discussing the death of their other children to protect
their feelings
Recommend each parent grieve in a private to avoid hindering each other’s healing
Suggest forming a weekly support group for parents who have experienced the death of
a child.
Advise the parents to begin counseling if they are still grieving in a few months
2. A nurse in a community Health Center is working with a group of clients who have post-
traumatic stress disorder. Which of the following interventions should the nurse include to
reduce anxiety among the group members?
Response prevention
Guided imagery
Aversion therapy
Light therapy
3. A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of
the following actions should the nurse include in the plan?
Administer phenytoin 30 min prior to procedure
Instruct the client to expect a headache following the procedure
Place the client in a four-point restraint prior to the procedure
Monitor the client’s cardiac rhythm during the procedure
4. A nurse is planning prevention strategies for partner violence in the community. Which of the
following strategies should the nurse include as a method of secondary prevention?
Provide teaching about the use of positive coping mechanisms
Establish screening programs to identify at risk clients
Refer survivors to intimate partner abuse to a legal advocacy program
Organize rehabilitation therapy for clients who have experienced intimate partner abuse
5. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the
following findings places the client at a greater risk for self-directed injury or injuring others?
Inability to communicate with others
Feelings of absence of self-worth
Lack of motivation to perform daily tasks
Command hallucinations
, 6. A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child
for which of the following findings as an adverse effect of methylphenidate?
Weight gain
Tinnitus
Tachycardia
Increased salivation
7. A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the
following statements should the nurse make?
“It appears as though you would like to open the door.”
“You will feel more comfortable after you've been here for a while.”
“It is ok to not want to be here.”
“You really shouldn't be pushing on the door.”
8. A nurse is assisting a client who has a terminal illness adjust to progressive loss of
independence. Which of the following statements by the client indicates acceptance of her
illness?
“I am going to order a wheelchair for when I'm unable to walk.”
“I am going to stop paying my bills since I won't be around much longer.”
“I wish you would go take care of somebody who actually needs you.”
“I am sure I'm going to be able to continue to care for myself without help.”
9. A nurse is preparing to participate in an interdisciplinary conference or client who has bipolar
disorder. Which of the following behaviors is the priority for the nurse to report to the
treatment team?
Calling family members
Spending time alone
Giving away possessions
Excessive crying
10. A nurse is teaching the partner of a client who has bipolar disorder how to identify
manifestations of acute mania. Which of the following findings should the clients partner report
to the provider?
Obsessive attention to detail
Inability to sleep
Reports of fatigue
Isolation from others
