HEALTH
PROCTORED
EXAM
(STUDY
GUIDE) 2022
,1.A charge nurse is discussing mental status exams with a newly licensed
nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? (Select all that apply)
A. "To assess cognitive ability, I should ask the client to count backward
by sevens." B. "To assess affect, I should observe the client's facial
expression."
C. "To assess language ability, I should instruct the client to write a
sentence."
D. "To assess remote memory, I should have the client repeat a list of
objects."
E. "To assess the client's abstract thinking, I should ask the client to
identify our most recent presidents."
A nurse is planning care for a client who has a mental health disorder. Which
of the following actions should the nurse include as a psychobiological
intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. 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 conducting the interview, which of the
following actions should the nurse identify as the priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
A nurse is told during change of shift report that a client is stuporous. When
assessing the client, which of the following findings should the nurse expect?
A. The client arouses briefly in response to a sternal rub.
B. The client has a glasgow coma scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place.
,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)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health
disorders.
C. The DSM-5 indicates recommended pharmacological treatment for
mental health disorders.
D. The DSM-5 assists nurses in planning care for client's who have
mental health disorders.
E. 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?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year
ago
C. A client who has borderline personality disorder and assaulted a
homeless man with a metal rod
D. A client who has bipolar disorder and paces quickly around the room
while talking to himself
A nurse decides to put a client who has a psychotic disorder in seclusion
overnight because the unit is very short-staffed, and the client frequently
fights with other clients. The nurse's actions are an example of which of the
following torts?
A. Invasion of
privacy B. False
imprisonment
C. Assault
D. Battery
A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my
mattress in order to protect myself from my roommate, who is always
yelling at me and threatening me." Which of the following actions should the
nurse take?
A. Keep the client's communication confidential, but talk to the client
daily, using therapeutic communication to convince him to admit to
hiding the knife.
B. Keep the client's communication confidential, but watch the client and
his roommate closely.
C. Tell the client that this must be reported to the health care team because
it concerns the health and safety of the client and others.
, D. Report the incident to the health care team, but do not inform the
client of the intention to do so.