NURS 222 Mental Health
1. A nurse is obtaining a medical history from a client who is remind her of her partner
requesting a prescription for bupropion for smoking cessation. b. Discourage the client from reliving the events surrounding
her loss
Which of the following assessment findings in a client's history
c. Explain that it can take a year or more to learn to live
should the nurse report to provider?
a. Recent head injury - risk for seizures with a loss
b. Hypothyroidism
d. The client to maintain an unstructured daily routine
c. Hippie infection
6. A nurse is teaching a client who has a new prescription for
d. Knee arthroplasty 1 month ago
disulfiram. Which of the following statements by the client
2. A nurse is planning care for a client who has narcissistic indicates an understanding of the teaching?
a. I can continue to eat age cheese and chocolate
personality disorder. Which of the following actions is
b. I can wear my cologne on special occasions
appropriate for the nurse to include in the plan of care?
a. Request an anti-psychotic medication from the provider c. When I bake my favorite cookies, I can use pure vanilla
b. Ask the client to sign a no suicide contract extract for flavoring
c. Remain neutral when communicating with the client d. If I cut myself I can clean the wound with isopropyl
d. Provide the client with high calorie finger foods
alcohol
i. Avoid everything that has alcohol
3. A nurse is preparing for an interprofessional team meeting
regarding client who has major depressive disorder. Which of the 7. A nurse is caring for a client who has schizophrenia and is
following findings obtained during the initial assessment is a experiencing auditory hallucinations. Which of the
priority to report to other disciplines? following actions should the nurse take first?
a. Significant weight loss a. Focus the client on reality-based topics
b. Neglected hygiene b. Monitor the client for indication of anxiety
c. Psychomotor retardation c. Ask the client what she is hearing
d. Problem solving skills d. Encourage the client to listen to music
4. A nurse in a mental health facility is reviewing a client's
medical record. Which of the following actions should the
nurse take first? EXHIBIT
a. Initiate 0.9% sodium chloride with 40 mil equivalent
potassium chloride
b. Encourage the client to attend group therapy sessions
c. Teach the client about nutritional needs
d. Administer acetaminophen 500 mg PO
5. A nurse is planning care for a client who demonstrates prolonged
depression related to the loss of her partner 6 months ago. Which
of the following actions should the nurse take?
a. Suggest that the client avoid social interactions that
, NURS 222 Mental Health
assaulted. The client cannot recall the attack. The nurse should
identify the the client is using which of the following defense
8. A nurse is assessing a client who has delirium. Which of the mechanisms?
following findings requires immediate intervention by the a. Suppression
nurse? b. Reaction Formation
a. Rapid mood swings c. Sublimation
b. Inappropriate speech patterns d. Repression
c. Command hallucinations
d. Impaired memory 13. A nurse is caring for a client who has Alzheimer's disease. Which
of the following findings should the nurse expect?
9. A nurse in an emergency department is assessing a client a. Excessive motor activity
who recently reported using cocaine. Which of the following b. Altered LOC
clinical manifestations should the nurse? c. Failure to recognize familiar objects
a. Lethargy d. Rapid mood swings
b. Bradycardia
c. Hypertension 14. A nurse in a mental health facility is caring for a client who is
d. Hypothermia being aggressive toward other clients. Which of the following
actions is a priority for the nurse to take?
10. A nurse is teaching a client about the use of cognitive a. Ask the client if he intends to harm others
reframing for Stress Management. Which of the following b. Role model healthy ways to express anger
statements been a client indicates an understanding of the c. Assist the client to explore techniques to reduce stress
teaching? d. Suggest that the client make a list of things that make him
a. I will practice replacing negative thoughts with angry
positive self statements
b. I will progressively relax each of my muscle groups when
feeling stressed
c. I will focus on a mental image while concentrating on my
breathing
d. I will learn how to voluntarily control my blood pressure
and heart rate
11. A nurse in an inpatient mental health facility is assessing a
client who has schizophrenia and is taking haloperidol. Which
of the following clinical findings is the nurse’s priority?
a. High fever
b. Urinary hesitancy
c. Insomnia
d. Headache
12. A nurse is interviewing a client who was recently sexual
1. A nurse is obtaining a medical history from a client who is remind her of her partner
requesting a prescription for bupropion for smoking cessation. b. Discourage the client from reliving the events surrounding
her loss
Which of the following assessment findings in a client's history
c. Explain that it can take a year or more to learn to live
should the nurse report to provider?
a. Recent head injury - risk for seizures with a loss
b. Hypothyroidism
d. The client to maintain an unstructured daily routine
c. Hippie infection
6. A nurse is teaching a client who has a new prescription for
d. Knee arthroplasty 1 month ago
disulfiram. Which of the following statements by the client
2. A nurse is planning care for a client who has narcissistic indicates an understanding of the teaching?
a. I can continue to eat age cheese and chocolate
personality disorder. Which of the following actions is
b. I can wear my cologne on special occasions
appropriate for the nurse to include in the plan of care?
a. Request an anti-psychotic medication from the provider c. When I bake my favorite cookies, I can use pure vanilla
b. Ask the client to sign a no suicide contract extract for flavoring
c. Remain neutral when communicating with the client d. If I cut myself I can clean the wound with isopropyl
d. Provide the client with high calorie finger foods
alcohol
i. Avoid everything that has alcohol
3. A nurse is preparing for an interprofessional team meeting
regarding client who has major depressive disorder. Which of the 7. A nurse is caring for a client who has schizophrenia and is
following findings obtained during the initial assessment is a experiencing auditory hallucinations. Which of the
priority to report to other disciplines? following actions should the nurse take first?
a. Significant weight loss a. Focus the client on reality-based topics
b. Neglected hygiene b. Monitor the client for indication of anxiety
c. Psychomotor retardation c. Ask the client what she is hearing
d. Problem solving skills d. Encourage the client to listen to music
4. A nurse in a mental health facility is reviewing a client's
medical record. Which of the following actions should the
nurse take first? EXHIBIT
a. Initiate 0.9% sodium chloride with 40 mil equivalent
potassium chloride
b. Encourage the client to attend group therapy sessions
c. Teach the client about nutritional needs
d. Administer acetaminophen 500 mg PO
5. A nurse is planning care for a client who demonstrates prolonged
depression related to the loss of her partner 6 months ago. Which
of the following actions should the nurse take?
a. Suggest that the client avoid social interactions that
, NURS 222 Mental Health
assaulted. The client cannot recall the attack. The nurse should
identify the the client is using which of the following defense
8. A nurse is assessing a client who has delirium. Which of the mechanisms?
following findings requires immediate intervention by the a. Suppression
nurse? b. Reaction Formation
a. Rapid mood swings c. Sublimation
b. Inappropriate speech patterns d. Repression
c. Command hallucinations
d. Impaired memory 13. A nurse is caring for a client who has Alzheimer's disease. Which
of the following findings should the nurse expect?
9. A nurse in an emergency department is assessing a client a. Excessive motor activity
who recently reported using cocaine. Which of the following b. Altered LOC
clinical manifestations should the nurse? c. Failure to recognize familiar objects
a. Lethargy d. Rapid mood swings
b. Bradycardia
c. Hypertension 14. A nurse in a mental health facility is caring for a client who is
d. Hypothermia being aggressive toward other clients. Which of the following
actions is a priority for the nurse to take?
10. A nurse is teaching a client about the use of cognitive a. Ask the client if he intends to harm others
reframing for Stress Management. Which of the following b. Role model healthy ways to express anger
statements been a client indicates an understanding of the c. Assist the client to explore techniques to reduce stress
teaching? d. Suggest that the client make a list of things that make him
a. I will practice replacing negative thoughts with angry
positive self statements
b. I will progressively relax each of my muscle groups when
feeling stressed
c. I will focus on a mental image while concentrating on my
breathing
d. I will learn how to voluntarily control my blood pressure
and heart rate
11. A nurse in an inpatient mental health facility is assessing a
client who has schizophrenia and is taking haloperidol. Which
of the following clinical findings is the nurse’s priority?
a. High fever
b. Urinary hesitancy
c. Insomnia
d. Headache
12. A nurse is interviewing a client who was recently sexual
